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</o:shapelayout></xml><![endif]--></head><body lang=EN-US link=blue vlink=purple><div class=WordSection1><p class=MsoNormal>Dear Business Managers and Benefits Administrators:<o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal>Last week ODS Pharmacy Services mailed some letters explaining various changes to their affected OEBB members. Below are the highlights of the various communications.<o:p></o:p></p><p class=MsoNormal><b><u><o:p><span style='text-decoration:none'> </span></o:p></u></b></p><p class=MsoNormal><b><u>Specialty Rx Transition<o:p></o:p></u></b></p><p class=MsoNormal style='margin-left:38.35pt;text-indent:-.25in;mso-list:l0 level1 lfo1'><![if !supportLists]><span style='font-family:Symbol'><span style='mso-list:Ignore'>·<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]>Beginning April 1, 2012, BioScrip will no longer provide specialty or mail-order pharmacy services for OEBB members enrolled in ODS pharmacy plans. The letter explains that:<o:p></o:p></p><p class=MsoNormal style='margin-left:74.35pt;text-indent:-.25in;mso-list:l0 level2 lfo1'><![if !supportLists]><span style='font-family:"Courier New"'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]>On behalf of the Oregon Prescription Drug Program (OPDP), ODS has contracted with Diplomat Specialty Pharmacy to fill prescriptions that are categorized as specialty prescriptions. Diplomat has committed to calling members currently using BioScrip to begin the registration process and to notify each member’s physician. <o:p></o:p></p><p class=MsoNormal style='margin-left:74.35pt;text-indent:-.25in;mso-list:l0 level2 lfo1'><![if !supportLists]><span style='font-family:"Courier New"'><span style='mso-list:Ignore'>o<span style='font:7.0pt "Times New Roman"'> </span></span></span><![endif]>Postal Prescription Services (PPS) will be handling all of the mail-order pharmacy prescriptions. PPS is a current mail-order pharmacy option available to members, located in Portland, OR. <o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p><p class=MsoNormal><b><u>Plan 9 Claims Processing Changes</u></b><span style='font-family:"Century Schoolbook","serif"'><o:p></o:p></span></p><ul style='margin-top:0in' type=disc><li class=MsoNormal style='mso-list:l1 level1 lfo2'>To make the claims process easier, Plan 9 prescription benefits will now be processed at the point of service when prescriptions are being dispensed by participating pharmacies. Beginning April 1, 2012 member’s 20 percent coinsurance will be applied by the pharmacy, after the deductible has been met.<span style='font-size:12.0pt;font-family:"Arial","sans-serif"'><o:p></o:p></span></li><li class=MsoNormal style='mso-list:l1 level1 lfo2'>Members with dual coverage <b>may</b> also have their secondary coverage processed immediately at participating pharmacies. Members will need to present insurance information for both plans and ask if the pharmacy has the capability to process a coordination of benefits (COB) transaction. The plan will pay up to what would have been covered had the claim been submitted to ODS for primary coverage processing.<o:p></o:p></li><li class=MsoNormal style='mso-list:l1 level1 lfo2'>Prescription drug benefits will be applied to Plan 9 the same as they are applied to the other OEBB-ODS plans, including such things as quantity maximums and step therapy. Members may refer to their Member Handbooks for additional information.<o:p></o:p></li></ul><p class=MsoNormal style='text-indent:.5in'><span style='font-family:"Century Schoolbook","serif"'><o:p> </o:p></span></p><p class=MsoNormal>Additional information such as participating pharmacies, member handbooks and frequently asked questions are available by visiting <a href="http://www.odscompanies.com/oebb/">www.odscompanies.com/oebb/</a>. If you have further questions about these changes, please contact ODS Pharmacy Services directly at 866-923-0411.<span style='font-family:"Arial","sans-serif"'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:"Arial","sans-serif"'><o:p> </o:p></span></p><p class=MsoNormal><b><span style='color:navy'>Jackie Cowsill</span></b><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;color:navy'>Communications Coordinator</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;color:navy'>Oregon Educators Benefit Board</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;color:navy'>Voice: (503) 378-5353</span><o:p></o:p></p><p class=MsoNormal><span style='font-size:10.0pt;color:navy'>Fax: (503) 378-5832</span><o:p></o:p></p><p class=MsoNormal><o:p> </o:p></p></div></body></html>