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Humana Rx Quality Network Information

The Tennessee Pharmacists Association (TPA) has received numerous calls from pharmacist members regarding a recent proposed contract which was sent to pharmacies regarding Humana’s Rx Quality Network. The following information was provided by Humana to TPA to help clarify any questions regarding the network: CLICK HERE for a one-page summary of this network provided to TPA by Humana. |
Per Humana: For plan year 2017, Humana Pharmacy Solutions is offering a new quality-based network that rewards pharmacies on performance and establishes their pharmacy as in-network/preferred for (Medicare) PDP/MAPD plans.For Medicare Advantage (MAPD) Plans:
For Medicare PDP Plans:
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The information above is being provided to TPA members in an attempt to clarify recent questions regarding this plan. TPA abides by a strict anti-trust cautionary policy. TPA cannot provide advice to pharmacies regarding their participation in any plan or contract. The information above is being provided to members for informational purposes only, and pharmacies are required to make individual business decisions regarding whether or not to sign contracts and participate in plans. |