Fw: Update from Aetna Better Health - Pharmacy

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FYI

Ellen

Ellen Garber Bronfeld

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Sent: Fri, November 4, 2011 10:01:00 AM

Subject: Update from Aetna Better Health - Pharmacy

All,

As of January 1, 2012 Walgreens will withdraw from the national Express

Scripts, Inc.(ESI) network. ESI is the Pharmacy Benefit Manager for Aetna

Better Health and consequently, members will no longer be able to fill their

prescriptions at the Walgreens pharmacy as of that date.

Aetna Better Health recognizes the impact that this has and has developed a

detailed outreach plan to minimize the risk of disruption for our members.

This plan will provide assistance to those affected by this change well in

advance of the January timeframe.

ESI has identified approximately 6000 members who have received a prescription

from Walgreens since May 1, 2011. We have developed a multi-tiered

approach for notifying the 6000 members. The first step of

notification includes sending out a letterthat lists their current Walgreens

location and three alternative pharmacies and locations. Additionally, they

will receive two automated phone calls alerting them. The automated phone

calls will also have an option allowing the member to be transferred to ESI

call center staff to assist with the transition.

The second step is that ESI has identified approximately 600 members

who are receiving 10 or more prescriptionsper month. ESI will contact

them directly to either enroll in mail order or transfer to another drug

store . For the remaining 5400 members, Aetna Better Health has a dedicated

team who will proactively reach out to assist with the transition by enrolling

them in mail order or identifying alternative pharmacies that are accessible to

the member. We will have direct access to top 10 pharmacy chains who are

prepared to help in the transition by contacting Walgreens or the prescribing

Doctor.

It is our expectation that this individualized intervention with our members

will provide the opportunity to answer any questions that they may have as well

as assist them in their transition with as little disruption as possible.

Please feel free to contact me if you have any additional questions.

Regards,

Jacqleen Musarra

Community Liaison Manager

Aetna Better Health, Illinois

One South Wacker Drive

Chicago, IL 60606

312.821.0583

MusarraJ@...

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