2009 Medicare Part D Training.

2009 Medco Medicare Part DSponsors Offering Secondary Coverage for Their BeneficiariesAnnouncement:Medco is supporting the Medicare Part D prescription drug benefit for our clients offering asecondary wrap for their Medicare-eligible beneficiaries.The secondary wrap benefit is offered to the client’s retiree, Medicare-eligible membershiponly. This cannot be offered to people outside the client’s population.Effective January 1, 2009, process claims for clients listed below using the newly issued IDcard containing the member’s new identifier, Rx Group number, and the appropriate Rx BINnumber and PCN combination, which are all fields needed for successful claims processingfor the secondary benefit.For the clients listed below, Pharmacy must submit claims to Medco through the TelePAID ®System using: The Rx BIN # 610031 The PCN as listed below The COB Segment or Copay-Only feature as listed belowThe list will be updated as additional clients elect to offer a secondary benefit for theirMedicare-eligible retiree membership.For moreinformation:Contact the Pharmacy Services Help Desk toll-free at 1 800 922-1557 or visit the PharmacistResource Center at www.medco.com/rph.Sponsors Offering Secondary Coverage via the COB SegmentLiberty MutualRx BIN / PCN combination610031 / MEDDCOBSEGSponsors Offering Secondary Coverage via the Copay-OnlyFeatureAlyeska Pipeline (Premera)APWUBCBSM - Collins & AikmanGEHANorthwest AirlinesSchool District of JanesvilleTrue Value CorpWSHIPSponsors Offering OneCardUnited Furniture Workers InsuranceRx BIN / PCN combination610031/MEDDCOPAY610031/MEDDCOPAY610031/MEDDCOPAY610031/MEDDCOPAY610031/MEDDCOPAY610031/MEDDCOPAY610031/MEDDCOPAY610031/MEDDCOPAYRx BIN / PCN combination610031/MEDDCOPAY

2009 Medicare Part DEnhanced Prescription Drug Plan (PDP) Sponsors(Continued)ExistingEnhanced PDP Sponsor List Rx Group # ID# format Estimated # of lives Geographic RegionAlcatel-Lucent ALUEPDP 12-digit alphanumeric 45,000 NationwideCarpenters Trust of WesternNationwide, mostly WestCTWWMEDD 11-digit alphanumeric 1,951 + 100 new livesWashington (CTWW)CoastCommonwealth of Virginia(COVA)CWHVAMD 12-digit alphanumeric 26,000 Nationwide, mostly VADistrict 1199J 1199JPD 12-digit alphanumeric 1,600 Nationwide, mostly NJDuPont DUPTMED 12-digit alphanumeric73,000 + 1,200 newlivesNationwidePublic Employees Health Plan(PEHP)PEHPPDP 12-digit alphanumeric 7,700 Nationwide, mostly UTSISC SISCMEDD 12-digit alphanumeric 1,450 + 100 new lives Nationwide, mostly CATennessee Valley Authority(TVA)TVADRUGMD 12-digit alphanumeric 12,000 + 200 new lives Nationwide, mostly TNThe Bledsoe Health Trust BLEDSOE2 12-digit alphanumeric 5,000 Nationwide, mostly OR, WA,and CAWestern Teamsters WelfareNationwide, mostly WestWTMEDD 12-digit alphanumeric 2,600 + 265 new livesTrust (WTWT)Coast

Sample of “Exhibit 02, Acknowledge Receipt of Completed Enrollment Election”Medco Health Solutions, Inc.P.O. Box 14232Lexington, KY 40512December 17, 20083688, 12302007, E0209>JOHN Q. SAMPLE100 PARSONS POND DRIVEANYCITY, ST 99999-9229client logoDear JOHN Q. SAMPLE:Thank you for enrolling in Medco Medicare Prescription Plan ® . Medco Medicare PrescriptionPlan is a prescription drug plan that is approved by Medicare. Your enrollment will be effective on01/01/2009.As of 01/01/2009, you should begin using Medco Medicare Prescription Plan network pharmacies tofill your prescriptions. If you use an out-of-network pharmacy and there is not an emergency, MedcoMedicare Prescription Plan may not pay for your prescriptions.This letter is proof of your Medco Medicare Prescription Plan coverage. You should show this letterat the pharmacy until you get your Member ID card from us.Medicare must approve all enrollments and calculate your premium amount. When Medicare approvesyour enrollment into Medco Medicare Prescription Plan, we will send you a letter to confirm yourenrollment in Medco Medicare Prescription Plan. You will get a separate letter from Medco MedicarePrescription Plan once Medicare calculates your premium. You should not wait to get these confirmationletters before you begin using Medco Medicare Prescription Plan network pharmacies on 01/01/2009.If Medicare rejects your enrollment, Medco Medicare Prescription Plan will bill you for anyprescriptions you received through us.If you have health coverage from an employer or union, or other entity, joining Medco MedicarePrescription Plan may change how your current coverage works. Read the communications your employer,union, or other source of coverage sends you. If you have questions, visit their website, or contact theS5660_E0209NAMS5983_E0209NYM

office listed in their communications. If there is no information on whom to contact, your benefitsadministrator or the office that answers questions about your coverage can help. If you have otherprescription drug coverage, such as through an employer plan, you shouldn’t cancel your other coverageyet. Keep your other coverage until you receive the confirmation letter from us.If you have a Medigap (Medicare Supplement Insurance) policy that includes prescription drug coverage,you must contact your Medigap issuer to let them know that you have joined a Medicare prescription drugplan. Your Medigap issuer will remove the prescription drug coverage portion of your policy and adjust yourpremium. Call your Medigap issuer for details.Generally, you may not enroll in a new plan during other times of the year unless you meet certain specialexceptions, such as if you move out of Medco Medicare Prescription Plan’s service area. FromNovember 15 through December 31 each year, you can enroll in a new Medicare prescription drugplan or Medicare health plan for the following year.If you qualify for extra help with your prescription drug costs, you may enroll in, or disenroll from, aplan at any time. If you lose this extra help during the year, your opportunity to make a changecontinues for two months after you are notified that you no longer qualify for extra help.If you have questions about how or when to disenroll from Medco Medicare Prescription Plan, pleasecall our Customer Service department.If you chose to have your Medco Medicare Prescription Plan premium withheld from your SocialSecurity payment, remember that your benefit check will reflect this deduction. If you did not choosethis option, we will bill you for your monthly premiums. Generally you must stay with the premiumpayment option you choose for the rest of the year. Members who fail to pay the monthly premium maybe disenrolled from Medco Medicare Prescription Plan.People with limited incomes may qualify for extra help to pay for their drugs’ costs (including helppaying the Medco Medicare Prescription Plan premium and yearly deductible). For moreinformation about this extra help, contact your local Social Security office or call 1-800-MEDICARE, 24hours per day, 7 days per week. TTY/TDD users should call 1-877-486-2048.Please remember that you should use Medco Medicare Prescription Plan network pharmacies to fillyour prescriptions beginning on 01/01/2009. If you use an out-of-network pharmacy, except in an emergency,Medco Medicare Prescription Plan may not pay for your prescriptions. You can find networkpharmacies in your area by looking in your Pharmacy Directory or by calling Customer Service atthe number below.If you have any questions, please contact Medco Medicare Prescription Plan Customer Service at1-800-758-4574. New York State residents should call 1-800-758-4570. Customer Service is available 24hours a day, 7 days a week (except Thanksgiving and Christmas). Customer Service is available inEnglish and other languages. TTY/TDD users should call 1-800-716-3231.Thank you.E0209NAM>S5660_E0209NAMS5983_E0209NYM

Medco's Medicare Prescription Drug Plan and Medco’s Medicare Part D Sponsors’2009 Formulary WebsitesReminderAnnouncement:The following are formulary websites for Medco and our clients’ Medicare formularies.Some formularies may have changed.Visit the websites to view formulary updates, which may include additions, deletions,preferred status changes, or tier changes and that are available 60 days prior to theeffective date. Some websites may receive heavy volume and become unavailable fromtime to time. If that occurs, please try the website at a later time.Note:For moreinformation:As additional websites become available, we will announce them.These websites contain the most current formularies and notification for future changes.Plans using www.medco.com are using the Medco Medicare Prescription PlanformularyTo access formulary changes through medco.com ® , Pharmacy must select “Physician”on the left side of the page, then “Medicare,” and then view the formulary changes. Thisinformation will soon be available on www.medco.com/rph. Until this development iscomplete, please choose “Physician” on the left-hand side of the medco.com website.Visit the Pharmacist Resource Center at www.medco.com/rph for additional MedicarePart D communications.Medco Plan NameMedco Medicare Prescription Plan ® - AccessMedco Medicare Prescription Plan ® - ChoiceMedco Medicare Prescription Plan ® - ValueMedco Medicare Prescription Plan ® for Alcatel-LucentMedco Medicare Prescription Plan ® for Bankers Fidelity - AccessMedco Medicare Prescription Plan ® for Bankers Fidelity - ChoiceMedco Medicare Prescription Plan ® for Bankers Fidelity - ValueMedco Medicare Prescription Plan ® for the Carpenters Health and Security Plan ofWestern WashingtonMedco Medicare Prescription Plan ® for ChevronMedco Medicare Prescription Plan ® for the Commonwealth of Virginia Retiree HealthBenefits ProgramMedco Medicare Prescription Plan ® for DuPontMedco Medicare Prescription Plan ® for Extend Health - AccessMedco Medicare Prescription Plan ® for Extend Health - ChoiceMedco Medicare Prescription Plan ® for Extend Health - ValueMedco Medicare Prescription Plan ® for the Public Employees Health ProgramMedco Medicare Prescription Plan ® for SISCMedco Medicare Prescription Plan ® for the Tennessee Valley Authority (TVA)Medco Medicare Prescription Plan ® for The Bledsoe Health Trust - AccessMedco Medicare Prescription Plan ® for The Bledsoe Health Trust - ChoiceMedco Medicare Prescription Plan ® for the District 1199J NJ Benefit FundMedco Medicare Prescription Plan ® (UFW Insurance Fund - Value)Medco Medicare Prescription Plan ® for Western Teamsters Welfare TrustMedco Medicare Prescription Plan ® for City of HammondWebsitewww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.comwww.medco.com

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Medicare Compliance and Fraud, Waste, and Abuse Training RequirementMedco is committed to compliance with the Centers for Medicare and Medicaid Services (CMS) requirementsand to supporting Medco-contracted pharmacies to ensure their compliance. It’s particularly important thatpharmacies and their employees be fully informed of Medicare Part D Programs and other federalrequirements relating to the detection, correction, and prevention of fraud, waste, and abuse (FWA).CMSregulations require that all entities contracted with a Medicare Part D Plan Sponsor participate in anapproved annual compliance training program.To fulfill this requirement in calendar year 2009, pharmacies will need to train their employees through the useof one of the following training modules. Medco is making a module available free of charge, but you haveseveral training options:Medco’s Medicare Compliance and Fraud, Waste, and Abuse training module, which is located onMedco’s Pharmacist Resource Center website at www.medco.com/rph.Training modules developed by industry associations in conjunction with CMS, which have beendetermined by CMS to meet Medicare standards. These modules should be available no later thanJanuary, 2009.*An alternative compliance training program that covers at a minimum the elements listed below.*When CMS provides further information regarding the associations’ training modules in January 2009,Medco will provide you with links to the training and any other pertinent Medicare Part D guidance.Pharmacies must offer, on an annual basis, compliance training to all their employees who work withMedicare Part D, and attendance must be tracked and available upon audit. Medco will begin monitoring todetermine compliance as early as January 1, 2010.If you choose to develop your own program, the training modules should address at a minimum the followingtopics and should be available to Medco upon request:Inappropriate Billing PracticesBait-and-Switch PricingPrescription AlteringDispensing Expired or Adulterated Prescription DrugsIllegal RemunerationTrue Out-of-Pocket (TrOOP) ManipulationIncorrect or Misleading Notices to EnrolleesU.S. Office of Inspector General (OIG) Exclusion ListCompliance with Federal StatutesReporting Fraud, Waste, and Abuse.Reporting Fraud, Waste, and Abuse:With its commitment to compliance in mind, Medco has a Medco Medicare Prescription FWA Drug Hotline(1 800 303-9373), which is a toll-free hotline available around the clock. The hotline is a mechanism to enableindividuals, including pharmacies and other providers, to report confidentially any potential acts of fraud,waste, or abuse on an anonymous basis. Once reported, matters are investigated as appropriate, and actionis taken to address the reported events.Thank you for your time and attention to this important Medicare requirement. Look for additional informationfrom Medco regarding training in January.

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