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Number
0146
Submitting Entity (SE)
99CAR1
Add Date
17 Jan 2024
Update Date
Update
Included in January 2024 data tips email
Description
Though Caremark is considered a pharmacy benefits manager, it is possible that in some instances it can participate like a fully insured plan not as a PBM. At this time, there is no indicator in the claims or member data to make this distinction.
Redefined field - ME001_CAT (PAYER_TYPE)
Active/Resolved
Active
Action / Resolution
Category 1
PBM
Category 2
Pharmacy
Tip / Issue
Tip
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