South Carolina Department of Health and Human Services

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South Carolina Pharmacy Services

Providers • Medicare Part D

Provider Information

Telephone Numbers

For Pharmacy Providers ONLY (not for use by Medicare patients or beneficiaries)

Number Description
Number Description
866/835.7595 CMS Pharmacy Phone Number for Pharmacists Needing Assistance with Part D Claims & Copay Issues
Customer service representatives are available to help pharmacists identify the beneficiary's plan by providing some basic information.Upon calling this number, pharmacists must identify themselves with their NCPDP Provider ID number.Pharmacists should also have most of the following information available to assist the call service representative with the search: HIC #, Date of Birth, Beneficiary Name, Zip Code, Part A or B Effective Date and Gender. Upon completion of the search, the CMS call service representative will identify the drug plan name and, if requested, the effective date of Medicare coverage.
800/388.2316 Pharmacy Phone Number for Information on E-1 Transactions
For pharmacists needing to verify coverage for non-auto-enrolled dual eligibles (individuals eligible for both Medicare and Medicaid).
800/662.0210 Pharmacy Phone Number for the National PDP (Wellpoint/Anthem) Help Desk
785/830.2593 Dedicated Fax Phone Number for Nursing Homes to Use for the Fax-Based Procedure

Documents
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Date Title
Date Title
01/01/2009 2009 Medicare/GAPS-Coordinating Plans
01/01/2009 GAPS Reduction Letter
02/12/2008 Part D Reference Guide for Pharmacists (02/12/08)
01/05/2006 Frequently Asked Questions on Processing Claims for Dual Eligible Beneficiaries
12/15/2005 Medicaid Bulletin to Pharmacy Providers About Medicare Part D (South Carolina)