COVID-19 Healthcare Provider Resources

COVID-19 PHARMACY UPDATE: NIRVANAHEALTH BULLETIN

This update applies to: All Network Pharmacies

States: National

Line of Business: Medicaid, Health Insurance Market, & Commercial

RXBIN: 020545 & 610315

nirvanaHealth is committed to the safety of its members. We are continuously monitoring the impact of COVID-19 based on information provided by our public health stakeholders such as the Centers for Disease Control (CDC), U.S. Food and Drug Administration (FDA) and the World Health Organization (WHO).

Currently, we are:

  • Evaluating current FDA shortages to assess potential drug shortages caused by the inability to import drug products that may result in disruption in therapy for member(s).
  • Monitoring rejected claims for potential trends related to the COVID-19 outbreak (i.e. refill too soon or specific NDC issues).
  • Reviewing national and international data, supported by public health stakeholders, to assess the severity of illness caused by COVID-19.

At this time, we have implemented public health emergency override procedures, which will disable refill too soon rejections to ensure members are able to access their prescriptions during this public health emergency should the need arise for a member.

Associated BIN Numbers: 020545 & 610315

Pharmacies:  Please use Submission Clarification Code 13 (SCC13) to override refill too soon rejections. Days supply are limited to plan benefits.

Please do not hesitate to reach out to nirvanaHealth’s Help Desk for additional questions or assistance. For urgent requests, you may also contact emergency_resp_grp@rxadvance.com.

Contact Information per Plan

Plan NamePharmacy Help Desk Number
Buckeye Community Health Plan – Medicaid 800-681-5632
Buckeye Community Health Plan (MyCare)800-681-5632
Illinicare Health (Standard & Foster Kids)800-678-6237
Iowa Total Care (IA Health Link & Hawki)877-281-9627
Magnolia Health – Medicaid 800-671-2276
Nebraska Total Care (Heritage Health)800-974-5268
Pennsylvania Health & Wellness (Community Health Choices)800-681-4572

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RxAdvance is now nirvanaHealth.

Since 2013, the RxAdvance team has been dedicated to disrupting the healthcare industry, specifically in pharmacy benefit management. After 3 years of development, we went live with our first client in 2016 and delivered groundbreaking pharmacy benefit management services. Now that we have proven success year-after-year, we have decided to expand our impact beyond just the PBM industry—onto the payer industry. These two industries alone control the majority of the healthcare spend in the United States, including the $900+ billion of waste generated annually. With our expansion into a new portion of the industry, we have outgrown the RxAdvance name, since it does not accurately capture the scope of our healthcare reach and mission. We are excited to announce our new name and brand—nirvanaHealth. The RxAdvance name has served us well for many years and will continue to do so under nirvanaHealth.