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Pennsylvania Department of Aging
Pharmacists • Documents
PAP Provider Bulletins
2025
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| Title | Date |
2024
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| Title | Date |
2023
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2022
| Title | Date |
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2021
| Title | Date |
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2019
| Title | Date |
|---|---|
| Title | Date |
| PAPB-19-001 REVISED PAP Pricing Formula | 10/31/2019 |
Provider Documents
| Title | Date |
|---|---|
| Title | Date |
| D.0 Specifications for PACE, CRDP, SPBP, PAP, Naloxone and all Ancillary Programs | 01/18/2024 |
| PACE-PACENET Program Regulations | 04/25/2013 |
| Provider Audit Principles and Practices - PACE Program | 08/01/2024 |
PACE Provider Bulletins
2025
| Title | Date |
|---|---|
| Title | Date |
2024
2023
| Title | Date |
|---|---|
| Title | Date |
| PPB-23-009--Naloxone Copay Assistance Program UPDATE | 11/22/2023 |
| PPB-23-006- PACE Provider Bulletin- Naloxone Copay Assistance Program Reminder | 06/08/2023 |
| PPB-23-002 Naloxone Copay Assistance Program UPDATE | 02/24/2023 |
| PPB-23-001- UPDATES Web Portal and Web-Based Applications Changes | 01/20/2023 |
2022
2021
2020
| Title | Date |
|---|---|
| Title | Date |
| PPB-20-016 PACE Bulletin-MedSync Bulletin Reminder | 12/21/2020 |
| PPB-20-014 Valid Claim Data | 11/13/2020 |
| PPB-20-013 REVISED Incremental Fills-CII Medications Bulletin | 10/22/2020 |
| PPB-20-012 Incremental Fills-CII Medications Bulletin | 10/08/2020 |
| PPB-20-011 PACE-CRDP-SPBP Audit and Telephone Prescription Changes REVISED | 07/09/2020 |
| PPB-20-007 PACE-CRDP-SPBP Audit and Telephone Prescription Changes (002) | 05/28/2020 |
| PPB-20-004 PACE Early Refill Edit UPDATE | 03/20/2020 |
| PPB-20-003 PACE Early Refill Edit | 03/18/2020 |
| PPB-20-002 Billing Partial Fills | 02/12/2020 |
| PPB-20-001 340 B Pricing Reminder Bulletin | 01/24/2020 |
2019
| Title | Date |
|---|---|
| Title | Date |
| PPB-19-013 PACE Prescriptions for Brand Medications | 09/27/2019 |
| PPB-19-006 PACE Medication Synchronization | 04/11/2019 |
| PPB-19-005 PACE Valid Claim Data | 04/04/2019 |
| PPB-19-004 AutoCAT and WCSF Termination Bulletin 2-26-19 | 02/28/2019 |
2018
2017
| Title | Date |
|---|---|
| Title | Date |
| PPB-17-016 Surrounding State Edit Bulletin | 11/22/2017 |
| PPB-17-014 PACE Dispensing Fee Revision Bulletin | 11/09/2017 |
| PPB-17-012 DOB Bulletin Implementation | 08/23/2017 |
| PPB-17-010 DUR EDITS | 06/07/2017 |
| PPB-17-009 DATE OF BIRTH EDIT UPDATE | 05/31/2017 |
| PPB-17-008 SHORT CYCLE CLAIMS REPROCESSING | 05/17/2017 |
| PPB-17-006 RESTRICTED STIMULANTS FOR PACE | 05/10/2017 |
| PPB-17-005 DATE OF BIRTH EDIT | 04/26/2017 |
2016
| Title | Date |
|---|---|
| Title | Date |
| PPB-16-019 Therapeutic Duplication Edit | 09/22/2016 |
| PPB-16-018 Short Term Opioid Edit | 09/01/2016 |
| PPB-16-016 New PACE Legislation | 11/22/2016 |
| PPB-16-015 New PACE Provider Agreement | 05/26/2016 |
| PPB-16-014 DUR High Dose Edits | 05/26/2016 |
| PPB-16-013 Update FUL | 04/29/2016 |
| PPB-16-012 PACE Compound Edit | 05/04/2016 |
| PPB-16-011 Revised Audit Manual | 04/27/2016 |
| PPB-16-010 Mandatory Substitution | 04/27/2016 |
| PPB-16-009 Non-Participating Manufacturers | 03/24/2016 |
| PPB-16-008 Rejected Reversal Recovery - Denied | 03/23/2016 |
| PPB-16-007 Update: Federal Upper Limits (FUL) | 03/16/2016 |
| PPB-16-006 Proton Pump Inhibitor (PPI) Implementation | 03/16/2016 |
| PPB-16-005 Rejected Reversal Recovery | 03/02/2016 |
| PPB-16-002 Updates: Prescriber Edit Enhancement: Implementation | 01/28/2016 |
| PPB-16-001 Updates: Prescriber Edit Enhancement | 01/07/2016 |
2015
| Title | Date |
|---|---|
| Title | Date |
| PPB-15-019 Prescriber Edit Enhancement | 12/03/2015 |
| PPB-15-018 Cost Exceeds Maximum Edit Revision | 10/28/2015 |
| PPB-15-017 2016 Edit Enhancements | 12/03/2015 |
| PPB-15-015 Immunizations: Influenza Vaccine | 10/22/2015 |
| PPB-15-014 Levemir® (Insulin Detemir [rDNA Origin] Injection) | 09/23/2015 |
| PPB-15-012 Prolia® (denosumab) Injection | 08/13/2015 |
| PPB-15-011 Mandatory Substitution | 08/13/2015 |
| PPB-15-010 Praluent® (alirocumab) Injection | 08/13/2015 |
| PPB-15-008 $4,000 Prescription Procedure Revision | 06/17/2015 |
| PPB-15-007 Upgrade Window | 05/06/2015 |
| PPB-15-006 Part D Plan Transition Period | 03/18/2015 |
| PPB-15-005 Denied Part D claims: Quantity Limits | 03/04/2015 |
| PPB-15-004 Alzheimer Disease Edits | 02/25/2015 |
| PPB-15-003 FUL (Federal Upper Limit) Reprocessing Completion | 01/23/2015 |
| PPB-15-001 New Edits | 01/13/2015 |
2014
| Title | Date |
|---|---|
| Title | Date |
| PPB-14-008 Copaxone® 20 mg. Package Change | 09/30/2014 |
| PPB-14-007 FUL (Federal Upper Limit) Reprocessing | 09/24/2014 |
| PPB-14-006 ProDUR Edit Additions | 09/30/2014 |
| PPB-14-005 ProDUR Editing of Part D claims | 09/18/2014 |
| PPB-14-004 ICD 9 and ICD 10 Bulletin Information | 04/17/2014 |
| PPB-14-002 Program Updates Bulletin | 01/31/2014 |
2013
| Title | Date |
|---|---|
| Title | Date |
| PPB-13-019 PACE Core CAQH Notice | 11/27/2013 |
| PPB-13-016 Coordination of Benefits Edit Logic Enhancement | 09/25/2013 |
| PPB-13-015 Perforomist® Inhalation Solution | 08/22/2013 |
| PPB-13-014 Program Compliance | 09/20/2013 |
| PPB-13-013 Dur Addition - Qsymia® | 08/14/2013 |
| PPB-13-012 Rewards/Loyalty/Gas Points Programs | 07/29/2013 |
| PPB-13-011 Medicare Part D 90 Day Supply Prescription Refill Edit | 07/26/2013 |
| PPB-13-006 Compound Claims Processing Enhancement | 05/10/2013 |
| PPB-13-005 Implementation: Reject 7C: M/I Other Payer ID | 03/29/2013 |
| PPB-13-004 Rejected Reversal Transactions | 04/05/2013 |
| PPB-13-003 New ProDUR Edits | 03/18/2013 |
| PPB-13-002 FUL (Federal Upper Limit) Reprocessing | 05/10/2013 |
2012
| Title | Date |
|---|---|
| Title | Date |
| PPB-12-018 ProDUR Bulletin | 11/23/2012 |
| PPB-12-017 Provider NPI equals the Prescriber NPI | 12/11/2012 |
| PPB-12-015 Short Cycle Dispensing | 10/04/2012 |
| PPB-12-014 PACE/SPBP/CRDP FUL (Federal Upper Limit) Pricing | 10/03/2012 |
| PPB-12-012 NCPDP 70 Bulletin | 08/10/2012 |
| PPB-12-010 4 Rx Identifier Edit | 06/01/2012 |
| PPB-12-009 Prescriber NPI Edit | 05/14/2012 |
| PPB-12-008 PACE/SPBP/CRDP NCPDP v5.1 | 05/04/2012 |
| PPB-12-007 PACE/SPBP/CRDP PACE Portal | 04/16/2012 |
| PPB-12-006 PACE/SPBP/CRDP April 21, 2012 Implementation Reminder | 04/09/2012 |
| PPB-12-004 PACE Part D Plan BINs | 03/30/2012 |
| PPB-12-003 PACE/SPBP/CRDP April 21, 2012 Implementation | 03/16/2012 |
| PPB-12-002 PACE/SPBP/CRDP March 31, 2012 D.0 Postponement | 03/06/2012 |
| PPB-12-001 PACE/SPBP/CRDP Medicare Part D Plans with Premium Agreements | 01/12/2012 |
2011
| Title | Date |
|---|---|
| Title | Date |
| PPB-11-016 PACE/SPBP/CRDP NCPDP Version D.� Implementation Update | 12/16/2011 |
| PPB-11-015 PACE/SPBP/CRDP NCPDP Version D.� Update | 11/23/2011 |
| PPB-11-014 PACE/SPBP/CRDP November 12 Implementation Postponed | 11/04/2011 |
| PPB-11-012 PACE/SPBP/CRDP NCPDP Version D.� | 10/14/2011 |
| PPB-11-011 NCPDP Version 5.1 Processing Changes (Reminder) | 09/23/2011 |
| PPB-11-010 NCPDP Version 5.1 Processing Changes | 09/09/2011 |
| PPB-11-009 Primary Prescription Plan Information | 07/15/2011 |
| PPB-11-008 Chain Provider Voids | 05/16/2011 |
| PPB-11-007 Same Cycle Voids | 05/16/2011 |
| PPB-11-006 Non-Participating Manufacturer | 04/01/2011 |
| PPB-11-005 Part D Primary Plan Edit | 01/28/2011 |
| PPB-11-004 Other Payer Bin | 01/21/2011 |
| PPB-11-003 Part D Partner Plan Update | 01/14/2011 |
| PPB-11-002 Medicare Part D Additional Cardholders | 01/06/2011 |
| PPB-11-001 Medicare Part D Partner Plan Assignments | 01/04/2011 |
2010
| Title | Date |
|---|---|
| Title | Date |
| PPB-10-021 Prospective Drug Utilization Review (ProDUR) Criteria Additions | 12/14/2010 |
| PPB-10-020 340B Pricing Retraction | 12/17/2010 |
| PPB-10-019 Propoxyphene (Darvon®, Darvocet®) | 11/23/2010 |
2009
| Title | Date |
|---|---|
| Title | Date |
| PPB-09-014 Valid Claim Data | 09/23/2009 |
| PPB-09-010 Prospective Drug Utilization Review (ProDUR) Criteria Additions | 05/29/2009 |
| PPB-09-009 Validity of Claim�s Information | 05/29/2009 |
2008
| Title | Date |
|---|---|
| Title | Date |
| PPB-08-012 Future PACE Edits | 11/03/2008 |
| PPB-08-013 PACE and Medicare Remit Easy Print (MREP) | 11/21/2008 |
| PPB-08-015 PA Rx Pricefinder | 11/21/2008 |
2007
| Title | Date |
|---|---|
| Title | Date |
| PPB-07-016 BIN and PCN Edits | 06/22/2007 |
| PPB-07-017 Program Changes | 07/27/2007 |
| PPB-07-018 PAP (Pennsylvania Patient Assistance Program) | 07/27/2007 |
2006
| Title | Date |
|---|---|
| Title | Date |
| PPB-06-003 Date Prescription Written Edit | 01/27/2006 |
| PPB-06-023 Primary Payer Reject Codes / BIN | 07/21/2006 |
| PPB-06-026 Billing The Primary Payer | 08/18/2006 |
2005
| Title | Date |
|---|---|
| Title | Date |
| PPB-05-003 Optometrist�s Prescribing Privileges | 01/28/2005 |
| PPB-05-014 Phenylketonuria (PKU) Program Statewide Implementation | 07/01/2005 |
| PPB-05-022 Payor Specifications NCPDP v5.1 December Edit Implementation | 11/04/2005 |
2004
| Title | Date |
|---|---|
| Title | Date |
| PPB-04-013 Program Updates | 08/13/2004 |
| PPB-04-015 PACE Processing of MDP Claims | 10/01/2004 |
| PPB-04-016 DUR Edits | 10/08/2004 |
2002
| Title | Date |
|---|---|
| Title | Date |
| PPB-02-001 Important Cardholder Information | 01/18/2002 |
| PPB-02-008 Remodulin™ | 09/06/2002 |
| PPB-02-009 HIPAA Compliance | 11/08/2002 |
2001
| Title | Date |
|---|---|
| Title | Date |
| PPB-01-001 Prescription Records | 01/26/2001 |
| PPB-01-012 CRNP (Certified Registered Nurse Practitioner) Prescribers | 06/22/2001 |
| PPB-01-024 Other Prescription Coverage EDIT | 12/14/2001 |
2000
| Title | Date |
|---|---|
| Title | Date |
| PPB-00-015 Dispensing Date | 04/07/2000 |
| PPB-00-017 REZULIN® | 03/31/2000 |
| PPB-00-018 PROPULSID® Reimbursement | 04/07/2000 |
CRDP Provider Bulletins
2025
| Title | Date |
|---|---|
| Title | Date |
2024
| Title | Date |
|---|---|
| Title | Date |
2023
| Title | Date |
|---|---|
| Title | Date |
2022
| Title | Date |
|---|---|
| Title | Date |
2021
| Title | Date |
|---|---|
| Title | Date |
2020
| Title | Date |
|---|---|
| Title | Date |
| CRDP-20-001 REVISED CRDP Reimbursement Formula | 12/22/2020 |
2016
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-16-001 Formulary Revision | 03/31/2016 |
2009
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-09-001 Future CRDP Edits | 03/02/2009 |
| CRDPB-09-002 Formulary Updates | 03/06/2009 |
| CRDPB-09-003 FORMULARY ADDITION: Renvela® | 03/06/2009 |
2008
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-08-001 Nutritional Supplements | 02/01/2008 |
| CRDPB-08-002 Program Changes | 12/12/2008 |
2007
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-07-001 Nutritional Supplements | 02/09/2007 |
| CRDPB-07-002 Formulary Update | 06/22/2007 |
| CRDPB-07-004 Program Updates | 08/10/2007 |
| CRDPB-07-005 Reimbursement | 11/02/2007 |
2006
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-06-002 Formulary Additions | 03/24/2006 |
| CRDPB-06-004 Ultrace® | 08/04/2006 |
2005
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-05-001 Formulary Changes | 02/18/2005 |
| CRDPB-05-002 Formulary Additions | 02/18/2005 |
| CRDPB-05-003 Formulary Changes | 06/03/2005 |
2002
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-02-001 Formulary Changes | 04/19/2002 |
2001
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-01-003 Formulary Additions | 06/08/2001 |
| CRDPB-01-006 Formulary Additions | 08/10/2001 |
2000
| Title | Date |
|---|---|
| Title | Date |
| CRDPB-00-001 Formulary Update | 02/11/2000 |
| CRDPB-00-002 Immunosuppressants | 08/04/2000 |
| CRDPB-00-003 Quantity (Revision) | 09/01/2000 |
CF Provider Bulletins
2025
| Title | Date |
|---|---|
| Title | Date |
2024
| Title | Date |
|---|---|
| Title | Date |
2023
| Title | Date |
|---|---|
| Title | Date |
2022
| Title | Date |
|---|---|
| Title | Date |
2021
| Title | Date |
|---|---|
| Title | Date |
2006
| Title | Date |
|---|---|
| Title | Date |
| CFB-06-001 Claims for CF Cardholders Over Age 21 | 02/17/2006 |
| CFB-06-005 Pancreatic Enzymes | 08/11/2006 |
PKU Provider Bulletins
2023
| Title | Date |
|---|---|
| Title | Date |
2022
| Title | Date |
|---|---|
| Title | Date |
2021
| Title | Date |
|---|---|
| Title | Date |
2020
| Title | Date |
|---|---|
| Title | Date |
| PKUB-20-002 PKU Formulary Changes | 12/23/2020 |
| PKUB-20-001 PKU Formulary Changes | 11/04/2020 |
2010
| Title | Date |
|---|---|
| Title | Date |
| PKUB-10-002 Formulary Additions | 09/01/2010 |
2007
| Title | Date |
|---|---|
| Title | Date |
| PKUB-07-003 Metabolic Formulary (Updated) | 07/06/2007 |
SPBP Provider Bulletins
2025
| Title | Date |
|---|---|
| Title | Date |
2024
| Title | Date |
|---|---|
| Title | Date |
2023
| Title | Date |
|---|---|
| Title | Date |
2022
| Title | Date |
|---|---|
| Title | Date |
2021
| Title | Date |
|---|---|
| Title | Date |
| SPBP1-21-002 SPBP Date RX Written and Refill Edit Changes Bulletin | 09/03/2021 |
| SPBP-21-001 SPBP Early Refill Edit Reinstatement | 02/09/2021 |
2019
| Title | Date |
|---|---|
| Title | Date |
| SPBP-19-002 340 B Pricing Reminder Bulletin | 08/23/2019 |
| SPBP-19-001 SPBP Non Par Labeler Code Bulletin | 01/31/2019 |
2017
| Title | Date |
|---|---|
| Title | Date |
| SPBP-17-002 SPBP1 Non participating Manufacturers Bulletin | 11/09/2017 |
| SPBP-17-001 Non participating Manufacturers Bulletin | 10/12/2017 |
2016
| Title | Date |
|---|---|
| Title | Date |
| SPBP-16-001 Hepatitis C Drugs | 01/28/2016 |
| SPBP-16-002 Hepatitis C Drugs: Revised | 02/01/2016 |
| SPBP-16-003 Hepatitis C Drugs: Update | 02/08/2016 |
| SPBP-16-004 SPBP1 Cardholder TPL Coverage Enhancement | 07/06/2016 |
2014
| Title | Date |
|---|---|
| Title | Date |
| SPBP-14-002 Revised D.� Specifications | 06/24/2014 |
2010
| Title | Date |
|---|---|
| Title | Date |
| SPBPB-10-002 SPBP Cardholders with Non-Part D Prescription Plans | 02/19/2010 |
2008
| Title | Date |
|---|---|
| Title | Date |
| SPBPB-08-006 SPBP Formulary Addition | 10/31/2008 |
2007
| Title | Date |
|---|---|
| Title | Date |
| SPBPB-07-001 SPBP Medicare Part D | 02/02/2007 |
2004
| Title | Date |
|---|---|
| Title | Date |
| SPBPB-04-001 SPBP Claims Submission of Enterals in Powder Form | 11/26/2004 |