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Revised January, 2010 CONFIDENTIAL AND PROPRIETARY - page 8 / 31

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CONFIDENTIAL AND PROPRIETARY

HHS OIG:

1-800-HHS-TIPS (1-800-447-8477) E-mail: HHSTips@oig.hhs.gov Fax: 1-800-223-8164

Medicare Program directly at:

1 (877) 772-3379

When reporting suspected fraud, please remember to include the names of all applicable parties involved. Specify which person you believe is committing the fraud, identify the dates of service or issues in question and describe in detail why you believe a fraudulent act may have occurred. If possible, please include your name and telephone number so we may contact you if we have any questions during our investigation. All reports are treated as confidential and will be investigated as appropriate, including applicable referral to law enforcement and regulatory bodies. Reports may be made anonymously.

Provider Relations Department

All communication, contracting, and pharmacy updates and concerns can be submitted to the Provider Relations general group email box at Provider.Relations@walgreens.com, faxed to Provider Relations at 847-572-4160, or. Mailed to:

Walgreens Health Initiatives PO Box 545, Mail Stop C4340 Deerfield, IL 60015-0545 Attn: Provider Relations

Network Participation

Pharmacies become eligible to participate in the Walgreens Health Initiatives network when a Pharmacy Network Agreement with Walgreens Health Initiatives is executed by both parties or by affiliating with a Pharmacy Services Administration Organization/ Third Party Administration (PSAO/TPA) that is contracted with Walgreens Health Initiatives and Walgreens Health Initiatives can confirm the pharmacy’s affiliation with such PSAO/TPA.

Medicare Part D Participation

To participate in the Medicare Part D plans administered by Walgreens Health Initiatives, pharmacies are required to sign Walgreens Health Initiatives’ Medicare Prescription Drug Addendum along with any other applicable Medicare addendums, in addition to the Pharmacy Network Agreement. Pharmacies must post or distribute notices instructing enrollees to contact their plans to obtain a coverage determination or request an exception if they disagree with the information provided by the pharmacist in accordance with the CMS-Approved

Walgreens Health Initiatives – Pharmacy Manual

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