Frequently Asked Questions
If I am a CIPN member, when should I contact Community Independent Pharmacy Network?
MAC pricing issues:
Community Independent Pharmacy Network (CIPN) will submit MAC Appeals to “Contracted” third party payers on behalf of your pharmacy. MAC Appeal requests can be submitted to CIPN online.
Questions regarding accessing networks available under Community Independent Pharmacy Network can be directed to our customer service representatives. We will work with the third party payer to link your pharmacy to the network so that you may begin processing.
General Third Party Communications:
Community Independent Pharmacy Network will communicate with “Contracted” third party payers on your pharmacy's behalf. Please contact us with general third party questions.
If I am a CIPN-Direct member, when should I contact Community Independent Pharmacy Network?
If your pharmacy elected to participate in direct contracting assistance at the time of enrollment, you will receive the following services. If you have questions as to whether or not your pharmacy is participating in this service, please
contact a CIPN customer service representative.
Reviewing Direct Payer Addendums:
As a CIPN-Direct member, you can forward addendums received from direct payers to CIPN for review. CIPN will respond to your pharmacy with direction. CIPN also communicates with all CIPN- Direct members in the form of a broadcast communication advising them on how to respond to the payer.
MAC pricing issues:
With the exception of Caremark, CIPN will submit MAC appeals to all direct-contract third party payers on behalf of your pharmacy. MAC appeals can be submitted by your pharmacy to CIPN online.
Questions regarding accessing networks available under Direct-Contract third party payers can be sent to your CIPN customer service representative. We will work with the third party payer to link your pharmacy to the network so that you may begin processing.
General Third Party Communications:
Please send general “Direct” third party inquiries to a CIPN representative. They will make sure your inquiry is submitted through the proper channels in order to get your questions answered as quickly as possible.
If I am transitioning from another PSAO, what can I expect?
- If your pharmacy is transitioning from another PSAO, Community Independent Pharmacy Network will obtain this information from you at the time of enrollment. You will be advised by a CIPN customer service representative as to when you should terminate your previous relationship.
How do I obtain my user name and password to access the Member's Section of www.cipnetwork.com?
- Your login information for www.cipnetwork.com will be available on the Information Sheet included in your Membership Packet. You can also obtain your login information by calling a CIPN customer service representative. Login information can only be sent via email to the primary contact listed for your pharmacy.
What tools are available on www.cipnetwork.com?
Your pharmacy can access several tools on Community Independent Pharmacy Network's website. These tools include, but are not limited to:
- Payer Notifications - Notifications received from third party payers will be displayed on the website.
- Third Party Websites Links - Links to each third party’s website are included in the third party payer list.
- BINs and Plans - Our third party payer list includes BINs and plans associated with each third party contract.
- Network Manuals - If the third party payer has a network manual, it is displayed on the website for your retrieval.
- Transaction fees - If a third party charges transaction fees, and this information is available, their fee is listed in the third party payer list section on the website.
- Interventions - When a CIPN customer service representative is working on an open issue for your pharmacy, they will log notes regarding the details and their progress towards resolving the issue for your pharmacy. This “Intervention” detail is displayed on the website for your convenience.
- Online MAC Appeal - CIPN makes an online MAC appeal tool available via the member’s section of our website. Any MAC appeal submitted online will be forwarded to the appropriate third party payer the same business day.
Special Network Information – CIPN provides detailed information such as plan names, PCN, BIN, Help Desk phone numbers and reimbursement rates for Medicare Part D Networks and other special networks.
If you have any questions regarding how to access these tools or any additional features available on our website, please contact a customer
How does my pharmacy benefit from joining a PSAO?
- Time Savings - CIPN customer service representatives will work on your pharmacy’s behalf to communicate with contracted third party payers regarding MAC pricing issues, network access issues and any additional inquiries pertaining to your third party contracts.
- Financial Savings - Community Independent Pharmacy Network has been successful in working with contracted third party payers to enhance one out of every three contracts to financially benefit your pharmacy. These enhancements lead the industry when compared to any other PSAO in the country.
If I am a network member, what type of communications will I receive from CIPN?
- Community Independent Pharmacy Network will broadcast timely news to network members regarding critical information about contracted third party payers. The preferred form of communication is email. Please be sure to provide a valid email address to CIPN at the time of enrollment.