Stay up-to-date regarding the Change Healthcare outages. The latest updates includes information on the restoration of the MedsYourWay Retail program, Prime/MRx’s response in the event of compromised data and the restoration of impacted pharmacies.

We will continue to update this page as more information becomes available. Last updated 11:30 a.m. CT April 19.

Please be advised, at approximately 8 a.m. Central Time (CT) on Feb. 21,2024, Prime observed a drop in claim volume from Change HealthCare (CHC). Prime has learned CHC is experiencing a national IT system outage as a result of a potential cyber security issue. Prime first communicated this issue on Feb. 21, 2024 and provided an update on Feb. 22, 2024.

Impact 
Due to this national outage, retail pharmacies that have elected to use CHC may be experiencing issues with flowing claims to Pharmacy Benefit Managers (PBM). As such, any claims routed through CHC are not being received by Prime and members may experience errors trying to process a claim.

Please see below for updates.

Updated April 19, 2024, 11:30 a.m. CT

Impacted pharmacies update 
As previously shared, Prime has been partnering with our retail community as they transition to alternative switch vendors to restore their claim traffic. We have positive updates to share on the remaining two pharmacy chains on Prime’s watch list (Department of Veteran Affairs and Indian Health).

CHC has partnered with RelayHealth and these pharmacy chains to transition claim traffic. CHC has confirmed the connectivity setup of that transition is now complete. Chains are now in the process of transitioning each of their respective locations to RelayHealth’s process, which is expected to be completed by the end of next week. Prime has already started to see claim traffic flowing through some of those locations. We will continue to monitor progress as we partner to close out the remaining watch list pharmacies.

MedsYourWay Retail program has been restored 
Prime and our MedsYourWay® (MYW) Retail vendor have been actively working with RelayHealth to transition claim volume traffic. As of April 17, 2024, we are happy to announce the MYW Retail program has been fully restored and is available for use for all clients that have implemented the product. Clients and members can expect to access and use the MYW product as they always have.

Prime’s response in the event of compromised data
Prime has conducted a thorough analysis to understand the business relationships we currently have with CHC, reviewed the data flows and conducted a contract review.

At this time, CHC has not reported any compromised data, however, we continue to monitor updates from CHC. In the event CHC confirms data was breached, we have determined that we would not expect CHC to notify Prime. We are not contracted directly with CHC to provide clearinghouse services. Below is a chart to summarize CHC reporting obligations.

Business Use:	Does Prime Interact with CHC?	Who holds contract with CHC?	Who CHC would notify of Breach?
Claims Recovery Services/Subrogation   MRx PBM Business	No	N/A	N/A
Claims Recovery Services/Subrogation Prime PBM Business	Yes	State Medicaid Agencies and MCOs, who are CHC’s Customers	State Medicaid Agencies and MCOs
Pharmacy Switch Prime and MRx PBM Business	Yes	Pharmacies, who are CHC’s Customers	Pharmacies ​​​​​​

CHC primarily serves as a switch that routes claims from the pharmacy to the plan/payer or PBM. CHC is considered a health care clearinghouse as defined as an organization that processes or facilitates the processing of healthcare data between the provider and payer.

Under HIPAA, a clearinghouse is a Covered Entity, and subject to the HIPAA Privacy, Security, and Breach Notification Rules. With this designation, CHC would be required to notify the affected individuals, federal and state regulators and the media where required.

Updated March 20, 2024, 9 a.m. CT

Pharmacy Switch Restoration Update
CHC recently announced they restored functionality to pharmacy switch vendor services. While functionality has been restored, additional work is underway with CHC to fully restore claim volume traffic at each remaining pharmacy chain. 

CHC has created a workaround whereby pharmacy claims that are submitted to CHC will be rerouted to RelayHealth to provide claim switching services on behalf of CHC. This workaround has enabled a functional process that does not utilize CHC’s existing systems in the interim.   

CHC is working with each pharmacy chain that was previously unable to convert to another switch vendor to connect to this new functional workaround process. While most pharmacy chains have restored their pharmacy claim traffic, Prime has provided a list of remaining impacted pharmacies for CHC’s prioritization. We expect to see continued movement from CHC to restore claim traffic for the remaining pharmacies.

MedsYourWay Retail Update
Our MedsYourWay vendor has been actively working with RelayHealth to transition claim volume traffic. RelayHealth is balancing the broader support of pharmacy transitions while actively working to restore functionality to provide this product. Currently, the parties do not have an estimated date of completion. We will continue working with the parties towards the restoration of this product and keep you updated on the timing of restoration.  

U.S. Department of Health and Human Services (HHS) Memos
Prime has been engaged with HHS and other partners throughout the CHC cybersecurity event. HHS has requested the healthcare industry search for flexibility in various aspects to support impacted providers. CHC has communicated on their website various steps they have taken to provide financial and workaround assistance to the healthcare industry.   

Currently, most of the healthcare industry’s impact remains on medical/hospital providers, as pharmacies have restored the majority of claim traffic. Prime has seen claim traffic normalize to expected daily levels, as pharmacies transitioned to other vendors and members shifted to other pharmacies. Prime has also seen the pharmacy community submit higher volumes in early March to catch up on previously dispensed orders during their outage to be reimbursed through our normal claim payment cycles. 

At this time, Prime has seen financial processes organically flow funds to our pharmacy partners and have not seen payment escalations warranting additional intervention. Prime remains focused on any escalation from pharmacies regarding payment or CHC impacts in order to partner with them through a given issue. 

Given that positive momentum, Prime is primarily focused on working with CHC to influence restoration for the remaining pharmacy chains to fully restore their claim switching services.   

Updated March 5, 2024, 5 p.m. CT

Currently, CHC does not have an estimated date of restoration.

Impacted pharmacies reporting
Your Health Plan Market representative will provide a refreshed client specific snapshot of pharmacies that remain unable to process claims today. We will discontinue this daily reporting schedule and shift to the next level of remediation.

Specialty and home delivery update
Our MRx Specialty Pharmacy vendor has completed their transition to RelayHealth and have returned to normal claims processing. Claims not submitted during last week’s outage will be submitted by MRx specialty pharmacy this week.

Please note that during the time of CHC’s outage, MRx Specialty Pharmacy was still able to continue dispensing medications to patients.

Updated Feb. 29, 2024, 5 p.m. CT

Prime continues to meet with CHC daily to align on next steps. Currently, CHC does not have an estimated date of restoration. Your Health Plan Market representative will provide a refreshed client specific snapshot of pharmacies that remain unable to process claims today and again next Tuesday, March 5.

Prime will plan to communicate another update early next week as more information becomes available.

Q. Why does it appear some store locations are impacted for chains that are up and running with RelayHealth? (i.e. Walgreens, CVS and Walmart)
A: The latest impact reporting was comparing claims billed prior to the incident (Feb. 12 and Feb. 16) to Feb. 23. The comparison between the two time periods does not always accurately reflect what is occurring in the pharmacy, as members who filled their 30-day medication on Feb. 12 will not be expected to refill for at least 25 days. We do not expect to see the same volume; however, we continue to monitor claims daily to assess volume fluctuations. All large chains such as CVS, Walgreens, and Walmart were using RelayHealth prior to the incident. Our provider relations team has been in contact daily, and currently they are not reporting any issues and have stated all pharmacies are able to bill claims.

Q. Does the change to RelayHealth have to occur at the store level?
A. The change to RelayHealth occurs at the chain level and would include all pharmacies under that chain. For example, Albertsons, who have many stores under their management including, but not limited to, Shaws, New Albertsons, and United SuperMarkets, moved their chains to RelayHealth shortly after the incident occurred. All stores operating under their chain code would be using RelayHealth as their switch company.

Q. How are Pharmacy Services Administration Organizations (PSAO) being addressed by RelayHealth?
A. PSAOs do not own pharmacies. PSAOs contract on behalf of, and offer ancillary services, for many independent pharmacies and small chains. The individual pharmacies would own the relationship with their switch vendor and not all pharmacies under a PSAO use the same switch vendor. Our provider relations team has made an outreach to all PSAOs to ensure they are reaching out to their memberships (pharmacies) to encourage and assist, when possible, a different switch company.

Q. Why are some pharmacies under a PSAO able to submit claims but others cannot?
A. Not all independent pharmacies under a specific PSAO use the same switch company. This contractual agreement is between the independent pharmacy and the switch vendor directly.

Q. Who makes up HealthMart? Are they transitioning to RelayHealth?
A. HealthMart is a PSAO that represents many independent pharmacies and small chains. Prime has been in contact with HealthMart and they have shared that they are assisting their memberships (pharmacies) with moving to a different switch company and have provided instructions to each pharmacy on how to make a switch.

Q. Can we identify Kroger specialty vs. retail?
A. Yes, upon request we can provide a listing of all pharmacies considered retail vs specialty. Kroger specialty is using CHC, but has shared that they are taking care of members or assisting with switching to a different pharmacy. They are holding daily meetings to determine if they will be making a switch.

Q. Are we able to get an impact by dollar amounts?
A. We cannot identify the impact by dollar amounts, as the claims are not hitting the Prime adjudication platforms where the claim is being sent via CHC.

Q: Is there a status update regarding the Department of Veterans Affairs?
A: We have contacted the Department of Veterans Affairs (VA) but have not yet received a response back. We will continue our outreach. The VA sends electronic claims in batches, or they submit paper claims. Their adjudication date is generally much later than the actual fill date.

Q. Can we identify which pharmacies in the client’s network are impacted and the actions being taken?
A. No, but Prime is evaluating our whole network to determine the largest impacts. At this time, most key pharmacy partners have been identified and one of the following have occurred:

• The pharmacy or pharmacy chain has entered a new relationship with a different switch vendor.
• The pharmacy or pharmacy chain already had a relationship with another switch vendor and was able to move their claims billing to another switch vendor.
• The pharmacy or pharmacy chain can’t enter a new relationship with a different switch vendor due to the overall nature of their business model. However, pharmacies are assisting members with obtaining their medications. This could be through providing limited day supply, validating benefit options with the Prime help desk and dispensing medication, or identifying a pharmacy that is not currently impacted to dispense the medication for the member.

Updated Feb. 28, 2024, 5 p.m. CT

Prime continues to meet with CHC daily to align on next steps. At this time, CHC does not have an estimated date of restoration. We will keep you posted as that information becomes available.

CHC system’s outage impact on FlexAccess, specialty pharmacy utilization and processing of coupon assistance
FlexAccess itself is not impacted. However, in the background, some pharmaceutical manufacturers providing the discount/coupons are having issues pricing reimbursements due to the CHC systems outage.

Similarly, Accredo has provided feedback that they have seen impact with approximately 100 copay assistance vendors that today work directly with CHC.  Accredo’s pharmacy relations teams are working with those vendors to investigate further.

Client report refreshes
There has been positive movement by pharmacies transitioning to other vendors over the last two days. Prime will continue to run pharmacy reports daily for this week. Once data has plateaued, discussions will occur regarding less frequent refreshes.

Pharmacies have reported errors from RelayHealth
​​​​​​Prime has engaged Relay Health to investigate any errors pharmacies may be receiving. RelayHealth has reported that they do not see issues on their end. Pharmacies experiencing host 99 errors should contact their switch vendor account manager for further research.

Status of Accredo specialty pharmacy transition to RelayHealth
As of Feb. 28, Accredo has completed their transition to RelayHealth. Prime validated that Accredo claims are coming through.

Specialty and home delivery update
As previously communicated, the MRx specialty and home delivery pharmacies have had challenges processing claims because of CHC’s outage. During this time, we have been able to dispense medications to ensure members’ therapies are not interrupted through workaround processes. We are happy to report that our MRx Mail Order pharmacy has been fully restored to return to normal claims processing. MRx Specialty Pharmacy is expected to reach restoration by the end of this week as we complete the transition to a new switch vendor.

Updated Feb. 27, 2024, 5 p.m. CT

As a follow-up to communications shared over the past couple of days, Prime is committed to keeping you informed on impacts to Change HealthCare’s systems outage.

Please be advised of the following updates as Feb. 27:

Prime continues to meet with CHC daily to align on next steps. At this time, CHC does not have an estimated date of restoration. We will keep you posted as that information becomes available.

Reporting for impacted pharmacies 
Prime continues to work with the pharmacy community to understand their impacted state. Today your Health Plan Market representative will provide a refreshed client specific snapshot of pharmacies that remain unable to process claims.

Prime has seen material movement in the pharmacy community as they transition to alternative claim switching vendors. Over the last few days, we have seen the pharmacy claim traffic increase above normal volumes, indicating that the pharmacy community has begun to formally work through claim processing backlog.

Accredo specialty pharmacy 
As previously communicated, the Accredo specialty pharmacies have had challenges processing claims due to CHC’s outage. Accredo continues to trend to claim processing restoration by the end of this week.

Patients are continuing to have critical medications dispensed during this time. Pharmacies will submit formal claim transactions to complete the billing process once the issue is restored. These submissions will occur over the course of a few days.

Updated Feb. 26, 2024, 5 p.m. CT.

Refreshed reporting for impacted pharmacies 
Prime continues to work with the pharmacy community to understand their impacted state. Pharmacies impacted most have implemented standard procedures to “take care of members,”  meaning they will fulfill orders for existing patients by looking at history and dispensing in good faith – with the intent to bill later once claim processing is restored. Some pharmacies are working in parallel to add alternative switching companies. Your Health Plan Market representative will provide a refreshed client specific snapshot of pharmacies that remain unable to process claims, directly to clients, by end of day on Tuesday, Feb. 27. 

Service levels 
Service levels remained stable through the weekend and into Monday.  

Specialty and home delivery 
Accredo specialty continues to be unable to process claims. They have taken the approach to dispense in good faith “all” orders, even new patients. Accredo is expecting to be able to process through RelayHealth by the end of this week.  

If the member has had the medication before, Accredo is charging the previous member copay. If the member has never had the medication before, they are not charging the member. In both instances, they will work to get proper billing completed once RelayHealth is in place. Accredo will work with Prime to address any unforeseen consequences and will not be charging any full medication costs to a member. 

Additionally, Amazon has been billing through RelayHealth since CHC’s system outage began and has not reported opportunities. 

Albertsons grocery stores  
Prime’s Network Provider Relations team has confirmed that Albertsons transitioned to RelayHealth as of yesterday. Additionally, Albertsons had their system automatically submit most claims that were in “hold” status both yesterday and this morning. Currently, their volume should be normalizing. We have also started to see additional movement in other pharmacies completing their transition to other switching companies. We will provide an updated impact report with those changes by end of day tomorrow. 

Pharmacy communication update 
We have shared an updated pharmacy fax blast indicating we are aware participating pharmacies may still be experiencing unexpected claim rejections. We are advising them to switch vendors to start receiving claims until the outage is resolved. They should reach out to Prime’s Contact Center prior to dispensing any new medications to validate benefit coverage. Prime cannot guarantee payment for medications where participating pharmacies have not received a paid claim. 

FAQs updated Feb. 23, 2024, 4 p.m. CT.

Q: Does Prime know which pharmacies have an alternate switch vendor solution beyond CHC so health plans can communicate this information to impacted members? 

A: As stated, most pharmacies have reverted to another switch vendor (such as RelayHealth) and are able to successfully process member claims. Based on self-reported pharmacy data, Prime has worked with our industry partners to identify approximately 2,500 pharmacies that appear to utilize CHC exclusively and we are conducting a data analysis to identify pharmacies that are no longer submitting claims due to this issue, so that we can engage with them to better understand their backup plans. Your Health Plan Market representative will provide a client specific snapshot of pharmacies that are unable to process claims, directly to clients over the weekend. 

Q: What message and/or information are we providing on MyPrime.com for members? 

A: We have posted an alert message on MyPrime and primetheraputics.com. Please use this message on your member sites as you see fit. 

Prime Therapeutics has learned of a national system outage impacting some pharmacies’ ability to process prescription drug claims. Due to this national outage, certain retail pharmacies may be experiencing issues with flowing claims to pharmacy benefit managers (PBMs) such as Prime. As such, any claims routed in this system are not being received by Prime and members may experience errors trying to process a claim. Prime systems are currently fully operational and processing claims that are sent to us. If your pharmacy is impacted, members can have their prescriptions transferred to another pharmacy that is not impacted or pay out of pocket and submit a direct claim for reimbursement. The timing for system reinstatement is currently unknown. Prime’s pharmacy lookup tools are available to you to locate alternative pharmacies in your network. 

Q: Is Prime sharing a communication with CMS?   

A: Yes, Prime has drafted a communication to CMS and will share this memo on Tuesday, February 27. This communication is available for clients to provide to their regional offices as appropriate. 

Q: Has there been an impact to Prime’s Contact Center and Pharmacy Help Desk? 

A: Prime has been able to successfully manage call volume through additional overtime and rescheduling of other low priority activities. To date, Pharmacy Help Desk, Commercial Member Services, and Medicare Member Services have maintained service levels since the CHC systems outage.   

Q: Are there other solutions beyond members paying out of pocket? 

A: As we see claim volume return, it has indicated that most pharmacies have reverted to another switch vendor (if they already had connectivity to an alternative vendor) and in other cases members have transferred their prescription to other retail locations that can process member claims. Through our engagement with the pharmacy community, we have also heard that pharmacies that only work through CHC are providing emergency supplies to patients as needed, and will then bill for those claims once services have been restored. The following additional solutions are available for members and pharmacies who have not switched vendors.  

• The pharmacy can call Prime’s Pharmacy Help Desk to receive benefit coverage information. The pharmacy will reprocess the claim once they successfully switch vendors or CHC service is restored.  
• The Prime Contact Center is referring members to pharmacies in the member’s area who can successfully process claims, such as Walgreens and Wal-Mart/Sam’s club. 

Q: What security steps has Prime taken to mitigate impact to systems or data?   

A: CHC has disconnected their systems and Prime has blocked connectivity to CHC within our IT network and applications. Prime’s security incident response team is continuing to monitor for updates related to the CHC incident, as well as for any abnormal or suspicious network traffic events. Prime is continuing to monitor application performance and transaction volumes for any abnormalities that could be an indicator of malicious activity. Prime also has engaged with our industry-expert security partner, Mandiant, for additional review of our security measures as an extra precaution.  

Q: At what time did Prime re-route switch vendors from CHC to RelayHealth, for claim transactions that were capable of being re-routed? 

A: RelayHealth completed configuration to re-route switch vendors at approximately 5:55 p.m. Central Time (CT) on February 21, 2024. 

Q: Surescripts is moving all ePA requests to fax. Does Prime have a plan to handle the shift in volume from ePA requests to fax? 

A: Prime’s clinical operations team is appropriately staffed to intake increased fax volume as a result of Surescripts’ shift from ePA to fax. Surescripts makes up a small volume of ePA requests, so impact is expected to be minimal.   

Q: Does CoverMyMeds (CMM) have any sort of direct impact to Change HealthCare? 

A: CoverMyMeds has confirmed that currently they are not impacted by CHC’s system outage. 

Q: Since Prime also conducts paper claims processing, how will paper claims be handled? 

A: CHC’s systems outage is not impacting paper claim processing, members are able to submit paper claims as they do today. 

Q: Are there concerns RelayHealth may not be able to handle the increased volume or manage capacity for an extended period of time?   

A: Currently, RelayHealth has not indicated any concerns with their capacity. RelayHealth is one of the main switching companies in the industry and already manages a large capacity of transactions.

FAQs updated Feb. 22, 2024, 5 p.m. CT

Q: Who is Change HealthCare (CHC) and how do they impact claims? 

A: CHC is one of various switch vendors who contract with external pharmacies to receive claims from pharmacies and then forwards those claims to the appropriate adjudication PBM, such as Prime. Prime receives claims from multiple switch vendors with the majority going through CHC and RelayHealth. CHC also supports flowing transactional claim data to our MedsYourWay program.

Q: What updates have we learned from CHC regarding their reported cyber security incident? 

A: Prime debriefed with CHC and they confirmed they had a cyber security issue and are working to contain the threat and are doing impact analysis. There is no timing on when that process will be complete, and we will share updates as we receive them.

Q: What actions has Prime taken? 

A: Prime has mobilized a command center around this issue to coordinate efforts, problem solve member disruption and centralize feedback from our various pharmacy, provider, and client stakeholders. Some more specific actions are as follows:

• Prime identified an opportunity to re-direct a material number of claims away from CHC and over to a different switch vendor. These changes were completed yesterday evening and resulted in restoration of ~95% of our regular claim volume. This activity continues to be monitored, as of today we have seen steady traffic flow continuing from these changes. The remaining volume are pharmacies in the process of moving to other switch vendors, or that only have connectivity with CHC and will need to pursue alternative approaches.
• Prime has proactively shut down our connectivity with CHC as a precautionary measure. As CHC returns to normal operations Prime will need to understand how the threat was contained to ensure the vulnerability does not spread into our systems.
• Prime has been heavily engaged with our retail pharmacy community to understand their fallback plans and how they’re managing critical member disruption. Initially, we have seen a few different actions begin:
  • Pharmacies with a secondary switch vendor in place have begun to migrate volume to restore adjudication services.
  • Other pharmacies are working on implementing processes to provide short term emergency fill supply to critical patient needs.
  • Prime has instructed impacted pharmacies to direct disrupted members to big chain pharmacies as they currently have the most reliable transactional path.
  • Based on self-reported pharmacy data, Prime has identified approximately 2,500 pharmacies that appear to utilize CHC exclusively.
• Prime is conducting a data analysis to identify pharmacies that are no longer able to submit claims due to this issue, so we can partner with those pharmacies and our clients on how best to alleviate member disruption.

Q: Is there a confirmed data breach of Prime, client, or member data? 

A: CHC has informed Prime that at this time they are not aware of any of our information being impacted. CHC is conducting a forensic review of their system, as that process evolves, they will notify Prime if any such data is at risk. If Prime is informed of any data breach or privacy issue, our privacy team will promptly follow all applicable privacy protocols.

Q: Is MedsYourWay impacted? 

A: Due to the CHC outage, CHC is not able to send transactions to MedsYourWay. In order to limit member disruption, those claims are flowing directly to Prime to adjudicate against our network so that patients can continue to receive their medications.

Q: Is mail or specialty order impacted?

A: Prime has confirmed the issue is impacting Accredo specialty. Express Scripts (ESI) mail order and Alliance Rx Pharmacy (ARxWP) have confirmed that most claims are processing successfully as they are not using CHC as their main switch vendor. They are seeing minimal impact related to specific programs where CHC is the switch vendor.

Accredo has taken a few different actions to address the member disruption:

• Accredo is actively working to transition to RelayHealth to restore the flow of claim traffic.
• If the member has had the medication dispensed in 2024, Accredo will continue to dispense in good faith while transactional systems are restored.

Q: How does this impact members? 

A: Members at pharmacies that only connect through CHC are not able to have their claim adjudicated and covered by insurance, as the pharmacy is unable to send the transaction to any PBM. Members can have their prescription transferred to another pharmacy that is not impacted or pay out of pocket and submit a direct claim for reimbursement. Please be advised Prime is actively reaching out to suspected pharmacies that may exclusively use CHC to better understand what plans they have to mitigate member impact.

Q: Has Prime provided talking points for the contact center?

A: Yes. Below is what Prime provided to our contact center:

There is a national outage related to the vendor Change Healthcare (CHC) that some pharmacies utilize to submit claims to PBMs for adjudication processing. Due to this outage, retail pharmacies have elected to use CHC are experiencing issues with sending claims to Pharmacy Benefit Managers. As such, any claims routed through CHC are not being received by Prime and member may experience errors trying to process a claim. At this time, there is no expected turnaround time of when a fix will be in place by CHC.  

Prime’s RxClaim system is not impacted by this outage. We are still able to receive and process claims.  

If you receive a call from a pharmacy: 

• Inform them the switch vendor Change HealthCare is currently having an outage. They will need to contact their switch vendor to determine next steps.  
• Instruct the pharmacy to notify the member that they can transfer their script to another local large pharmacy that is in their pharmacy network (Walgreens). 

If you receive a call from a member: 

• Inform them that there is a known issue involving claims processing that is being actively addressed. 
• Instruct the member that they can transfer their script to another local large pharmacy that is in their pharmacy network (Walgreens). 
• If the member chooses, they may also pay for the medication, and submit a paper reimbursement claim to Prime. 
• For critical needs, instruct the member to:  
  • Inquire with the pharmacy if they are providing any emergency fill options. 
  • If the member chooses, they may also pay for the medication, and submit a paper reimbursement claim to Prime. 

Note: Contact Center talking points will be updated once pharmacies who are able to process claims are identified. Process will be updated to refer members to a pharmacy that is able to process their claim.

Q: What communication has been provided to pharmacies

A: We have shared an updated pharmacy fax blast clarifying that Prime’s systems are not down and have advised pharmacies to submit via another switch vendor if they have that option.

Q: What pharmacies are only contracted with CHC and unable to process prescriptions?

A: Prime is currently analyzing data and engaging with the retail pharmacy community to identify these pharmacies. That information is dynamically changing based on feedback from the retail pharmacies as they adapt to their contingency plans, Prime expects to have some feedback to you by end of tomorrow at the latest.