{"text_format":"1","workbook":"xlsx","n_sheets":4,"sheets":["Contact Info & Instructions ","PBM Network Information","Network Specific Questions","Minnesota Counties"],"not_rendered":{"charts":0,"images":1,"macros":1,"external_links":2,"defined_names":4,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Contact Info & Instructions ","index":0,"n_rows":18,"n_cols":2,"rows_kept":18,"cut":false,"hidden":false,"merged":[[0,0,4,1]]}
["MANAGED CARE SYSTEMS\nP.O. Box 64975, St. Paul, MN 55164-0975\nTelephone: 651-201-5166"]
[]
[]
[]
[]
["PBM Contact Information","Please review the following instructions prior to completing the network template:"]
["PBM Corporate Entity Name:   ","Contact Info & Instructions"]
["Federal Employee ID# (FEIN)","1) Please list one person per contact. For contacts beyond two, please attach an additional page to this workbook. "]
[" Primary","PBM Network Information"]
["Contact Name:","1) List one network per row on the PBM Network Information sheet. "]
["Contact Phone:","2) Returning networks will use previous year's ID.  If new network, wait for Minnesota Department of Health to assign."]
["Contact Email Address:","3) Column C through F lists PBM market type. You may select multiple market types. If none of the types apply, please fill in the answer in column G."]
["Secondary","4) Identify whether the network is characterized as open, preferred or limited in columns H through J. In open networks, consumers' copayments and out of pocket costs are identical regardless of which participating pharmacy dispenses the prescription. In preferred networks, consumers pay lower out of pocket costs when they choose to fill their prescription at a preferred pharmacy. The consumer may choose to get their prescription filled at a non-preferred pharmacy with higher cost sharing. In limited networks, consumers may only use participating pharmacies."]
["Contact Name:","5) List percent of licensed pharmacies in network service area in column K. {Percent = total number of network pharmacies/total number of licensed pharmacies in the service area.} "]
["Contact Phone:","6) Select service area in column L using the drop down list. You may select multiple counties per one cell. To delete a county, reselect it from the drop down list and it will be removed. If service area is entire state of Minnesota, select statewide. Macros must be enabled to use the drop down list. "]
["Contact Email Address:","Network Specific Questions"]
[null,"1) Please copy the Network Specific Questions sheet per the amount of PBM networks. Example, if a PBM has 5 networks, then there would be five sheets in this workbook. One sheet per network."]
[" "]

{"sheet":"PBM Network Information","index":1,"n_rows":1,"n_cols":12,"rows_kept":1,"cut":false,"hidden":false,"merged":[]}
["Network Name","Network ID","Commercial-Fully Insured (y/n)","Employer Self Insured (y/n)","Medical Assistance/Medicaid (y/n)","Medicare Products (y/n)","Other Market (write in type)","Open","Preferred ","Limited","Percent of Licensed Pharmacies in Network Service Area","Network Service Area"]

{"sheet":"Network Specific Questions","index":2,"n_rows":7,"n_cols":1,"rows_kept":7,"cut":false,"hidden":false,"merged":[]}
["Network Name"]
["Network ID"]
["Describe how consumers will have access within this network based on the pharmacy network type (open, limited, preferred). Include any limitations on where they may have prescriptions filled. Please describe any other characteristics that pertain to consumer access to pharmacies."]
["Please describe how the PBM supports access for consumers for all necessary pharmacy services within the structure of this network. Include elements such as general hours of operation for Minnesota retail pharmacies, and number of 24-hour, 7 days per week. Please describe the extent to which delivery services are included in any plan served by this network."]
["Minnesota Statutes, 62W.07 (b) prohibits PBM's from  penalizing, requiring, or providing financial incentives to a pharmacy in which a PBM has an ownership interest or in which the pharmacy provider has an ownership interest in the PBM's.\" Please describe whether the PBM has any ownership interests in the pharmacies included in this network and how the PBM will maintain compliance with section 62W.07."]
["Please describe which  accreditation standards apply to pharmacies in your network. Under Minnesota Statutes, 62W.05, Subd. 3, a PBM must not require pharmacy accreditation standards or recertification requirements to pharmacies that are more stringent than federal and state requirements unless authorized."]
["Does the PBM have any arrangements for Limited distribution drugs (LDD) with any specific pharmacy providers for this network? Please describe."]

{"sheet":"Minnesota Counties","index":3,"n_rows":93,"n_cols":1,"rows_kept":93,"cut":false,"hidden":false,"merged":[]}
["Minnesota County Names"]
["Aitkin"]
["Anoka"]
["Becker"]
["Beltrami"]
["Benton"]
["Big Stone"]
["Blue Earth"]
["Brown"]
["Carlton"]
["Carver"]
["Cass"]
["Chippewa"]
["Chisago"]
["Clay"]
["Clearwater"]
["Cook"]
["Cottonwood"]
["Crow Wing"]
["Dakota"]
["Dodge"]
["Douglas"]
["Faribault"]
["Fillmore"]
["Freeborn"]
["Goodhue"]
["Grant"]
["Hennepin"]
["Houston"]
["Hubbard"]
["Isanti"]
["Itasca"]
["Jackson"]
["Kanabec"]
["Kandiyohi"]
["Kittson"]
["Koochiching"]
["Lac Qui Parle"]
["Lake"]
["Lake of the Woods"]
["Le Sueur"]
["Lincoln"]
["Lyon"]
["McLeod"]
["Mahnomen"]
["Marshall"]
["Martin"]
["Meeker"]
["Mille Lacs"]
["Morrison"]
["Mower"]
["Murray"]
["Nicollet"]
["Nobles"]
["Norman"]
["Olmsted"]
["Otter Tail"]
["Pennington"]
["Pine"]
["Pipestone"]
["Polk"]
["Pope"]
["Ramsey"]
["Red Lake"]
["Redwood"]
["Renville"]
["Rice"]
["Rock"]
["Roseau"]
["Saint Louis"]
["Scott"]
["Sherburne"]
["Sibley"]
["Stearns"]
["Steele"]
["Stevens"]
["Swift"]
["Todd"]
["Traverse"]
["Wabasha"]
["Wadena"]
["Waseca"]
["Washington"]
["Watonwan"]
["Wilkin"]
["Winona"]
["Wright"]
["Yellow Medicine"]
["Statewide*"]
["Other**"]
[]
["*For service area designation and not the provider file."]
["**Used for counties outside of Minnesota."]