Commercial Plan List
[Pages:9]Commercial Plan List
Plan Name / Network Name
4D Pharmacy NetworkManaged Phy Network
4D Pharmacy NetworkManaged Choice
4D Pharmacy Network Traditional
AARP (United HealthCare Senior)
ABC Disposal Services
ABI - Besly Products Corp
Aetna US Healthcare
Aetna US Healthcare-APNA
Aetna Member's Plan
Aetna W/Comp (AWCA)
Affinity Cash Discount (APN)
Agelity Prescription Plans
PBM/ Processor
4D
4D
4D Express Scripts MedImpact Med Impact Aetna Aetna Aetna Aetna MEDE America Agelity
Allied Benefits
WHI/WHP
Allied International Union Alpha Barnes American Health Care American Medical Society
Med Impact MaxorPlus
AHC
Pres Solutions
Region
National
National
National
National MA FL
National National National National National
National IL &
National NY TX
National National
AmeriChoice
Pres Solutions NY/NJ
Amerigroup Community Care
AmeriHealth
Amerihealth Mercy Ameriscript Ancira Auto Group
SXC
Caremark/ PCS
Perform Rx Ameriscript MaxorPlus
National
NJ, PA National National
Texas
BIN 600429
PCN/ Group
1990000
Help Desk 888-378-4743
600429 1990000
888-378-4743
600429
003858 003585 003585 610502 610502 610502 610502 600426
1990000 gp- ESI 35026 23121 00670000 670000
NO PCN Call H/desk
888-378-4743 800/763-5550 or
800-776-8735 800-788-2949 800/788-2949 800/238-6279 800-238-6279 800-238-6279 800/238-6206 631/755-0029
009265
AG
800-847-7147
603286 gp 514694
003585 005377 610118 610494
610494
31905
8253
AHC
9999, Grp AMS
9999, AMNY/ AMNS
610593 See Card
800/207-2568 800/788-2949 800-687-0707 800/872-8276 800/788-7871
800/788-7871
800-454-3730
004336
600428 610640 005377
CMDRUG
1940000 AMER9999 10000019
800/364-6331
800-555-5690 800-681-6912 800-687-0707
Plan Name / Network Name
Anderson Corporation
Anthem Rx Network
ANA - 1 Network ANA - 2 Network ANA - 3 Network ANA - 4 Network ANA - 5 Network ANA - 35 Network APS - Atlantic Prescription Svs Managed Care APS - Discount Rx Card Network Applied Underwriters Argus Health Systems A T & T Atlantis Health Plan Auto Rx Avmed BCBS of Arizona (City of Phoenix)
BCBS of Alabama
BCBS of Florida
BCBS of Illinois (bluescript and PPO)
BCBS of Kansas
BCBS of Massachusetts
BCBS of Michigan/Blue Care
BCBS of Minnesota
PBM/ Processor
Pharmacare
Region National
Anthem
Argus Argus Argus Argus Argus Argus
National
National National National National National National
SXC Health National
SXC Health National
Relay Health Argus
Caremark Catalyst Rx
Auto Rx Catalyst Rx
National National National National NY/NJ/PA
FL
BCBSAZ
AZ/CA
Preferred Care Svs
National
Prime Therapeutics
FL
Prime Therapeutics
IL
Prime Therapeutics
National
Express Scripts
MA/CT/VT
Med Impact National
Prime Therapeutics
National
BIN
610468
610575 600428 600428 600428 600428 600428 600428
610704
610704 013329 600428 610029 005947 W/comp 005947 603017
004915
012833
011552
610455
003858
003585
610455
PCN/ Group HP, Gr 60351000 00890000 or 00990000 Call h/desk Call h/desk Call h/desk Call h/desk Call h/desk Call h/desk
APSRX
APSRX APP
Call h/desk ATTRX claimcr
Call h/desk See Card
BAZ
Call h/desk
FLBC
ILSC
KSBCS
gp- ESI
use gp #
PGIGN
Help Desk
800-777-1023
800/662-0210 800/522-7487 800/522-7487 800/522-7487 800/522-7487 800/522-7487 800/522-7487
877-277-7934
877-277-7934 402-827-3424 800/522-7487 800-421-2342 888-341-8570 888/791-3389 866-643-6681 800/364-6332
800/216-9920
888-877-6323
800-821-4795
800/821-4795
800/892-5120
800/748-6277
800/821-4795
Commercial Plan List
Plan Name / Network Name
BCBS of MO
BC BS of Nevada
BCBS of New York
BCBS of Oklahoma
BCBS of Rhode Island BCBS of South Carolina BCBS of WI Benecard BeneScript Services
Best Overnight Express
Beyond-Rx Bioscrip
Blue Cross/Blue Shield
Blue Cross/WellPoint Bluegrass Family Health
Blue Shield of Calfornia
Blue Shield of Texas HMO Blue Brighton Best Socket Brownsville Doctors Hospital Cal-Optima Care First Health Plan Caremark (Cash Discount)
Caremark/PCS
PBM/ Processor
Region
Anthem/ Wellpoint
MO
Anthem/ Wellpoint
NV
BSNY/Argus
NY
Prime Therapeutics
Oklahoma
BX/WellPoint National
Medical Matrix National
Wellpoint
WI
Argus
National
BeneScript National
AHC
CA
Beyond-Rx Bioscrip WellPoint/ Unicare WellPoint
Procare Rx
National National
IL
National National
Argus
CA
Prime Therapeutics
Innoviant
Innoviant
Wellpoint MedImpact Caremark/
PCS Caremark/
PCS
TX National National
CA CA National
National
BIN
610575
610053 600428 011552 610468 004992 610053 600428 003452 610118 610641 900020 610053 610053 008878
600428
011552 610127 610127 610575 003585 Variable
610029 Variable: 610415
PCN/ Group 00890000 or 00990000
See Card
1910000
1215
use gp # PCN-599 GP-RVA 02480000 Call h/desk AHC, GR
8168 PB See card
Call h/desk
Call h/desk Call h/desk 1910000,
PDP 03510000
BCTX
01960000 0196000, GR01960430 See card
50280
Call h/desk
Variable
Call h/desk use gp #
Help Desk
800/662-0210
800-777-1023 800/522-7487 877-353-0992 800/777-1023 800/880-1396 800-662-0210 800/522-7487 800-345-3189 800/872-8276 866/247-9996 800-230-8187 800/962-7378 800-962-7378 800/699-3542
800/522-7487
800-821-4795 877-559-2955 877-559-2955 800-962-8192 800/788-2949 800-421-2342
800-421-2342 480-614-7972 800-345-5413
Plan Name / Network Name
PBM/ Processor
Region
Caremark RxClusive Consumer Card CareSource California Service Employees Health & Welfare Trust
Capital BlueCross
Capital Health Plan Carpenters Health & Welfare Trust Catalyst Rx W/C
Rx America OH, MI
Pres Solutions
CA
Express Scripts
Caremark
Express Scripts
SXC
PA National CA/AZ National
Catalyst Rx
SXC
National
Catalst Rx IPA CatalystScripts Caterpillar Group Central Health Medicare Plan Centruss (PSCNY) ChampVA Chesapeake Health Child Health Plus (Health Plus of NY) Choice90- 90 day Maint Plan Cigna Healthcare CA , IL and TX area must call for contract
Catalyst Rx Emdeon Restat
Med Impact NMHCRx SXC MedImpact MedImpact
MedImpact Argus
860-226-8072
New York National National
CA NY area National National
NY
National CA,IL,TX
BIN
004336 800002 008514 004816 006350 610502
PCN/ Group
610415
610473 0797 or 0798
610494 9999 CSE
003858
gp- ESI
004336 gp - RX1004
003858
gp- ESI
005947
005947
005947 004682 600471
See Card PCN-
CLAIMCR, GR HEREIU
Call h/desk 7777
003585
50125
610527 610593 003585
Use gp VA, Grp RVA
48110
003585
58005
003585 600428
Call h/desk 00600000
Help Desk 800-364-6331
866-669-0321 800/797-9791 800/824-0898 800-364-6331 800/824-0898 888-869-4600 888-869-4600 888-869-4600 631/755-0029 877-228-7909 800/788-2949 800/510-8980 888-546-5503 800/788-2949 800/788-2949 800/788-2949 800/522-7487
Commercial Plan List
Plan Name / Network Name
City of Effingham
City of Garfield City of Kingman City of Phoenix- BC/BS of AZ
City of Sparks
PBM/ Processor
WHI/WHP
Maxor Plus Innoviant Caremark/
PCS
Catalyst Rx
City of Springfield
ClaimsPro Preferred Network ClaimsPro Managed Care Nwk Community First Health Plan-CFHSPECIAL Community Health Group (CHG) Community Plus Pharmacy Network Consolidated Rx Services
Corporate Services, Inc
County Medical Svcs Program-ODS Covalence Specialty Materials
Covenant Health Plans
Cox Health Plans Cracker Barrel
Cross Company
WHI/WHP PharmaCare PharmaCare MedImpact MedImpact
BCBSMS WebMD WHI/WHP MedImpact Express Scripts WHI/WHP Catalyst Rx Catalyst Rx
AHC
Curtis Gunn
Cypress Care (W/comp) Data Rx
Innoviant
Emdeon Data Rx
Region
IL NJ National AZ/CA
NV
IL
National
National
National
National
National
National
IL
CA LA,MA, MN,NJ National
MO National
FL
National National National
BIN 603286 005377 610127 004337 005947 603286 004245
PCN/ Group
01410000, GR 514572
See card
02330000
RX1245, ADV
CLAIMCR, CDS
01410000, GR 514441
Member ID
'004245 Member ID
003585
59090
003585
CHG01
004583, '004084
005947 Call h/desk
603286 003585
01410000, GP 514694
50145, 38021
003858
V2CA
603286 005947 005947 610118
610127 010876 610568
01410000, GP 516282
ClaimCr
CBOCS
AHC, GR 5311
PCN '02330000
W/comp
DRX
Help Desk 800/207-2568 800-687-0707 877-559-2955 800/364-6332 888-869-4600 800/207-2568 800/777-1023 800/777-1023 800/788-2949 800/788-2949 800-551-5258 888/722-4652 800/207-2568 800/788-2949 800-763-5550 800/207-2568 888-341-8578 800-997-3784 800/872-8276 877-559-2955 800/419-7102 877-823-1273
Plan Name / Network Name
Dept of Defense (DoD Tricare)
Destination Rx - Agelity
Diversified Pharm Svcs (DPS)
Driscoll Children's Health Plan
Eastern Kentucky University
EBRx - Standard Network
Egyptian Area Schools
EHIM - Employee Health Ins Mgmt
Empire Wholesale Lumber
Envision HPP Private Label Savings Card
PBM/ Processor Express
Scripts Agelity Express Scripts Express Scripts Express Scripts
Catalyst Rx
Express Scripts
EHIM
WHI/WHP
National
Evercare- United Health WHI/WHP
ExpressComp-WC
Express Scripts-Express Net 50
Express Scripts (PBM)
Express Scripts Express Comp Family Health Plus Health Plus of NY Federal Employees Group (FEP) Federal Employees Group (FEP) Federated Department Stores First Health Rx/Coventry
Express Scripts
Express Scripts
Express Scripts
Express Scripts
Med Impact
Caremark/ PCS
Caremark/ PCS
Express Scripts
Coventry
Region National National National TX only
KY National IL only
NE National Envision
National
National National National National
NY National National National National
BIN
003858 010439 003858
PCN/ Group
gp- ESI AG
gp- ESI
003858
gp- ESI
003858 gp- EKUA
610560
95
003858
gp- ESI
005285 603286 009893 610652 003858
See card
01410000, GP 516225
ROIRX
82260000, GP
UHCMAPD
gp- ESI
003858
gp- ESI
003858
gp- ESI
003858
gp-ESI
003585
58005
Variable Call h/desk
610415 65006500
003858 002286
gp-FDSA 6000
Help Desk 866/684-4466 800-847-7147 877/776-8735 361/904-0955 877-776-8735 800/406-0015 800/235-4357 248-948-9900 800/207-2568 800-361-4524
800-207-2568
888/201-5389 888/201-5389 800-763-5550 800-763-5550 800/788-2949 800/614-7972 800/614-7972 888-201-5389 800-844-9636
Commercial Plan List
Plan Name / Network Name
Fiserv Health Plans
Fishing Partnership Health Plan
PBM/ Processor Innoviant
MedImpact
Region National
MA
BIN 610127 003585
FlexScripts
WHI/WHP
TX/FL
603286
FLRx Fox Insurance
FLRx Procare Rx
National National
610475 014194
Fretz Construction
WHI/WHP
National 603286
GHI (Gp Health Incorporated-City of NY)
Goellner, Inc
Goldline
Gold PN2 Network
Great West Healthcare
Great West Life & Annuity pcn: AHC" Harvard Pilgrim Healthcare Health Alliance Medical Plans Health Alliance Of Michigan Health Alliance Plan Choice 90 Health Plus of NY Healthsource Rx Health Springs HealthTrans National Network HealthTrans LTC Network HealthTrans (W/Comp)
Express Scripts MedImpact MEDE America PharmaCare Express Scripts AHC 800-872-8276 MedImpact
MedImpact
MedImpact
MedImpact MedImpact Argus (Cigna)
Argus HealthTrans
HealthTrans HeatlhTrans
NY/NJ/ CT/PA/FL/
CA IL
National
National
National
MD & WV
Nat'l
IL & National
IL & National
IL & National NY area National National
National
National
National
003858 003585 600426 610468 003858 610118
003585 003585 003585 003585 003585 600428 600428 600428 600428 009992
PCN/ Group 01960000 Grp 35026 01410000, GP 513274 See Card
01410000, GP 512235
gp- ESI
34004 Call h/desk Member ID
gp-ESI
"gp-5681
gp number
gp number
gp number
gp number HNY/58005 006000000
See card See card
See card W/Comp
Help Desk 877-559-2955 800-788-2949 800/207-2568 585-327-7530 877-447-6335 800/207-2568
877/534-3682 800-788-2949 631-755-0029 800/777-1023 800/235-4357
800/788-2949 800/788-2949 800/788-2949 800/788-2949 800/788-2949 800/522-7487
800-950-9120 800-950-9120 800/950-9120
Plan Name / Network Name
HealthTrans UNA Cash Discount-Free Drug Card
Health Xcellence (HBRx)
Health Net
Health Net of Arizona
Health Plan of San Mateo H.E.B. Grocery Company HIP-Health Ins Plan of Greater NY GHI/Uniformed Sanitationmen
PBM/ Processor
HealthTrans
SXC Caremark/
PCS Caremark/
PCS SXC
MedImpact
HIP/Vytra
HIP/Vytra
Hoag Memorial Hospital
AHC
Houghton International Ideal Scripts (NEBCO)
Maxor Plus HealthTrans
Illinois Farm Bureau
PharmaCare
Independent Health
Informed Rx Inland Empire Health Plan (IEHP)
Independent Health SXC
Argus
Innoviant Inc
SXC
Integrated Prescription Managemeent (IPM)
Joliet Junior College
JP Farley: Lone Star Heat
Kaiser Permanente Health Plan
Killam Oil Co
IPM WHI/WHP Med Impact
MedImpact Innoviant
Region
National National National
BIN 009992 004336
PCN/ Group
Gr HTAWEST01, HTAPORT01, USPG0023
Call h/desk
ID Card
AZ
004336
ID Card
CA
005947 See card
TX
003585
45510
NY area 400023 ID number
NY area
CA PA National IL
National National
CA
National
National IL area
TX
013865
610118 005377 011289 610468
004626 See card 600428
610127
014658 603286 003585
See card
AHC, GP 8115
10000019 Call h/desk PC2, GP CBDILFB
None
See card
02550000
02330000, 01960000
IPM, IPMCOB gp 514864
36440
National National
003585 610127
variable 01960000
Help Desk
866-257-1419
800/282-3232 800/364-6331 800/364-6332 800-282-3232 800/788-2949 646-447-1245 877-444-3786 800/872-8276 800-687-0707 800/950-9120 800/777-1023 716-631-2927 800-282-3232 800/522-7487 877/559-2955 877-860-8846 800/207-2568 800/788-2949 800/788-2949 877-559-2955
Commercial Plan List
Plan Name / Network Name
PBM/ Processor
Kohl's Department Stores
Pres Solutions
KPS Health Plans
MedImpact
Kroger Plans
MedImpact
Kroger - Sr Advantage Plus
MedImpact
LA Rx Prescription Card
Envision Rx Options
LA United School District
Express Scripts
Lake Havasu Emp Benefit Trust
Innoviant
LDI - Basic Network
SXC
LDI - Select Network
SXC
LDI - Select/Preferred Network
SXC
Lear Corporation
Catalyst Rx
Region
National National National National
National
CA
National National National National National
LFD Homefurnishings
Innoviant
National
Local 237
Mafco Worldwide
Mail Handlers' Health Plan
Mariner Health Plan/ SaveSeniorCare
Marion General Hospital
Matria Healthcare
MaxorPlus National Network
MaxorPlus Preferred Network
MaxorPlus Select Network
MaxorPlus FirstCare
McGuire Bearing Company
MDNY Healthcare
HIP/Vytra MedImpact First Health
Express Scripts Innoviant Pres Solutions Maxor
Maxor
Maxor Maxor WHI/WHP MedImpact
NY area NJ
National
FL/TX National National National
National
National National
OR NY area
BIN
610494 003585 003585 003585
PCN/ Group 9999, GR: KOHLS 49100 Call h/desk
30919
009893
ROIRX
003858
gp-ESI
610127 02330000
800010
LDI
800010
LDI
800010
LDI
005947 610127 010991 003585
Lear 0233000, 01960428 ID number See card
002286 6000002286
003858
gp-ESI
610127 01960000 610494 9999 gp mhc
005377 10000019
005377 10000019
005377 005377 603286 003585
10000019
01410000, GR 512320 Call h/desk
Help Desk
800/788-7871 800/788-2949 800/788-2949 800/788-2949
330-405-8080
800/776-8735
877-559-2955 800/652-9550 800/652-9550 800/652-9550 888-209-5707 866-800-4321 646-447-1245 800-788-2949 800/992-7763
800/235-4357 877-559-2955 800/788-7871 800/687-0707
800/687-0707
800/687-0707 800-687-0707 800/207-2568 800/788-2949
Plan Name / Network Name
MedE Therapy First Plus Network
MedE National Network
MedE Patient Choice Network
MedE Preferred Network
MedE W/C Network
MedE Self Pay Network
PBM/ Processor
Emdeon
Emdeon
Emdeon
Emdeon Emdeon Emdeon
Medica Healthcare Plans WHI/WHP
Medical Matrix
MediCoreRx
MedImpact Choice 90
MedImpact Community Health
MedImpact Health Alliance
MedImpact MedCare Network
MedImpact Pref 1 Network
MedImpact Pref II Network
MedImpact Standard Network
MedImpact - National Select
MedImpact - ODS Health
Medical Matrix WHI/WHP MedImpact MedImpact MedImpact MedImpact MedImpact MedImpact MedImpact MedImpact MedImpact
Region
National National National National National National
FL & National National National National National
National
CA
National
National
National
National
National
MedScript
SXC
National
Med Standard Gold
(Alliance Health Card Melaleuca)
MedStar Health
MedTrak Pharmacy Services
MedImpact MedImpact MedImpact
MedTrak
CA, TX FL,GA National National
BIN
009265 009265 009265 009265 009265 009265 603286 004992 603286 003585 003585
PCN/ Group
Call h/desk
Call h/desk
Call h/desk
Call h/desk Call h/desk Call h/desk 516295 or 01410000 Call h/desk
516290 Call h/desk
Call h/desk
003585 Call h/desk
003585 call h/desk
003585 Call h/desk
003585 Call h/desk
003585 Call h/desk
003585 Call h/desk
003585 Call h/desk
610705 003585
PCNMEDSCRIPT
11012
003586 1A1ABC111A
610029
800004, '001659
MSTRX 008126
Help Desk 800-768-7272 800-768-7272 800-768-7272 800-768-7272 800-768-7272 800-768-7272 800/207-2568 800/880-1396 800/207-2568 800/788-2949 800-788-2949 800-788-2949 800/788-2949 800/788-2949 800/788-2949 800/788-2949 800/788-2949 800/788-2949 866-715-0876 800/788-2949
800-421-2342 800/771-4648
Commercial Plan List
Plan Name / Network Name MedTrak Pharmacy Services MedTrak Pharmacy Services Medtronics - MCS Member Health (CMS)
Metra Health
Millenium Healthcare Group
PBM/ Processor
MedTrak
Region National
MedTrak
WHI/WHP SXC
Caremark/ PCS
HealthTrans
National
National National
National
PA & National
Mission Hospitals
AHC
National
Molina Medical Plan Morgan & Morgan MVP
My Prescription Card
NMHC Open Network Natl Assoc of Counties Natl Elevator Industry Health National Pharmaceutical Svcs Nations Health (USPGI)
Rx America Innoviant NMHCRx MEDE America NMHC Caremark
Caremark
NPS
HealthTrans
CA/WA National National National National National National
National National
NaviCare
Navitus Health National
Neighborhhod Health Plan of Rhode Island NetCard Network Health
New Jersey Transit
New Hampshire Local Govt NMHC Rx Northwest Roofers
Perform Rx
SXC MedImpact
Express Scripts
Caremark
NHMCRx MedImpact
National National National NJ/NY
NH National National
BIN
800004, 001659 800004 '001659 603286 008324
Variable
PCN/ Group 8126
See card gp 906280
MH Call h/desk
Help Desk
800-771-4648
800-771-4648 800/207-2568 888-868-5854 800-421-2342
009117
610118 610473 610127 610011 600426 610011 004336 610029
gp number
AHC, GR 5595
Member ID 01960000
VL
Call h/desk
NMHC See card
NEIBP
866/257-1419
800/872-8276 800/770-8014 877-559-2955 800-510-8980 631/755-0029 800-510-8980 800-364-6331 800-421-2342
004758 009992 610602
member ID
Call h/desk Call Help
Desk
800/546-5677
800-950-9120 866-333-2757 or
800-279-1301
008878 003585
003858
CB8 35017
gp- ESI
888-886-5822 800/788-2949
800-522-6727
610029
LGCRX
610011 003585
PCN-NMHC 49360
800-421-2342
800/510-8980 800-788-2949
Plan Name / Network Name
PBM/ Processor
Northwood Investments WHI/WHP
Northrop Grumman
NPA (Nat'l Pres Administrators) NRxNetwork NY State Senior Presc Plan Occuscript Health Plan
One Health Plan
OneNation Insurance (W/comp) Orange County Health Care Orange County Transit Authority Oregon Education Association Oxnard California W/ comp PacifiCare PacifiCare Medicare Supplement PacificSource Health Paradigm- Missouri Sheriff Parkview Adventist Medical
Express Scripts Express Scripts NRxNetwork Epic - First Health ProCare Rx Caremark/
PCS MEDE America
Rx America
PharmaCare
MedImpact
Express Scripts Pres Solutions
Pres Solutions
Caremark
MedImpact
Innoviant
Parkway Hospital
Innoviant
Partners Rx
Pres Solutions
Partnership Health Plan of CA
Paxar
MedImpact Caremark
Region OR/CA National National National
NY National National National
CA CA OR CA National National National MO National National National CA National
BIN
603286 003858 003858 001917 002286, '011495 008936 Variable w/comp 610473 610468 003585 003858 610494 610494 610415 003585 610127 610127 610494 003586 004336
PCN/ Group 01410000, Gr 512204 gp-NGCA
gp- ESI TBD 6000
Call h/desk W655 gp
0003 call h/desk
0774
PC2 38620, GP OD31014
gp- ESI 9999 9999 Varies 26020
02330000 02330000, 01960416 9999, Gr
PAR Call h/desk
Rx1822
Help Desk 800/207-2568 800-522-6727 800/522-6727
TBD 800-634-1340 800/699-3542 800/ONE-8081 800-662-0210 800-770-8014 800/777-1023 800/788-2949 888-201-5389 800/788-7871 800/788-7871 800-345-5413 800-788-2949 877-559-2955 877-559-2955 800-788-7871 800/788-2950 800-421-2342
Commercial Plan List
Plan Name / Network Name
PDX Employee Health Plan
Pfizer for Friends Voucher Program
Pfizer Value Card ANA-35
PharmaCare Preferred Network
Pharmacy Netwk Nat'l Corp (PNNC)
Physicians Plus Insurance Corp (PPIC)
PPSC - Pharmacy Plus Cash Discount
Premier Pharmacy Plan
PBM/ Processor MedImpact
Argus Argus PharmaCare Catalyst Rx Argus Emdeon Premier
Prescription Solutions Pres Solutions
N1 Network Prime Advantage Network
Prime National Network
Prime Select Network
Prime Therapeutics ESN90 Prime Therapeutics IL HMO 90 day Retail Network Prime Therapeutics IL HMO Blue Texas Network ProCare Managed Care Select Network ProCare National Network ProCare Extended Day Supply
Pres Solutions Prime
Therapeutics Prime
Therapeutics Prime
Therapeutics Prime
Therapeutics
Prime Therapeutics
Prime Therapeutics
ProCare Rx
ProCare Rx
Procare
Region TX
National National National National National National National National National National National National National
National
National
National National National
BIN 003585 600428 600428 610468, 610474 005947 600428 004682 600518 610097 610097 610455 610455 610455 610455
610455
610455 008878, '010918 018878, '010918 018878
PCN/ Group 59005
Call h/desk
Call h/desk
RI, TDI-PA
Call h/desk
Call h/desk Call Help
Desk Variable 9999, GP PCCA &
DOB See card Call h/desk
Call h/desk
Call h/desk
Call h/desk
Call h/desk
Callh/desk
Call h/desk
Call h/desk
Call h/desk
Help Desk 800/788-2949 800/522-7487 800/522-7487 800/777-1023 800-577-6484 800/522-7487 800/768-7272 800/247-4526 800/788-7871 800-788-7871 800/821-4795 800/821-4795 800/821-4795 800-821-4795
800-821-4795
800-821-4795
800/699-3542 800/699-3542 800-699-3542
Plan Name / Network Name
ProCare Preferred Network
Progressive Medical Business Administrators
ProScript
Prudential Healthcare
PBM/ Processor ProCare Rx
Pres Solutions ProCare Rx Aetna
Region
National
National National National
PSCNY
NMHCRx
NY area
Puget Sound Health Partners
American Health Care
National
Quality Health Plans
Rx Options National
Ramsell Public Health Plan-CA ADAP
Regence Rx, Inc.
Restat
Rockford Ambulatory Surgery Center
HealthTrans Regence Rx
Restat WHI/WHP
CA
National National
IL & National
Rockford Products
MedImpact National
Rural Electric Convenience Cooperative Rx America (PBM)
RxChoice
RxNet
Rx Prime Rx West Ryan Building Group
HealthTrans National
Rx America Express Scripts Express Scripts Cigna
ProCare Rx WHI/WHP
National National
National CA/TX/IL National
IL
Sabroso Company
WHI/WHP
OR/CA
Sav-Rx Scan/SmartCare
Sav-Rx
Express Scripts
National CA
BIN
PCN/ Group
018878 Call h/desk
610494
009430 610502 003650, 610527
9999, GP BAC
gp: pro81200 00930000
64
610118
AHC
011875
MEDD, Gr MCR002
004519 ADP VPC
610622 600471
See card 7777
603286
514867
003585 011677 610473
17903 or 17907
GR 22203IL05
PCN HT
Member ID
003858
gp- ESI
003858
gp- ESI
600428 008878 603286
603286
006558
0060000 Call h/desk
514694 01410000, GP 512204 NDC: sys ID
003858
gp- ESI
Help Desk
800/699-3542
800/788-7871 800/699-3542 800/522-7487 800/510-8980
800-872-8276
866-417-3074
888-311-7632 888-437-1508 800/248-1062 800/207-2568
800/788-2949
877-448-6182
800/770-8014 800/763-5550
800/763-5550 800/522-7487 800/699-3542 800/207-2568 800/207-2568 402/753-2800 800/235-4357
Commercial Plan List
Plan Name / Network Name
ScripNet (Workers' Comp only)
Scrip Solutions - Affinity Program
Scrip Solutions MIMOpen Netwk
Scrip Solutions MIM Pref Netwk
Scrip Solutions MIM Select Netwk
Script Care
PBM/ Processor
ScripNet
Scrip Solutions
Scrip Solutions
Scrip Solutions
Scrip Solutions Script Care
ScriptSave
HealthTrans
Scrip World
MedImpact
Secure Horizons
Pres Solutions
Select Health
Argus
Serve You
Seerve You
SISC-Self Ins Sch of CA
AHC
Spoon River Electric Cooperative
HealthTrans
State of CT Employees Network
PharmaCare
State of IL Dept of Public Aid
Express Scripts
State of IL Employee H/ Plan
MedImpact
State of IL Medicaid Plan BX WellPoint
State of Louisiana
Catalyst Rx
State of Maryland
Catalyst Rx
State of Ohio
Catalyst Rx
Stone Rivers W/C
Stone River
Suburban Teamsters of No IL Welfare Fund
WHI/WHI
Suffolk County of NY
Express Scripts
Region
National
National
National
National
National National
National
National National National National
CA National
CT
IL
IL IL LA MD OH National IL & National NY area
BIN 610621
PCN/ Group
SNT
n/a
Call h/desk
n/a
Call h/desk
n/a
Call h/desk
n/a
Call h/desk
004410
006053, '008696, '009224, '006631
003585
610494
600428
SCI
MSC or MCD
Call h/desk 9999
See card
610118 011677
AHC
Gr22203IL08, PCN HT
610468 Member ID
003858
gp- ESI
003585
610053 005947 005947 005947 005567
603286
14100
Use NDC STLA STMD claimcr
See card
764860
003858
gp- ESI
Help Desk 888/880-8562 800/286-4511 800/286-4511 800/286-4511 800/286-4511 800/880-9988
800/950-9120
800/788-2949 800/788-7871 800/522-7487
800-872-8276 877-448-6183 800/777-1023 877/256-4677 800/788-2949 800/820-0290 866-358-9530 866-643-3004 866-854-8850 800-747-1006 800/207-2568 800/763-5550
Plan Name / Network Name SunRx Majestic Star Casino SXC Health Solutions TDI - Network TDI - Net Plus TDI - Net Exclusive Teamsters Local 51 Teamsters Local 97
The Home Depot
Tmesys
PBM/ Processor
Med Impact
SXC PharmaCare PharmaCare PharmaCare Pharmacare MedImpact
Caremark
Tmesys
Region
NJ National National National National RI & MA
NJ National National
Total Script
Touchstone Health Plan
Transit Employees Health & Welfare Fund
TriCast - Access Services
Total Script SXC
Pres Solutions
WHI/WHP
TriCast - EMBC
WHI/WHP
TriCast - McGrory Services Trillium Comm Health Plan UCSD Health Plan
UFT Welfare Fund
Unison United Health Plan United Networks of America United Provider Services Universal Care
WHI/WHP
MedIMpact
MedImpact Express Scripts
RxAmerica Med Impact
Restat
PharmaCare Med Impact
National NY
National
FL & National
CA & National
FL & National
National
CA
National
National CA
National
National CA
BIN
003858 005947 610474 610474 510494 610468 003585 610029 004261 002538 006524 005947 610494
603286
PCN/ Group
31185
call h/desk TDI 0000 TDI 0000 TDI 0000
PC2 33112 CRK, Gr THD20 NDC /CAL Envoy TSCRIPT call h/desk 9999-GP TEHW
gp 516274
603286 gp 516274A
603286
01410000 GP 516274
003585
38165
003585
57100
003858
gp- ESI
012189 003585
See card 50110
610709
7777
610468 003585
Call h/desk 50110
Help Desk
800/788-2949 800/263-0067 800/785-5301 800/785-5301 800/785-5301 800-503-3241 800-788-2949 800-421-2342 800/964-2531
800/752-2211 800/263-0067 800/788-7871
800/207-2568
800/207-2568
800/207-2568
800-926-3594 800/748-6277 800/763-5550 800-770-8014 800/748-6277 800-926-5858 800-519-8378 800/748-6277
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