Commercial Plan List
Commercial Plan List
Plan Name /
Network Name
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
4D Pharmacy NetworkManaged Phy Network
4D
National
600429
1990000
888-378-4743
Anderson Corporation
4D Pharmacy NetworkManaged Choice
4D
National
600429
1990000
888-378-4743
Anthem Rx Network
4D Pharmacy Network Traditional
4D
National
600429
1990000
888-378-4743
Express
Scripts
National
003858
gp- ESI
800/763-5550 or
800-776-8735
ABC Disposal Services
MedImpact
MA
003585
35026
800-788-2949
ABI - Besly
Products Corp
Med Impact
FL
003585
23121
800/788-2949
Aetna US Healthcare
Aetna
National
610502
00670000
800/238-6279
Aetna US
Healthcare-APNA
Aetna
National
610502
670000
800-238-6279
Aetna Member's Plan
Aetna
National
610502
AARP (United
HealthCare Senior)
Aetna W/Comp (AWCA)
800-238-6279
Aetna
National
610502
NO PCN
800/238-6206
MEDE
America
National
600426
Call H/desk
631/755-0029
Agelity
National
WHI/WHP
IL &
National
603286
gp 514694
800/207-2568
Med Impact
NY
003585
31905
800/788-2949
MaxorPlus
TX
005377
8253
800-687-0707
AHC
National
610118
AHC
800/872-8276
American Medical
Society
Pres Solutions
National
610494
9999, Grp
AMS
800/788-7871
AmeriChoice
Pres Solutions
NY/NJ
610494
9999, AMNY/
AMNS
800/788-7871
SXC
National
610593
See Card
800-454-3730
AmeriHealth
Caremark/
PCS
NJ, PA
004336
CMDRUG
800/364-6331
Amerihealth Mercy
Perform Rx
National
600428
1940000
800-555-5690
Ameriscript
Ameriscript
National
610640
AMER9999
800-681-6912
Ancira Auto Group
MaxorPlus
Texas
005377
10000019
800-687-0707
Affinity Cash
Discount (APN)
Agelity Prescription
Plans
Allied Benefits
Allied International Union
Alpha Barnes
American Health Care
Amerigroup Community
Care
Plan Name /
Network Name
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
Pharmacare
National
610468
HP, Gr
60351000
800-777-1023
Anthem
National
610575
00890000 or
00990000
800/662-0210
ANA - 1 Network
Argus
National
600428
Call h/desk
800/522-7487
ANA - 2 Network
Argus
National
600428
Call h/desk
800/522-7487
ANA - 3 Network
Argus
National
600428
Call h/desk
800/522-7487
ANA - 4 Network
Argus
National
600428
Call h/desk
800/522-7487
ANA - 5 Network
Argus
National
600428
Call h/desk
800/522-7487
ANA - 35 Network
Argus
National
600428
Call h/desk
800/522-7487
APS - Atlantic
Prescription Svs
Managed Care
SXC Health
National
610704
APSRX
877-277-7934
APS - Discount Rx Card
Network
SXC Health
National
610704
APSRX
877-277-7934
Applied Underwriters
Relay Health
National
013329
APP
402-827-3424
Argus
National
600428
Call h/desk
800/522-7487
Caremark
National
610029
ATTRX
800-421-2342
Argus Health Systems
AT&T
009265
AG
800-847-7147
Atlantis Health Plan
Catalyst Rx
National
005947
claimcr
888-341-8570
Auto Rx
Auto Rx
NY/NJ/PA
W/comp
Call h/desk
888/791-3389
Avmed
Catalyst Rx
FL
005947
See Card
866-643-6681
BCBSAZ
AZ/CA
603017
BAZ
800/364-6332
Preferred Care
Svs
National
004915
Call h/desk
800/216-9920
BCBS of Florida
Prime
Therapeutics
FL
012833
FLBC
888-877-6323
BCBS of Illinois
(bluescript and PPO)
Prime
Therapeutics
IL
011552
ILSC
800-821-4795
BCBS of Kansas
Prime
Therapeutics
National
610455
KSBCS
800/821-4795
BCBS of Massachusetts
Express
Scripts
MA/CT/VT
003858
gp- ESI
800/892-5120
BCBS of Michigan/Blue
Care
Med Impact
National
003585
use gp #
800/748-6277
BCBS of Minnesota
Prime
Therapeutics
National
610455
PGIGN
800/821-4795
BCBS of Arizona (City of
Phoenix)
BCBS of Alabama
Commercial Plan List
Plan Name /
Network Name
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
BCBS of MO
Anthem/
Wellpoint
MO
610575
00890000 or
00990000
800/662-0210
BC BS of Nevada
Anthem/
Wellpoint
NV
610053
See Card
800-777-1023
BCBS of New York
BSNY/Argus
NY
600428
1910000
800/522-7487
BCBS of Oklahoma
Prime
Therapeutics
Oklahoma
011552
1215
877-353-0992
BCBS of Rhode Island
BCBS of South Carolina
BCBS of WI
Benecard
BeneScript Services
Best Overnight Express
Beyond-Rx
Bioscrip
Plan Name /
Network Name
PBM/
Processor
Region
BIN
PCN/
Group
004336
Help Desk
800-364-6331
800002
008514
004816
006350
610502
Caremark RxClusive
Consumer Card
BX/WellPoint
National
610468
use gp #
800/777-1023
Medical Matrix
National
004992
PCN-599
800/880-1396
Wellpoint
WI
610053
GP-RVA
800-662-0210
Argus
National
600428
02480000
800/522-7487
BeneScript
National
003452
Call h/desk
800-345-3189
California Service
Employees Health &
Welfare Trust
AHC
CA
610118
AHC, GR
8168
800/872-8276
Beyond-Rx
National
610641
PB
Rx America
OH, MI
610473
0797 or 0798
866-669-0321
Pres Solutions
CA
610494
9999 CSE
800/797-9791
Capital BlueCross
Express
Scripts
PA
003858
gp- ESI
800/824-0898
866/247-9996
Capital Health Plan
Caremark
National
004336
gp - RX1004
800-364-6331
Carpenters Health &
Welfare Trust
Express
Scripts
CA/AZ
003858
gp- ESI
800/824-0898
SXC
National
005947
See Card
888-869-4600
PCNCLAIMCR,
GR HEREIU
888-869-4600
Bioscrip
National
900020
See card
800-230-8187
Blue Cross/Blue Shield
WellPoint/
Unicare
IL
610053
Call h/desk
800/962-7378
Blue Cross/WellPoint
WellPoint
National
610053
Call h/desk
800-962-7378
Bluegrass Family Health
Procare Rx
National
008878
Call h/desk
800/699-3542
Blue Shield of Calfornia
Argus
CA
600428
1910000,
PDP
03510000
800/522-7487
Blue Shield of Texas HMO Blue
Prime
Therapeutics
TX
011552
BCTX
800-821-4795
Brighton Best Socket
Innoviant
National
610127
01960000
877-559-2955
Brownsville Doctors
Hospital
Innoviant
National
610127
0196000,
GR01960430
877-559-2955
Cal-Optima
Wellpoint
CA
610575
See card
800-962-8192
Care First Health Plan
MedImpact
CA
003585
50280
800/788-2949
Caremark (Cash
Discount)
Caremark/
PCS
National
Variable
Call h/desk
800-421-2342
Caremark/PCS
Caremark/
PCS
National
CareSource
610415
Catalyst Rx W/C
Catalyst Rx
SXC
National
005947
Catalst Rx IPA
Catalyst Rx
New York
005947
CatalystScripts
Emdeon
National
004682
Call h/desk
631/755-0029
Restat
National
600471
7777
877-228-7909
Med Impact
CA
003585
50125
800/788-2949
NMHCRx
NY area
610527
Use gp
800/510-8980
SXC
National
610593
VA, Grp RVA
888-546-5503
Chesapeake Health
MedImpact
National
003585
48110
800/788-2949
Child Health Plus (Health
Plus of NY)
MedImpact
NY
003585
58005
800/788-2949
Choice90- 90 day Maint
Plan
MedImpact
National
003585
Call h/desk
800/788-2949
Argus
CA,IL,TX
600428
00600000
800/522-7487
Caterpillar Group
Central Health Medicare
Plan
Centruss (PSCNY)
ChampVA
610029
Variable
800-421-2342
Variable:
Call h/desk
480-614-7972
610415
use gp #
800-345-5413
Cigna Healthcare
CA , IL and TX area
must call for contract
860-226-8072
888-869-4600
Commercial Plan List
Plan Name /
Network Name
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
City of Effingham
WHI/WHP
IL
603286
01410000,
GR 514572
800/207-2568
City of Garfield
Maxor Plus
NJ
005377
See card
Innoviant
National
610127
City of Kingman
City of Phoenix- BC/BS
of AZ
City of Sparks
Caremark/
PCS
Catalyst Rx
AZ/CA
NV
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
Dept of Defense (DoD
Tricare)
Express
Scripts
National
003858
gp- ESI
866/684-4466
800-687-0707
Destination Rx - Agelity
Agelity
National
010439
AG
800-847-7147
02330000
877-559-2955
Diversified Pharm Svcs
(DPS)
Express
Scripts
National
003858
gp- ESI
877/776-8735
004337
RX1245,
ADV
800/364-6332
Driscoll Children's Health
Plan
Express
Scripts
TX only
003858
gp- ESI
361/904-0955
005947
CLAIMCR,
CDS
888-869-4600
Eastern Kentucky
University
Express
Scripts
KY
003858
gp- EKUA
877-776-8735
800/207-2568
EBRx - Standard
Network
Catalyst Rx
National
610560
95
800/406-0015
800/777-1023
Express
Scripts
IL only
003858
gp- ESI
800/235-4357
EHIM
NE
005285
See card
248-948-9900
WHI/WHP
National
603286
01410000,
GP 516225
800/207-2568
National
Envision
009893
ROIRX
800-361-4524
WHI/WHP
National
610652
82260000,
GP
UHCMAPD
800-207-2568
ExpressComp-WC
Express
Scripts
National
003858
gp- ESI
888/201-5389
Express Scripts-Express
Net 50
Express
Scripts
National
003858
gp- ESI
888/201-5389
Express Scripts (PBM)
Express
Scripts
National
003858
gp- ESI
800-763-5550
Express Scripts Express
Comp
Express
Scripts
National
003858
gp-ESI
800-763-5550
Family Health Plus Health Plus of NY
Med Impact
NY
003585
58005
800/788-2949
Federal Employees
Group (FEP)
Caremark/
PCS
National
Variable
Call h/desk
800/614-7972
Federal Employees
Group (FEP)
Caremark/
PCS
National
610415
65006500
800/614-7972
WHI/WHP
IL
603286
01410000,
GR 514441
ClaimsPro Preferred
Network
PharmaCare
National
004245
Member ID
ClaimsPro Managed
Care Nwk
PharmaCare
National
'004245
Member ID
800/777-1023
Community First Health
Plan-CFHSPECIAL
MedImpact
National
003585
59090
800/788-2949
Community Health
Group (CHG)
MedImpact
National
003585
Community Plus
Pharmacy Network
BCBSMS
National
004583,
'004084
City of Springfield
Consolidated Rx
Services
Plan Name /
Network Name
Egyptian Area Schools
CHG01
800/788-2949
EHIM - Employee Health
Ins Mgmt
Empire Wholesale
Lumber
Envision HPP Private
Label Savings Card
800-551-5258
Evercare- United Health
WebMD
National
005947
Call h/desk
888/722-4652
Corporate Services, Inc
WHI/WHP
IL
603286
01410000,
GP 514694
800/207-2568
County Medical Svcs
Program-ODS
MedImpact
CA
003585
50145,
38021
800/788-2949
Covalence Specialty
Materials
Express
Scripts
LA,MA,
MN,NJ
003858
V2CA
800-763-5550
Covenant Health Plans
WHI/WHP
National
603286
01410000,
GP 516282
800/207-2568
Cox Health Plans
Catalyst Rx
MO
005947
ClaimCr
888-341-8578
Cracker Barrel
Catalyst Rx
National
005947
CBOCS
800-997-3784
AHC
FL
610118
AHC, GR
5311
800/872-8276
Curtis Gunn
Innoviant
National
610127
PCN
'02330000
877-559-2955
Cypress Care (W/comp)
Emdeon
National
010876
W/comp
800/419-7102
Federated Department
Stores
Express
Scripts
National
003858
gp-FDSA
888-201-5389
Data Rx
Data Rx
National
610568
DRX
877-823-1273
First Health Rx/Coventry
Coventry
National
002286
6000
800-844-9636
Cross Company
Commercial Plan List
Plan Name /
Network Name
Fiserv Health Plans
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
Innoviant
National
610127
01960000
877-559-2955
Fishing Partnership
Health Plan
MedImpact
MA
003585
Grp 35026
800-788-2949
FlexScripts
WHI/WHP
TX/FL
603286
01410000,
GP 513274
800/207-2568
See Card
585-327-7530
FLRx
Fox Insurance
Fretz Construction
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
FLRx
National
610475
Procare Rx
National
014194
603286
877-447-6335
01410000,
GP 512235
800/207-2568
Plan Name /
Network Name
HealthTrans UNA Cash
Discount-Free Drug
Card
Health Xcellence (HBRx)
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
HealthTrans
National
009992
Gr
HTAWEST01,
HTAPORT01,
USPG0023
866-257-1419
Call h/desk
800/282-3232
SXC
National
Health Net
Caremark/
PCS
National
004336
ID Card
800/364-6331
Health Net of Arizona
Caremark/
PCS
AZ
004336
ID Card
800/364-6332
SXC
CA
005947
See card
800-282-3232
MedImpact
TX
003585
45510
800/788-2949
WHI/WHP
National
Express
Scripts
NY/NJ/
CT/PA/FL/
CA
003858
gp- ESI
877/534-3682
H.E.B. Grocery
Company
MedImpact
IL
003585
34004
800-788-2949
MEDE
America
HIP/Vytra
NY area
400023
ID number
646-447-1245
National
600426
Call h/desk
631-755-0029
HIP-Health Ins Plan of
Greater NY
PharmaCare
National
610468
Member ID
800/777-1023
GHI/Uniformed
Sanitationmen
HIP/Vytra
NY area
013865
See card
877-444-3786
Express
Scripts
National
003858
gp-ESI
800/235-4357
Hoag Memorial Hospital
AHC
CA
610118
AHC, GP
8115
800/872-8276
AHC
MD & WV
610118
"gp-5681
Houghton International
Maxor Plus
PA
005377
10000019
800-687-0707
Ideal Scripts (NEBCO)
HealthTrans
National
011289
Call h/desk
800/950-9120
800/777-1023
800-872-8276
MedImpact
Nat'l
003585
gp number
Health Plan of San
Mateo
Illinois Farm Bureau
PharmaCare
IL
610468
PC2, GP
CBDILFB
Independent Health
Independent
Health
National
004626
None
716-631-2927
SXC
National
See card
See card
800-282-3232
Argus
CA
600428
02550000
800/522-7487
800/788-2949
MedImpact
IL &
National
003585
gp number
800/788-2949
Health Alliance Of
Michigan
MedImpact
IL &
National
003585
gp number
800/788-2949
Inland Empire Health
Plan (IEHP)
Health Alliance Plan Choice 90
MedImpact
IL &
National
003585
gp number
800/788-2949
Innoviant Inc
SXC
National
610127
02330000,
01960000
877/559-2955
Integrated Prescription
Managemeent (IPM)
IPM
National
014658
IPM,
IPMCOB
877-860-8846
Joliet Junior College
WHI/WHP
IL area
603286
gp 514864
800/207-2568
Med Impact
TX
003585
36440
800/788-2949
MedImpact
National
003585
variable
800/788-2949
Innoviant
National
610127
01960000
877-559-2955
Health Plus of NY
MedImpact
NY area
003585
HNY/58005
800/788-2949
Healthsource Rx
Argus (Cigna)
National
600428
006000000
800/522-7487
Argus
National
600428
See card
Health Springs
Informed Rx
HealthTrans National
Network
HealthTrans
National
600428
See card
800-950-9120
JP Farley: Lone Star
Heat
HealthTrans LTC
Network
HealthTrans
National
600428
See card
800-950-9120
Kaiser Permanente
Health Plan
HealthTrans (W/Comp)
HeatlhTrans
National
009992
W/Comp
800/950-9120
Killam Oil Co
Commercial Plan List
Plan Name /
Network Name
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
Plan Name /
Network Name
PBM/
Processor
Region
BIN
PCN/
Group
Help Desk
Kohl's Department
Stores
Pres Solutions
National
610494
9999, GR:
KOHLS
800/788-7871
MedE Therapy First Plus
Network
Emdeon
National
009265
Call h/desk
800-768-7272
KPS Health Plans
MedImpact
National
003585
49100
800/788-2949
MedE National Network
Emdeon
National
009265
Call h/desk
800-768-7272
Kroger Plans
MedImpact
National
003585
Call h/desk
800/788-2949
MedE Patient Choice
Network
Emdeon
National
009265
Call h/desk
800-768-7272
Kroger - Sr Advantage
Plus
MedImpact
National
003585
30919
800/788-2949
MedE Preferred Network
Emdeon
National
009265
Call h/desk
800-768-7272
LA Rx Prescription Card
Envision Rx
Options
National
009893
ROIRX
330-405-8080
MedE W/C Network
Emdeon
National
009265
Call h/desk
800-768-7272
MedE Self Pay Network
Emdeon
National
009265
Call h/desk
800-768-7272
LA United School District
Express
Scripts
CA
003858
gp-ESI
800/776-8735
WHI/WHP
FL &
National
603286
516295 or
01410000
800/207-2568
Lake Havasu Emp
Benefit Trust
Innoviant
National
610127
02330000
877-559-2955
Medical Matrix
National
004992
Call h/desk
800/880-1396
LDI - Basic Network
SXC
National
800010
LDI
800/652-9550
MediCoreRx
WHI/WHP
National
603286
516290
800/207-2568
LDI - Select Network
SXC
National
800010
LDI
800/652-9550
MedImpact Choice 90
MedImpact
National
003585
Call h/desk
800/788-2949
LDI - Select/Preferred
Network
SXC
National
800010
LDI
800/652-9550
MedImpact Community
Health
MedImpact
National
003585
Call h/desk
800-788-2949
Catalyst Rx
National
005947
Lear
888-209-5707
MedImpact Health
Alliance
MedImpact
National
003585
Call h/desk
800-788-2949
Innoviant
National
610127
0233000,
01960428
866-800-4321
MedImpact MedCare
Network
MedImpact
CA
003585
call h/desk
800/788-2949
MedImpact Pref 1
Network
MedImpact
National
003585
Call h/desk
800/788-2949
Lear Corporation
LFD Homefurnishings
Local 237
Medica Healthcare Plans
Medical Matrix
HIP/Vytra
NY area
010991
ID number
646-447-1245
Mafco Worldwide
MedImpact
NJ
003585
See card
800-788-2949
Mail Handlers' Health
Plan
First Health
National
002286
6000002286
800/992-7763
MedImpact Pref II
Network
MedImpact
National
003585
Call h/desk
800/788-2949
Mariner Health Plan/
SaveSeniorCare
Express
Scripts
FL/TX
003858
gp-ESI
800/235-4357
MedImpact Standard
Network
MedImpact
National
003585
Call h/desk
800/788-2949
MedImpact - National
Select
MedImpact
National
003585
Call h/desk
800/788-2949
MedImpact - ODS
Health
MedImpact
National
003585
Call h/desk
800/788-2949
SXC
National
610705
PCNMEDSCRIPT
866-715-0876
Med Standard Gold
MedImpact
CA, TX
003585
11012
800/788-2949
(Alliance Health Card Melaleuca)
MedImpact
FL,GA
003586
1A1ABC111A
MedStar Health
MedImpact
National
610029
MSTRX
800-421-2342
MedTrak
National
800004,
'001659
008126
800/771-4648
Marion General Hospital
Innoviant
National
610127
01960000
877-559-2955
Pres Solutions
National
610494
9999 gp mhc
800/788-7871
MaxorPlus National
Network
Maxor
National
005377
10000019
800/687-0707
MaxorPlus Preferred
Network
Maxor
National
005377
10000019
800/687-0707
MaxorPlus Select
Network
Maxor
National
005377
10000019
800/687-0707
MaxorPlus FirstCare
Maxor
National
005377
McGuire Bearing
Company
WHI/WHP
OR
603286
01410000,
GR 512320
800/207-2568
MDNY Healthcare
MedImpact
NY area
003585
Call h/desk
800/788-2949
Matria Healthcare
800-687-0707
MedScript
MedTrak Pharmacy
Services
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