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Commercial Plan ListPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp Desk4D Pharmacy NetworkManaged Phy Network4DNational6004291990000888-378-4743Anderson Corporation4D Pharmacy NetworkManaged Choice4DNational6004291990000888-378-4743Anthem Rx Network4D Pharmacy Network essScriptsNational003858gp- ESI800/763-5550 or800-776-8735ABC Disposal ServicesMedImpactMA00358535026800-788-2949ABI - BeslyProducts CorpMed ImpactFL00358523121800/788-2949Aetna US etna 6279Aetna Member's PlanAetnaNational610502AARP (UnitedHealthCare Senior)Aetna W/Comp (AWCA)800-238-6279AetnaNational610502NO PCN800/238-6206MEDEAmericaNational600426Call H/desk631/755-0029AgelityNationalWHI/WHPIL &National603286gp 514694800/207-2568Med ican MedicalSocietyPres SolutionsNational6104949999, GrpAMS800/788-7871AmeriChoicePres SolutionsNY/NJ6104949999, AMNY/AMNS800/788-7871SXCNational610593See Card800-454-3730AmeriHealthCaremark/PCSNJ, PA004336CMDRUG800/364-6331Amerihealth MercyPerform iscriptNational610640AMER9999800-681-6912Ancira Auto ity CashDiscount (APN)Agelity PrescriptionPlansAllied BenefitsAllied International UnionAlpha BarnesAmerican Health CareAmerigroup CommunityCarePlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskPharmacareNational610468HP, Gr60351000800-777-1023AnthemNational61057500890000 or00990000800/662-0210ANA - 1 NetworkArgusNational600428Call h/desk800/522-7487ANA - 2 NetworkArgusNational600428Call h/desk800/522-7487ANA - 3 NetworkArgusNational600428Call h/desk800/522-7487ANA - 4 NetworkArgusNational600428Call h/desk800/522-7487ANA - 5 NetworkArgusNational600428Call h/desk800/522-7487ANA - 35 NetworkArgusNational600428Call h/desk800/522-7487APS - AtlanticPrescription SvsManaged CareSXC HealthNational610704APSRX877-277-7934APS - Discount Rx CardNetworkSXC HealthNational610704APSRX877-277-7934Applied UnderwritersRelay 0428Call 21-2342Argus Health SystemsAT&T009265AG800-847-7147Atlantis Health PlanCatalyst RxNational005947claimcr888-341-8570Auto RxAuto RxNY/NJ/PAW/compCall h/desk888/791-3389AvmedCatalyst RxFL005947See eferred CareSvsNational004915Call h/desk800/216-9920BCBS of BS of Illinois(bluescript and PPO)PrimeTherapeuticsIL011552ILSC800-821-4795BCBS of 4795BCBS of MassachusettsExpressScriptsMA/CT/VT003858gp- ESI800/892-5120BCBS of Michigan/BlueCareMed ImpactNational003585use gp #800/748-6277BCBS of 21-4795BCBS of Arizona (City ofPhoenix)BCBS of Alabama
Commercial Plan ListPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskBCBS of MOAnthem/WellpointMO61057500890000 or00990000800/662-0210BC BS of NevadaAnthem/WellpointNV610053See Card800-777-1023BCBS of New YorkBSNY/ArgusNY6004281910000800/522-7487BCBS of -0992BCBS of Rhode IslandBCBS of South CarolinaBCBS of WIBenecardBeneScript ServicesBest Overnight ExpressBeyond-RxBioscripPlan Name /Network NamePBM/ProcessorRegionBINPCN/Group004336Help mark RxClusiveConsumer CardBX/WellPointNational610468use gp #800/777-1023Medical 0800/522-7487BeneScriptNational003452Call h/desk800-345-3189California ServiceEmployees Health &Welfare TrustAHCCA610118AHC, GR8168800/872-8276Beyond-RxNational610641PBRx AmericaOH, MI6104730797 or 0798866-669-0321Pres SolutionsCA6104949999 CSE800/797-9791Capital BlueCrossExpressScriptsPA003858gp- ESI800/824-0898866/247-9996Capital Health PlanCaremarkNational004336gp - RX1004800-364-6331Carpenters Health &Welfare TrustExpressScriptsCA/AZ003858gp- ESI800/824-0898SXCNational005947See Card888-869-4600PCNCLAIMCR,GR HEREIU888-869-4600BioscripNational900020See card800-230-8187Blue Cross/Blue ShieldWellPoint/UnicareIL610053Call h/desk800/962-7378Blue Cross/WellPointWellPointNational610053Call h/desk800-962-7378Bluegrass Family HealthProcare RxNational008878Call h/desk800/699-3542Blue Shield of 487Blue Shield of Texas HMO ton Best rownsville 960430877-559-2955Cal-OptimaWellpointCA610575See card800-962-8192Care First Health PlanMedImpactCA00358550280800/788-2949Caremark (CashDiscount)Caremark/PCSNationalVariableCall CareSource610415Catalyst Rx W/CCatalyst RxSXCNational005947Catalst Rx IPACatalyst RxNew York005947CatalystScriptsEmdeonNational004682Call 7909Med ImpactCA00358550125800/788-2949NMHCRxNY area610527Use gp800/510-8980SXCNational610593VA, Grp RVA888-546-5503Chesapeake d Health Plus (HealthPlus of NY)MedImpactNY00358558005800/788-2949Choice90- 90 day MaintPlanMedImpactNational003585Call 22-7487Caterpillar GroupCentral Health MedicarePlanCentruss all h/desk480-614-7972610415use gp #800-345-5413Cigna HealthcareCA , IL and TX areamust call for contract860-226-8072888-869-4600
Commercial Plan ListPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskCity of EffinghamWHI/WHPIL60328601410000,GR 514572800/207-2568City of GarfieldMaxor PlusNJ005377See cardInnoviantNational610127City of KingmanCity of Phoenix- BC/BSof AZCity of SparksCaremark/PCSCatalyst RxAZ/CANVPBM/ProcessorRegionBINPCN/GroupHelp DeskDept of Defense (DoDTricare)ExpressScriptsNational003858gp- ESI866/684-4466800-687-0707Destination Rx - 877-559-2955Diversified Pharm Svcs(DPS)ExpressScriptsNational003858gp- l Children's HealthPlanExpressScriptsTX only003858gp- n KentuckyUniversityExpressScriptsKY003858gp- EKUA877-776-8735800/207-2568EBRx - StandardNetworkCatalyst criptsIL only003858gp- ESI800/235-4357EHIMNE005285See card248-948-9900WHI/WHPNational60328601410000,GP gp- ESI888/201-5389Express Scripts-ExpressNet 50ExpressScriptsNational003858gp- ESI888/201-5389Express Scripts (PBM)ExpressScriptsNational003858gp- ESI800-763-5550Express Scripts 63-5550Family Health Plus Health Plus of NYMed ImpactNY00358558005800/788-2949Federal EmployeesGroup (FEP)Caremark/PCSNationalVariableCall h/desk800/614-7972Federal EmployeesGroup 2WHI/WHPIL60328601410000,GR 514441ClaimsPro PreferredNetworkPharmaCareNational004245Member IDClaimsPro ManagedCare NwkPharmaCareNational'004245Member ID800/777-1023Community First 00/788-2949Community HealthGroup (CHG)MedImpactNational003585Community PlusPharmacy NetworkBCBSMSNational004583,'004084City of SpringfieldConsolidated RxServicesPlan Name /Network NameEgyptian Area SchoolsCHG01800/788-2949EHIM - Employee HealthIns MgmtEmpire WholesaleLumberEnvision HPP PrivateLabel Savings Card800-551-5258Evercare- United HealthWebMDNational005947Call h/desk888/722-4652Corporate Services, IncWHI/WHPIL60328601410000,GP 514694800/207-2568County Medical -2949Covalence 2CA800-763-5550Covenant Health PlansWHI/WHPNational60328601410000,GP 516282800/207-2568Cox Health PlansCatalyst RxMO005947ClaimCr888-341-8578Cracker BarrelCatalyst RxNational005947CBOCS800-997-3784AHCFL610118AHC, GR5311800/872-8276Curtis 5Cypress Care rated A888-201-5389Data RxData RxNational610568DRX877-823-1273First Health ross Company
Commercial Plan ListPlan Name /Network NameFiserv Health PlansPBM/ProcessorRegionBINPCN/GroupHelp hing PartnershipHealth PlanMedImpactMA003585Grp 0000,GP 513274800/207-2568See Card585-327-7530FLRxFox InsuranceFretz ConstructionGHI (Gp HealthIncorporated-City of NY)Goellner, IncGoldlineGold PN2 NetworkGreat West HealthcareGreat West Life &Annuitypcn: AHC"Harvard PilgrimHealthcareHealth Alliance MedicalPlansFLRxNational610475Procare RxNational014194603286877-447-633501410000,GP 512235800/207-2568Plan Name /Network NameHealthTrans UNA CashDiscount-Free DrugCardHealth Xcellence (HBRx)PBM/ProcessorRegionBINPCN/GroupHelp ,USPG0023866-257-1419Call h/desk800/282-3232SXCNationalHealth NetCaremark/PCSNational004336ID Card800/364-6331Health Net of ArizonaCaremark/PCSAZ004336ID Card800/364-6332SXCCA005947See 58gp- ESI877/534-3682H.E.B. DEAmericaHIP/VytraNY area400023ID number646-447-1245National600426Call h/desk631-755-0029HIP-Health Ins Plan ofGreater NYPharmaCareNational610468Member Y area013865See 800/235-4357Hoag Memorial HospitalAHCCA610118AHC, GP8115800/872-8276AHCMD & WV610118"gp-5681Houghton InternationalMaxor PlusPA00537710000019800-687-0707Ideal Scripts (NEBCO)HealthTransNational011289Call tNat'l003585gp numberHealth Plan of SanMateoIllinois Farm BureauPharmaCareIL610468PC2, GPCBDILFBIndependent 927SXCNationalSee cardSee 00/788-2949MedImpactIL &National003585gp number800/788-2949Health Alliance OfMichiganMedImpactIL &National003585gp number800/788-2949Inland Empire HealthPlan (IEHP)Health Alliance Plan Choice 90MedImpactIL &National003585gp number800/788-2949Innoviant ntegrated PrescriptionManagemeent (IPM)IPMNational014658IPM,IPMCOB877-860-8846Joliet Junior CollegeWHI/WHPIL area603286gp 514864800/207-2568Med 60000877-559-2955Health Plus of NYMedImpactNY area003585HNY/58005800/788-2949Healthsource RxArgus ional600428See cardHealth SpringsInformed RxHealthTrans NationalNetworkHealthTransNational600428See card800-950-9120JP Farley: Lone StarHeatHealthTrans LTCNetworkHealthTransNational600428See card800-950-9120Kaiser PermanenteHealth PlanHealthTrans 0Killam Oil Co
Commercial Plan ListPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskKohl's DepartmentStoresPres SolutionsNational6104949999, GR:KOHLS800/788-7871MedE Therapy First PlusNetworkEmdeonNational009265Call h/desk800-768-7272KPS Health PlansMedImpactNational00358549100800/788-2949MedE National NetworkEmdeonNational009265Call h/desk800-768-7272Kroger PlansMedImpactNational003585Call h/desk800/788-2949MedE Patient ChoiceNetworkEmdeonNational009265Call h/desk800-768-7272Kroger - Sr 949MedE Preferred NetworkEmdeonNational009265Call h/desk800-768-7272LA Rx Prescription CardEnvision RxOptionsNational009893ROIRX330-405-8080MedE W/C NetworkEmdeonNational009265Call h/desk800-768-7272MedE Self Pay NetworkEmdeonNational009265Call h/desk800-768-7272LA United School I/WHPFL &National603286516295 or01410000800/207-2568Lake Havasu EmpBenefit dical MatrixNational004992Call h/desk800/880-1396LDI - Basic HI/WHPNational603286516290800/207-2568LDI - Select NetworkSXCNational800010LDI800/652-9550MedImpact Choice 90MedImpactNational003585Call h/desk800/788-2949LDI - -9550MedImpact CommunityHealthMedImpactNational003585Call h/desk800-788-2949Catalyst RxNational005947Lear888-209-5707MedImpact HealthAllianceMedImpactNational003585Call 1960428866-800-4321MedImpact MedCareNetworkMedImpactCA003585call h/desk800/788-2949MedImpact Pref 1NetworkMedImpactNational003585Call h/desk800/788-2949Lear CorporationLFD HomefurnishingsLocal 237Medica Healthcare PlansMedical MatrixHIP/VytraNY area010991ID number646-447-1245Mafco WorldwideMedImpactNJ003585See card800-788-2949Mail Handlers' HealthPlanFirst t Pref IINetworkMedImpactNational003585Call h/desk800/788-2949Mariner Health 800/235-4357MedImpact StandardNetworkMedImpactNational003585Call h/desk800/788-2949MedImpact - NationalSelectMedImpactNational003585Call h/desk800/788-2949MedImpact - ODSHealthMedImpactNational003585Call -715-0876Med Standard GoldMedImpactCA, TX00358511012800/788-2949(Alliance Health Card Melaleuca)MedImpactFL,GA0035861A1ABC111AMedStar rakNational800004,'001659008126800/771-4648Marion General 5Pres SolutionsNational6104949999 gp mhc800/788-7871MaxorPlus 0707MaxorPlus -0707MaxorPlus 07MaxorPlus FirstCareMaxorNational005377McGuire BearingCompanyWHI/WHPOR60328601410000,GR 512320800/207-2568MDNY HealthcareMedImpactNY area003585Call h/desk800/788-2949Matria Healthcare800-687-0707MedScriptMedTrak PharmacyServices
Commercial Plan ListPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskMedTrak 0-771-4648Northwood InvestmentsWHI/WHPOR/CA60328601410000,Gr 512204800/207-2568MedTrak PharmacyServicesMedTrakNational800004'001659See card800-771-4648Northrop 6727Medtronics - MCSWHI/WHPNational603286gp 906280800/207-2568003858gp- ScriptsNationalSXCNPA (Nat'l 01917TBDTBDNationalVariableCall h/desk800-421-2342NY State Senior PrescPlanEpic - ransPA &National009117gp number866/257-1419Occuscript Health PlanProCare RxNational008936Call h/desk800/699-3542AHCNational610118AHC, GR5595800/872-8276One Health PlanCaremark/PCSNationalVariableW655 gp0003800/ONE-8081Rx AmericaCA/WA610473Member ID800/770-8014w/compcall 77-559-2955MEDEAmericaNationalMorgan & MorganOneNation 8980Rx AmericaCA6104730774800-770-8014My Prescription CardMEDEAmericaOrange County HealthCareNational600426Call 3NMHC Open NetworkNMHCNational610011NMHC800-510-8980Orange County TransitAuthorityNatl Assoc of CountiesCaremarkNational004336See card800-364-6331Oregon EducationAssociationMedImpactOR00358538620, GPOD31014800/788-2949Natl Elevator 342ExpressScriptsCA003858gp- ESI888-201-5389National PharmaceuticalSvcsNPSNational004758member ID800/546-5677PacifiCarePres SolutionsNational6104949999800/788-7871Nations Health (USPGI)HealthTransNational009992Call h/desk800-950-9120PacifiCare MedicareSupplementPres SolutionsNational6104949999800/788-7871Navitus HealthNational610602Call HelpDesk866-333-2757 or800-279-1301PacificSource digm- arkview -559-2955Parkway 7-559-2955Pres SolutionsNational6104949999, GrPAR800-788-7871MedImpactCA003586Call 421-2342Member Health (CMS)Metra HealthMillenium HealthcareGroupMission HospitalsMolina Medical PlanNaviCareNeighborhhod HealthPlan of Rhode IslandNRxNetworkPerform Y003858gp- ESI800-522-6727New Hampshire LocalGovtCaremarkNH610029LGCRX800-421-2342NMHC tNational00358549360800-788-2949NetCardNetwork HealthNew Jersey TransitNorthwest RoofersOxnard California W/compPartners RxPartnership Health Planof CAPaxar
Commercial Plan ListPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskMedImpactTX00358559005800/788-2949ProCare PreferredNetworkPfizer for FriendsVoucher ProgramArgusNational600428Call h/desk800/522-7487Progressive Medical Business AdministratorsPfizer Value Card ANA-35ArgusNational600428Call h/desk800/522-7487PharmaCare PreferredNetworkPharmaCareNational610468,610474RI, TDI-PA800/777-1023Pharmacy Netwk Nat'lCorp (PNNC)Catalyst RxNational005947Call h/desk800-577-6484Physicians PlusInsurance Corp (PPIC)ArgusNational600428Call h/desk800/522-7487PPSC - Pharmacy PlusCash DiscountEmdeonNational004682Call HelpDesk800/768-7272Premier Pharmacy 88-7871PDX EmployeeHealth PlanPlan Name /Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskProCare RxNational018878Call h/desk800/699-3542Pres SolutionsNational6104949999, GPBAC800/788-7871ProCare RxNational009430gp: /522-7487NMHCRxNY area003650,61052764800/510-8980Puget Sound HealthPartnersAmericanHealth CareNational610118AHC800-872-8276Quality Health PlansRx OptionsNational011875MEDD, GrMCR002866-417-3074Ramsell Public HealthPlan-CA ADAPHealthTransCA004519ADP VPC888-311-7632Regence Rx, Inc.Regence RxNational610622See card888-437-1508ProScriptPrudential HealthcarePrescription SolutionsPres SolutionsNational6100979999, GPPCCA &DOBN1 NetworkPres SolutionsNational610097See card800-788-7871Prime l h/desk800/821-4795Prime National NetworkPrimeTherapeuticsNational610455Call h/deskPrime Select NetworkPrimeTherapeuticsNational610455Prime ime TherapeuticsIL HMO 90 day RetailNetworkPrimeTherapeuticsNational610455Call h/desk800-821-4795Prime TherapeuticsIL HMO Blue esk800-821-4795ProCare Managed CareSelect NetworkProCare RxNational008878,'010918Call h/desk800/699-3542ProCare NationalNetworkProCare RxNational018878,'010918Call h/desk800/699-3542ProCare ExtendedDay SupplyProcareNational018878Call 777800/248-1062Rockford AmbulatorySurgery CenterWHI/
Help Desk HealthTrans UNA Cash Discount-Free Drug Card HealthTrans National 009992 Gr HTAWEST01, HTAPORT01, USPG0023 866-257-1419 Health Xcellence (HBRx) SXC National Call h/desk 800/282-3232 Health Net Caremark/ PCS National 004336
