street organization phone street address state …...programs stern jody l 1-386-963-2543...

STATE LEGAL ENTITY NAME ORGANIZATION

NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE

PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Alabama

AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS

Director, Medicare Clinical Pharmacy Programs Stern Jody L

1-386-963-2543

1-860-754-1481

[email protected] 5350 148th Place Wellborn FL 32094

Alabama

AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP


1-386-963-2543

1-860-754-1481


Alabama

BCBS OF ALABAMA AND BCBS OF TENNESSEE BlueRx PDP

Clinical Pharmacy Admin Layne Paul

1-205-220-6522

[email protected]

450 Riverchase Parkway East Birmingham AL 35244

Alabama

BLUE CROSS AND BLUE SHIELD OF ALABAMA

Blue Cross Blue Shield of Alabama Local CCP


1-205-220-6522

[email protected]


Alabama

CHESAPEAKE LIFE INSURANCE COMPANY

HealthMarkets Care Assured PFFS

Director of Pharmacy Schaffer Mike

1-215-988-6835

1-215-557-7437

[email protected]

One Commerce Square, Suite 3110

2005 Market Street Philadelphia PA 19103

Alabama

CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi

1-860-226-6731

[email protected]

900 Cottage Grove Road B5PHR Bloomfield CT 6002

Alabama

COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS

Director, Phamacy Operations Williams Roger

1-801-954-3043

[email protected]

Coventry Health Care, Inc.

2650 S Decker Lane Salt Lake City UT 84119

Alabama

COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP

Dir, Pharmacy Ops Williams Roger L

1-801-954-3043

[email protected]

2650 S Decker Ln Salt Lake City UT 84119

AlabamaDAVITA VILLAGEHEALTH, INC.

DaVita VillageHealth Insurance of Alabama, Inc. Local CCP

Director of Clinical Pharmacy Manley Harold

1-518-932-4416

[email protected] 16 Vagele Lane Glenmont NY 12077

Alabama

ENVISION INSURANCE COMPANY EnvisionRx Plus PDP

Vice President Pharmacy Peterson Amanda

1-330-405-8080 6320

1-330-405-8081

[email protected]

2181 E Aurora Road Twinsburg OH 44087

Alabama

FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP


1-801-954-3043

[email protected]


Alabama

HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP

Director, Clinical Pharmacy Services

Misquitta, Pharm. D. Cathrine V

1-916-463-9603

1-916-463-9750

[email protected]

10540 White Rock Rd.., Ste. 280

Mail Stop: CA-175-02-02 Rancho Cordova CA 95670

Alabama

HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.

HealthSpring Prescription Drug Plan PDP

Director, Government Programs Christopher Kelly

1-615-565-8110

1-615-234-2154

[email protected]

601 Mainstream Drive Nashville TN 37228

AlabamaHEALTHSPRING OF ALABAMA, INC.

Healthspring of Alabama, Inc. Local CCP


1-615-565-8110

[email protected]


AlabamaHUMANA INSURANCE COMPANY

Humana Insurance Company PFFS Ewing Joy

1-502-580-3538

[email protected]

500 West Main Street Louisville KY 40202


Humana Insurance Company Regional CCP Ewing Joy

1-502-580-3538

[email protected]



Humana Insurance Company PDP Ewing Joy

1-502-580-3538

[email protected]


2008 MTMP Contacts, Updated 0613/08 1



PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Alabama

MARQUETTE NATIONAL LIFE INSURANCE COMPANY

Today's Options Powered by CCRx PFFS

Clinical Pharmacist Roper Lisa

1-405-230-8766 [email protected]

4888 Loop Central Suite 800 Houston TX 77042

Alabama

MEDCO CONTAINMENT LIFE INSURANCE COMPANY

Medco Medicare Prescription Plan PDP

Chief Medical Officer Eisenberg, MD Edward

1-201-269-6717

1-201-269-1008

[email protected]

100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417

Alabama

PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP

VP Clinical Operations Rajan Samuel

1-440-248-8448 135

1-440-248-1729

[email protected]

29100 Aurora Rd., Ste. 301 Solon OH 44139

Alabama

PENNSYLVANIA LIFE INSURANCE COMPANY

Pennsylvania Life Insurance Company PDP

Medicare Clinical Pharmacist Brown Nancy J

1-401-333-3987 7941

1-800-373-0238

[email protected]

695 George Washington Highway Lincoln RI 2865

Alabama

PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS




Alabama RXAMERICA, LLC RxAmerica PDP

Director of Medicare Operations Low Jeff

1-801-961-6251

1-801-961-6313

[email protected]

221 N. Charles Lindbergh Dr. SLC UT 84116

Alabama

SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP

Director, Pharmacy Services Evans, M.D. Steven

1-702-877-8377

[email protected]

2716 N. Tenaya Way Las Vegas NV 89128

Alabama

SILVERSCRIPT INSURANCE COMPANY

SilverScript Insurance Company PDP Help Desk MTM

1-866-443-0934

[email protected]

9501 E. Shea Blvd Scottsdale AZ 85260

Alabama

STERLING LIFE INSURANCE COMPANY

Sterling Life Insurance Company PDP Hirsch Jeff

1-314-810-6102

[email protected]

One Express Way St. Louis MO 63121

Alabama

UNICARE LIFE AND HEALTH INS. COMPANY

Unicare Life & Health Ins. Company PFFS

Clinical Pharmacist Hettich Lisa

1-765-526-2515

[email protected]

8407 Fallbrook Avenue West Hills CA 91304

Alabama

UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP

Pharmacist Clinical Hettich Lisa

1-765-526-2515

[email protected] 8990 Duke Drive

Mail Stop OH2104-A844 Mason OH 45040

Alabama

UNITED AMERICAN INSURANCE COMPANY

United American Insurance Company PDP

Vice President and Health Actuary Hendee Peter G

1-972-569-3646

1-972-569-3679

[email protected]

3700 S. Stonebridge Drive McKinney TX 75070

Alabama

UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx

1-949-252-4339

1-949-474-4237

[email protected] 2300 Main Street Irvine CA 92614

Alabama

UNITED HEALTHCARE INSURANCE COMPANY

SecureHorizons MedicareDirect PFFS Solutions RX

1-949-221-9994

1-949-747-4237


Alabama

UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx

1-949-252-4339

1-949-474-4237


Alabama

UNITED HEALTHCARE OF ALABAMA, INC.

SecureHorizons by UnitedHealthcare Local CCP Solutions RX

1-949-221-9994

1-949-747-4237


Alabama VIVA HEALTH, INC. VIVA Medicare Plus Local CCPManager of Quality Improvement Scott Jan P

1-205-930-5520

1-205-930-5597

[email protected]

1222 14th Avenue South Birmingham AL 35205

Alabama

WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS

Manager, Medication Therapy Management Rackley Qiana

1-813-290-6200 6620

[email protected]

8735 Henderson Rd Tampa FL 33634




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Alabama

WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP

Senior Director, Specialty Pharmacy Lannigan Jeff

1-813-290-6200 5119

[email protected]

8735 Henderson Road Tampa FL 33634

AlabamaWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya

1-615-782-7860

1-615-782-7822

[email protected]

7100 Commerce Way, Ste 285 Brentwood TN 37027

AlabamaWINDSOR HEALTH PLANS, INC.

Windsor Medicare Extra Local CCP Pharmacy Director King Sonya

1-615-782-7860

1-615-782-7822

[email protected]


Alaska



1-386-963-2543

1-860-754-1481


Alaska



1-386-963-2543

1-860-754-1481


Alaska


1-860-226-6731

[email protected]


Alaska



1-330-405-8080 6320

1-330-405-8081

[email protected]


Alaska

FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP


1-801-954-3043

[email protected]


Alaska



1-801-954-3043

[email protected]


Alaska




1-916-463-9603

1-916-463-9750

[email protected]



Alaska




1-615-565-8110

1-615-234-2154

[email protected]


AlaskaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


AlaskaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Alaska




1-201-269-6717

1-201-269-1008

[email protected]


Alaska



1-440-248-8448 135

1-440-248-1729

[email protected]


Alaska




1-401-333-3987 7941

1-800-373-0238

[email protected]


Alaska RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Alaska



1-866-443-0934

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Alaska


Sterling Life Insurance Company PFFS

V.P. Compliance & Regulatory Affairs Bodway Craig

1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive

PO Box 5348 Bellingham WA 98227

Alaska



1-314-810-6102

[email protected]


Alaska




1-765-526-2515

[email protected]


Alaska



1-765-526-2515



Alaska




1-972-569-3646

1-972-569-3679

[email protected]


Alaska


1-949-252-4339

1-949-474-4237


Alaska



1-949-221-9994

1-949-747-4237


Alaska


1-949-252-4339

1-949-474-4237


Alaska



1-813-290-6200 5119

[email protected]


American Samoa


1-949-252-4339

1-949-474-4237


American Samoa


1-949-252-4339

1-949-474-4237


ArizonaABRAZO ADVANTAGE HEALTH PLAN

Abrazo Advantage Health Plan Local CCP Pharmacy Director Cruz Patti

1-602-824-3773

1-602-824-3762

[email protected] 7878 N. 16th St. Suite 105 Phoenix AZ 85020

Arizona AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Arizona

AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Arizona



1-386-963-2543

1-860-754-1481


Arizona



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

ArizonaARCADIAN HEALTH PLAN, INC.

Desert Canyon Community Care Local CCP

Vice President of Pharmacy Services Owens Glenda

1-909-971-6816

1-909-971-6866

[email protected]

955 Overland Court., Second Floor San Dimas CA 91773

ArizonaARIZONA PHYSICIANS IPA, INC.

APIPA Personal Care Plus Local CCP Pharmacy Director Cabrera Lourdes

1-954-858-4302

1-954-858-3765

[email protected]

13621 NW 12TH ST Sunrise FL 33323

ArizonaBRIDGEWAY HEALTH SOLUTIONS

Advantage by Bridgeway Health Solutions Local CCP

VP Pharmacy Operations Health Plans Pica Mike

1-732-476-1047

1-732-549-5824

[email protected]

499 Thornall Street, 4th floor Edison NJ 8837

ArizonaCARE1ST HEALTH PLAN OF ARIZONA

ONECare by Care1st Health Plan Of Arizona Local CCP

Compliance Officer Hollin Cheyenne

1-602-778-1850 8318

[email protected]

2355 E. Camelback Rd., Ste. 300 Phoenix AZ 85016

Arizona




1-215-988-6835

1-215-557-7437

[email protected]



ArizonaCIGNA HEALTHCARE OF ARIZONA, INC.

CIGNA HealthCare of Arizona Local CCP Chief Pharmacist Zheng Yi

1-860-226-6731

[email protected]

900 Cottage Grove Rd. Wilde Hartford CT 6152

ArizonaCIGNA HEALTHCARE OF ARIZONA, INC.

CIGNA HealthCare of Arizona PFFS Zheng Yi

1-860-226-6731

[email protected]

900 Cottage Grove Rd. Wilde Hartford CT 6152

Arizona


1-860-226-6731

[email protected]


Arizona



1-801-954-3043

[email protected]



Arizona



1-801-954-3043

[email protected]


Arizona



1-330-405-8080 6320

1-330-405-8081

[email protected]


Arizona



1-801-954-3043

[email protected]


ArizonaFOX INSURANCE COMPANY

Fox Insurance Company PDP

Clinical Pharmacist Verma Saurabh

1-646-340-1016

1-866-369-7978

[email protected]

40 West 25th Street 6th Floor New York NY 10010

ArizonaHEALTH CHOICE ARIZONA, INC.

Health Choice Generations Local CCP

Director, Pharmacy Sartor Lynn

1-480-303-4431

1-480-350-2231

[email protected]

1600 W. Broadway, Suite 110 Tempe AZ 85282

Arizona




1-916-463-9603

1-916-463-9750

[email protected]



Arizona

HEALTH NET LIFE INSURANCE COMPANY Health Net Regional CCP

Senior Vice President, Chief Clinical Officer White Virginia E

1-916-463-9603

[email protected]

10540 White Rock Rd., Ste 280

Mail Stop: CA-175-02-02 Rancho Cordove CA 95670

ArizonaHEALTH NET OF ARIZONA, INC.

Health Net of Arizona, Inc. Local CCP

Senior Vice President

White, Pharm. D. Virginia E

1-916-463-9603

1-916-463-9750

[email protected]

10540 White Rock Rd., Ste. 280 Rancho Cordova CA 95670

Arizona




1-615-565-8110

1-615-234-2154

[email protected]


ArizonaHUMANA HEALTH PLAN, INC.

Humana Health Plan, Inc. Local CCP Ewing Joy

1-502-580-3538

[email protected]


ArizonaHUMANA INSURANCE COMPANY

Humana Insurance Company Local CCP Ewing Joy

1-502-580-3538

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP



1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Arizona






Arizona




1-201-269-6717

1-201-269-1008

[email protected]


ArizonaMENNONITE MUTUAL AID ASSOCIATION

Mennonite Mutual Aid Association PFFS Moyna Audrey

1-847-559-3999

1-847-559-4733

[email protected]


ArizonaPACIFICARE OF ARIZONA, INC


1-949-221-9994

1-949-747-4237


Arizona



1-440-248-8448 135

1-440-248-1729

[email protected]


Arizona




1-401-333-3987 7941

1-800-373-0238

[email protected]


Arizona





Arizona RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


ArizonaSCAN HEALTH PLAN OF ARIZONA

SCAN Health Plan Arizona Local CCP

Director of Pharmacy Bakshi Sharon

1-562-989-5168

1-562-997-3196

[email protected]

3800 Kilroy Airport Way Suite 100 Long Beach CA 90806

Arizona

SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Sierra Spectrum Local CCP


1-702-877-8377

[email protected]


Arizona



1-702-877-8377

[email protected]


Arizona



1-866-443-0934

[email protected]


Arizona

SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION Mercy Care Advantage Local CCP

Corporate Director of Pharmacy Clark Mark

1-602-659-1100

[email protected]

4645 E Cotton Center Blvd

Building 1, Suite 200 Phoenix AZ 85040

Arizona




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Arizona



1-314-810-6102

[email protected]


ArizonaSUN HEALTH MEDISUN, INC.

Sun Health MediSunONE Local CCP

Director of Pharmacy Nesemann Lydia

1-623-974-7474

1-623-974-7495

[email protected] P.O. Box 1489

13632 N. 99th Ave, Suite B Sun City AZ 85372

Arizona




1-765-526-2515

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Arizona



1-765-526-2515



Arizona




1-972-569-3646

1-972-569-3679

[email protected]


Arizona


1-949-252-4339

1-949-474-4237


Arizona


Evercare® Health Plans Local CCP Solutions RX

1-949-221-9994

1-949-747-4237


Arizona


Evercare® Health Plans Demo Solutions RX

1-949-221-9994

1-949-747-4237


Arizona



1-949-221-9994

1-949-747-4237


Arizona


1-949-252-4339

1-949-474-4237


ArizonaUNITEDHEALTHCARE OF ARIZONA INC


1-949-221-9994

1-949-747-4237


Arizona

UNIVERSAL HEALTH CARE INSURANCE COMPANY

Universal Health Care Insurance Company, Inc. PFFS

VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K

1-800-546-5677 1110

[email protected]

14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154

ArizonaUPH/MIHS VENTURES L.L.C.

University Physicians/Maricopa Care Advantage Local CCP Rabbitt Rebecca

1-800-332-5455

[email protected]

13900 Riverport Drive

Maryland Heights MO 63043

Arizona



1-813-290-6200 6620

[email protected]


Arizona



1-813-290-6200 5119

[email protected]


Arkansas



1-386-963-2543

1-860-754-1481


Arkansas



1-386-963-2543

1-860-754-1481


ArkansasARKANSAS BCBS, A MUTUAL INS CO

Arkansas Blue Cross and Blue Shield PDP

Dir. Clinical Operations Moyna Audrey

1-847-559-3999

1-847-559-4733

[email protected]

211 Sanders Road Northbrook IL 60062

Arkansas

ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INS.

Arkansas Blue Cross - Medi-Pak Advantage PFFS

Dir. Clinical Operations Monya Audrey

1-847-559-3999

1-847-559-4733

[email protected]


ArkansasARKANSAS COMMUNITY CARE

Arkansas Community Care, Inc. Local CCP


1-909-971-6816

1-909-971-6866

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Arkansas

CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.

Care Improvement Plus Regional CCP Help Desk MTM

1-866-443-0934

[email protected]

9501 East Shea Boulevard Scottsdale AZ 85260

Arkansas




1-215-988-6835

1-215-557-7437

[email protected]



Arkansas


1-860-226-6731

[email protected]


Arkansas



1-801-954-3043

[email protected]



Arkansas



1-801-954-3043

[email protected]


Arkansas



1-330-405-8080 6320

1-330-405-8081

[email protected]


Arkansas



1-801-954-3043

[email protected]


ArkansasFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


Arkansas




1-916-463-9603

1-916-463-9750

[email protected]



Arkansas




1-615-565-8110

1-615-234-2154

[email protected]


ArkansasHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Arkansas






Arkansas




1-201-269-6717

1-201-269-1008

[email protected]


ArkansasMERCY HEALTH PLANS Mercy Health Plans Local CCP

Director of Clinical Pharmacy Linsin Cathy

1-314-214-2489

1-314-214-8101

[email protected]

14528 S. Outer 40, Ste. 300 Chesterfield MO 63017




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Arkansas



1-440-248-8448 135

1-440-248-1729

[email protected]


Arkansas




1-401-333-3987 7941

1-800-373-0238

[email protected]


Arkansas





Arkansas RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Arkansas



1-702-877-8377

[email protected]


Arkansas



1-866-443-0934

[email protected]


Arkansas




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Arkansas



1-314-810-6102

[email protected]


Arkansas




1-765-526-2515

[email protected]


Arkansas



1-765-526-2515



Arkansas

UNISON HEALTH PLAN OF TENNESSEE, INC. Unison Advantage Local CCP Brekosky Robert

1-412-349-6167

1-412-457-1616

[email protected] Unison Plaza

1001 Brinton Road Pittsburgh PA 15221

Arkansas




1-972-569-3646

1-972-569-3679

[email protected]


Arkansas


1-949-252-4339

1-949-474-4237


Arkansas



1-949-221-9994

1-949-747-4237


Arkansas


1-949-252-4339

1-949-474-4237


ArkansasUNITEDHEALTHCARE OF ARKANSAS, INC.


1-949-221-9994

1-949-747-4237


Arkansas

WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS


1-813-290-6200 6620

[email protected]


Arkansas



1-813-290-6200 5119

[email protected]


ArkansasWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya

1-615-782-7860

1-615-782-7822

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

ArkansasWINDSOR HEALTH PLANS, INC.


1-615-782-7860

1-615-782-7822

[email protected]


CaliforniaAETNA HEALTH OF CALIFORNIA,INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


California



1-386-963-2543

1-860-754-1481


California



1-386-963-2543

1-860-754-1481


CaliforniaAIDS HEALTHCARE FOUNDATION

POSITIVE HEALTHCARE PARTNERS Local CCP

MEDICAL DIRECTOR HOWELL SCOTT

1-954-522-3132

1-954-522-3260

[email protected] 110 SE 6th St. Fort Lauderdale FL 33301

California

ALAMEDA ALLIANCE JOINT POWERS AUTHORITY (JPA) Alliance for Health Local CCP

Manager, Pharmacy Services Yang Anna

1-510-747-6155

1-510-747-4507

[email protected]

1240 South Loop Road Alameda CA 94502

California

ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.

BC LIFE & HEALTH INSURANCE COMPANY Regional CCP


1-765-526-2515

[email protected]


CaliforniaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515


Mailstop OH2104-A844 Mason OH 45040

CaliforniaARTA MEDICARE HEALTH PLAN, INC.

Arta Medicare Health Plan Local CCP Pharmacy Director Sefain Hani

1-818-368-7538

1-818-368-7169

[email protected]

19641 Tulsa Street Chatsworth CA 91311

CaliforniaBLUE CROSS OF CALIFORNIA

Blue Cross of California Local CCP


1-765-526-2515

[email protected]


CaliforniaBLUE CROSS OF CALIFORNIA

Blue Cross Of California PFFS


1-765-526-2515

[email protected]


California

BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP

Clinical Pharmacist Owens Heather

1-800-625-9432

1-866-464-0709

[email protected]

3601 O'Donnell Street Baltimore MD 21224

California

CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA

Blue Shield of California PDP

Medication Management Coordinator Becker-Ellison Dawn

1-916-350-6624

1-916-350-6216

[email protected]

4205 Town Center Blvd El Dorado Hills CA 95762

California

CALIFORNIA PHYSICIANS' SERVICE

Blue Shield of California Local CCP

Medication Management Coordinator Becker-Ellison Dawn

1-916-350-6624

1-916-350-6216

[email protected]

4205 Town Center Blvd El Dorado Hills CA 95762

CaliforniaCARE1ST HEALTH PLAN

Care1st Medicare Advantage Plan Local CCP Pharmacy Director Lasconia Michael

1-323-889-6638 6532

[email protected]

601 Potrero Grande Drive Monterey Park CA 91755

CaliforniaCAREMORE HEALTH PLAN CareMore Health Plan Local CCP

Director of Pharmacy Rose James

1-562-622-2900 2982

1-562-622-2814

[email protected]

12900 Park Plaza Drive Suite 150 Cerritos CA 90703

California

CENTRAL HEALTH PLAN OF CALIFORNIA, INC.

Central Health Medicare Plan Local CCP

Pharmacy Operations Manager Britton, MD Timothy

1-866-314-2427 2229

1-626-388-2363

[email protected]

18575 East Gale Avenue Suite 258 City of Industry CA 91748

California




1-215-988-6835

1-215-557-7437

[email protected]



California

CHINESE COMMUNITY HEALTH PLAN

Chinese Community Health Plan Local CCP

Director of Pharmacy Services Wong Adrian

1-415-955-8800 3275

1-415-955-8814

[email protected]

445 Grant Avenue, Suite 700 San Francisco CA 94108




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

CaliforniaCITIZENS CHOICE HEALTHPLAN

Citizens Choice Healthplan Local CCP

Director, Health Care Services Maxon, RN Marcie

1-562-207-4508

1-323-728-8494

[email protected]

17315 Studebaker Road Suite 200 Cerritos CA 90703

CaliforniaCOMMUNITY HEALTH GROUP

Community Health Group Local CCP

Director-Health Care Operations Koizumi Noreen

1-619-498-6476

1-619-407-4648

[email protected] 740 Bay Blvd. Chula Vista CA 91910

California


1-860-226-6731

[email protected]


California

CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTH

Contra Costa Health Plan Local CCP Lawson Mark

1-215-937-5352

1-215-937-8450

[email protected]

200 Stevens Drive Philadelpha PA 19113

CaliforniaEASY CHOICE HEALTH PLAN INC.

Easy Choice Health Plan Local CCP Account Executive Umeda Greg

1-916-428-5321

1-858-621-5147

[email protected]

MedImpact Healthcare Systems, Inc.

10680 Treena Street San Diego CA 92131

California



1-330-405-8080 6320

1-330-405-8081

[email protected]


California



1-801-954-3043

[email protected]


California



1-801-954-3043

[email protected]


CaliforniaGEMCARE HEALTH PLAN INC.

GEMCARE Health Plan Local CCP

Vice President Clinical Programs Schoening Shellie K

1-800-546-5677 1110

1-866-632-7946

[email protected] P.O. Box 407 Boys Town NE 68010

California




1-916-463-9603

1-916-463-9750

[email protected]



California

HEALTH NET LIFE INSURANCE COMPANY

Health Net Life Insurance Company Local CCP

Senior Vice President, Chief Clinical Officer


1-916-463-9603

[email protected]

10540 White Rock Rd., Ste. 280

Mail Stop: CA-175-02-02 Rancho cordova CA 95670

California

HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations


1-916-463-9603

1-916-463-8056

[email protected]



California HEALTH NET_OF CA Health Net Of CA Local CCP V.P. OperationsWhite, Pharm. D. Virginia E

1-916-463-9603

1-916-463-9750

[email protected]



California




1-615-565-8110

1-615-234-2154

[email protected]


California HMO CALIFORNIA Brand New Day Local CCP

Vice President Medicare Operations & Compliance Snyder Connie

1-562-981-5054

1-562-981-5818

[email protected]

1600 East Hill Street Signal Hill CA 90755

CaliforniaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


CaliforniaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


CaliforniaIEHP HEALTH ACCESS

IEHP Medicare DualChoice Local CCP

Director of Pharmaceutical Services Chan Chris

1-909-890-2943


303 E. Vanderbilt Way, Suite 100 San Bernardino CA 92408

CaliforniaINTER VALLEY HEALTH PLAN, INC. Inter Valley Health Plan Local CCP

VP of Health Services Tenorio Susan

1-800-251-8191 631

1-909-620-8092

[email protected] PO Box 6002

300 South Park Ave, Suite 300 Pomona CA 91769




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

CaliforniaKAISER FOUNDATION HP, INC. Kaiser Permanente Local CCP

Director, Medicare Compliance Fletcher Michael

1-626-405-6629

[email protected]

393 E. Walnut Street, 7th Floor Pasadena CA 91188

CaliforniaL. A. CARE HEALTH PLAN L.A. Care Health Plan Local CCP

Director, Pharmacy & Formulary Leong Susan

1-213-438-5655

1-213-438-5721

[email protected]

555 West 5th Street 19th Floor Los Angeles CA 90013

California






California MD CARE, INC. MD Care Inc Local CCP Help Desk MTM1-866-443-0934

1-480-661-2774

[email protected]

9501 E Shea Blvd. Scottsdale AZ 85260

California




1-201-269-6717

1-201-269-1008

[email protected]


California MEDCORE HP Medcore HP Local CCP Hirsch Jeff1-314-810-6102

[email protected]


CaliforniaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


California

MOLINA HEALTHCARE OF CALIFORNIA

Molina Healthcare of California Local CCP

Director, Pharmacy Johnson Beth

1-801-858-0466

1-801-748-0536

[email protected]

7050 South UnionPark Center Midvale UT 84047

CaliforniaORANGE COUNTY HEALTH AUTHORITY OneCare Local CCP

Director of Clinical Pharmacy Gericke Kristin

1-714-246-8471

1-714-246-8649

[email protected]

1120 West La Veta Avenue Orange CA 92868

California

PACIFICARE OF CALIFORNIA/SECURE HORIZONS


1-949-221-9994

1-949-747-4237


California



1-440-248-8448 135

1-440-248-1729

[email protected]


California




1-401-333-3987 7941

1-800-373-0238

[email protected]


California





California RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


CaliforniaSAN MATEO HEALTH COMMISSION

Health Plan of San Mateo Local CCP

Pharmacy Manager Cheung Barrie

1-650-616-2073

[email protected]

701 Gateway Blvd, Ste 400

South San Francisco CA 94080

CaliforniaSAN MIGUEL HEALTH PLAN, INC. San Miguel Health Plan Local CCP

Chief Medical Officer Bass Stephan

1-562-787-1403

1-562-435-9200

[email protected]

100 West Broadway Suite 4000 Long Beach CA 90802

California

SANTA CLARA COUNTY HEALTH AUTHORITY

Santa Clara Family Health Plan Local CCP Garg Angeli

1-408-874-1818

1-408-874-1961

[email protected]

210 East Hacienda Ave Campbell CA 95008

California SCAN HEALTH PLAN SCAN Health Plan Local CCPDirector of Pharmacy Bakshi Sharon

1-562-989-5168

1-562-997-3196

[email protected]


California SCAN HEALTH PLAN SCAN Health Plan Local CCPDirector of Pharmacy Bakshi Sharon

1-562-989-5168

1-562-997-3196

[email protected]


California SCAN HEALTH PLAN VillageHealth DemoDirector of Pharmacy Bakshi Sharon

1-562-989-5168

1-562-997-3196

[email protected]


California



1-702-877-8377

[email protected]


California



1-866-443-0934

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

California

SOLANO-NAPA-YOLO COMMISSION ON MEDICAL CARE

Partnership HealthPlan of California Local CCP

Chief Medical Officer Cammisa Chris

1-707-863-4228

1-707-863-4118

[email protected]

360 Campus Lane, Suite 100 Fairfield CA 94534

California




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


California



1-314-810-6102

[email protected]


California



1-765-526-2515



California




1-972-569-3646

1-972-569-3679

[email protected]


California


1-949-252-4339

1-949-474-4237


California



1-949-221-9994

1-949-747-4237


California


1-949-252-4339

1-949-474-4237


California



1-813-290-6200 6620

[email protected]


California



1-813-290-6200 5119

[email protected]


CaliforniaWESTERN HEALTH ADVANTAGE

Western Health Advantage Local CCP

Clinical Pharmacist Fischer Joe

1-916-563-2273

1-916-563-3182

[email protected]

2349 Gateway Oaks Drive, Suite 100 Sacramento CA 95833

Colorado



1-386-963-2543

1-860-754-1481


Colorado



1-386-963-2543

1-860-754-1481


ColoradoANTHEM INSURANCE COMPANIES, INC.

Anthem Insurance Companies, Inc. PFFS


1-765-526-2515

[email protected]


ColoradoANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



Colorado




1-215-988-6835

1-215-557-7437

[email protected]



Colorado COLORADO ACCESS Colorado Access Local CCPDirector of Pharmacy Girgis Irene

1-720-744-5526

[email protected]

10065 E. Harvard Ave. Suite 600 Denver CO 80231




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Colorado


1-860-226-6731

[email protected]


Colorado



1-801-954-3043

[email protected]



Colorado



1-801-954-3043

[email protected]


ColoradoDENVER HEALTH MEDICAL PLAN, INC.

Denver Health Medical Plan Local CCP Medical Director Brody, MD David

1-720-956-2361

1-720-956-2303

[email protected]

777 Bannock Street

Mail Code 6000 Denver CO 80204

Colorado



1-330-405-8080 6320

1-330-405-8081

[email protected]


Colorado



1-801-954-3043

[email protected]


ColoradoFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


Colorado




1-916-463-9603

1-916-463-9750

[email protected]



Colorado




1-615-565-8110

1-615-234-2154

[email protected]


ColoradoHMO COLORADO, INC.

Anthem Blue Cross and Blue Shield Local CCP


1-765-526-2515

[email protected]


ColoradoHUMANA HEALTH PLAN, INC.


1-502-580-3538

[email protected]


ColoradoHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


ColoradoKAISER FOUNDATION HP OF CO Kaiser Permanente Local CCP

Quality & Clinical Pharmacy Manager Chester Beth

1-303-326-7612

1-303-739-3574

[email protected]

16601 E. Centretech Parkway Aurora CO 80011

Colorado




1-201-269-6717

1-201-269-1008

[email protected]


ColoradoMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


ColoradoPACIFICARE OF COLORADO, INC

AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX

1-949-221-9994

1-949-747-4237


Colorado



1-440-248-8448 135

1-440-248-1729

[email protected]


Colorado




1-401-333-3987 7941

1-800-373-0238

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Colorado





Colorado

ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION

Rocky Mountain Health Plans PDP Pharmacy Director Nolan Steve

1-970-244-7760 5182

[email protected] PO Box 10600 Grand Junction CO 81502

ColoradoROCKY MOUNTAIN HEALTH PLANS

Rocky Mountain Health Plans 1876 Cost Pharmacy Director Nolan Steve

1-970-244-7760 5182


Colorado RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Colorado



1-702-877-8377

[email protected]


Colorado



1-866-443-0934

[email protected]


Colorado




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Colorado



1-314-810-6102

[email protected]


Colorado




1-765-526-2515

[email protected]


Colorado



1-765-526-2515



Colorado




1-972-569-3646

1-972-569-3679

[email protected]


Colorado


1-949-252-4339

1-949-474-4237


Colorado

UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX

1-949-221-9994

1-949-747-4237


Colorado



1-949-221-9994

1-949-747-4237


Colorado



1-949-221-9994

1-949-747-4237


Colorado



1-949-221-9994

1-949-747-4237


Colorado


1-949-252-4339

1-949-474-4237


Colorado



1-813-290-6200 6620

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Colorado



1-813-290-6200 5119

[email protected]


Connecticut AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Connecticut



1-386-963-2543

1-860-754-1481


Connecticut



1-386-963-2543

1-860-754-1481


Connecticut



1-386-963-2543

1-860-754-1481


Connecticut

AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS




ConnecticutANTHEM HEALTH PLANS, INC


Director of Clinical Operations Moyna Audrey

1-847-559-3999

1-847-559-4733

[email protected]


ConnecticutANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


Connecticut BLUE MEDICARERX Blue MedicareRx PDPClinical Pharmacist Hettich Lisa

1-765-526-2515



Connecticut

CONNECTICARE INSURANCE COMPANY, INC.

ConnectiCare Insurance Company, Inc. PFFS Aral Jasmine

1-646-447-7186

[email protected] 55 Water Street New York NY 10041

Connecticut CONNECTICARE, INC. ConnectiCare, Inc. Local CCP Aral Jasmine1-646-447-7186


Connecticut


1-860-226-6731

[email protected]


Connecticut



1-330-405-8080 6320

1-330-405-8081

[email protected]


Connecticut



1-801-954-3043

[email protected]


Connecticut



1-801-954-3043

[email protected]


Connecticut




1-916-463-9603

1-916-463-9750

[email protected]



Connecticut



1-916-463-9603

1-916-463-8056

[email protected]



ConnecticutHEALTH NET OF CONNECTICUT

Health Net of Connecticut Local CCP

Senior Vice President, Chief Clinical Officer

White, Pharm D. Virginia E

1-916-463-9603

1-916-463-9750

[email protected]






PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Connecticut




1-615-565-8110

1-615-234-2154

[email protected]


ConnecticutHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


ConnecticutHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Connecticut




1-201-269-6717

1-201-269-1008

[email protected]


ConnecticutOXFORD HEALTH PLANS (CT), INC.

SecureHorizons by UnitedHealthCare Local CCP Solutions RX

1-949-221-9994

1-949-747-4237


Connecticut



1-440-248-8448 135

1-440-248-1729

[email protected]


Connecticut




1-401-333-3987 7941

1-800-373-0238

[email protected]


Connecticut RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


ConnecticutSENIOR WHOLE HEALTH, LLC

Senior Whole Health of Connecticut Local CCP

Director of Pharmacy Services Dichter Gayle

1-617-494-5353 6324

1-617-494-5599

[email protected] 58 Charles Street Cambridge MA 2141

Connecticut



1-866-443-0934

[email protected]


Connecticut



1-314-810-6102

[email protected]


Connecticut




1-765-526-2515

[email protected]


Connecticut



1-765-526-2515



Connecticut




1-972-569-3646

1-972-569-3679

[email protected]


Connecticut


1-949-252-4339

1-949-474-4237


Connecticut



1-949-221-9994

1-949-747-4237


Connecticut



1-949-221-9994

1-949-747-4237


Connecticut



1-949-221-9994

1-949-747-4237


Connecticut


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

ConnecticutWELLCARE OF CONNECTICUT, INC. WellCare Local CCP

Manager, Clinical Pharmacy Rackley Qiana

1-813-290-6200 6620

[email protected]


Connecticut



1-813-290-6200 5119

[email protected]


Delaware AETNA HEALTH, INC Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Delaware



1-386-963-2543

1-860-754-1481


Delaware

AETNA LIFE INSURANCE COMPANY Aetna Medicare Regional CCP


1-386-963-2543

1-860-754-1481


Delaware



1-386-963-2543

1-860-754-1481


Delaware





DelawareBRAVO HEALTH MID- ATLANTIC INC. Bravo Health PFFS

Vice President, Pharmacy Services Owens Heather

1-410-864-4583

1-866-464-0709

[email protected]


Delaware


1-860-226-6731

[email protected]


Delaware



1-801-954-3043

[email protected]



Delaware



1-801-954-3043

[email protected]


Delaware



1-330-405-8080 6320

1-330-405-8081

[email protected]


Delaware FIRST CARE, INC.Medi-CareFirst BlueCross BlueShield PDP

Director, Pharmacy Management Wong Winston

1-410-528-7897

[email protected]

1501 S. Clinton St 8th Floor Baltimore MD 21224

Delaware



1-801-954-3043

[email protected]


Delaware




1-916-463-9603

1-916-463-9750

[email protected]



Delaware




1-615-565-8110

1-615-234-2154

[email protected]


DelawareHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

DelawareHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Delaware






Delaware




1-201-269-6717

1-201-269-1008

[email protected]


DelawareMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Delaware



1-440-248-8448 135

1-440-248-1729

[email protected]


Delaware




1-401-333-3987 7941

1-800-373-0238

[email protected]


Delaware RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Delaware



1-702-877-8377

[email protected]


Delaware



1-866-443-0934

[email protected]


Delaware




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Delaware



1-314-810-6102

[email protected]


Delaware




1-765-526-2515

[email protected]


Delaware



1-765-526-2515



Delaware




1-972-569-3646

1-972-569-3679

[email protected]


Delaware


1-949-252-4339

1-949-474-4237


Delaware



1-949-221-9994

1-949-747-4237


Delaware



1-949-221-9994

1-949-747-4237


Delaware


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Delaware



1-813-290-6200 6620

[email protected]


Delaware



1-813-290-6200 5119

[email protected]


Florida AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Florida



1-386-963-2543

1-860-754-1481


Florida



1-386-963-2543

1-860-754-1481


Florida



1-386-963-2543

1-860-754-1481


Florida

AIDS HEALTHCARE FOUNDATION MCO OF FLORIDA, INC.

Positive Healthcare Partners Local CCP

Plan Medical Director Howell Scott

1-954-496-9321

1-954-318-4161

[email protected]

110 SE 6th Street, Ste 1960 Fort Lauderdale FL 33301

FloridaAMERIGROUP FLORIDA, INC.

AMERIGROUP Community Care Local CCP

Director Clinical Pharmacy Miller Leslie

1-757-518-3420

[email protected]

4425 Corporation Lane #300 Virginia Beach VA 23462

Florida AVMED, INCAvMed Medicare Preferred Local CCP

Manager of Clinical Pharmacy Kuznik Melissa

1-352-337-8785

1-352-337-8737

[email protected]

AvMed Health Plans

4300 NW 89 Blvd. Gainesville FL 32606

Florida AVMED, INC.AvMed Medicare Preferred PPO Local CCP

Manager of Clinical Pharmacy Kuznik Melissa

1-352-337-8785

1-352-337-8737

[email protected]

AvMed Health Plans

4300 NW 89 Blvd. Gainesville FL 32606

Florida

BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.

Blue Cross and Blue Shield of Florida, Inc. Local CCP

Director, Government Pharmacy Programs Griffin Cynthia

1-904-905-6307

1-904-905-5907

[email protected]

4800 Deerwood Campus Pkwy

DCC Building 300, 3rd Floor Jacksonville FL 32246

Florida

BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.

Blue Cross and Blue Shield of Florida, Inc. PDP


1-904-905-6307

1-904-905-5907

[email protected]



Florida



1-800-625-9432

1-866-464-0709

[email protected]


FloridaCAPITAL HEALTH PLAN Capital Health Plan Local CCP

Clinical Pharmacist Johnston April

1-850-523-7416

1-850-383-3495

[email protected] P.O. Box 15349 Tallahassee FL 32317

FloridaCARE PLUS HEALTH PLAN

CarePlus Health Plans, Inc. Local CCP Ewing Joy

1-502-580-3538

[email protected]


Florida




1-215-988-6835

1-215-557-7437

[email protected]



FloridaCITRUS HEALTH CARE

CITRUS HEALTH CARE PDP

VICE PRESIDENT CLINICAL PROGRAMS SCHOENING SHELLIE

1-800-546-5677 1110

1-866-632-7946

[email protected] PO BOX 407 BOYS TOWN NE 68010




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

FloridaCITRUS HEALTH CARE, INC. Citrus Health Care, Inc. Local CCP

Vice President Clinical Programs Schoening Shellie

1-402-965-8800 1110

1-402-965-9774

[email protected] PO BOX 407 Boys town NE 68010

Florida


1-860-226-6731

[email protected]


Florida



1-330-405-8080 6320

1-330-405-8081

[email protected]


Florida



1-801-954-3043

[email protected]


Florida



1-801-954-3043

[email protected]


Florida

FIRST MEDICAL HEALTH PLAN (OF FLORIDA)

First Medical Health Plan of Florida, Inc. Local CCP Miller Scott A

1-847-964-6944

[email protected]

1415 Lake Cook Road Deerfield IL 60015

FloridaFLORIDA HEALTH CARE PLAN, INC.

Florida Health Care Plan, Inc. Local CCP Pharmacist fox Dave

1-800-352-9824 4016


1340 Ridgewood Avenue Holly Hill FL 32117

FloridaFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


FloridaFREEDOM HEALTH PLAN, INC. Freedom Health, Inc. Local CCP Pharmacy Director Keilty Mike

1-813-506-6000 1031

1-813-506-6152

[email protected]

5403, Church Ave N, Tamap FL 33614

FloridaHEALTH FIRST HEALTH PLANS, INC.

Health First Medicare Plans Local CCP

Compliance Analyst Breisch Laura

1-321-434-5660

1-321-434-4361

[email protected]

6450 US Highway 1 Rockledge FL 32955

Florida




1-916-463-9603

1-916-463-9750

[email protected]



FloridaHEALTH OPTIONS, INC

Health Options, Inc / Blue Cross Blue Shield of FL Local CCP


1-904-905-6307

1-904-905-5907

[email protected]



Florida




1-615-565-8110

1-615-234-2154

[email protected]


FloridaHEALTHSUN HEALTH PLANS, INC.

HealthSun Health Plans, Inc. Local CCP

Compliance Officer de la Llama Marianela

1-305-234-9292

1-305-444-9148

[email protected]

1205 SW 37th Avenue Miami FL 33135

Florida

HUMANA HEALTH INSURANCE COMPANY OF FL, INC.

Humana Health Insurance Company Of Fl, Inc. Local CCP Ewing Joy

1-502-580-3538

[email protected]


FloridaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


FloridaHUMANA MEDICAL PLAN, INC

Humana Medical Plan, Inc. Local CCP Ewing Joy

1-502-580-3538

[email protected]


Florida

LEON MEDICAL CENTERS HEALTH PLANS, INC

Leon Medical Centers Health Plans, Inc. Local CCP VP of UM Hernandez Henry

1-305-559-5366

1-305-644-2530

[email protected]

11501 SW 40th Street Miami FL 33165




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Florida






FloridaMD MEDICARE CHOICE MD MedicareChoice Local CCP Pharmacy Director Limberg Cari

1-813-477-3886

1-813-880-8425

[email protected]

5501 West Waters Ave. Suite 401 Tampa FL 33634

Florida




1-201-269-6717

1-201-269-1008

[email protected]


Florida

MEDICA HEALTHCARE PLANS, INC.

Medica HealthCare Plans, Inc. Local CCP

Clinical Pharmacist Borges Alejandro M

1-305-460-0690

1-305-460-0613

[email protected]

4000 Ponce de Leon Blvd. Suite 650 Coral Gables FL 33146

FloridaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


FloridaMETCARE HEALTH PLANS, INC. AdvantageCare Local CCP

Pharmacy DUR/MTM PerfromRx Lawson Mark

1-215-937-5352

1-215-937-8450

[email protected]

200 Stevens Drive Philadelphia PA 19113

FloridaOPTIMUM HEALTHCARE, INC.

Optimum HealthCare, Inc. Local CCP

Supervisor, MTM DUR Programs Lawson Mark

1-215-937-5352

1-215-937-8450

[email protected]


Florida



1-440-248-8448 135

1-440-248-1729

[email protected]


Florida




1-401-333-3987 7941

1-800-373-0238

[email protected]


FloridaPHYSICIANS UNITED PLAN, INC. Physicians United Plan Local CCP

Chief Pharmacy Officer Bullard, R.Ph. Richard

1-480-624-9265

1-480-624-9401

[email protected]

15950 N. 76th Street Suite 200 Scottsdale AZ 85260

FloridaPREFERRED CARE PARTNERS INC.

Preferred Care Partners, Inc. Local CCP Pharmacy Director Prieto Jennifer

1-305-670-8440 1274

1-786-888-1964

[email protected]

9100 S. DadelandBlvd. Suite 1250 Miami FL 33156

Florida





FloridaQUALITY HEALTH PLANS, INC

QUALITY HEALTH PLANS PDP

Director of Pharmacy Rackley Qiana

1-727-945-8400 158

1-727-756-1080

[email protected]

2435 US Highway 19 Suite 470 Holiday FL 34691

FloridaQUALITY HEALTH PLANS, INC. Quality Health Plans Local CCP

Director of Pharmacy Rackley Qiana

1-727-945-8400 158

1-727-756-1080

[email protected]

2435 US Highway 19 Suite 470 Holiday FL 34691

Florida RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Florida



1-866-443-0934

[email protected]


Florida




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Florida



1-314-810-6102

[email protected]


FloridaSUMMIT HEALTH PLAN, INC.

Summit Health Plan, Inc. Local CCP

Vice President Compliance Gartner Darcey

1-954-858-3667

1-954-858-3695

[email protected]

1340 Concord Terrace Sunrise FL 33323

Florida




1-765-526-2515

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Florida



1-765-526-2515



Florida




1-972-569-3646

1-972-569-3679

[email protected]


Florida


1-949-252-4339

1-949-474-4237


Florida



1-949-221-9994

1-949-747-4237


Florida



1-949-221-9994

1-949-747-4237


Florida



1-949-221-9994

1-949-747-4237


Florida


SecureHorizons by UnitedHealthcare Regional CCP Solutions RX

1-949-221-9994

1-949-747-4237


Florida



1-949-221-9994

1-949-747-4237


Florida


1-949-252-4339

1-949-474-4237


Florida

UNITED HEALTHCARE OF FL, INC.


1-949-221-9994

1-949-747-4237


Florida

UNITED HEALTHCARE OF FLORIDA INC.


1-949-221-9994

1-949-747-4237


Florida




1-800-546-5677 1110

[email protected]


FloridaUNIVERSAL HEALTH CARE, INC.

Universal Health Care, Inc. Local CCP


1-800-546-5677 1110

[email protected]


FloridaUNIVERSAL HEALTH CARE, INC.

Universal Health Care, Inc. Local CCP


1-800-546-5677 1110

[email protected]


Florida

VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.

Vista Healthplan of South Florida, Inc. Local CCP

Vice President, Compliance Gartner Darcey

1-954-858-3667

1-954-858-3695

[email protected]


FloridaVISTA HEALTHPLAN, INC. Vista Healthplan, Inc. Local CCP

Vice President, Compliance Gartner Darcey

1-954-858-3667

1-954-858-3695

[email protected]


FloridaWELL CARE OF FLORIDA, INC. WellCare Local CCP


1-813-290-6200 6620

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Florida



1-813-290-6200 6620

[email protected]


Florida



1-813-290-6200 5119

[email protected]


GeorgiaAETNA HEALTH INC.(GEORGIA) Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Georgia



1-386-963-2543

1-860-754-1481


Georgia



1-386-963-2543

1-860-754-1481


Georgia



1-386-963-2543

1-860-754-1481


GeorgiaANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


GeorgiaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



Georgia

ARCADIAN HEALTH PLAN OF GEORGIA, INC.

Southeast Community Care Local CCP


1-909-971-6816

1-909-971-6866

[email protected]


GeorgiaBLUE CROSS BLUE SHIELD OF GEORGIA

Blue Cross Blue Shield Healthcare Plan of Georgia Local CCP


1-765-526-2515

[email protected]


Georgia

CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO


1-866-443-0934

[email protected]


Georgia




1-215-988-6835

1-215-557-7437

[email protected]



Georgia

CONNECTICUT GENERAL LIFE INSURANCE COMPANY

CIGNA Medicare Access PFFS Zheng Yi

1-860-226-6731

[email protected]

900 Cottage Grove Rd Hartford CT 6152

Georgia


1-860-226-6731

[email protected]


Georgia



1-801-954-3043

[email protected]



Georgia



1-801-954-3043

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Georgia

COVENTRY HEALTH CARE OF GEORGIA, INC. Advantra Local CCP

Director, Pharmacy Ops Williams Roger L

1-801-954-3043

[email protected]


GeorgiaDAVITA VILLAGEHEALTH, INC.

DaVita VillageHealth of Georgia, Inc. Local CCP


1-518-932-4416


Georgia



1-330-405-8080 6320

1-330-405-8081

[email protected]


Georgia



1-801-954-3043

[email protected]


Georgia




1-916-463-9603

1-916-463-9750

[email protected]



Georgia



1-916-463-9603

1-916-463-8056

[email protected]



Georgia




1-615-565-8110

1-615-234-2154

[email protected]


GeorgiaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Georgia

INSTIL HEALTH INSURANCE COMPANY

InStil Health Insurance Company PDP

Director Medical Services Lachuk Lester

1-803-763-6559

1-803-935-1605

[email protected]

17 Technology Circle, AG-790 Columbia SC 29203

GeorgiaKAISER FOUNDATION HP OF GA, INC.

Kaiser Permanente Senior Advantage Local CCP

Interim Clinic Manager Charnelda Gray

1-404-364-7085

1-404-364-7347

[email protected]

3495 Piedmont Road NE Atlanta GA 30305

Georgia




1-201-269-6717

1-201-269-1008

[email protected]


Georgia



1-440-248-8448 135

1-440-248-1729

[email protected]


Georgia




1-401-333-3987 7941

1-800-373-0238

[email protected]


Georgia





Georgia RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Georgia



1-702-877-8377

[email protected]


Georgia



1-866-443-0934

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Georgia




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Georgia



1-314-810-6102

[email protected]


Georgia




1-765-526-2515

[email protected]


Georgia



1-765-526-2515



Georgia




1-972-569-3646

1-972-569-3679

[email protected]


Georgia


1-949-252-4339

1-949-474-4237


Georgia



1-949-221-9994

1-949-747-4237


Georgia


Evercare® Health Plans Demo Solutions RX

1-949-221-9994

1-949-747-4237


Georgia



1-949-221-9994

1-949-747-4237


Georgia


1-949-252-4339

1-949-474-4237


Georgia

UNITED HEALTHCARE OF GEORGIA, INC.


1-949-221-9994

1-949-747-4237


Georgia




1-800-546-5677 1110

[email protected]


Georgia



1-813-290-6200 6620

[email protected]


GeorgiaWELLCARE OF GEORGIA, INC. WellCare Local CCP


1-813-290-6200 6620

[email protected]


Georgia



1-813-290-6200 5119

[email protected]


Guam


1-949-252-4339

1-949-474-4237


Guam


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Hawaii



1-386-963-2543

1-860-754-1481


Hawaii



1-386-963-2543

1-860-754-1481


Hawaii ALOHACARE AlohaCare Local CCPDirector of Clinical Operations Catalan Stella

1-808-973-6359

1-808-973-0726

[email protected]

1357 Kapiolani Blvd., Suite 1250 Honolulu HI 96814

Hawaii


1-860-226-6731

[email protected]


Hawaii



1-330-405-8080 6320

1-330-405-8081

[email protected]


Hawaii



1-801-954-3043

[email protected]


Hawaii



1-801-954-3043

[email protected]


HawaiiFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


HawaiiHAWAII MED. SRVC. ASSN. HMSA's 65C Plus 1876 Cost

Clinical Pharmacist Nishimura Rachel

1-808-948-6808

1-808-948-5510

[email protected] 5 - PBM

818 Keeaumoku St Honolulu HI 96814

Hawaii




1-916-463-9603

1-916-463-9750

[email protected]



Hawaii



1-916-463-9603

1-916-463-8056

[email protected]



Hawaii




1-615-565-8110

1-615-234-2154

[email protected]


HawaiiHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


HawaiiHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


HawaiiKAISER FOUNDATION HP, INC.

Kaiser Foundation Health Plan, Inc. (Hawaii) Local CCP

Quality Management Coordinator Wilson Susan T

1-808-432-7533

[email protected]

Kaiser Permanente

501 Alakawa Street Honolulu HI 96819

Hawaii






Hawaii




1-201-269-6717

1-201-269-1008

[email protected]


Hawaii



1-440-248-8448 135

1-440-248-1729

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Hawaii




1-401-333-3987 7941

1-800-373-0238

[email protected]


Hawaii RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Hawaii



1-866-443-0934

[email protected]


Hawaii




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Hawaii



1-314-810-6102

[email protected]


Hawaii




1-765-526-2515

[email protected]


Hawaii



1-765-526-2515



Hawaii




1-972-569-3646

1-972-569-3679

[email protected]


Hawaii


1-949-252-4339

1-949-474-4237


Hawaii



1-949-221-9994

1-949-747-4237


Hawaii



1-949-221-9994

1-949-747-4237


Hawaii



1-949-221-9994

1-949-747-4237


Hawaii


1-949-252-4339

1-949-474-4237


Hawaii



1-813-290-6200 6620

[email protected]


Hawaii



1-813-290-6200 5119

[email protected]


Idaho



1-386-963-2543

1-860-754-1481


Idaho



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Idaho

BLUE CROSS OF IDAHO HEALTH SERVICES, INC

Blue Cross Of Idaho Hlth Services Inc Local CCP

Pharmacy Clinical Services Hettich Lisa

1-765-526-2515

[email protected]

8407 Fallbrook Ave # CAAF01 West Hills CA 91304

Idaho

BLUE CROSS OF IDAHO HEALTH SERVICES, INC.

Blue Cross Of Idaho Hlth Services Inc PFFS


1-765-526-2515

[email protected]

8407 Fallbrook Ave # CAAF01

attn: Network Management West Hills CA 91304

Idaho

BLUE CROSS OF IDAHO HLTH SERVICES INC

Blue Cross Of Idaho Hlth Services Inc Local CCP


1-765-526-2515

[email protected]

8407 Fallbrook Ave #CAAF01

Attn: Network Management West Hills CA 91304

Idaho




1-215-988-6835

1-215-557-7437

[email protected]



Idaho


1-860-226-6731

[email protected]


Idaho

EDUCATORS MUTUAL INSURANCE ASSOCIATION

Educators Mutual Insurance Association PDP Gallegos Jennifer

1-801-262-7476

[email protected]

852 East Arrowhead Lane Murray UT 84107

Idaho



1-330-405-8080 6320

1-330-405-8081

[email protected]


Idaho



1-801-954-3043

[email protected]


Idaho



1-801-954-3043

[email protected]


Idaho




1-916-463-9603

1-916-463-9750

[email protected]



Idaho




1-615-565-8110

1-615-234-2154

[email protected]


IdahoHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


IdahoHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Idaho




1-201-269-6717

1-201-269-1008

[email protected]


IdahoMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Idaho



1-440-248-8448 135

1-440-248-1729

[email protected]


Idaho




1-401-333-3987 7941

1-800-373-0238

[email protected]


Idaho








PHONE EXT FAX EMAIL

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STREET ADDRESS

2 CITY STATE ZIP

IdahoREGENCE BLUE SHIELD OF IDAHO

Regence BlueShield Of Idaho Local CCP

Manager Clinical Pharmacy Leonard Ruth J

1-208-395-7732

1-208-395-7744

[email protected]

1211 West Myrtle Suite 110

PO Box 2560 Boise ID 87301

Idaho

REGENCE LIFE AND HEALTH INSURANCE COMPANY

Regence Life and Health PDP


1-208-395-7732

1-208-395-7744

[email protected]



Idaho RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Idaho



1-702-877-8377

[email protected]


Idaho



1-866-443-0934

[email protected]


Idaho




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Idaho



1-314-810-6102

[email protected]


Idaho




1-765-526-2515

[email protected]


Idaho



1-765-526-2515



Idaho




1-972-569-3646

1-972-569-3679

[email protected]


Idaho


1-949-252-4339

1-949-474-4237


Idaho



1-949-221-9994

1-949-747-4237


Idaho



1-949-221-9994

1-949-747-4237


Idaho


1-949-252-4339

1-949-474-4237


Idaho



1-813-290-6200 6620

[email protected]


Idaho



1-813-290-6200 5119

[email protected]


IllinoisAETNA HEALTH OF ILLINOIS, INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Illinois



1-386-963-2543

1-860-754-1481


Illinois



1-386-963-2543

1-860-754-1481


Illinois



1-386-963-2543

1-860-754-1481


Illinois




1-215-988-6835

1-215-557-7437

[email protected]



Illinois


1-860-226-6731

[email protected]


Illinois



1-801-954-3043

[email protected]



Illinois



1-801-954-3043

[email protected]


Illinois



1-330-405-8080 6320

1-330-405-8081

[email protected]


Illinois ESSENCE L.L.P. Essence Healthcare Local CCPDirector of Quality Improvement Keys Mary Kay

1-314-851-3664

1-314-851-3610

[email protected] 12655 Olive Blvd St. Louis MO 63141

Illinois



1-801-954-3043

[email protected]


IllinoisGROUP HEALTH PLAN, INC. Group Health Plan, Inc. Local CCP


1-801-954-3043

[email protected]


Illinois

HARMONY HEALTH PLAN OF ILLINOIS, INC. WellCare Local CCP


1-813-290-6200 6620

[email protected]


IllinoisHCSC INSURANCE SERVICES COMPANY

HISC - Blue Cross Blue Shield of IL, TX, and NM PDP Pharmacy Director Nguyen Marie

1-651-286-4206

1-651-286-4403

[email protected]

Prime Therapeutics, LLC

1020 Discovery Road Eagen MN 55121

IllinoisHEALTH ALLIANCE MEDICAL PLANS

Health Alliance Medical Plans Local CCP

Director of Pharmacy Barrington Christina

1-800-851-3379 8078

1-217-255-4598

[email protected] 301 S. Vine St. Urbana IL 61801

IllinoisHEALTH ALLIANCE MEDICAL PLANS

Health Alliance Medical Plans Local CCP


1-800-851-3379 8078

1-217-255-4598


Illinois




1-916-463-9603

1-916-463-9750

[email protected]



Illinois




1-615-565-8110

1-615-234-2154

[email protected]


Illinois HEALTHSPRING, INC. HealthSpring, Inc. Local CCP


1-615-565-8110

1-615-291-7011

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

IllinoisHUMANA HEALTH PLAN, INC.


1-502-580-3538

[email protected]


IllinoisHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Illinois




1-201-269-6717

1-201-269-1008

[email protected]


IllinoisMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Illinois

MERCY HEALTH PLANS OF MISSOURI INC.

Mercy Health Plans of Missouri, Inc. Local CCP


1-314-214-2489

1-314-214-8101

[email protected]


IllinoisOSF HEALTHPLANS, INC. OSF Care Advantage Local CCP

Associate Director of Pharmacy Porch William

1-309-677-8553

1-309-677-8354

[email protected]

7915 N Hale Ave, Ste D Peoria IL 61615

IllinoisOSF HEALTHPLANS, INC. OSF Care Preferred Local CCP

Associate Director of Pharmacy Porch Willaim

1-309-677-8553

1-309-677-8354

[email protected]

7915 N Hale Ave, Ste D Peoria IL 61615

Illinois



1-440-248-8448 135

1-440-248-1729

[email protected]


Illinois




1-401-333-3987 7941

1-800-373-0238

[email protected]


Illinois

PERSONAL CARE INSURANCE OF ILLINOIS

PersonalCare Advantra Gold and Silver Local CCP


1-801-954-3043

[email protected]


Illinois





Illinois RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Illinois



1-702-877-8377

[email protected]


Illinois



1-866-443-0934

[email protected]


Illinois




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Illinois



1-314-810-6102

[email protected]


Illinois




1-765-526-2515

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Illinois



1-765-526-2515



Illinois




1-972-569-3646

1-972-569-3679

[email protected]


Illinois


1-949-252-4339

1-949-474-4237


Illinois

UNITED HEALTHCARE INS. COMPANY, INC.


1-949-221-9994

1-949-747-4237


Illinois


1-949-221-9994

1-949-747-4237


Illinois



1-949-221-9994

1-949-747-4237


Illinois



1-949-221-9994

1-949-747-4237


Illinois


1-949-252-4339

1-949-474-4237


Illinois

UNITED HEALTHCARE OF THE MIDWEST, INC.


1-949-221-9994

1-949-747-4237


Illinois

UNITED HEALTHCARE PLAN OF THE RIVER VALLEY, INC.


1-949-221-9994

1-949-747-4237


Illinois



1-813-290-6200 6620

[email protected]


Illinois



1-813-290-6200 5119

[email protected]


IndianaADVANTAGE HEALTH SOLUTIONS, INC.

Advantage Health Solutions, Inc. Local CCP

Director, Pharmacy and Data Analysis Musial Brian

1-317-573-6691

[email protected]

9490 Priority Way West Drive Indianapolis IN 46240

Indiana



1-386-963-2543

1-860-754-1481


Indiana



1-386-963-2543

1-860-754-1481


IndianaANTHEM INSURANCE COMPANIES, INC.

Anthem Blue Cross and Blue Shield Local CCP Client Manager Drummond Michelle

1-714-637-1282

1-714-637-1209

[email protected]

8407 Fallbrook Avenue

Mailstop CAAF West Hills CA 91304




1-765-526-2515

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP


Anthem Blue Cross and Blue Shield Regional CCP


1-765-526-2515

[email protected]





1-765-526-2515

[email protected]


IndianaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



Indiana




1-215-988-6835

1-215-557-7437

[email protected]



Indiana



1-860-226-6731

[email protected]


Indiana


1-860-226-6731

[email protected]


Indiana



1-801-954-3043

[email protected]



Indiana



1-330-405-8080 6320

1-330-405-8081

[email protected]


Indiana ESSENCE L.L.P. Essence Healthcare Local CCP Director of QA Keys Mary Kay1-314-851-3664

1-314-851-3610

[email protected] 12655 Olive Blvd. St. Louis MO 63141

Indiana



1-801-954-3043

[email protected]


Indiana



1-801-954-3043

[email protected]


Indiana

HARMONY HEALTH PLANS OF ILLINOIS, INC. WellCare Local CCP


1-813-290-6200 6620

[email protected]


Indiana




1-916-463-9603

1-916-463-9750

[email protected]



Indiana




1-615-565-8110

1-615-234-2154

[email protected]


IndianaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Indiana






Indiana




1-201-269-6717

1-201-269-1008

[email protected]


IndianaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Indiana NHP OF INDIANA, LLCWelborn HMO Senior Advantage Local CCP Elpers Cathy

1-877-447-8744 1314

1-812-773-0514

[email protected]

101 S.E. Third Street Evansville IN 47708

Indiana



1-440-248-8448 135

1-440-248-1729

[email protected]


Indiana




1-401-333-3987 7941

1-800-373-0238

[email protected]


Indiana





Indiana RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Indiana



1-702-877-8377

[email protected]


Indiana



1-866-443-0934

[email protected]


Indiana




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Indiana



1-314-810-6102

[email protected]


Indiana




1-765-526-2515

[email protected]


Indiana



1-765-526-2515



Indiana




1-972-569-3646

1-972-569-3679

[email protected]


Indiana


1-949-252-4339

1-949-474-4237


Indiana



1-949-221-9994

1-949-747-4237


Indiana



1-949-221-9994

1-949-747-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Indiana


1-949-252-4339

1-949-474-4237


Indiana



1-813-290-6200 6620

[email protected]


Indiana



1-813-290-6200 5119

[email protected]


Iowa



1-386-963-2543

1-860-754-1481


Iowa



1-386-963-2543

1-860-754-1481


Iowa

BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue PPO Regional CCP

Director of Pharmacy Heaton Alan

1-651-662-8758

1-651-662-6009

[email protected]

Blue Cross and Blue Shield of Minnesota

3400 Yankee Drive Eagan MN 55122

Iowa

BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue Rx PDP


1-651-662-8758

1-651-662-6009

[email protected]

Blue Cross Blue Shield of Minnesota


Iowa


1-860-226-6731

[email protected]


Iowa

COVENTRY HEALTH AND LIFE INS COMPANY

Coventry Health and Life Insurance Company Local CCP

Director Pharmacy Ops. Williams Roger

1-801-954-3043

[email protected]


Iowa



1-801-954-3043

[email protected]



IowaCOVENTRY HEALTH CARE OF IOWA, INC.

Coventry Health Care of Iowa, Inc. Local CCP


1-801-954-3043

[email protected]


Iowa



1-330-405-8080 6320

1-330-405-8081

[email protected]


Iowa



1-801-954-3043

[email protected]


Iowa



1-801-954-3043

[email protected]


IowaFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


Iowa




1-916-463-9603

1-916-463-9750

[email protected]



Iowa




1-615-565-8110

1-615-234-2154

[email protected]


IowaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP



1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Iowa






Iowa




1-201-269-6717

1-201-269-1008

[email protected]


IowaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Iowa



1-440-248-8448 135

1-440-248-1729

[email protected]


Iowa




1-401-333-3987 7941

1-800-373-0238

[email protected]


Iowa





Iowa RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Iowa



1-866-443-0934

[email protected]


Iowa




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Iowa



1-314-810-6102

[email protected]


Iowa




1-765-526-2515

[email protected]


Iowa



1-765-526-2515



Iowa




1-972-569-3646

1-972-569-3679

[email protected]


Iowa


1-949-252-4339

1-949-474-4237


Iowa



1-949-221-9994

1-949-747-4237


Iowa



1-949-221-9994

1-949-747-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Iowa


1-949-252-4339

1-949-474-4237


Iowa

UNITED HEALTHCARE OF THE MIDLANDS, INC.


1-949-221-9994

1-949-747-4237


Iowa



1-949-221-9994

1-949-747-4237


Iowa



1-813-290-6200 6620

[email protected]


Iowa



1-813-290-6200 5119

[email protected]


Kansas



1-386-963-2543

1-860-754-1481


Kansas



1-386-963-2543

1-860-754-1481


KansasBLUE CROSS BLUE SHIELD OF KANSAS Blue MedicareRx PDP


1-765-526-2515



Kansas




1-215-988-6835

1-215-557-7437

[email protected]



Kansas


1-860-226-6731

[email protected]


Kansas

COVENTRY HEALTH AND LIFE INS. COMPANY

Coventry Health And Life Ins. Company Local CCP

Director Pharmacy Operations Williams Roger L

1-801-954-3043

[email protected]


Kansas



1-801-954-3043

[email protected]



Kansas



1-801-954-3043

[email protected]


Kansas

COVENTRY HEALTH CARE OF KANSAS, INC.

Coventry Health Care of Kansas, Inc. Local CCP


1-801-954-3043

[email protected]


Kansas



1-330-405-8080 6320

1-330-405-8081

[email protected]


Kansas



1-801-954-3043

[email protected]


Kansas




1-916-463-9603

1-916-463-9750

[email protected]






PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Kansas




1-615-565-8110

1-615-234-2154

[email protected]


KansasHUMANA HEALTH PLAN, INC.


1-502-580-3538

[email protected]


KansasHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Kansas






Kansas




1-201-269-6717

1-201-269-1008

[email protected]


KansasMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Kansas



1-440-248-8448 135

1-440-248-1729

[email protected]


Kansas




1-401-333-3987 7941

1-800-373-0238

[email protected]


Kansas





Kansas RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Kansas



1-702-877-8377

[email protected]


Kansas



1-866-443-0934

[email protected]


Kansas




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Kansas



1-314-810-6102

[email protected]


Kansas




1-765-526-2515

[email protected]


Kansas



1-765-526-2515






PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Kansas




1-972-569-3646

1-972-569-3679

[email protected]


Kansas


1-949-252-4339

1-949-474-4237


Kansas



1-949-221-9994

1-949-747-4237


Kansas


1-949-221-9994

1-949-747-4237


Kansas



1-949-221-9994

1-949-747-4237


Kansas



1-949-221-9994

1-949-747-4237


Kansas


1-949-252-4339

1-949-474-4237


Kansas



1-813-290-6200 6620

[email protected]


Kansas



1-813-290-6200 5119

[email protected]


Kentucky



1-386-963-2543

1-860-754-1481


Kentucky



1-386-963-2543

1-860-754-1481


Kentucky

ANTHEM HEALTH PLANS OF KENTUCKY, INC.



1-765-526-2515

[email protected]


Kentucky

ANTHEM HEALTH PLANS OF KENTUCKY, INC.



1-765-526-2515

[email protected]


KentuckyANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


KentuckyANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


KentuckyANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



Kentucky


1-860-226-6731

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Kentucky



1-801-954-3043

[email protected]



Kentucky



1-330-405-8080 6320

1-330-405-8081

[email protected]


Kentucky ESSENCE L.L.P. Essence Healthcare Local CCP Director of QA Keys Mary Kay1-314-851-3664

1-314-851-3610


Kentucky



1-801-954-3043

[email protected]


Kentucky



1-801-954-3043

[email protected]


Kentucky




1-916-463-9603

1-916-463-9750

[email protected]



Kentucky




1-615-565-8110

1-615-234-2154

[email protected]


KentuckyHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Kentucky






Kentucky




1-201-269-6717

1-201-269-1008

[email protected]


Kentucky



1-440-248-8448 135

1-440-248-1729

[email protected]


Kentucky




1-401-333-3987 7941

1-800-373-0238

[email protected]


Kentucky





Kentucky RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Kentucky



1-702-877-8377

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Kentucky



1-866-443-0934

[email protected]


Kentucky




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Kentucky



1-314-810-6102

[email protected]


Kentucky




1-765-526-2515

[email protected]


Kentucky



1-765-526-2515



Kentucky




1-972-569-3646

1-972-569-3679

[email protected]


Kentucky


1-949-252-4339

1-949-474-4237


Kentucky



1-949-221-9994

1-949-747-4237


Kentucky


1-949-252-4339

1-949-474-4237


KentuckyUNIVERSITY HEALTH CARE, INC. Passport Advantage Local CCP

Supervisor, Pharmacy DUR/MTM Lawson Mark

1-215-937-5352

1-215-937-8450

[email protected]

200 Stevens Drive 4th Floor Philadelphia PA 19113

Kentucky



1-813-290-6200 6620

[email protected]


Kentucky



1-813-290-6200 5119

[email protected]


Louisiana



1-386-963-2543

1-860-754-1481


Louisiana



1-386-963-2543

1-860-754-1481


Louisiana

ARCADIAN HEALTH PLAN OF LOUISIANA, INC.

Arcadian Community Care Local CCP


1-909-971-6816

1-909-971-6866

[email protected]


Louisiana




1-215-988-6835

1-215-557-7437

[email protected]



Louisiana


1-860-226-6731

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Louisiana



1-801-954-3043

[email protected]



Louisiana



1-801-954-3043

[email protected]


Louisiana



1-330-405-8080 6320

1-330-405-8081

[email protected]


Louisiana



1-801-954-3043

[email protected]


Louisiana




1-916-463-9603

1-916-463-9750

[email protected]



Louisiana




1-615-565-8110

1-615-234-2154

[email protected]


Louisiana

HUMANA HEALTH BENEFIT PLAN OF LA, INC.

Humana Health Benefit Plan of LA, Inc. PFFS Ewing Joy

1-502-580-3538

[email protected]


Louisiana

HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC

Humana Health Benefit Plan Of Louisiana Inc Local CCP Ewing Joy

1-502-580-3538

[email protected]


LouisianaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


LouisianaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Louisiana

LOUISIANA HEALTH SERVICE AND INDEMNITY COMPANY

Blue Cross and Blue Shield of Louisiana PDP

Medicare Part D Pharmacy Manager McLean Gionne

1-225-298-7134

1-225-298-7545

[email protected]

5525 Reitz Avenue Baton Rouge LA 70809

Louisiana






Louisiana




1-201-269-6717

1-201-269-1008

[email protected]


Louisiana



1-440-248-8448 135

1-440-248-1729

[email protected]


Louisiana




1-401-333-3987 7941

1-800-373-0238

[email protected]


Louisiana





Louisiana RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Louisiana



1-702-877-8377

[email protected]


Louisiana



1-866-443-0934

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Louisiana




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Louisiana



1-314-810-6102

[email protected]


Louisiana

TENET CHOICES, INC. / PEOPLES HEALTH NETWORK Peoples Health Local CCP

Clinical Pharmacist Smith Shannon

1-504-849-4500 8887

1-504-849-6901

[email protected]

Three Lakeway Center

3838 N Causeway Blvd, Suite 2200 Metairie LA 70002

Louisiana

TENET CHOICES, INC. / PEOPLES HEALTH NETWORK Peoples Health Local CCP PharmD Smith Shannon

1-504-849-4500 8887

1-504-849-6901

[email protected]

Three Lakeway Center

3838 N Causeway Blvd, Suite 2200 Metairie LA 70002

Louisiana




1-765-526-2515

[email protected]


Louisiana



1-765-526-2515



Louisiana




1-972-569-3646

1-972-569-3679

[email protected]


Louisiana


1-949-252-4339

1-949-474-4237


Louisiana



1-949-221-9994

1-949-747-4237


Louisiana


1-949-252-4339

1-949-474-4237


Louisiana




1-800-546-5677 1110

[email protected]


LouisianaVANTAGE HEALTH PLAN, INC.

Vantage Health Plan, Inc. Local CCP Director of UR/QM Halley Melissa

1-318-361-0900 110

[email protected] 130 DeSiard St Suite 300 Monroe LA 71201

Louisiana



1-813-290-6200 6620

[email protected]


LouisianaWELLCARE OF LOUISIANA, INC. WellCare Local CCP


1-813-290-6200 6620

[email protected]


Louisiana



1-813-290-6200 5119

[email protected]


Maine AETNA HEALTH Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Maine



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Maine



1-386-963-2543

1-860-754-1481


Maine



1-386-963-2543

1-860-754-1481


Maine





MaineANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


MaineANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



MaineARCADIAN HEALTH PLAN, INC.

Northeast Community Care Local CCP


1-909-971-6816

1-909-971-6866

[email protected]


Maine




1-215-988-6835

1-215-557-7437

[email protected]



Maine



1-860-226-6731

[email protected]


Maine


1-860-226-6731

[email protected]


Maine



1-330-405-8080 6320

1-330-405-8081

[email protected]


Maine



1-801-954-3043

[email protected]


Maine



1-801-954-3043

[email protected]


MaineFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


Maine




1-916-463-9603

1-916-463-9750

[email protected]



Maine




1-615-565-8110

1-615-234-2154

[email protected]


MaineHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


MaineHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


MaineMARTINS POINT GENERATIONS, LLC

Martin's Point Generations Advantage Local CCP

Vice President, Pharmacy Services Takach Michael

1-207-791-3745

1-207-828-2494

[email protected]

331 Veranda Street

PO Box 9746 Portland ME 4104




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Maine




1-201-269-6717

1-201-269-1008

[email protected]


Maine



1-440-248-8448 135

1-440-248-1729

[email protected]


Maine




1-401-333-3987 7941

1-800-373-0238

[email protected]


Maine RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Maine



1-866-443-0934

[email protected]


Maine




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Maine



1-314-810-6102

[email protected]


Maine




1-765-526-2515

[email protected]


Maine



1-765-526-2515



Maine




1-972-569-3646

1-972-569-3679

[email protected]


Maine


1-949-252-4339

1-949-474-4237


Maine



1-949-221-9994

1-949-747-4237


Maine



1-949-221-9994

1-949-747-4237


Maine



1-949-221-9994

1-949-747-4237


Maine


1-949-252-4339

1-949-474-4237


Maine



1-813-290-6200 5119

[email protected]


MarylandAETNA HEALTH INC. (MARYLAND) Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Maryland



1-386-963-2543

1-860-754-1481


Maryland



1-386-963-2543

1-860-754-1481


Maryland



1-386-963-2543

1-860-754-1481


Maryland



1-386-963-2543

1-860-754-1481


Maryland





MarylandAMERIGROUP MARYLAND, INC.



1-757-518-3420

[email protected]


MarylandBRAVO HEALTH MID- ATLANTIC INC. Bravo Health PFFS


1-410-864-4583

1-866-464-0709

[email protected]


MarylandBRAVO HEALTH MID- ATLANTIC INC. Bravo Health Local CCP


1-800-625-9432

1-866-464-0709

[email protected]

3601 O'Donnell St Baltimore MD 21224

Maryland

CARE IMPROVEMENT PLUS OF MARYLAND, INC.

Care Improvement Plus Local CCP Help Desk MTM

1-866-443-0934

[email protected]


Maryland


1-860-226-6731

[email protected]


Maryland



1-801-954-3043

[email protected]



Maryland



1-801-954-3043

[email protected]


Maryland



1-330-405-8080 6320

1-330-405-8081

[email protected]


Maryland FIRST CARE, INC.Medi-CareFirst BlueCross BlueShield PDP


1-410-528-7897

[email protected]


Maryland



1-801-954-3043

[email protected]


Maryland




1-916-463-9603

1-916-463-9750

[email protected]



Maryland




1-615-565-8110

1-615-234-2154

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

MarylandHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


MarylandHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Maryland

KAISER FNDN HP OF THE MID-ATLANTIC STS

Kaiser Permanente Medicare Plus 1876 Cost Pharmacy Director Downard Susan

1-301-816-6835

[email protected]

2101 East Jefferson St Rockville MD 20852

Maryland






MarylandMARYLAND CARE - MEDICARE, INC. Golden Advantage Plus Local CCP

Director Corporate Pharmacy Clark Mark

1-602-659-2062

[email protected]

4645 E Cotton Center Blvd Phoenix AZ 85040

Maryland




1-201-269-6717

1-201-269-1008

[email protected]


MarylandMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Maryland



1-440-248-8448 135

1-440-248-1729

[email protected]


Maryland




1-401-333-3987 7941

1-800-373-0238

[email protected]


Maryland RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Maryland



1-702-877-8377

[email protected]


Maryland



1-866-443-0934

[email protected]


Maryland



1-314-810-6102

[email protected]


Maryland




1-765-526-2515

[email protected]


Maryland



1-765-526-2515



Maryland




1-972-569-3646

1-972-569-3679

[email protected]


Maryland


1-949-252-4339

1-949-474-4237


Maryland


1-949-221-9994

1-949-747-4237


Maryland



1-949-221-9994

1-949-747-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Maryland



1-949-221-9994

1-949-747-4237


Maryland


1-949-252-4339

1-949-474-4237


Maryland



1-813-290-6200 6620

[email protected]


Maryland



1-813-290-6200 5119

[email protected]


Massachusetts



1-386-963-2543

1-860-754-1481


Massachusetts



1-386-963-2543

1-860-754-1481


Massachusetts





Massachusetts

BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.

Blue Cross and Blue Shield of Massachusetts Local CCP

Clinical Pharmacist Flori, RPh Jeremy J

1-617-246-6654

[email protected] Landmark Center

401 Park Drive Boston MA 2215

Massachusetts

BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.

Blue Cross and Blue Shield of Massachusetts Local CCP

Clinical Pharmacist Flori, RPh Jeremy J

1-617-246-6654

[email protected] Landmark Center

401 Park Drive Boston MA 2215

Massachusetts

BLUE CROSS AND BLUE SHIELD OF MASS. HMO BLUE, INC.

Blue Cross and Blue Shield of Massachusetts PFFS

Clinical Pharmacist FLORI, RPh JEREMY

1-617-246-6654

[email protected]

401 PARK DRIVE BOSTON MA 2215

Massachusetts BLUE MEDICARERX Blue MedicareRx PDPClinical Pharmacist Hettich Lisa

1-765-526-2515



Massachusetts




1-215-988-6835

1-215-557-7437

[email protected]



MassachusettsCOMMONWEALTH CARE ALLIANCE

Commonwealth Care Alliance Local CCP

Director of Pharmacy Shebli Basem

1-617-426-0600 238

1-617-426-3109

[email protected] 30 Winter Street Boston MA 2108

MassachusettsCOMMONWEALTH CARE ALLIANCE, INC.

Commonwealth Care Alliance, Inc. Local CCP

Director of Pharmacy Shebli Basem

1-617-426-0600 238

1-617-426-3109

[email protected] 30 Winter Street Boston MA 2108

Massachusetts


1-860-226-6731

[email protected]


Massachusetts



1-801-954-3043

[email protected]



Massachusetts



1-330-405-8080 6320

1-330-405-8081

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

MassachusettsFALLON COMMUNITY HEALTH PLAN

Fallon Community Health Plan Local CCP Pharmacist Haji Mojgan

1-800-333-2535 69916

[email protected]

One Chestnut Place

10 Chestnut Street Worcester MA 1608

MassachusettsFALLON COMMUNITY HEALTH PLAN

Fallon Community Health Plan Local CCP Pharmacist Haji Mojgan

1-800-333-2535 69916

[email protected]

One Chestnut Place

10 Chestnut Street Worcester MA 1608

Massachusetts



1-801-954-3043

[email protected]


Massachusetts



1-801-954-3043

[email protected]


Massachusetts




1-916-463-9603

1-916-463-9750

[email protected]



Massachusetts



1-916-463-9603

1-916-463-8056

[email protected]



Massachusetts




1-615-565-8110

1-615-234-2154

[email protected]


MassachusettsHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


MassachusettsHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Massachusetts




1-201-269-6717

1-201-269-1008

[email protected]


Massachusetts



1-440-248-8448 135

1-440-248-1729

[email protected]


Massachusetts




1-401-333-3987 7941

1-800-373-0238

[email protected]


Massachusetts RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


MassachusettsSENIOR WHOLE HEALTH, LLC Senior Whole Health Local CCP


1-617-494-5353 6324

1-617-494-5599

[email protected]

58 Charles Street, 2nd Floor Cambridge MA 2141

Massachusetts



1-866-443-0934

[email protected]


Massachusetts



1-314-810-6102

[email protected]


Massachusetts

TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, Tufts Health Plan PFFS

Senior Clinical Pharmacist Calcagni Christophe

1-617-972-9400 3217

1-617-673-0133

[email protected] 705 Mt Auburn St Watertown MA 2472

MassachusettsTUFTS ASSOCIATED HMO, INC. Tufts Health Plan Local CCP


1-617-972-9400 3217

1-617-673-0133

[email protected]

705 Mt Auburn Street Watertown MA 2472

MassachusettsTUFTS ASSOCIATED HMO, INC. Tufts Health Plan Local CCP


1-617-972-9400 3217

1-617-673-0133

[email protected]

705 Mt Auburn Street Watertown MA 2472




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Massachusetts




1-765-526-2515

[email protected]


Massachusetts



1-765-526-2515



Massachusetts




1-972-569-3646

1-972-569-3679

[email protected]


Massachusetts


1-949-252-4339

1-949-474-4237


Massachusetts



1-949-221-9994

1-949-747-4237


Massachusetts


1-949-221-9994

1-949-747-4237


Massachusetts



1-949-221-9994

1-949-747-4237


Massachusetts


Evercare® Senior Care Options Local CCP Solutions RX

1-949-221-9994

1-949-747-4237


Massachusetts



1-949-221-9994

1-949-747-4237


Massachusetts


1-949-252-4339

1-949-474-4237


Massachusetts



1-813-290-6200 5119

[email protected]


Michigan



1-386-963-2543

1-860-754-1481


Michigan



1-386-963-2543

1-860-754-1481


Michigan

ALLIANCE HEALTH AND LIFE INSURANCE COMPANY Alliance Medicare Rx PDP

Director, Pharmacy Care Management Pindolia Vanita


2850 West Grand Blvd Detroit MI 48202

Michigan

ALLIANCE HEALTH AND LIFE INSURANCE, CO Alliance Medicare PPO Local CCP




Michigan

BLUE CARE NETWORK OF MICHIGAN Blue Care Network Local CCP

Pharmacy Manager Cavanaugh Jeanne

1-248-455-3592

1-248-455-3692

[email protected]

20500 Civic Center Drive Southfield MI 48076

MichiganBLUE CROSS BLUE SHIELD OF MICHIGAN

Blue Cross Blue Shield of Michigan PFFS

Clinical Pharmacist Davis Betsy

1-248-448-7868

[email protected]

27300 West Eleven Mile Road MC B776 Southfield MI 48034




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

MichiganBLUE CROSS BLUE SHIELD OF MICHIGAN

Blue Cross Blue Shield of Michigan PDP

Clinical Pharmacist Davis Betsy

1-248-448-7868

[email protected]

27300 West Eleven Mile Road MC B776 Southfield MI 48034

Michigan



1-800-625-9432

1-866-464-0709

[email protected]


Michigan




1-215-988-6835

1-215-557-7437

[email protected]



MichiganCOMMUNITY CHOICE MICHIGAN

Community Choice Michigan Local CCP

Vice President Pharmacy Services Keeley Jon

1-937-224-3300 2011

1-937-531-2434

[email protected] 1 S. Main Street

One Dayton Centre Dayton OH 45402

Michigan


1-860-226-6731

[email protected]


Michigan



1-801-954-3043

[email protected]



Michigan



1-801-954-3043

[email protected]


MichiganDAVITA VILLAGEHEALTH, INC.

DaVita VillageHealth of Michigan, Inc. Local CCP


1-518-932-4416


Michigan



1-330-405-8080 6320

1-330-405-8081

[email protected]


Michigan

FIDELIS SECURECARE OF MICHIGAN

Fidelis SecureCare Of Michigan Local CCP Wilborn Jerome

1-734-779-1680

1-734-779-1681

[email protected]

38777 West Six Mile Road Suite 207 Livonia MI 48152

Michigan



1-801-954-3043

[email protected]


MichiganGREAT LAKES HEALTH PLAN, INC.

Great Lakes Personal Care Plus Local CCP

Pharmacy Manager Cormier Leah

1-713-599-5773

[email protected]

2000 West Loop South, Suite 800 Houston TX 77027

MichiganHEALTH ALLIANCE PLAN OF MICHIGAN HAP Senior Plus Local CCP




Michigan




1-916-463-9603

1-916-463-9750

[email protected]



MichiganHEALTHPLUS OF MICHIGAN HealthPlus of Michigan Local CCP

Pharmacy Project and Development Manager Sopo Deborah A

1-810-230-2276

1-810-720-2757

[email protected]

2050 S. Linden Road Flint MI 48532

Michigan




1-615-565-8110

1-615-234-2154

[email protected]


MichiganHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP



1-502-580-3538

[email protected]


Michigan




1-201-269-6717

1-201-269-1008

[email protected]


MichiganMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


MichiganMIDWEST HEALTH PLAN, INC. Midwest Advantage Local CCP

SR. DIRECTOR OF HEALTH SERVICES ANDERSON ELLEN

1-313-586-6033

1-313-586-6045

[email protected]

5050 SCHAEFER ROAD DEARBORN MI 48126

Michigan

MOLINA HEALTHCARE OF MICHIGAN

Molina Healthcare of Michigan Local CCP


1-801-858-0466

1-801-748-0536

[email protected]


MichiganPARAMOUNT CARE, INC Paramount Elite Local CCP

Coordinator, Prescription Drug PRogram Bogner Craig M

1-419-887-2249

1-419-887-2015

[email protected]

1901 Indian Wood Circle Maumee OH 43537

Michigan



1-440-248-8448 135

1-440-248-1729

[email protected]


Michigan




1-401-333-3987 7941

1-800-373-0238

[email protected]


Michigan PRIORITY HEALTH PriorityMedicare Local CCPDirector, Pharmacy Marciniak Steve

1-248-324-2820

[email protected]

34505 West 12 Mile Rd Farmington Hills MI 48331

Michigan

PRIORITY HEALTH INSURANCE COMPANY PriorityMedicareRx PDP

Director, Pharmacy Marciniak Steve

1-248-324-2820

[email protected]

34505 West 12 Mile Rd Farmington Hills MI 48331

Michigan





Michigan RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Michigan



1-866-443-0934

[email protected]


Michigan




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Michigan



1-314-810-6102

[email protected]


Michigan




1-765-526-2515

[email protected]


Michigan



1-765-526-2515



Michigan




1-972-569-3646

1-972-569-3679

[email protected]


Michigan


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Michigan


1-949-221-9994

1-949-747-4237


Michigan



1-949-221-9994

1-949-747-4237


Michigan



1-949-221-9994

1-949-747-4237


Michigan


1-949-252-4339

1-949-474-4237


Michigan



1-813-290-6200 6620

[email protected]


Michigan



1-813-290-6200 5119

[email protected]


Minnesota



1-386-963-2543

1-860-754-1481


Minnesota



1-386-963-2543

1-860-754-1481


Minnesota



1-651-662-8758

1-651-662-6009

[email protected]



Minnesota



1-651-662-8758

1-651-662-6009

[email protected]



Minnesota BLUE PLUS Blue Plus Local CCP

Senior Manager, Product and Program Management Conway Elizabeth

1-651-662-3258

[email protected]


Minnesota


1-860-226-6731

[email protected]


Minnesota



1-330-405-8080 6320

1-330-405-8081

[email protected]


Minnesota



1-801-954-3043

[email protected]


Minnesota



1-801-954-3043

[email protected]


MinnesotaFIRST PLAN OF MINNESOTA First Plan Blue Local CCP

Director of Pharmacy First Plan of Minnesota McDannold Roger

1-218-740-2330 7263

1-218-834-9531

[email protected]

SuperiorHealth Pharmacy

1010 Fourth Street Two Harbors MN 55616




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Minnesota

FIRSTSOLUTIONS DBA FIRST PLAN OF MINNESOTA First Plan Blue Local CCP

Director of Pharmacy First Plan of Minnesota McDannold Roger

1-218-740-2330 7263

1-218-834-9531

[email protected]

SuperiorHealth Pharmacy

1010 Fourth Street Two Harbors MN 55616

MinnesotaFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


Minnesota GROUP HEALTH

HealthPartners Classic MN Senior Health Options Local CCP

Director Pharmacy Services Cooper Sue

1-952-967-5818

[email protected]

8170 33rd Avenue South, PO Box 1309

MS: 21111B Minneapolis MN 55440

MinnesotaGROUP HEALTH PLAN, INC.

HealthPartners Classic Plan Local CCP

Director Pharmacy Services Cooper Susan

1-952-967-5818

[email protected]

8170 33rd Avenue South

PO Box 1309 Minneapolis MN 55440

Minnesota




1-916-463-9603

1-916-463-9750

[email protected]



Minnesota HEALTHPARTNERSHealthPartners Freedom Plan 1876 Cost


1-952-967-5818

[email protected]



Minnesota

HEALTHPARTNERS INSURANCE COMPANY

HealthPartners Liberty Medicare PFFS


1-952-967-5818

[email protected]



Minnesota




1-615-565-8110

1-615-234-2154

[email protected]


MinnesotaHMO MINNESOTA D/B/A BLUE PLUS Blue Plus Local CCP

Senior Manager, Product and Program Management Conway Elizabeth

1-651-662-3258

[email protected]


MinnesotaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


MinnesotaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


MinnesotaITASCA MEDICAL CARE Itasca Medical Care Local CCP MTM, Manager Moyna Audry

1-847-559-3999

1-847-559-4733

[email protected]

9501 E. Shea Blvd. Scottsdale AZ 85260

Minnesota




1-201-269-6717

1-201-269-1008

[email protected]


MinnesotaMEDICA HEALTH PLAN Medica Health Plans Local CCP Weiss Justin

1-952-992-2469

[email protected]

401 Carlson Parkway Minnetonka MN 55305

MinnesotaMEDICA HEALTH PLANS Medica Health Plans PFFS Weiss Justin

1-952-992-2469

[email protected]


MinnesotaMEDICA HEALTH PLANS Medica Health Plans Local CCP Weiss Justin

1-952-992-2469

[email protected]


MinnesotaMEDICA INSURANCE COMPANY

Medica Insurance Company 1876 Cost Weiss Justin

1-952-992-2469

[email protected]


MinnesotaMETROPOLITAN HEALTH PLAN

Metropolitan Health Plan MSHO Local CCP

Director of Medical Administration Moore Ned

1-612-596-0725

1-612-904-4265

[email protected]

400 South 4th Street Suite 201 Minneapolis MN 55415

MinnesotaMETROPOLITAN HEALTH PLAN

North Star Advantage / North Star Advantage Plus Local CCP

Director of Medical Administration Moore Ned

1-612-596-0725

1-612-904-4265

[email protected]

400 South 4th Street Suite 201 Minneapolis MN 55415

Minnesota



1-440-248-8448 135

1-440-248-1729

[email protected]


Minnesota




1-401-333-3987 7941

1-800-373-0238

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

MinnesotaPRIMEWEST HEALTH SYSTEM

Primewest Health System Local CCP

Utilization Management & Pharmacy Manager Hagen Christophe A

1-320-335-5228

1-320-335-5238

[email protected]

2209 Jefferson Street Suite 101 Alexandria MN 56308

MinnesotaPRIMEWEST HEALTH SYSTEM

PrimeWest Health System Local CCP

Manager, Utilization Management & Pharmacy Hagen Christophe A

1-320-335-5228

1-320-335-5238

[email protected]

PrimeWest Health System

2209 Jefferson Street, Suite 101 Alexandria MN 56308

Minnesota





Minnesota RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Minnesota



1-866-443-0934

[email protected]


MinnesotaSOUTH COUNTRY HEALTH ALLIANCE

South Country Health Alliance Local CCP Nguyen Marie

1-651-286-4206

1-651-286-4424

[email protected]

Prime Therapeutics Inc.

1020 Discovery Road No. 100 Eagan MN 55121

MinnesotaSOUTH COUNTRY HEALTH ALLIANCE

South Country Health Alliance Local CCP Nguyen Marie

1-651-286-4206

1-651-286-4424

[email protected]

Prime Therapeutics Inc.

1020 Discovery Road No. 100 Eagan MN 55121

Minnesota




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Minnesota



1-314-810-6102

[email protected]


Minnesota UCARE MINNESOTA UCare Local CCP Medical Director Christianson Craig1-612-676-3375

1-612-676-6501

[email protected] PO Box 52 Minneapolis MN 55440


1-612-676-6501



1-612-676-6501


Minnesota




1-765-526-2515

[email protected]


Minnesota



1-765-526-2515



Minnesota




1-972-569-3646

1-972-569-3679

[email protected]


Minnesota


1-949-252-4339

1-949-474-4237


Minnesota



1-949-221-9994

1-949-747-4237


Minnesota


1-949-252-4339

1-949-474-4237


Minnesota



1-813-290-6200 6620

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Minnesota



1-813-290-6200 5119

[email protected]


Mississippi



1-386-963-2543

1-860-754-1481


Mississippi



1-386-963-2543

1-860-754-1481


Mississippi


1-860-226-6731

[email protected]


Mississippi



1-801-954-3043

[email protected]



Mississippi



1-801-954-3043

[email protected]


Mississippi



1-330-405-8080 6320

1-330-405-8081

[email protected]


Mississippi



1-801-954-3043

[email protected]


Mississippi




1-916-463-9603

1-916-463-9750

[email protected]



Mississippi




1-615-565-8110

1-615-234-2154

[email protected]


MississippiHEALTHSPRING OF TENNESSEE, INC. Healthspring, Inc. Local CCP


1-615-565-8110

1-615-234-2154

[email protected]


MississippiHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Mississippi






Mississippi




1-201-269-6717

1-201-269-1008

[email protected]


Mississippi



1-440-248-8448 135

1-440-248-1729

[email protected]


Mississippi




1-401-333-3987 7941

1-800-373-0238

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Mississippi





Mississippi RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Mississippi



1-702-877-8377

[email protected]


Mississippi



1-866-443-0934

[email protected]


Mississippi



1-314-810-6102

[email protected]


Mississippi




1-765-526-2515

[email protected]


Mississippi



1-765-526-2515



Mississippi


1-412-349-6167

1-412-457-1616



Mississippi




1-972-569-3646

1-972-569-3679

[email protected]


Mississippi


1-949-252-4339

1-949-474-4237


Mississippi



1-949-221-9994

1-949-747-4237


Mississippi


1-949-252-4339

1-949-474-4237


Mississippi



1-813-290-6200 6620

[email protected]


Mississippi



1-813-290-6200 5119

[email protected]


MississippiWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya

1-615-782-7860

1-615-782-7822

[email protected]


MississippiWINDSOR HEALTH PLANS, INC.


1-615-782-7860

1-615-782-7822

[email protected]


Missouri



1-386-963-2543

1-860-754-1481


Missouri



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

MissouriANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


MissouriANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



Missouri

CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.


1-866-443-0934

[email protected]


Missouri




1-215-988-6835

1-215-557-7437

[email protected]



Missouri


1-860-226-6731

[email protected]


Missouri

COVENTRY HEALTH AND LIFE INS. COMPANY

Coventry Health And Life Ins. Company Local CCP


1-801-954-3043

[email protected]


Missouri



1-801-954-3043

[email protected]



Missouri



1-801-954-3043

[email protected]


Missouri

COVENTRY HEALTH CARE OF KANSAS, INC.

Coventry Health Care of Kansas, Inc. Local CCP


1-801-954-3043

[email protected]


Missouri



1-330-405-8080 6320

1-330-405-8081

[email protected]


Missouri ESSENCE L.L.P. Essence Healthcare Local CCPDirector of Quality Improvement Keys Mary Kay

1-314-851-3664

1-314-851-3610

[email protected] 12655 Olive Blvd St. Louis MO 63141

Missouri



1-801-954-3043

[email protected]


MissouriGROUP HEALTH PLAN, INC. Group Health Plan, Inc. Local CCP


1-801-954-3043

[email protected]


Missouri

HARMONY HEALTH PLAN OF ILLINOIS, INC. WellCare Local CCP


1-813-290-6200 6220

[email protected]


Missouri




1-916-463-9603

1-916-463-9750

[email protected]



Missouri




1-615-565-8110

1-615-234-2154

[email protected]


Missouri

HEALTHY ALLIANCE LIFE INSURANCE COMPANY

Blue Cross Blue Shield of Missouri PFFS


1-765-526-2515

[email protected]


Missouri HMO MISSOURI, INC.Anthem Blue Cross and Blue Shield Local CCP


1-765-526-2515

[email protected]


MissouriHUMANA HEALTH PLAN, INC.


1-502-580-3538

[email protected]


MissouriHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP



1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Missouri






Missouri




1-201-269-6717

1-201-269-1008

[email protected]


MissouriMERCY HEALTH PLANS Mercy Health Plans Local CCP


1-314-214-2489

1-314-214-8101

[email protected]


Missouri

MERCY HEALTH PLANS OF MISSOURI INC.

Mercy Health Plans of Missouri, Inc. Local CCP


1-314-214-2489

1-314-214-8101

[email protected]


Missouri



1-440-248-8448 135

1-440-248-1729

[email protected]


Missouri




1-401-333-3987 7941

1-800-373-0238

[email protected]


Missouri





Missouri RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Missouri



1-702-877-8377

[email protected]


Missouri



1-866-443-0934

[email protected]


Missouri




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Missouri



1-314-810-6102

[email protected]


Missouri



1-765-526-2515



Missouri




1-972-569-3646

1-972-569-3679

[email protected]


Missouri


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Missouri



1-949-221-9994

1-949-747-4237


Missouri



1-949-221-9994

1-949-747-4237


Missouri



1-949-221-9994

1-949-747-4237


Missouri


1-949-252-4339

1-949-474-4237


Missouri

UNITED HEALTHCARE OF THE MIDWEST, INC.


1-949-221-9994

1-949-747-4237


Missouri



1-813-290-6200 6620

[email protected]


Missouri



1-813-290-6200 5119

[email protected]


Montana



1-386-963-2543

1-860-754-1481


Montana



1-386-963-2543

1-860-754-1481


Montana



1-651-662-8758

1-651-662-6009

[email protected]



Montana



1-651-662-8758

1-651-662-6009

[email protected]



MontanaCLEAR CHOICE HEALTH PLANS, INC.

Clear Choice Health Plans Local CCP Hirsch Jeff

1-314-810-6102

[email protected]


Montana


1-860-226-6731

[email protected]


Montana



1-330-405-8080 6320

1-330-405-8081

[email protected]


Montana



1-801-954-3043

[email protected]


Montana



1-801-954-3043

[email protected]


MontanaFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Montana




1-916-463-9603

1-916-463-9750

[email protected]



Montana




1-615-565-8110

1-615-234-2154

[email protected]


MontanaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


MontanaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Montana






Montana




1-201-269-6717

1-201-269-1008

[email protected]


MontanaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


MontanaNEW WEST HEALTH SERVICES

New West Health Services Local CCP Quality Director Wassell Monica

1-406-457-2210

1-406-457-2255

[email protected] 130 Neill Avenue Helena MT 59601

Montana



1-440-248-8448 135

1-440-248-1729

[email protected]


Montana




1-401-333-3987 7941

1-800-373-0238

[email protected]


Montana





Montana RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Montana



1-866-443-0934

[email protected]


Montana




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Montana



1-314-810-6102

[email protected]


Montana

STERLING LIFE INSURANCE COMPANY (MT)

Sterling Life Insurance Company PFFS Hirsch Jeff

1-314-810-6102

[email protected]


Montana




1-765-526-2515

[email protected]


Montana



1-765-526-2515



Montana




1-972-569-3646

1-972-569-3679

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Montana


1-949-252-4339

1-949-474-4237


Montana



1-949-221-9994

1-949-747-4237


Montana


1-949-252-4339

1-949-474-4237


Montana



1-813-290-6200 6620

[email protected]


Montana



1-813-290-6200 5119

[email protected]


Nebraska



1-386-963-2543

1-860-754-1481


Nebraska



1-386-963-2543

1-860-754-1481


Nebraska



1-651-662-8758

1-651-662-6009

[email protected]



Nebraska



1-651-662-8758

1-651-662-6009

[email protected]



Nebraska


1-860-226-6731

[email protected]


Nebraska

COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)



1-801-954-3043

[email protected]


Nebraska



1-801-954-3043

[email protected]



Nebraska

COVENTRY HEALTH CARE OF NEBRASKA, INC.

Coventry Health Care of Nebraska Advantra Local CCP


1-801-954-3043

[email protected]


Nebraska



1-330-405-8080 6320

1-330-405-8081

[email protected]


Nebraska



1-801-954-3043

[email protected]


Nebraska



1-801-954-3043

[email protected]


NebraskaFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Nebraska




1-916-463-9603

1-916-463-9750

[email protected]



Nebraska




1-615-565-8110

1-615-234-2154

[email protected]


NebraskaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


NebraskaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Nebraska






Nebraska




1-201-269-6717

1-201-269-1008

[email protected]


NebraskaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Nebraska



1-440-248-8448 135

1-440-248-1729

[email protected]


Nebraska




1-401-333-3987 7941

1-800-373-0238

[email protected]


Nebraska





Nebraska RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Nebraska



1-866-443-0934

[email protected]


Nebraska




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Nebraska



1-314-810-6102

[email protected]


Nebraska




1-765-526-2515

[email protected]


Nebraska



1-765-526-2515



Nebraska




1-972-569-3646

1-972-569-3679

[email protected]


Nebraska


1-949-252-4339

1-949-474-4237


Nebraska



1-949-221-9994

1-949-747-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Nebraska



1-949-221-9994

1-949-747-4237


Nebraska


1-949-252-4339

1-949-474-4237


Nebraska

UNITED HEALTHCARE OF THE MIDLANDS, INC.


1-949-221-9994

1-949-747-4237


Nebraska



1-813-290-6200 6620

[email protected]


Nebraska



1-813-290-6200 5119

[email protected]


Nevada AETNA HEALTH Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Nevada



1-386-963-2543

1-860-754-1481


Nevada



1-386-963-2543

1-860-754-1481


Nevada



1-386-963-2543

1-860-754-1481


NevadaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



Nevada




1-215-988-6835

1-215-557-7437

[email protected]



Nevada


1-860-226-6731

[email protected]


Nevada



1-801-954-3043

[email protected]



Nevada



1-801-954-3043

[email protected]


Nevada



1-330-405-8080 6320

1-330-405-8081

[email protected]


Nevada



1-801-954-3043

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Nevada




1-916-463-9603

1-916-463-9750

[email protected]



NevadaHEALTH PLAN OF NEVADA, INC. Senior Dimensions Local CCP


1-702-877-8377

[email protected]


NevadaHEALTH PLAN OF NEVADA, INC. Senior Dimensions Local CCP


1-702-877-8377

[email protected]


Nevada




1-615-565-8110

1-615-234-2154

[email protected]


NevadaHOMETOWN HEALTH PLAN Senior Care Plus Local CCP Pharmacist Britt Judy

1-775-982-3089

1-775-982-3748

[email protected] 830 Harvard Way Reno NV 89502

NevadaHOMETOWN HEALTH PLAN Senior Care Plus Local CCP Pharmacist Britt Judy

1-775-982-3089

1-775-982-3748

[email protected] 830 Harvard Way Reno NV 89502

NevadaHUMANA HEALTH PLAN, INC.

AARP MedicareComplete provided by SecureHorizons Local CCP Ewing Joy

1-502-580-3538

[email protected]


NevadaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


NevadaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Nevada






Nevada




1-201-269-6717

1-201-269-1008

[email protected]


Nevada

MOLINA HEALTHCARE OF NEVADA, INC.

Molina Healthcare of Nevada Local CCP


1-801-858-0466

1-801-748-0536

[email protected]


Nevada



1-440-248-8448 135

1-440-248-1729

[email protected]


Nevada




1-401-333-3987 7941

1-800-373-0238

[email protected]


Nevada





Nevada

ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.



1-765-526-2515

[email protected]


Nevada

ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.

Anthem Blue Cross and Blue Shield PFFS


1-765-526-2515

[email protected]


Nevada RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Nevada

SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.

Sierra Nevada Spectrum Regional CCP


1-702-877-8377

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Nevada



1-702-877-8377

[email protected]


Nevada



1-702-877-8377

[email protected]


Nevada



1-866-443-0934

[email protected]


Nevada




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Nevada



1-314-810-6102

[email protected]


Nevada




1-765-526-2515

[email protected]


Nevada



1-765-526-2515



Nevada




1-972-569-3646

1-972-569-3679

[email protected]


Nevada


1-949-252-4339

1-949-474-4237


Nevada



1-949-221-9994

1-949-747-4237


Nevada


1-949-252-4339

1-949-474-4237


Nevada




1-800-546-5677 1110

[email protected]


Nevada



1-813-290-6200 6620

[email protected]


Nevada



1-813-290-6200 5119

[email protected]


New Hampshire



1-386-963-2543

1-860-754-1481


New Hampshire



1-386-963-2543

1-860-754-1481


New Hampshire








PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New HampshireANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


New HampshireANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



New Hampshire



1-860-226-6731

[email protected]


New Hampshire


1-860-226-6731

[email protected]


New Hampshire



1-330-405-8080 6320

1-330-405-8081

[email protected]


New Hampshire



1-801-954-3043

[email protected]


New Hampshire



1-801-954-3043

[email protected]


New HampshireFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


New Hampshire




1-916-463-9603

1-916-463-9750

[email protected]



New Hampshire




1-615-565-8110

1-615-234-2154

[email protected]


New HampshireHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


New HampshireHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


New Hampshire




1-201-269-6717

1-201-269-1008

[email protected]


New Hampshire



1-440-248-8448 135

1-440-248-1729

[email protected]


New Hampshire




1-401-333-3987 7941

1-800-373-0238

[email protected]


New Hampshire RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


New Hampshire



1-866-443-0934

[email protected]


New Hampshire




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


New Hampshire



1-314-810-6102

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New Hampshire




1-765-526-2515

[email protected]


New Hampshire



1-765-526-2515



New Hampshire




1-972-569-3646

1-972-569-3679

[email protected]


New Hampshire


1-949-252-4339

1-949-474-4237


New Hampshire



1-949-221-9994

1-949-747-4237


New Hampshire


1-949-252-4339

1-949-474-4237


New Hampshire



1-813-290-6200 5119

[email protected]


New Jersey AETNA HEALTH, INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


New Jersey



1-386-963-2543

1-860-754-1481


New Jersey



1-386-963-2543

1-860-754-1481


New Jersey



1-386-963-2543

1-860-754-1481


New Jersey



1-386-963-2543

1-860-754-1481


New Jersey





New JerseyAMERICHOICE OF NEW JERSEY, INC

AmeriChoice Personal Care Plus Local CCP


1-713-599-5773

[email protected]


New JerseyAMERIGROUP NEW JERSEY, INC.



1-757-518-3420

[email protected]


New JerseyAMERIHEALTH HMO, INC. AmeriHealth Rx PDP

Senior Clinical Pharmacist DaCosta Maribel

1-215-241-7928

[email protected]

1901 Market Street 22nd Fl. Philadelphia PA 19103




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New JerseyAMERIHEALTH HMO_INC AmeriHealth 65 Local CCP

Manager, Population Health & Wellness Siejak Kimberly

1-215-241-4016

[email protected]

1901 Market Street 29th Fl. Philadelphia TX 19103

New Jersey



1-800-625-9432

1-866-464-0709

[email protected]


New Jersey


1-860-226-6731

[email protected]


New Jersey



1-330-405-8080 6320

1-330-405-8081

[email protected]


New Jersey



1-801-954-3043

[email protected]


New Jersey



1-801-954-3043

[email protected]


New JerseyFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


New Jersey




1-916-463-9603

1-916-463-9750

[email protected]



New Jersey

HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. Healthfirst NJ Local CCP Pharmacy Director Elbeck Maurice

1-212-453-4468

[email protected] 25 Broadway 9th Floor New York NY 10004

New Jersey




1-615-565-8110

1-615-234-2154

[email protected]


New Jersey

HORIZON HEALTHCARE OF NEW JERSEY, INC.

Horizon Blue Cross Blue Shield of New Jersey, Inc. Local CCP

Director, Clinical Programs Jan Saira

1-973-466-4575

[email protected]

3 Penn Plaza East - PP 13Q Newark NJ 7105

New Jersey

HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ

Horizon Blue Cross Blue Shield of New Jersey, Inc. PDP


1-973-466-4575

[email protected]

Three Penn PlazaEast PP-13Q Newark NJ 7105

New JerseyHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


New JerseyHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


New Jersey




1-201-269-6717

1-201-269-1008

[email protected]


New JerseyOXFORD HEALTH PLANS (NJ), INC.


1-949-221-9994

1-949-747-4237


New Jersey

OXFORD HEALTH PLANS OF NEW JERSEY, INC


1-949-221-9994

1-949-747-4237


New Jersey



1-440-248-8448 135

1-440-248-1729

[email protected]


New Jersey




1-401-333-3987 7941

1-800-373-0238

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New Jersey RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


New Jersey



1-702-877-8377

[email protected]


New Jersey



1-866-443-0934

[email protected]


New Jersey




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


New Jersey



1-314-810-6102

[email protected]


New Jersey




1-765-526-2515

[email protected]


New Jersey



1-765-526-2515



New Jersey




1-972-569-3646

1-972-569-3679

[email protected]


New Jersey


1-949-252-4339

1-949-474-4237


New Jersey


1-949-221-9994

1-949-747-4237


New Jersey



1-949-221-9994

1-949-747-4237


New Jersey


1-949-252-4339

1-949-474-4237


New Jersey



1-813-290-6200 6620

[email protected]


New Jersey

WELLCARE HEALTH PLANS OF NEW JERSEY, INC. WellCare Local CCP

Manager Clinical Pharmacy Rackley Qiana

1-813-290-6200 6620

[email protected]


New Jersey



1-813-290-6200 5119

[email protected]


New Mexico



1-386-963-2543

1-860-754-1481


New MexicoAMERIGROUP NEW MEXICO, INC.



1-757-518-3420

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New Mexico


1-860-226-6731

[email protected]


New Mexico



1-330-405-8080 6320

1-330-405-8081

[email protected]


New Mexico



1-801-954-3043

[email protected]


New Mexico



1-801-954-3043

[email protected]


New MexicoHCSC INSURANCE SERVICES COMPANY


1-651-286-4206

1-651-286-4403

[email protected]



New MexicoHCSC INSURANCE SERVICES COMPANY

HISC - Blue Cross Blue Shield of New Mexico Local CCP

Pharmacy Director, Government Programs Nguyen Marie

1-651-286-4206

1-651-283-4403

[email protected]

Prime Therapeutics

1020 Discovery Road, No.100 Egan MN 55121

New Mexico




1-916-463-9603

1-916-463-9750

[email protected]



New Mexico



1-916-463-9603

1-916-463-8056

[email protected]



New Mexico




1-615-565-8110

1-615-234-2154

[email protected]


New MexicoHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


New MexicoLOVELACE HEALTH SYSTEM, INC. Lovelace Senior Plan Local CCP

Director Pharmacy Services Murvin Thomas

1-505-232-1804

[email protected]

4101 Indian School Rd, NE Albuquerque NM 87110

New Mexico

LOVELACE INSURANCE COMPANY

Lovelace Insurance Company Local CCP

Director: Pharmacy Services Murvin Thomas E

1-505-232-1804

1-505-262-7390

[email protected]

4101 Indian School R. NE Suite 110S Albuquerque NM 87111

New Mexico




1-201-269-6717

1-201-269-1008

[email protected]


New Mexico

MOLINA HEALTHCARE OF NEW MEXICO, INC.

Molina Healthcare of New Mexico, Inc. Local CCP


1-801-858-0466

1-801-748-0536

[email protected]


New Mexico



1-440-248-8448 135

1-440-248-1729

[email protected]


New Mexico




1-401-333-3987 7941

1-800-373-0238

[email protected]


New Mexico

PHYSICIANS HEALTH CHOICE OF NEW MEXICO

PHYSICIANS HEALTH CHOICE OF NEW MEXICO Local CCP

Vice President of Pharmacy - Envision Peterson Amanda

1-330-486-6302

[email protected]

2181 E. Aurora Rd. STE 201 Twinsburg OH 44087




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New MexicoPRESBYTERIAN HEALTH PLAN

Presbyterian Senior Care Local CCP Pharmacy Director Georgopoulos Larry

1-505-923-5530

1-505-923-5540

[email protected] P.O. Box 27489 Albuquerque NM 87125

New Mexico

PRESBYTERIAN INSURANCE COMPANY, INC.

Presbyterian MediCare PPO Local CCP Pharmacy Director Georgopoulos Larry

1-505-923-5530

1-505-923-5201

[email protected] P.O. Box 26267 Albuquerque NM 87125

New Mexico RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


New Mexico



1-702-877-8377

[email protected]


New Mexico



1-866-443-0934

[email protected]


New Mexico




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


New Mexico



1-314-810-6102

[email protected]


New Mexico




1-765-526-2515

[email protected]


New Mexico



1-765-526-2515



New Mexico




1-972-569-3646

1-972-569-3679

[email protected]


New Mexico


1-949-252-4339

1-949-474-4237


New Mexico



1-949-221-9994

1-949-747-4237


New Mexico



1-949-221-9994

1-949-747-4237


New Mexico



1-949-221-9994

1-949-747-4237


New Mexico


1-949-252-4339

1-949-474-4237


New Mexico



1-813-290-6200 6620

[email protected]


New Mexico



1-813-290-6200 5119

[email protected]


New York AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New York



1-386-963-2543

1-860-754-1481


New York



1-386-963-2543

1-860-754-1481


New York



1-386-963-2543

1-860-754-1481


New YorkAFFINITY HEALTH PLAN, INC. Affinity Health Plan Local CCP

Medication Therapy Management Hirsch Jeff

1-800-344-3405

[email protected]


New York

AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY

American Progressive Life & Health Ins Co of NY PDP


1-401-333-3987 7941

1-800-373-0238

[email protected]


New York





New YorkAMERICHOICE OF NEW YORK, INC

AmeriChoice Personal Care Plus Local CCP


1-713-599-5773

[email protected]


New YorkAMERIGROUP NEW YORK, LLC



1-757-518-3420

[email protected]


New York



1-800-625-9432

1-866-464-0709

[email protected]


New York

CAMBRIDGE LIFE INSURANCE COMPANY Advantra® Freedom PFFS


1-801-954-3043

[email protected]



New York

CAMBRIDGE LIFE INSURANCE COMPANY Coventry AdvantraRx PDP


1-801-954-3043

[email protected]


New York

CAMBRIDGE LIFE INSURANCE COMPANY First Health Part D PDP


1-801-954-3043

[email protected]


New York

CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.

CDPHP Medicare Choice Local CCP

Academic Intervention Pharmacist Winn Sue

1-518-641-3225

1-518-641-3208

[email protected]

500 Patroon Creek Blvd Albany NY 12206

New YorkCATHOLIC SPECIAL NEEDS PLAN, LLC ArchCare Advantage Local CCP Moyna Audrey

1-847-559-3999

1-847-559-4733

[email protected] Caremark


New YorkCDPHP UNIVERSAL BENEFITS, INC. CDPHP Medicare PPO Local CCP


1-518-641-3225

1-518-641-3208

[email protected]


New York

COMPREHENSIVE CARE MANAGEMENT CORP.

Comprehensive Care Management Corp. Local CCP Genao-Tejada Sonia

1-718-944-2101

[email protected]

2275 Olinville Avenue Bronx NY 10647

New York



1-860-226-6731

[email protected]


New York


1-860-226-6731

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New York ELDERPLAN, INC. Elderplan, Inc. Local CCPAVP Medical Management Montella Lynda

1-718-921-8409

1-718-921-8813

[email protected]

6323 Seventh Avenue Brooklyn NY 11220

New YorkELDERPLAN, INC. - SHMO Elderplan, Inc. Local CCP

AVP Medical Management Montella Lynda

1-718-921-8409

1-718-921-8813

[email protected]

6323 Seventh Avenue Brooklyn NY 11220

New York

EMPIRE HEALTHCHOICE ASSURANCE, INC.

Empire BlueCross BlueShield Local CCP


1-847-559-3999

1-847-559-4733

[email protected]


New York

EMPIRE HEALTHCHOICE ASSURANCE, INC.

Empire BlueCross BlueShield PFFS


1-765-526-2515

[email protected]


New York

EMPIRE HEALTHCHOICE HMO, INC.

Empire BlueCross BlueShield HMO Local CCP


1-847-559-3999

1-847-559-4733

[email protected]


New York



1-330-405-8080 6320

1-330-405-8081

[email protected]


New YorkEXCELLUS HEALTH PLAN, INC Simply Prescriptions PDP

Director, FLRx Clinical Operations Rocco Darlene

1-585-327-7544

[email protected] 165 Court Street Rochester NY 14647

New YorkEXCELLUS HEALTH PLAN, INC.

Excellus Health Plan, Inc. Local CCP


1-585-327-7544



Excellus Health Plan, Inc. Local CCP


1-585-327-7544



Excellus Health Plan, Inc. 1876 Cost


1-585-327-7544


New York

FIRST UNITED AMERICAN LIFE INSURANCE COMPANY

First United American Life Insurance Company PDP


1-972-569-3646

1-972-569-3679

[email protected]


New YorkGHI (GROUP HEALTH INCORPORATED)

GHI Medicare Prescription Drug Plan PDP Director Sebastian Tobin

1-212-615-4567

1-212-563-8500

[email protected] 441 Ninth Avenue New York NY 10001

New YorkGROUP HEALTH INCORPORATED

GHI Medicare Choice PPO Local CCP Director Laurora Nicholas

1-646-447-7838


New York GROUP HEALTH, INC.GHI Medicare Private Fee for Service PFFS Laurora Nicholas

1-646-447-7838


New York GUILDNET, INC. GuildNet Local CCP Director Laurora Nicholaus1-646-447-7838


New York

HEALTH NET INSURANCE OF NEW YORK, INC. Health Net Pearl PFFS V.P., Operations

White, Pharm D Virginia E

1-916-463-9603

1-916-463-8056

[email protected]



New York




1-916-463-9603

1-916-463-9750

[email protected]



New YorkHEALTHNOW NEW YORK INC Senior Blue Local CCP

Director Clinical Pharmacy Services Baker Philip

1-716-887-8765

[email protected]

257 West Genesee Street Buffalo NY 14202

New YorkHEALTHNOW NEW YORK INC.

HealthNow New York Inc. PDP


1-716-887-8765

[email protected]


New YorkHEALTHNOW NEW YORK INC.

Traditional Blue Medicare PPO Local CCP


1-716-887-8765

[email protected]


New YorkHEALTHNOW NEW YORK, INC.

Traditional Blue Medicare PFFS PFFS


1-716-887-8765

[email protected]


New York




1-615-565-8110

1-615-234-2154

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New YorkHIP HEALTH PLAN OF NEW YORK

HIP Insurance Company of New York PDP Director Aral Jasmine

1-646-447-7186 [email protected] 55 Water Street New York NY 10041

New YorkHIP OF GREATER NEW YORK

HIP Health Plan of Greater New York Local CCP

Director of Medicare Prescription Programs Laurora Nicholas

1-646-447-7838


New York

HUMANA INSURANCE COMPANY OF NEW YORK

Humana Insurance Company of New York PFFS Ewing Joy

1-502-580-3538

[email protected]


New York

HUMANA INSURANCE COMPANY OF NEW YORK

Humana Insurance Company of New York PDP Ewing Joy

1-502-580-3538

[email protected]


New York

INDEPENDENT HEALTH ASSOCIATION, INC. Independent Health Local CCP

Utilization Management Pharmacist Verrall Kelly

1-716-635-4885

1-716-631-0149

[email protected]

511 Faber Lakes Drive Buffalo NY 14221

New York

INDEPENDENT HEALTH BENEFITS CORP Independent Health Local CCP


1-716-635-4885

1-716-631-0149

[email protected]

511 Farber Lakes Drive Buffalo NY 14221

New York

INDEPENDENT HEALTH BENEFITS CORPORATION Independent Health PFFS


1-716-635-4885

1-716-631-0149

[email protected]

511 Farber Lakes Drive Buffalo NY 14221

New YorkLIBERTY HEALTH ADVANTAGE, INC.

Liberty Health Advantage Local CCP

Vice President Clinical Programs Schoening Shellie

1-800-546-5677 1110

1-866-632-7946

[email protected] PO Box 407 Boystown NE 68010

New YorkMANAGED HEALTH, INC.

Healthfirst Medicare Plan Local CCP Pharmacy Director Elbeck Maurice

1-212-453-4468

[email protected] 25 Broadway 9th Floor New York NY 10004

New York

MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK



1-201-269-6717

1-201-269-1008

[email protected]


New YorkMETROPLUS HEALTH PLAN, INC. MetroPlus Health Plan Local CCP

Director, Medicare Clinical Services Marks Iny

1-516-605-6966

1-412-322-2066

[email protected]

600 Waterfront Drive Suite 225 Pittsburgh PA 15222

New YorkMVP HEALTH PLAN, INC, MVP Gold Local CCP Pharmacy Director Colin Wendy

1-585-327-2577

1-585-258-8621

[email protected] 259 Monroe Ave Rochester NY 14607

New York

NEIGHBORHOOD HEALTH PROVIDERS LLC

Neighborhood Health Providers Local CCP

Vice President, Care Management Campbell Deborah S

1-704-329-7065 4402

1-704-329-0211

[email protected]

4944 Pkwy. Plaza Blvd. Suite 110 Charlotte NC 28217

New York

NEW YORK STATE CATHOLIC HLTH PLAN INC Fidelis Care Local CCP CMO Michelson Marco

1-718-896-6500 1036

[email protected]

9525 Queens Blvd. Rego Park NY 11374

New YorkOXFORD HEALTH PLANS (NY) INC.


1-949-221-9994

1-949-747-4237


New York



1-440-248-8448 135

1-440-248-1729

[email protected]


New York

ROCHESTER AREA HEALTH MAINTENANCE ORG.

Preferred Care GoldAnywhere Local CCP

Pharmacy Coordinator Colin Wendy

1-585-327-2577

[email protected] 259 Monroe Ave. Rochester NY 14607

New York

ROCHESTER AREA HMO/ DBA PREFERRED CARE Preferred Care Gold Local CCP

Clinical Pharmacy Coordinator Colin Wendy

1-585-327-2577

[email protected] 259 Monroe Ave. Rochester NY 14607

New York RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

New YorkSENIOR WHOLE HEALTH, LLC

Senior Whole Health of New York Local CCP


1-617-494-5353 6324

1-617-494-5599

[email protected]

58 Charles Street, 2nd Floor Cambridge MA 2141

New York



1-866-443-0934

[email protected]


New York




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


New York



1-314-810-6102

[email protected]


New YorkTOUCHSTONE HEALTH HMO, INC. Touchstone Health Local CCP

Pharmacy DUR/MTM PerformRX Lawson Mark

1-215-937-5352

1-215-937-8450

[email protected] 200 Stevens Dr Philadelphia PA 19113

New YorkTOUCHSTONE HEALTH HMO, INC. Touchstone Health Local CCP

Pharmacy DUR/MTM PerfromRx Lawson Marl

1-215-937-5352

1-215-937-8450

[email protected]


New York




1-765-526-2515

[email protected]


New York



1-765-526-2515



New York


1-949-252-4339

1-949-474-4237


New York

UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK


1-949-221-9994

1-949-747-4237


New York

UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK


1-949-221-9994

1-949-747-4237


New York

UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK UnitedHealthcare PDP Solutions Rx

1-949-252-4339

1-949-474-4237


New York

UNITED HEALTHCARE OF NEW YORK, INC.


1-949-221-9994

1-949-747-4237


New York VNS CHOICEVNS CHOICE Medicare Local CCP Brown Nancy

1-401-333-3987 7941

1-401-335-7941

[email protected]

PharmaCare Management Services, Inc.


New York

WELLCARE HEALTH INSURANCE OF NEW YORK, INC. WellCare PFFS


1-813-290-6200 6620

[email protected]


New York



1-813-290-6200 5119

[email protected]


New YorkWELLCARE_OF NEW YORK, INC. WellCare Local CCP


1-813-290-6200 6620

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

North Carolina



1-386-963-2543

1-860-754-1481


North Carolina



1-386-963-2543

1-860-754-1481


North Carolina

AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.

AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC. PFFS Pharmacy Schoening Shellie

1-800-546-5677 1110

1-866-632-7946

[email protected]

13660 California Street Omaha NE 68154

North Carolina

ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.



1-909-971-6816

1-909-971-6866

[email protected]


North Carolina

BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA

BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA PDP

Director, Health Services Miller Debra

1-336-201-4310

[email protected]

5660 University Parkway Winston-Salem NC 27105

North Carolina




1-215-988-6835

1-215-557-7437

[email protected]



North Carolina



1-860-226-6731

[email protected]


North Carolina


1-860-226-6731

[email protected]


North Carolina



1-801-954-3043

[email protected]



North Carolina



1-801-954-3043

[email protected]


North Carolina



1-330-405-8080 6320

1-330-405-8081

[email protected]


North Carolina

FIDELIS SECURECARE OF NORTH CAROLINA

Fidelis SecureCare of North Carolina Local CCP Medical Director Herman Chris

1-877-372-8080

1-877-372-8081

[email protected]

11301 Carmel Commons Boulevard Suite 215 Charlotte NC 28226

North Carolina



1-801-954-3043

[email protected]


North CarolinaFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


North Carolina




1-916-463-9603

1-916-463-9750

[email protected]



North Carolina



1-916-463-9603

1-916-463-8056

[email protected]



North Carolina




1-615-565-8110

1-615-234-2154

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

North CarolinaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


North Carolina




1-201-269-6717

1-201-269-1008

[email protected]


North Carolina

PARTNERS NATIONAL HEALTH PLANS OF NC INC

PARTNERS National Health Plans, a BCBSNC company Local CCP


1-336-201-4310

[email protected]


North Carolina

PARTNERS NATIONAL HEALTH PLANS OF NC, INC.

PARTNERS National Health Plans, a BCBSNC company Local CCP


1-336-201-4310

[email protected]


North Carolina



1-440-248-8448 135

1-440-248-1729

[email protected]


North Carolina




1-401-333-3987 7941

1-800-373-0238

[email protected]


North Carolina





North Carolina RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


North Carolina



1-866-443-0934

[email protected]


North Carolina




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


North Carolina



1-314-810-6102

[email protected]


North Carolina




1-765-526-2515

[email protected]


North Carolina



1-765-526-2515



North Carolina




1-972-569-3646

1-972-569-3679

[email protected]


North Carolina


1-949-252-4339

1-949-474-4237


North Carolina



1-949-221-9994

1-949-747-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

North Carolina



1-949-221-9994

1-949-747-4237


North Carolina


1-949-252-4339

1-949-474-4237


North Carolina

UNITED HEALTHCARE OF NORTH CAROLINA


1-949-221-9994

1-949-747-4237


North Carolina



1-813-290-6200 6620

[email protected]


North Carolina



1-813-290-6200 5119

[email protected]


North Dakota



1-386-963-2543

1-860-754-1481


North Dakota



1-386-963-2543

1-860-754-1481


North Dakota



1-651-662-8758

1-651-662-6009

[email protected]



North Dakota



1-651-662-8758

1-651-662-6009

[email protected]



North Dakota


1-860-226-6731

[email protected]


North Dakota



1-801-954-3043

[email protected]



North Dakota



1-330-405-8080 6320

1-330-405-8081

[email protected]


North Dakota



1-801-954-3043

[email protected]


North Dakota



1-801-954-3043

[email protected]


North DakotaFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


North Dakota




1-916-463-9603

1-916-463-9750

[email protected]



North Dakota




1-615-565-8110

1-615-234-2154

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

North DakotaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


North DakotaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


North Dakota






North Dakota




1-201-269-6717

1-201-269-1008

[email protected]


North DakotaMEDICA HEALTH PLANS Medica Health Plans PFFS Weiss Justin

1-952-992-2469

[email protected]


North DakotaMEDICA INSURANCE COMPANY


1-952-992-2469

[email protected]


North Dakota



1-440-248-8448 135

1-440-248-1729

[email protected]


North Dakota




1-401-333-3987 7941

1-800-373-0238

[email protected]


North Dakota RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


North Dakota



1-866-443-0934

[email protected]


North Dakota




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


North Dakota



1-314-810-6102

[email protected]


North Dakota




1-765-526-2515

[email protected]


North Dakota



1-765-526-2515



North Dakota




1-972-569-3646

1-972-569-3679

[email protected]


North Dakota


1-949-252-4339

1-949-474-4237


North Dakota



1-949-221-9994

1-949-747-4237


North Dakota


1-949-252-4339

1-949-474-4237


North Dakota



1-813-290-6200 6620

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

North Dakota



1-813-290-6200 5119

[email protected]


Northern Mariana Islands


1-949-252-4339

1-949-474-4237


Northern Mariana Islands


1-949-252-4339

1-949-474-4237


Ohio AETNA HEALTH, INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Ohio



1-386-963-2543

1-860-754-1481


Ohio



1-386-963-2543

1-860-754-1481


Ohio



1-386-963-2543

1-860-754-1481


OhioANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


OhioANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



Ohio



1-800-625-9432

1-866-464-0709

[email protected]


Ohio

BUCKEYE COMMUNITY HEALTH PLAN, INC.

Advantage by Buckeye Community Health Plan Local CCP


1-732-476-1047

1-732-549-5824

[email protected]


Ohio CARESOURCE CareSource Local CCP

Vice President Pharmacy Services Keeley Jon

1-937-224-3300 2011

1-937-531-2434

[email protected] 1 S. Main Street

One Dayton Centre Dayton OH 45402

Ohio




1-215-988-6835

1-215-557-7437

[email protected]



Ohio

COMMUNITY INSURANCE COMPANY



1-765-526-2515

[email protected]


Ohio

COMMUNITY INSURANCE COMPANY



1-765-526-2515

[email protected]


Ohio


1-860-226-6731

[email protected]


Ohio

COVENTRY HEALTH AND LIFE INS. COMPANY Carelink Advantra PPO Local CCP


1-801-954-3043

[email protected]

2650 S. Decker Ln. Salt Lake City UT 84119




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Ohio



1-801-954-3043

[email protected]



Ohio



1-801-954-3043

[email protected]


OhioDAVITA VILLAGEHEALTH, INC.

DaVita VillageHealth of Ohio, Inc. Local CCP


1-518-932-4416


Ohio



1-330-405-8080 6320

1-330-405-8081

[email protected]


Ohio



1-801-954-3043

[email protected]


OhioGATEWAY HEALTH PLAN OF OHIO, INC.

Gateway Health Plan Medicare Assured Local CCP

Manager, Clinical Pharmacy Scalise Lorraine

1-412-255-1349

1-888-245-2049

[email protected]

600 Grant Street, 41st Floor Pittsburgh PA 15219

Ohio




1-916-463-9603

1-916-463-9750

[email protected]



Ohio

HEALTH PLAN OF THE UPPER OHIO VALLEY The Health Plan Local CCP

Director Pharmacy Services Neal Steve

1-740-695-7638

1-740-695-7925

[email protected] The Health Plan

52160 National Road East St. Clairsville OH 43950

Ohio




1-615-565-8110

1-615-234-2154

[email protected]


OhioHOMETOWN HEALTH PLAN The Health Plan Local CCP


1-740-695-7638

1-740-695-7925



OhioHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


OhioKAISER FOUNDATION HP OF OHIO

Kaiser Foundation Health Plan of Ohio 1876 Cost

Manager Abulatory Care Clinical Pharmacy Kramer Amy

1-216-265-4403

1-216-265-4483

[email protected] 12301 Snow Rd.

Clinical Pharmacy Services Parma OH 44130

Ohio






Ohio

MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan Local CCP

Clinical Pharmacist Kmiecik Karen

1-330-363-2250

[email protected]

2600 Sixth Street SW Canton OH 44710

Ohio

MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan Local CCP


1-330-363-2250

[email protected]


Ohio

MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan PFFS


1-330-363-2250

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Ohio




1-201-269-6717

1-201-269-1008

[email protected]


OhioMEDICAL MUTUAL OF OHIO

Advantage Plan from Medical Mutual of Ohio PFFS

Mgr. Pharmaceutical Benefits Hendricks Chad

1-216-687-2882

[email protected]

2060 East Ninth Street Clevleland OH 44115


Advantage Plans from Medical Mutual of Ohio Local CCP


1-216-687-2882

[email protected]



Advantage Plans from Medical Mutual of Ohio PDP


1-216-687-2882

[email protected]


OhioMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


OhioMT. CARMEL HEALTH PLAN, INC. MediGold Local CCP

Director, Clinical Operations Moyna Audrey

1-847-559-3999

1-847-559-4733

[email protected]


OhioPARAMOUNT CARE, INC Paramount Elite Local CCP

Coordinator, Prescription Drug PRogram Bogner Craig M

1-419-887-2249

1-419-887-2015

[email protected]


Ohio

PARAMOUNT INSURANCE COMPANY

Paramount Prescription Drug Plan PDP Bogner Craig

1-419-887-2249

1-419-887-2015

[email protected]


Ohio



1-440-248-8448 135

1-440-248-1729

[email protected]


Ohio




1-401-333-3987 7941

1-800-373-0238

[email protected]


Ohio





Ohio RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Ohio



1-702-877-8377

[email protected]


Ohio



1-866-443-0934

[email protected]


Ohio




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Ohio



1-314-810-6102

[email protected]


Ohio SUMMACARE INC. SummaCare Local CCP Pharmacy Director Colligan Tim1-800-996-8411

1-330-996-8580

[email protected] P.O. Box 3620 Akron OH 44309

OhioTHP INSURANCE COMPANY

Health Plan SecureChoice Local CCP


1-740-695-7638

1-740-695-7925



OhioTHP INSURANCE COMPANY

Health Plan SecureFreedom PFFS


1-740-695-7638

1-740-695-7925



Ohio



1-765-526-2515






PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

OhioUNISON HEALTH PLAN OF OHIO, INC. Unison Advantage Local CCP Brekosky Robert

1-412-349-6167

1-412-457-1616



Ohio




1-972-569-3646

1-972-569-3679

[email protected]


Ohio


1-949-252-4339

1-949-474-4237


Ohio



1-949-221-9994

1-949-747-4237


Ohio



1-949-221-9994

1-949-747-4237


Ohio


1-949-252-4339

1-949-474-4237


Ohio

UNITED HEALTHCARE OF OHIO, INC.


1-949-221-9994

1-949-747-4237


OhioUPMC HEALTH BENEFITS, INC UPMC Health Plan PDP

Manager, Medicare Operations Cain John

1-412-454-5539


112 Washington Place Suite 800 Pittsburgh PA 15219

Ohio

WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare Local CCP


1-813-290-6200 6620

[email protected]


Ohio



1-813-290-6200 6620

[email protected]


OhioWELLCARE OF OHIO, INC. WellCare Local CCP

Manager Clinical Pharmacy Rackley Qiana

1-813-290-6200 6620

[email protected]


Ohio



1-813-290-6200 5119

[email protected]


Oklahoma AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Oklahoma



1-386-963-2543

1-860-754-1481


Oklahoma



1-386-963-2543

1-860-754-1481


Oklahoma



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

OklahomaARCADIAN HEALTH PLAN Arcadian Health Plan Local CCP


1-909-971-6816

1-909-971-6866

[email protected]


Oklahoma




1-215-988-6835

1-215-557-7437

[email protected]



OklahomaCOMMUNITY CARE HMO, INC

CommunityCare Senior Health Plan Local CCP QI Analyst Beyersdorf Lee Ann

1-918-594-5295 4053

1-918-877-9729

[email protected] 218 W. 6th Street Tulsa OK 74119

Oklahoma


1-860-226-6731

[email protected]


Oklahoma



1-801-954-3043

[email protected]



Oklahoma



1-801-954-3043

[email protected]


Oklahoma



1-330-405-8080 6320

1-330-405-8081

[email protected]


Oklahoma



1-801-954-3043

[email protected]


Oklahoma GLOBALHEALTH, INC.Generations Healthcare Local CCP




OklahomaHCSC INSURANCE SERVICES COMPANY

Blue Cross And Blue Shield Of Oklahoma Local CCP

Clinical Pharmacy Manager Hettich Lisa

1-765-526-2515 6346

1-765-391-1023

[email protected]

8407 Fallbrook Ave West Hills CA 91304

OklahomaHCSC INSURANCE SERVICES COMPANY

BLUE CROSS AND BLUE SHIELD OF OKLAHOMA PDP Pharmacy Director Nguyen Marie

1-651-286-4403

[email protected]

Prime Therapeutics


Oklahoma




1-916-463-9603

1-916-463-9750

[email protected]



Oklahoma




1-615-565-8110

1-615-234-2154

[email protected]


OklahomaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Oklahoma






Oklahoma




1-201-269-6717

1-201-269-1008

[email protected]


OklahomaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

OklahomaPACIFICARE OF OKLAHOMA, INC.


1-949-221-9994

1-949-747-4237


Oklahoma



1-440-248-8448 135

1-440-248-1729

[email protected]


Oklahoma




1-401-333-3987 7941

1-800-373-0238

[email protected]


Oklahoma





Oklahoma RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


OklahomaSELECTCARE OF OKLAHOMA, INC.

SelectCare of Oklahoma Local CCP




Oklahoma



1-702-877-8377

[email protected]


Oklahoma



1-866-443-0934

[email protected]


Oklahoma




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Oklahoma



1-314-810-6102

[email protected]


Oklahoma




1-765-526-2515

[email protected]


Oklahoma



1-765-526-2515



Oklahoma




1-972-569-3646

1-972-569-3679

[email protected]


Oklahoma


1-949-252-4339

1-949-474-4237


Oklahoma



1-949-221-9994

1-949-747-4237


Oklahoma


1-949-252-4339

1-949-474-4237


Oklahoma



1-813-290-6200 6620

[email protected]


Oklahoma



1-813-290-6200 5119

[email protected]


Oregon



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Oregon



1-386-963-2543

1-860-754-1481


OregonASURIS NORTHWEST HEALTH

Asuris Northwest Health PDP


1-208-395-7732

1-208-395-7744

[email protected] 1211 West Myrtle


OregonATRIO HEALTH PLANS ATRIO MyAdvantage Local CCP

Chief Operations Officer Hoffman Steve O

1-541-672-8620 5206

1-541-672-8670

[email protected]

500 SE Cass Ave. Suite 230 Roseburg OR 97470

Oregon




1-215-988-6835

1-215-557-7437

[email protected]



OregonCLEAR CHOICE HEALTH PLANS, INC.

Clear Choice Health Plans Local CCP Hirsch Jeff

1-314-810-6102

[email protected]


Oregon


1-860-226-6731

[email protected]


Oregon



1-330-405-8080 6320

1-330-405-8081

[email protected]


OregonFAMILYCARE HEALTH PLANS, INC.

FamilyCare Health Plans, Inc. Local CCP

Pharmacy Manager Thanem Michael

1-503-471-2147

1-503-471-2197

[email protected]

2121 SW Broadway Suite 300 Portland OR 97201

Oregon



1-801-954-3043

[email protected]


Oregon



1-801-954-3043

[email protected]


OregonFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


Oregon




1-916-463-9603

1-916-463-9750

[email protected]



Oregon


Health Net Medicare Advantage Local CCP

Vice President, Operations - HNPS


1-916-463-9603

[email protected]


Mail Top: CA-175-02-02 Rancho Cordova CA 95670

OregonHEALTH PLAN OF CAREOREGON, INC.

CareOregon Advantage Local CCP

Clinical Pharmacy Program Coordinator Benkstein Kristen

1-503-416-1734

1-503-416-1428

[email protected]

CareOregon Advantage

315 SW Fifth Avenue, Suite 900 Portland OR 97204

Oregon




1-615-565-8110

1-615-234-2154

[email protected]


OregonHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


OregonHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


OregonKAISER FOUNDATION HP OF THE N W

Kaiser Foundation Health Plan of the NW Local CCP

Pharmacy Benefit Manager Logan Steve

1-503-261-7980

[email protected]

5725 NE 138th Ave Portland OR 97230

OregonKAISER FOUNDATION HP OF THE N W



1-503-261-7980

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Oregon

MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.

Marion Polk Community Health Plan Advantage Local CCP

Medical Management Coordinator Morgan Roberta

1-503-371-7701 145

1-503-371-8046

[email protected]

245 Commercial St. SE, Ste. 220 Salem OR 97301

Oregon






Oregon




1-201-269-6717

1-201-269-1008

[email protected]


OregonMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Oregon

MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION CareSource Local CCP

Medicare Coordinator Ackerman Cynthia

1-541-471-4106

1-541-471-1524

[email protected] 740 SE 7th Street Grants Pass OR 97526

Oregon

MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION CareSource Local CCP

Director of Medical Affairs Ackerman Cynthia

1-541-471-4106

1-541-471-1524

[email protected] 740 SE 7th Street Grants Pass OR 97526

OregonODS HEALTH PLAN, INC. ODS Health Plan, Inc. Local CCP

Medicare Coordinator

Siegfried-Roads Carey A

1-503-265-4719

1-503-265-4790

[email protected]

601 S.W. Second Avenue Portland OR 97204

OregonODS HEALTH PLAN, INC. ODS Health Plan, Inc. PDP



1-503-265-4719

1-503-265-4790

[email protected]


OregonPACIFICARE OF OREGON, INC.


1-949-221-9994

1-949-747-4237


Oregon



1-440-248-8448 135

1-440-248-1729

[email protected]


Oregon




1-401-333-3987 7941

1-800-373-0238

[email protected]


OregonPROVIDENCE HEALTH PLAN Providence Health Plan Local CCP

PHARMACY DIRECTOR NOONAN HELEN M

1-503-574-5708

1-503-574-8646

[email protected] PO BOX 3125 PORTLAND OR 97208

Oregon





Oregon

REGENCE BLUECROSS BLUESHIELD OF OR

Regence BlueCross BlueShield of Oregon Local CCP


1-208-395-7732

1-208-395-7744

[email protected]



Oregon RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


OregonSAMARITAN HEALTH PLANS, INC.

Samaritan Advantage Health Plan Local CCP

Pharmacy Operations Manager Tracer Tamatha

1-541-768-5207

1-541-768-4294

[email protected] PO Box M Corvallis OR 97339

Oregon



1-702-877-8377

[email protected]


Oregon



1-866-443-0934

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Oregon




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Oregon



1-314-810-6102

[email protected]


Oregon

TRILLIUM COMMUNITY HEALTH PLAN Trillium Advantage Local CCP

Clinical Pharmacist Wick Shauna

1-541-485-2155 1242

1-541-302-8052

[email protected]

1800 Millrace Drive Eugene OR 97403

Oregon




1-765-526-2515

[email protected]


Oregon



1-765-526-2515



Oregon




1-972-569-3646

1-972-569-3679

[email protected]


Oregon


1-949-252-4339

1-949-474-4237


Oregon



1-949-221-9994

1-949-747-4237


Oregon



1-949-221-9994

1-949-747-4237


Oregon



1-949-221-9994

1-949-747-4237


Oregon


1-949-252-4339

1-949-474-4237


Oregon



1-813-290-6200 6620

[email protected]


Oregon



1-813-290-6200 5119

[email protected]


Pennsylvania AETNA HEALTH INC Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Pennsylvania



1-386-963-2543

1-860-754-1481


Pennsylvania



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Pennsylvania



1-386-963-2543

1-860-754-1481


Pennsylvania





PennsylvaniaAVALON INSURANCE COMPANY

Avalon Insurance Company PDP

Pharmacy Manager Frost Lisa

1-717-703-8466

[email protected]

2500 Elmerton Avenue Harrisburg PA 17177

Pennsylvania



1-800-625-9432

1-866-464-0709

[email protected]


PennsylvaniaBRAVO HEALTH PENNSYLVANIA INC. Bravo Health Local CCP


1-800-625-9432

1-866-464-0709

[email protected]


Pennsylvania

CAPITAL ADVANTAGE INSURANCE COMPANY

Capital Advantage Insurance Company Local CCP


1-717-703-8466

[email protected]


Pennsylvania




1-215-988-6835

1-215-557-7437

[email protected]



Pennsylvania



1-860-226-6731

[email protected]


Pennsylvania


1-860-226-6731

[email protected]


Pennsylvania



1-801-954-3043

[email protected]



Pennsylvania



1-801-954-3043

[email protected]


Pennsylvania



1-330-405-8080 6320

1-330-405-8081

[email protected]


Pennsylvania



1-801-954-3043

[email protected]


PennsylvaniaGATEWAY HEALTH PLAN, INC.

Gateway Health Plan Medicare Assured Local CCP

Manager, Clinical Pharmacy Scalise Lorraine

1-412-255-1349

1-888-245-2049

[email protected]

600 Grant Street, 41st Floor Pittsburgh PA 15219

PennsylvaniaGEISINGER HEALTH PLAN Geisinger Gold Local CCP

Clinical Pharmacist Collins Vanessa L

1-570-214-9606

1-570-214-6768

[email protected]

100 North Academy Avenue Danville PA 17822

Pennsylvania

GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Gold Local CCP


1-570-214-9606

1-570-214-6768

[email protected]


Pennsylvania

GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Gold PFFS


1-570-214-9606

1-570-214-6768

[email protected]


Pennsylvania

GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Gold PDP


1-570-214-9606

1-570-214-6768

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

PennsylvaniaHEALTH ASSURANCE PENNSYLVANIA, INC. Advantra PPO Local CCP


1-801-954-3043

[email protected]


Pennsylvania




1-916-463-9603

1-916-463-9750

[email protected]



PennsylvaniaHEALTHAMERICA PENNSYLVANIA, INC.

HealthAmerica Advantra Local CCP

Director, Pharmacy OPS Williams Roger L

1-801-954-3043

[email protected]


Pennsylvania




1-615-565-8110

1-615-234-2154

[email protected]


PennsylvaniaHIGHMARK SENIOR RESOURCES INC.

Highmark Senior Resources Inc. PDP

Manager, Clinical Pharmacy Services Culley Eric

1-412-544-4005

1-412-544-4092

[email protected]

120 Fifth Avenue Ste. 1812 Pittsburgh PA 15222

Pennsylvania HIGHMARK, INC. Highmark Inc. Local CCPManager- Clincal Services Culley Eric

1-412-544-4005

1-412-544-7546

[email protected]

120 Fifth Avenue Place Suite 1812 Pittsburgh PA 15222

PennsylvaniaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


PennsylvaniaINDEPENDENCE BLUE CROSS Personal Choice 65 Local CCP


1-215-241-4016

[email protected]

1901 Market Street 29th Fl. Philadelphia PA 19103

PennsylvaniaKEYSTONE HEALTH PLAN CENTRAL,INC.

Keystone Health Plan Central, Inc. Local CCP Frost Lisa

1-717-703-8466

[email protected]


PennsylvaniaKEYSTONE HEALTH PLAN EAST, INC. Keystone 65 Local CCP


1-215-241-4016

[email protected]

1901 Market Street 29th Fl. Philadelphia PA 19103

PennsylvaniaKEYSTONE HEALTH PLAN WEST, INC.

Keystone Health Plan West, Inc. Local CCP

Manager - Clinical Services Culley Eric

1-412-544-4005

1-412-544-7546

[email protected]


Pennsylvania






Pennsylvania




1-201-269-6717

1-201-269-1008

[email protected]


PennsylvaniaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Pennsylvania



1-440-248-8448 135

1-440-248-1729

[email protected]


Pennsylvania




1-401-333-3987 7941

1-800-373-0238

[email protected]


Pennsylvania

QCC INS CO D/B/A AMERIHEALTH INS CO

AmeriHealth Advantage PDP


1-215-937-5352

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Pennsylvania

QCC INS CO D/B/A AMERIHEALTH INS CO AmeriHealth Rx PDP


1-215-241-7928

[email protected]

1901 Market Street 22nd Floor Philadelphia PA 19103

PennsylvaniaQCC INSURANCE COMPANY Select Advantage PFFS


1-215-241-4016

[email protected]

1901 Market Street, 29th flr 29th flr Philadelphia PA 19103

Pennsylvania RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


PennsylvaniaSENIOR PARTNERS BY BRAVO HEALTH Senior Partners Local CCP


1-800-625-9432

1-866-464-0709

[email protected]


Pennsylvania



1-702-877-8377

[email protected]


Pennsylvania



1-866-443-0934

[email protected]


Pennsylvania




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Pennsylvania



1-314-810-6102

[email protected]


Pennsylvania




1-765-526-2515

[email protected]


Pennsylvania



1-765-526-2515



Pennsylvania

UNISON HEALTH PLAN OF PENNSYLVANIA, INC. Unison Advantage Local CCP Brekosky Robert

1-412-349-6167

1-412-457-1616



Pennsylvania




1-972-569-3646

1-972-569-3679

[email protected]


Pennsylvania


1-949-252-4339

1-949-474-4237


Pennsylvania


1-949-221-9994

1-949-747-4237


Pennsylvania



1-949-221-9994

1-949-747-4237


Pennsylvania



1-949-221-9994

1-949-747-4237


Pennsylvania



1-949-221-9994

1-949-747-4237


Pennsylvania


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Pennsylvania

UNIVERSITY OF PITTSBURGH MEDICAL CENTER UPMC Health Plan Local CCP


1-412-454-5539



PennsylvaniaUPMC HEALTH BENEFITS, INC UPMC Health Plan PDP


1-412-454-5539



PennsylvaniaUPMC HEALTH NETWORK UPMC Health Plan Local CCP


1-412-454-5539



Pennsylvania



1-813-290-6200 6620

[email protected]


Pennsylvania



1-813-290-6200 5119

[email protected]


Puerto RicoAMERICAN HEALTH, INC.

American Health Medicare Local CCP

Pharmacy and Delegated Entities Manager Hernandez Carmen

1-787-620-1919 4054

1-787-620-0929

[email protected]

American Health Medicare

P.O. Box 11320 San Juan PR 922

Puerto RicoAUXILIO PLATINO, INC. Auxilio Platino Local CCP

Clinical Pharmacist Muniz Omaris M

1-787-273-1110 2459

1-787-625-8445

[email protected] PO Box 363628 San Juan PR 936

Puerto Rico

COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO CosviMed Care Local CCP Miller Scott A

1-847-964-6944

1-847-374-2645

[email protected]

1411 Lake Cook Road, MS-L-415 Deerfield IL 60015

Puerto Rico

COOPERATIVE DE SEGUROS DE VIDA DE PUERTO RICO CosviMed Care PDP Miller Scott A

1-847-964-6944

1-847-374-2645

[email protected]

1411 Lake Cook Road, MS-L-415 Deerfield IL 60015

Puerto RicoFIRST MEDICAL HEALTH PLAN, INC

First Medical Health Plan, Inc. PDP

pharmacy manager Soto Ivette

1-866-515-5885 337

1-787-625-8544

[email protected] PO box 195080 San Juan PR 60062

Puerto RicoFIRST MEDICAL HEALTH PLAN, INC.

First Medical Health Plan, Inc. Local CCP

Pharmacy manager Soto Ivette

1-866-515-5885 337

1-787-625-8544

[email protected]

First Medical Health Plan

PO box 191580 San Juan PR 919

Puerto RicoFIRST MEDICAL HEALTH PLAN, INC.

First Medical Health Plan, Inc. Local CCP

Pharmacy manager Soto Ivette

1-866-515-5885

1-787-625-1189

[email protected]

First Medical Health Plan

PO box 191580 San Juan PR 919

Puerto Rico

HUMANA HEALTH PLANS OF PUERTO RICO INC

Humana Health Plans Of Puerto Rico Inc Local CCP Ewing Joy

1-502-580-3538

[email protected]


Puerto Rico

HUMANA INSURANCE OF PUERTO RICO, INC

Humana Insurance Of Puerto Rico, Inc PFFS Ewing Joy

1-502-580-3538

[email protected]


Puerto Rico

HUMANA INSURANCE OF PUERTO RICO, INC

Humana Insurance of Puerto Rico, Inc PDP Ewing Joy

1-502-580-3538

[email protected]


Puerto Rico

HUMANA INSURANCE OF PUERTO RICO, INC.

Humana Insurance of Puerto Rico, Inc. Local CCP Ewing Joy

1-502-580-3538

[email protected]


Puerto Rico

MAPFRE LIFE INSURANCE COMPANY

MAPFRE LIFE INSURANCE COMPANY Local CCP Moyna Audrey

1-847-559-3999

1-847-559-4733

[email protected]


Puerto RicoMCS ADVANTAGE INC. MCS Classicare Local CCP

Pharmacy Clinical Director Rodriguez Carolyn

1-787-758-2500 2700


Puerto RicoMCS ADVANTAGE INC. RedMed Local CCP


1-787-758-2500 2700





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Puerto RicoMCS ADVANTAGE, INC. MCS Classicare PDP


1-787-758-2500 2700


Puerto Rico

MCS LIFE INSURANCE COMPANY MCS Classicare PFFS


1-787-758-2500 2700


Puerto Rico




1-201-269-6717

1-201-269-1008

[email protected]


Puerto Rico

MENNONITE GENERAL HOSPITAL, INC

Menonita Medicare Advantage PDP

Director Clinical Education Miller Scott A

1-847-964-6762

1-847-374-2645

[email protected]


Puerto Rico

MENNONITE GENERAL HOSPITAL, INC.

Menonita Medicare Advantage Local CCP

Director, Clinical Education Miller Scott A

1-847-964-6944

1-847-374-2645

[email protected]


Puerto RicoMMM HEALTHCARE, INC. Medicare y Mucho Más Local CCP

AVP Pharmacy Services Reyes Maria J

1-787-354-7999

1-787-300-5503

[email protected]

Bechara Industrial Park, Marginal Ave. Kennedy

Segarra Street Bldg., No. 411 San Juan PR 936

Puerto Rico



1-440-248-8448 135

1-440-248-1729

[email protected]


Puerto Rico

PHARMACY INSURANCE CORPORATION OF AMERICA

Pharmacy Insurance Corporation of America - PICA PDP Clinical Echevarria Irma

1-787-625-4343 4711

1-787-625-4363


Puerto RicoPREFERRED HEALTH INC. Preferred Medicare PFFS

Medicare Consultant Perez Awilda

1-787-751-3701

1-787-751-3718

[email protected]

273 Ponce de Leon Avenue Suite 801 San Juan PR 917

Puerto Rico

PREFERRED MEDICARE CHOICE, INC.

Preferred Medicare Choice, Inc. Local CCP

VP Pharmacy Services Reyes Maria J

1-787-354-7999

1-787-300-5503

[email protected]

Bechara Industrial Park, Marginal Ave., Kennedy

Segarra Street Bldg. No.411 San Juan PR 936

Puerto Rico

PREFERRED MEDICARE CHOICE, INC.

Preferred Medicare Choice, Inc. PDP

AVP Pharmacy Services Reyes Maria J

1-787-354-7999

1-787-300-5503

[email protected]

Bechara Industrial Park, Marginal Ave., Kennedy

Segarra Street Bldg., No. 411 San Juan PR 936

Puerto RicoPROSALUD HMO, CORP. ProSalud HMO Corp Local CCP

Director Clinical Education Miller Scott

1-847-964-6944

[email protected]


Puerto RicoSDM HEALTHCARE MANAGEMENT, INC.

Salud Dorada con Medicare Local CCP Medical Director Irizarry Maria

1-787-999-4848

1-787-999-7941

[email protected] P.O Box 3078 Bayamon PR 960

Puerto Rico



1-866-443-0934

[email protected]


Puerto Rico TRIPLE-S, INC. Triple-S PDPClinical Pharmacist Muniz Omaris M

1-787-273-1110 2459

1-787-625-8445


Puerto Rico TRIPLE-S, INC. Triple-S, Inc. Local CCPClinical Pharmacist Muniz Omaris M

1-787-273-1110 2459

1-787-625-8445


Puerto Rico TRIPLE-S, INC. Triple-S, Inc. Local CCPClinical Pharmacist Muniz Omaris M

1-787-273-1110 2459

1-787-625-8445


Puerto Rico


1-949-252-4339

1-949-474-4237


Puerto Rico


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Rhode Island



1-386-963-2543

1-860-754-1481


Rhode Island



1-386-963-2543

1-860-754-1481


Rhode Island

BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND

Blue Cross & Blue Shield Of Rhode Island Local CCP

MTM Clinical Interventions Manager Hettich Lisa

1-765-526-2515

1-765-391-1023

[email protected]

8407 Fallbrook Ave West Hills CA 91304

Rhode Island BLUE MEDICARERX Blue MedicareRx PDPClinical Pharmacist Hettich Lisa

1-765-526-2515



Rhode Island


1-860-226-6731

[email protected]


Rhode Island



1-330-405-8080 6320

1-330-405-8081

[email protected]


Rhode Island



1-801-954-3043

[email protected]


Rhode Island



1-801-954-3043

[email protected]


Rhode Island




1-916-463-9603

1-916-463-9750

[email protected]



Rhode Island




1-615-565-8110

1-615-234-2154

[email protected]


Rhode IslandHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Rhode IslandHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Rhode Island




1-201-269-6717

1-201-269-1008

[email protected]


Rhode Island



1-440-248-8448 135

1-440-248-1729

[email protected]


Rhode Island




1-401-333-3987 7941

1-800-373-0238

[email protected]


Rhode Island RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Rhode Island



1-866-443-0934

[email protected]


Rhode Island



1-314-810-6102

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Rhode Island




1-765-526-2515

[email protected]


Rhode Island



1-765-526-2515



Rhode Island




1-972-569-3646

1-972-569-3679

[email protected]


Rhode Island


1-949-252-4339

1-949-474-4237


Rhode Island

UNITED HEALTH PLANS OF NEW ENGLAND, INC.


1-949-221-9994

1-949-747-4237


Rhode Island



1-949-221-9994

1-949-747-4237


Rhode Island



1-949-221-9994

1-949-747-4237


Rhode Island



1-949-221-9994

1-949-747-4237


Rhode Island


1-949-252-4339

1-949-474-4237


Rhode Island



1-813-290-6200 5119

[email protected]


South Carolina



1-386-963-2543

1-860-754-1481


South Carolina



1-386-963-2543

1-860-754-1481


South Carolina

AMERICA'S 1ST CHOICE HEALTH PLANS, INC.

AMERICA'S 1ST CHOICE HEALTH PLANS, INC. PFFS Pharmacy Schoening Shellie

1-800-546-5677 1110

1-866-632-7946

[email protected]

13660 California Street Omaha NE 68154

South CarolinaARCADIAN HEALTH PLAN, INC.



1-909-971-6816

1-909-971-6866

[email protected]


South Carolina

BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA

Blue Cross Blue Shield of South Carolina Local CCP

Director - Provider Contracting Baughman Angie

1-803-264-3234

1-803-419-8020

[email protected]

I-20 at Alpine Road Columbia SC 29219

South Carolina

BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA

Blue Cross Blue Shield of South Carolina PDP

Director - Provider Contracting Baughman Angie

1-803-264-3234

1-803-419-8020

[email protected]

I-20 at Alpine Road Columbia SC 29219

South Carolina

CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO


1-866-443-0934

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

South Carolina




1-215-988-6835

1-215-557-7437

[email protected]



South Carolina



1-860-226-6731

[email protected]


South Carolina


1-860-226-6731

[email protected]


South Carolina



1-801-954-3043

[email protected]



South Carolina



1-801-954-3043

[email protected]


South Carolina



1-330-405-8080 6320

1-330-405-8081

[email protected]


South Carolina



1-801-954-3043

[email protected]


South Carolina




1-916-463-9603

1-916-463-9750

[email protected]



South Carolina




1-615-565-8110

1-615-234-2154

[email protected]


South CarolinaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


South Carolina

INSTIL HEALTH INSURANCE COMPANY

InStil Health Insurance Company PDP

Director Medical Services Lachuk Lester

1-803-763-6559

1-803-935-1605

[email protected]

17 Technology Circle, AG-790 Columbia SC 29203

South Carolina






South Carolina




1-201-269-6717

1-201-269-1008

[email protected]


South Carolina



1-440-248-8448 135

1-440-248-1729

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

South Carolina




1-401-333-3987 7941

1-800-373-0238

[email protected]


South Carolina





South Carolina RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


South Carolina

SELECT HEALTH OF SOUTH CAROLINA, INC. PerformRx PDP


1-215-937-5352

[email protected]


South Carolina



1-702-877-8377

[email protected]


South Carolina



1-866-443-0934

[email protected]


South Carolina




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


South Carolina



1-314-810-6102

[email protected]


South Carolina




1-765-526-2515

[email protected]


South Carolina



1-765-526-2515



South Carolina




1-972-569-3646

1-972-569-3679

[email protected]


South Carolina


1-949-252-4339

1-949-474-4237


South Carolina



1-949-221-9994

1-949-747-4237


South Carolina


1-949-252-4339

1-949-474-4237


South Carolina




1-800-546-5677 1110

[email protected]


South Carolina



1-813-290-6200 6620

[email protected]


South Carolina



1-813-290-6200 5119

[email protected]


South CarolinaWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya

1-615-782-7860

1-615-782-7822

[email protected]


South CarolinaWINDSOR HEALTH PLANS, INC.


1-615-782-7860

1-615-782-7822

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

South Dakota



1-386-963-2543

1-860-754-1481


South Dakota



1-386-963-2543

1-860-754-1481


South Dakota



1-651-662-8758

1-651-662-6009

[email protected]



South Dakota



1-651-662-8758

1-651-662-6009

[email protected]



South Dakota


1-860-226-6731

[email protected]


South Dakota

COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO


Director Pharmacy Ops. Williams Roger

1-801-954-3043

[email protected]


South Dakota



1-801-954-3043

[email protected]



South Dakota



1-330-405-8080 6320

1-330-405-8081

[email protected]


South Dakota



1-801-954-3043

[email protected]


South Dakota



1-801-954-3043

[email protected]


South DakotaFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


South Dakota




1-916-463-9603

1-916-463-9750

[email protected]



South Dakota




1-615-565-8110

1-615-234-2154

[email protected]


South DakotaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


South DakotaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


South Dakota






South Dakota




1-201-269-6717

1-201-269-1008

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

South DakotaMEDICA INSURANCE COMPANY


1-952-992-2469

[email protected]


South DakotaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


South Dakota



1-440-248-8448 135

1-440-248-1729

[email protected]


South Dakota




1-401-333-3987 7941

1-800-373-0238

[email protected]


South Dakota





South Dakota RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


South Dakota



1-866-443-0934

[email protected]


South Dakota




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


South Dakota



1-314-810-6102

[email protected]


South Dakota




1-765-526-2515

[email protected]


South Dakota



1-765-526-2515



South Dakota




1-972-569-3646

1-972-569-3679

[email protected]


South Dakota


1-949-252-4339

1-949-474-4237


South Dakota



1-949-221-9994

1-949-747-4237


South Dakota


1-949-252-4339

1-949-474-4237


South Dakota



1-813-290-6200 6620

[email protected]


South Dakota



1-813-290-6200 5119

[email protected]


Tennessee AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Tennessee



1-386-963-2543

1-860-754-1481


Tennessee



1-386-963-2543

1-860-754-1481


Tennessee



1-386-963-2543

1-860-754-1481


TennesseeAMERIGROUP TENNESSEE, INC.



1-757-518-3420

[email protected]


Tennessee

BCBS OF ALABAMA AND BCBS OF TENNESSEE BlueRx PDP


1-205-220-6522

[email protected]


Tennessee

BLUE CROSS BLUE SHIELD OF TENNESSEE

BlueCross BlueShield of Tennessee Local CCP Barry Lesley

1-334-213-6653

1-334-213-6617

[email protected]


TennesseeCARITEN HEALTH PLAN IN Cariten Senior Health Local CCP

Pharmacy supervisor Feliciano Susan

1-865-670-7340

[email protected]

1420 Centerpoint Blvd Knoxville TN 37932

TennesseeCARITEN INSURANCE COMPANY

Cariten Senior Health (PPO) Local CCP Pharmacy Director Ciufo John

1-865-670-7382

1-865-670-7205

[email protected]

1420 Centerpoint Blvd Knoxville TN 37932

Tennessee




1-215-988-6835

1-215-557-7437

[email protected]



Tennessee



1-860-226-6731

[email protected]


Tennessee


1-860-226-6731

[email protected]


Tennessee



1-801-954-3043

[email protected]



Tennessee



1-801-954-3043

[email protected]


Tennessee



1-330-405-8080 6320

1-330-405-8081

[email protected]


Tennessee



1-801-954-3043

[email protected]


Tennessee




1-916-463-9603

1-916-463-9750

[email protected]



Tennessee




1-615-565-8110

1-615-234-2154

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

TennesseeHEALTHSPRING OF TENNESSEE, INC. Healthspring Local CCP


1-615-565-8110

1-615-234-2154

[email protected]


TennesseeHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Tennessee






Tennessee




1-201-269-6717

1-201-269-1008

[email protected]


Tennessee



1-440-248-8448 135

1-440-248-1729

[email protected]


Tennessee




1-401-333-3987 7941

1-800-373-0238

[email protected]


Tennessee





Tennessee RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Tennessee



1-702-877-8377

[email protected]


Tennessee



1-866-443-0934

[email protected]


Tennessee




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Tennessee



1-314-810-6102

[email protected]


TennesseeUAHC HEALTH PLAN OF TENNESSEE, INC. UAHC Gold Local CCP Vice President Northway Cynthia

1-515-237-0001 126

1-515-237-0002

[email protected]

601 E. Locust, Suite 100 Des Moines IA 50309

Tennessee




1-765-526-2515

[email protected]


Tennessee



1-765-526-2515



Tennessee


1-412-349-6167

1-412-457-1616






PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Tennessee




1-972-569-3646

1-972-569-3679

[email protected]


Tennessee


1-949-252-4339

1-949-474-4237


Tennessee



1-949-221-9994

1-949-747-4237


Tennessee



1-949-221-9994

1-949-747-4237


Tennessee


1-949-252-4339

1-949-474-4237


Tennessee

UNITED HEALTHCARE OF TENNESSEE, INC.


1-949-221-9994

1-949-747-4237


Tennessee



1-949-221-9994

1-949-747-4237


Tennessee

UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.

AmeriChoice Secure Plus Complete Local CCP Pharmacy Director Cabrera Lourdes

1-954-858-4302

1-954-858-3765

[email protected]

13621 NW 12TH ST SUNRISE FL 33323

Tennessee



1-813-290-6200 6620

[email protected]


Tennessee



1-813-290-6200 5119

[email protected]


TennesseeWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya

1-615-782-7860

1-615-782-7822

[email protected]


TennesseeWINDSOR HEALTH PLANS, INC.


1-615-782-7860

1-615-782-7822

[email protected]


Texas AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Texas



1-386-963-2543

1-860-754-1481


Texas



1-386-963-2543

1-860-754-1481


Texas



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

TexasAMERIGROUP TEXAS, INC.



1-757-518-3420

[email protected]


TexasARCADIAN HEALTH PLAN, INC.

Texas Community Care Local CCP


1-909-971-6816

1-909-971-6866

[email protected]


TexasARKANSAS COMMUNITY CARE

Arkansas Community Care, Inc. Local CCP


1-909-971-6816

1-909-971-6866

[email protected]


Texas

BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PFFS


1-800-625-9432

1-866-464-0709

[email protected]


TexasBRAVO HEALTH TEXAS, INC. Bravo Health Local CCP


1-800-625-9432

1-866-464-0709

[email protected]


Texas

CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY


1-866-443-0934

[email protected]


Texas




1-215-988-6835

1-215-557-7437

[email protected]



Texas



1-860-226-6731

[email protected]


Texas


1-860-226-6731

[email protected]


Texas



1-801-954-3043

[email protected]



Texas



1-801-954-3043

[email protected]


Texas



1-330-405-8080 6320

1-330-405-8081

[email protected]


TexasEVERCARE OF TEXAS, LLC


1-949-221-9994

1-949-747-4237


Texas

FIDELIS SECURECARE OF TEXAS, INC.

Fidelis SecureCare of Texas, Inc. Local CCP

Chief Medical Officer Sarran Scott

1-877-372-6203

1-847-517-1085

[email protected]

1700 East Golf Road Suite 1115 Schaumburg IL 60173

Texas



1-801-954-3043

[email protected]


TexasHCSC INSURANCE SERVICES COMPANY


1-651-286-4206

1-651-286-4403

[email protected]



TexasHCSC INSURANCE SERVICES COMPANY

HISC - Blue Cross Blue Shield of Texas Local CCP

Pharmacy Director, Government Programs Nguyen Marie

1-651-286-4206

1-651-286-4403

[email protected]

Prime Therapeutics

1020 Discovery Road, No. 100 Egan MN 55121

Texas




1-916-463-9603

1-916-463-9750

[email protected]



Texas



1-916-463-9603

1-916-463-8056

[email protected]






PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Texas




1-615-565-8110

1-615-234-2154

[email protected]


TexasHUMANA HEALTH PLAN OF TEXAS,INC.

Humana Health Plan of Texas, Inc. Local CCP Ewing Joy

1-502-580-3538

[email protected]


TexasHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Texas

KS PLAN ADMINISTRATORS, LLC KelseyCare Advantage Local CCP

Director Pharmacy and Infusion Services Salinas Cathryn

1-713-442-5251

1-713-442-5253

[email protected]

8900 Lakes at 610 Drive Houston TX 77054

Texas






Texas




1-201-269-6717

1-201-269-1008

[email protected]


Texas

MOLINA HEALTHCARE OF TEXAS, INC.

Molina Healthcare of Texas, Inc. Local CCP


1-801-858-0466

1-801-748-0536

[email protected]


TexasPACIFICARE OF TEXAS, INC.


1-949-221-9994

1-949-747-4237


Texas



1-440-248-8448 135

1-440-248-1729

[email protected]


Texas




1-401-333-3987 7941

1-800-373-0238

[email protected]


TexasPSO HEALTH SERVICES, LLC

PHYSICIANS HEALTH CHOICE Local CCP

Vice President of Pharmacy - Envision Peterson Amanda

1-330-486-6302

[email protected]

2181 E. Aurora Rd. STE 201 Twinsburg OH 44087

Texas





Texas RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


TexasSCOTT AND WHITE HEALTH PLAN

Scott and White Health Plan SeniorCare 1876 Cost PharmD Gabrillo Evelyn

1-254-298-6152

1-254-298-6189

[email protected]

4236 Lowes Drive Suite 100 Temple TX 76502

TexasSCOTT AND WHITE HEALTH PLAN

Scott and White Health PlanTexas Rx Plan PDP

Patient Care Pharmacist Gabrillo Evelyn

1-254-298-6152

1-254-298-6189

[email protected]

4236 Lowes Drive Suite 100 Temple TX 76502

TexasSELECTCARE HEALTH PLANS, INC.

TexasFirst Health Plans Local CCP




TexasSELECTCARE OF TEXAS, L.L.C.

SelectCare of Texas, LLC Local CCP







PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Texas SHA, L.L.C FirstCare Advantage Local CCP

Director of Pharmacy Services Crognale III Louis

1-512-257-6206

1-512-257-6016

[email protected]

12940 North Highway 183 Austin TX 78750

Texas



1-702-877-8377

[email protected]


Texas



1-866-443-0934

[email protected]


Texas




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Texas



1-314-810-6102

[email protected]


TexasSUPERIOR HEALTH PLAN, INC.

Advantage by SuperiorHealthPlan Local CCP


1-732-476-1047

1-732-549-5824

[email protected]


TexasTEXAS HEALTHSPRING LLC Texas HealthSpring Local CCP


1-615-565-8110

1-615-234-2154

[email protected]


Texas




1-765-526-2515

[email protected]


Texas



1-765-526-2515



Texas




1-972-569-3646

1-972-569-3679

[email protected]


Texas


1-949-252-4339

1-949-474-4237


Texas


1-949-221-9994

1-949-747-4237


Texas



1-949-221-9994

1-949-747-4237


Texas



1-949-221-9994

1-949-747-4237


Texas


1-949-252-4339

1-949-474-4237


Texas




1-800-546-5677 1110

[email protected]


Texas

VALLEY BAPTIST INSURANCE COMPANY

Valley Baptist Health Plans Local CCP

Directory of Pharmacy Services Crognale III Louis

1-512-257-6206

1-512-257-6016

[email protected]

12940 N. Highway 183 Austin TX 78750

Texas



1-813-290-6200 6620

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

TexasWELLCARE OF TEXAS, INC. WellCare Local CCP


1-813-290-6200 6620

[email protected]


Texas



1-813-290-6200 5119

[email protected]


Utah



1-386-963-2543

1-860-754-1481


Utah



1-386-963-2543

1-860-754-1481


UtahALTIUS HEALTH PLANS, INC. (UTAH) Altius Advantra Local CCP


1-801-954-3043

[email protected]


Utah




1-215-988-6835

1-215-557-7437

[email protected]



Utah


1-860-226-6731

[email protected]


Utah



1-801-954-3043

[email protected]



Utah


Educators Mutual Insurance Association PFFS Gedge Nathan

1-801-262-7476 2974

[email protected]


Utah


Educators Mutual Insurance Association PDP Gallegos Jennifer

1-801-262-7476

[email protected]


Utah



1-330-405-8080 6320

1-330-405-8081

[email protected]


Utah



1-801-954-3043

[email protected]


Utah



1-801-954-3043

[email protected]


Utah




1-916-463-9603

1-916-463-9750

[email protected]



Utah




1-615-565-8110

1-615-234-2154

[email protected]


UtahHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

UtahHUMANA MEDICAL PLAN OF UTAH

Humana Medical Plan of Utah Local CCP Ewing Joy

1-502-580-3538

[email protected]


Utah




1-201-269-6717

1-201-269-1008

[email protected]


Utah

MOLINA HEALTHCARE OF UTAH, INC.

Molina Healthcare of Utah Local CCP


1-801-858-0466

1-801-748-0536

[email protected]


Utah



1-440-248-8448 135

1-440-248-1729

[email protected]


Utah




1-401-333-3987 7941

1-800-373-0238

[email protected]


Utah





Utah

REGENCE BLUECROSS BLUESHIELD OF UT

Regence BlueCross BlueShield of Utah Local CCP


1-208-395-7732

1-208-395-7744

[email protected]



Utah

REGENCE LIFE AND HEALTH INSURANCE COMPANY

Regence Life and Health PDP


1-208-395-7732

1-208-395-7744

[email protected]



Utah RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Utah



1-702-877-8377

[email protected]


Utah



1-702-877-8377

[email protected]


Utah



1-866-443-0934

[email protected]


Utah




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Utah



1-314-810-6102

[email protected]


Utah




1-765-526-2515

[email protected]


Utah



1-765-526-2515



Utah




1-972-569-3646

1-972-569-3679

[email protected]


Utah


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Utah



1-949-221-9994

1-949-747-4237


Utah


1-949-252-4339

1-949-474-4237


UtahUNITEDHEALTHCARE OF UTAH, INC.


1-949-221-9994

1-949-747-4237


Utah




1-800-546-5677 1110

[email protected]


Utah



1-813-290-6200 6620

[email protected]


Utah



1-813-290-6200 5119

[email protected]


Vermont



1-386-963-2543

1-860-754-1481


Vermont



1-386-963-2543

1-860-754-1481


Vermont





Vermont BLUE MEDICARERX Blue MedicareRx PDPClinical Pharmacist Hettich Lisa

1-765-526-2515



Vermont



1-860-226-6731

[email protected]


Vermont


1-860-226-6731

[email protected]


Vermont



1-330-405-8080 6320

1-330-405-8081

[email protected]


Vermont



1-801-954-3043

[email protected]


Vermont



1-801-954-3043

[email protected]


Vermont




1-916-463-9603

1-916-463-9750

[email protected]



Vermont




1-615-565-8110

1-615-234-2154

[email protected]


VermontHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

VermontHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Vermont




1-201-269-6717

1-201-269-1008

[email protected]


Vermont



1-440-248-8448 135

1-440-248-1729

[email protected]


Vermont




1-401-333-3987 7941

1-800-373-0238

[email protected]


Vermont RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Vermont



1-866-443-0934

[email protected]


Vermont




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Vermont



1-314-810-6102

[email protected]


Vermont




1-765-526-2515

[email protected]


Vermont



1-765-526-2515



Vermont




1-972-569-3646

1-972-569-3679

[email protected]


Vermont


1-949-252-4339

1-949-474-4237


Vermont



1-949-221-9994

1-949-747-4237


Vermont


1-949-252-4339

1-949-474-4237


Vermont



1-813-290-6200 5119

[email protected]


Virgin Islands



1-440-248-8448 135

1-440-248-1729

[email protected]


Virgin Islands


1-949-252-4339

1-949-474-4237


Virgin Islands


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Virginia AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Virginia



1-386-963-2543

1-860-754-1481


Virginia



1-386-963-2543

1-860-754-1481


Virginia



1-386-963-2543

1-860-754-1481


Virginia

ANTHEM HEALTH PLANS OF VIRGINIA, INC.



1-765-526-2515

[email protected]


VirginiaANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


VirginiaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



Virginia




1-215-988-6835

1-215-557-7437

[email protected]



Virginia



1-860-226-6731

[email protected]


Virginia


1-860-226-6731

[email protected]


Virginia



1-801-954-3043

[email protected]



Virginia



1-801-954-3043

[email protected]


VirginiaDAVITA VILLAGE HEALTH, INC.

DaVita VillageHealth of Virginia, Inc. Local CCP


1-518-932-4416


Virginia



1-330-405-8080 6320

1-330-405-8081

[email protected]


Virginia



1-801-954-3043

[email protected]


Virginia




1-916-463-9603

1-916-463-9750

[email protected]



Virginia



1-916-463-9603

1-916-463-8056

[email protected]






PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Virginia




1-615-565-8110

1-615-234-2154

[email protected]


VirginiaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


Virginia



1-301-816-6835

[email protected]


Virginia




1-201-269-6717

1-201-269-1008

[email protected]


VirginiaMENNONITE MUTUAL AID ASSOCIATION


1-847-559-3999

1-847-559-4733

[email protected]


Virginia

OPTIMA HEALTH INSURANCE COMPANY Optima Medicare Local CCP

Clinical Pharmacist Brusig Elizabeth

1-757-552-7519

1-757-552-7516

[email protected]

4417 Corporation Lane Virginia Beach VA 23462

Virginia



1-440-248-8448 135

1-440-248-1729

[email protected]


Virginia




1-401-333-3987 7941

1-800-373-0238

[email protected]


Virginia





Virginia RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Virginia



1-702-877-8377

[email protected]


Virginia



1-866-443-0934

[email protected]


Virginia




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Virginia



1-314-810-6102

[email protected]


Virginia




1-765-526-2515

[email protected]


Virginia



1-765-526-2515



Virginia




1-972-569-3646

1-972-569-3679

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Virginia


1-949-252-4339

1-949-474-4237


Virginia


1-949-221-9994

1-949-747-4237


Virginia



1-949-221-9994

1-949-747-4237


Virginia



1-949-221-9994

1-949-747-4237


Virginia



1-949-221-9994

1-949-747-4237


Virginia


1-949-252-4339

1-949-474-4237


Virginia



1-949-221-9994

1-949-747-4237


VirginiaVIRGINIA PREMIER HEALTH PLAN, INC. Virginia Premier Gold Local CCP

Supervisor Pharmacy DUR/MTM Lawson Mark

1-215-937-5352

1-215-937-8450

[email protected]


Virginia



1-813-290-6200 6620

[email protected]


Virginia



1-813-290-6200 5119

[email protected]


Washington



1-386-963-2543

1-860-754-1481


Washington



1-386-963-2543

1-860-754-1481


WashingtonARCADIAN HEALTH PLAN

Spokane Community Care Local CCP


1-909-971-6816

1-909-971-6866

[email protected]


WashingtonASURIS NORTHWEST HEALTH

Asuris Northwest Health Local CCP


1-208-395-7732

1-208-395-7744

[email protected]



WashingtonASURIS NORTHWEST HEALTH

Asuris Northwest Health PDP


1-208-395-7732

1-208-395-7744



Washington




1-215-988-6835

1-215-557-7437

[email protected]



Washington

COMMUNITY HEALTH PLAN OF WASHINGTON

Community HealthFirst Medicare Advantage Plan Local CCP Hirsch Jeff

1-314-810-6102

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Washington


1-860-226-6731

[email protected]


Washington



1-801-954-3043

[email protected]



Washington



1-330-405-8080 6320

1-330-405-8081

[email protected]


Washington ESSENCE L.L.P. Essence Healthcare Local CCP Director of QA Keys Mary Kay1-314-851-3664

1-314-851-3610


Washington



1-801-954-3043

[email protected]


Washington



1-801-954-3043

[email protected]


WashingtonFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


WashingtonGROUP HEALTH COOPERATIVE

Group Health Cooperative Local CCP

Associate Director of Clinical Pharmacy Operations Reitz Shirley


Group Health Cooperative

12400 E. Marginal Way South Seattle WA 98168

Washington




1-916-463-9603

1-916-463-9750

[email protected]



Washington


Health Net Medicare Advantage Local CCP

Vice President, Operations - HNPS


1-916-463-9603

[email protected]


Mail Top: CA-175-02-02 Rancho Cordova CA 95670

Washington



1-916-463-9603

1-916-463-8056

[email protected]



Washington




1-615-565-8110

1-615-234-2154

[email protected]


WashingtonHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


WashingtonHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


WashingtonKAISER FOUNDATION HP OF THE N W



1-503-261-7980

[email protected]


WashingtonKAISER FOUNDATION HP OF THE N W



1-503-261-7980

[email protected]


Washington






Washington




1-201-269-6717

1-201-269-1008

[email protected]


Washington

MOLINA HEALTHCARE OF WASHINGTON, INC.

Molina Healthcare of Washington, Inc. Local CCP


1-801-858-0466

1-801-748-0536

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

WashingtonODS HEALTH PLAN, INC. ODS Health Plan, Inc. PDP



1-503-265-4719

1-503-265-4790

[email protected]


WashingtonPACIFICARE OF WASHINGTON, INC.


1-949-221-9994

1-949-747-4237


Washington



1-440-248-8448 135

1-440-248-1729

[email protected]


Washington




1-401-333-3987 7941

1-800-373-0238

[email protected]


WashingtonPROVIDENCE HEALTH PLAN Providence Health Plan Local CCP

PHARMACY DIRECTOR NOONAN HELEN M

1-503-574-5708

1-503-574-8646

[email protected] PO BOX 3125 PORTLAND OR 97208

Washington

PUGET SOUND HEALTH PARTNERS, INC.

Puget Sound Health Partners Local CCP Pharmacist Low Jeff

1-801-961-6000

[email protected]

221 N Charles Lindbergh Dr Salt Lake City UT 84116

Washington





WashingtonREGENCE BLUE SHIELD OF IDAHO

Regence BlueShield Of Idaho Local CCP


1-208-395-7732

1-208-395-7744

[email protected]



Washington

REGENCE BLUECROSS BLUESHIELD OF OR

Regence BlueCross BlueShield of Oregon Local CCP


1-208-395-7732

1-208-395-7744

[email protected]



WashingtonREGENCE BLUESHIELD Regence BlueShield Local CCP

Clinical Pharmacist Consultant III Leonard Ruth J

1-208-395-7732

1-208-395-7744



Washington RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Washington



1-702-877-8377

[email protected]


Washington



1-866-443-0934

[email protected]


Washington




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Washington



1-314-810-6102

[email protected]


Washington




1-765-526-2515

[email protected]


Washington



1-765-526-2515



Washington




1-972-569-3646

1-972-569-3679

[email protected]


Washington


1-949-252-4339

1-949-474-4237





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Washington



1-949-221-9994

1-949-747-4237


Washington



1-949-221-9994

1-949-747-4237


Washington



1-949-221-9994

1-949-747-4237


Washington


1-949-252-4339

1-949-474-4237


Washington



1-813-290-6200 6620

[email protected]


Washington



1-813-290-6200 5119

[email protected]


Washington D.C. AETNA HEALTH INC. Aetna Medicare Local CCP


1-386-963-2543

1-860-754-1481


Washington D.C.



1-386-963-2543

1-860-754-1481


Washington D.C.



1-386-963-2543

1-860-754-1481


Washington D.C.



1-386-963-2543

1-860-754-1481


Washington D.C.



1-386-963-2543

1-860-754-1481


Washington D.C.BRAVO HEALTH MID- ATLANTIC INC. Bravo Health PFFS


1-410-864-4583

1-866-464-0709

[email protected]


Washington D.C.BRAVO HEALTH MID- ATLANTIC INC. Bravo Health Local CCP


1-800-625-9432

1-866-464-0709

[email protected]


Washington D.C.


1-860-226-6731

[email protected]


Washington D.C.



1-801-954-3043

[email protected]



Washington D.C.



1-801-954-3043

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Washington D.C.DAVITA VILLAGEHEALTH, INC.

DaVita VillageHealth of DC, Inc. Local CCP


1-518-932-4416


Washington D.C.



1-330-405-8080 6320

1-330-405-8081

[email protected]


Washington D.C. FIRST CARE, INC.Medi-CareFirst BlueCross BlueShield PDP


1-410-528-7897

[email protected]


Washington D.C.



1-801-954-3043

[email protected]


Washington D.C.




1-916-463-9603

1-916-463-9750

[email protected]



Washington D.C.




1-615-565-8110

1-615-234-2154

[email protected]


Washington D.C.HUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Washington D.C.



1-301-816-6835

[email protected]


Washington D.C.




1-201-269-6717

1-201-269-1008

[email protected]


Washington D.C.



1-440-248-8448 135

1-440-248-1729

[email protected]


Washington D.C.




1-401-333-3987 7941

1-800-373-0238

[email protected]


Washington D.C. RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Washington D.C.



1-702-877-8377

[email protected]


Washington D.C.



1-866-443-0934

[email protected]


Washington D.C.




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Washington D.C.



1-314-810-6102

[email protected]


Washington D.C.




1-765-526-2515

[email protected]


Washington D.C.



1-765-526-2515



Washington D.C.




1-972-569-3646

1-972-569-3679

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Washington D.C.


1-949-252-4339

1-949-474-4237


Washington D.C.



1-949-221-9994

1-949-747-4237


Washington D.C.



1-949-221-9994

1-949-747-4237


Washington D.C.



1-949-221-9994

1-949-747-4237


Washington D.C.


1-949-252-4339

1-949-474-4237


Washington D.C.



1-813-290-6200 6620

[email protected]


Washington D.C.



1-813-290-6200 5119

[email protected]


West Virginia



1-386-963-2543

1-860-754-1481


West Virginia



1-386-963-2543

1-860-754-1481


West Virginia





West VirginiaAVALON INSURANCE COMPANY

Avalon Insurance Company PDP


1-717-703-8466

[email protected]


West Virginia



1-800-625-9432

1-866-464-0709

[email protected]


West Virginia


1-860-226-6731

[email protected]


West Virginia

COVENTRY HEALTH AND LIFE INS. COMPANY Carelink Advantra PPO Local CCP


1-801-954-3043

[email protected]

2650 S. Decker Ln. Salt Lake City UT 84119

West Virginia



1-801-954-3043

[email protected]



West Virginia



1-801-954-3043

[email protected]


West Virginia



1-330-405-8080 6320

1-330-405-8081

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

West Virginia



1-801-954-3043

[email protected]


West Virginia

GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Gold PDP


1-570-214-9606

1-570-214-6768

[email protected]


West Virginia




1-916-463-9603

1-916-463-9750

[email protected]



West Virginia

HEALTH PLAN OF THE UPPER OHIO VALLEY The Health Plan Local CCP


1-740-695-7638

1-740-695-7925



West Virginia




1-615-565-8110

1-615-234-2154

[email protected]


West Virginia

HIGHMARK HEALTH INSURANCE COMPANY

Highmark Health Insurance Company Local CCP

Manager -- Clinical Services Culley Eric

1-412-544-4005

1-412-544-7546

[email protected]


West VirginiaHIGHMARK SENIOR RESOURCES INC.

Highmark Senior Resources Inc. PDP


1-412-544-4005

1-412-544-4092

[email protected]

120 Fifth Avenue Ste. 1812 Pittsburgh PA 15222

West Virginia

HM HEALTH INSURANCE COMPANY

Highmark Health Insurance Company PFFS


1-412-544-4005

1-412-544-4092

[email protected]

120 Fifth Avenue, Ste. 1812 Pittsburgh PA 15222

West VirginiaHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


West Virginia






West Virginia




1-201-269-6717

1-201-269-1008

[email protected]


West Virginia



1-440-248-8448 135

1-440-248-1729

[email protected]


West Virginia




1-401-333-3987 7941

1-800-373-0238

[email protected]


West Virginia

QCC INS CO D/B/A AMERIHEALTH INS CO

AmeriHealth Advantage PDP


1-215-937-5352

[email protected]


West Virginia

QCC INS CO D/B/A AMERIHEALTH INS CO AmeriHealth Rx PDP


1-215-241-7928

[email protected]

1901 Market Street 22nd Floor Philadelphia PA 19103

West Virginia RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

West Virginia



1-702-877-8377

[email protected]


West Virginia



1-866-443-0934

[email protected]


West Virginia




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


West Virginia



1-314-810-6102

[email protected]


West VirginiaTHP INSURANCE COMPANY

Health Plan SecureChoice Local CCP


1-740-695-7638

1-740-695-7925



West VirginiaTHP INSURANCE COMPANY

Health Plan SecureFreedom PFFS


1-740-695-7638

1-740-695-7925



West Virginia




1-765-526-2515

[email protected]


West Virginia



1-765-526-2515



West Virginia




1-972-569-3646

1-972-569-3679

[email protected]


West Virginia


1-949-252-4339

1-949-474-4237


West Virginia



1-949-221-9994

1-949-747-4237


West Virginia


1-949-252-4339

1-949-474-4237


West VirginiaUPMC HEALTH BENEFITS, INC UPMC Health Plan PDP


1-412-454-5539



West Virginia



1-813-290-6200 6620

[email protected]


West Virginia



1-813-290-6200 5119

[email protected]


WisconsinABRI HEALTH PLAN, INC Today's Health Local CCP




Wisconsin



1-386-963-2543

1-860-754-1481


Wisconsin



1-386-963-2543

1-860-754-1481





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

WisconsinANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


WisconsinANTHEM INSURANCE COMPANIES, INC.



1-765-526-2515

[email protected]


WisconsinANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP


1-765-526-2515



WisconsinCARE WISCONSIN HEALTH PLAN, INC.

Care Wisconsin Health Plan, Inc. Local CCP Pharmacist Hetzel Jean

1-608-245-3037

1-608-245-3077

[email protected]

2802 InternationalLane Madison WI 53704

WisconsinCARE WISCONSIN HEALTH PLAN, INC.

Care Wisconsin Health Plan, Inc. Local CCP Pharmacist Hetzel Jean

1-608-245-3037

1-608-245-3077

[email protected]

2802 InternationalLane Madison WI 53704

Wisconsin




1-215-988-6835

1-215-557-7437

[email protected]



WisconsinCOMMUNITY CARE HEALTH PLAN, INC Community Care Local CCP

Clinical Pharmacist Supervisor Mueller Richard J

1-414-902-2397

1-414-274-8490

[email protected]

1555 S. Layton Blvd. Milwaukee WI 53215

WisconsinCOMMUNITY CARE HEALTH PLAN, INC. Community Care Local CCP

Clinical Pharmacist SUpervisor Mueller Richard

1-414-902-2397

[email protected]

1555 S. Layton Blvd Milwaukee WI 53215

Wisconsin

COMPCARE HEALTH SERVICES INSURANCE CORPORATION



1-765-526-2515

[email protected]


Wisconsin


1-860-226-6731

[email protected]


Wisconsin



1-801-954-3043

[email protected]



Wisconsin



1-801-954-3043

[email protected]


WisconsinDEAN HEALTH INSURANCE, INC.

Dean Health Insurance,Inc. PDP Staresnic Anthony

1-608-827-7513

[email protected]

999 Fourier Drive, Suite 301 Madison WI 53717

Wisconsin



1-330-405-8080 6320

1-330-405-8081

[email protected]


Wisconsin



1-801-954-3043

[email protected]


Wisconsin

GUNDERSEN LUTHERAN HEALTH PLAN

Gundersen Lutheran Health Plan, Inc. Local CCP Pharmacy Director Schuth Grant C

1-608-775-8059 58059

1-608-775-8790

[email protected]

1900 South Avenue

Mail Stop NCA2-01 La Crosse WI 54601

Wisconsin




1-916-463-9603

1-916-463-9750

[email protected]



Wisconsin

HEALTHPARTNERS INSURANCE COMPANY

HealthPartners Liberty Medicare PFFS


1-952-967-5818

[email protected]



Wisconsin




1-615-565-8110

1-615-234-2154

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

WisconsinHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]




1-502-580-3538

[email protected]


WisconsinINDEPENDENT CARE HEALTH PLAN, INC. iCare Local CCP Tirado Breanne

1-414-231-1087

1-414-231-1075

[email protected]

1555 N Rivercenter Drive Suite 202A Milwaukee WI 53212

Wisconsin

MANAGED HEALTH SERVICES, WISCONSIN

Advantage by Managed Health Services Local CCP


1-732-476-1047

1-732-549-5824

[email protected]


Wisconsin






Wisconsin




1-201-269-6717

1-201-269-1008

[email protected]


Wisconsin

MEDICA HEALTH PLAN S OF WISCONSIN

Medica Health Plans of Wisconsin PFFS Weiss Justin

1-952-992-2469

[email protected]


WisconsinMEDICA INSURANCE COMPANY


1-952-992-2469

[email protected]


Wisconsin

NETWORK HEALTH INSURANCE CORPORATION

Network Platinum Medicare Products Local CCP

Director Pharmaceutical Benefits Rynearson Chuck

1-920-720-1603

1-920-720-1906

[email protected]

1570 Midway Place PO Box 120 Menasha WI 54952

WisconsinPARTNERSHIP HEALTH PLAN, INC.

Community Health Partnership Local CCP Pharmacist Maslonkowski Chris

1-715-858-7008

[email protected]

2240 EastRidge Center Eau Claire WI 54701

Wisconsin



1-440-248-8448 135

1-440-248-1729

[email protected]


Wisconsin




1-401-333-3987 7941

1-800-373-0238

[email protected]


Wisconsin





Wisconsin RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Wisconsin

SECURITY HEALTH PLAN OF WISCONSIN, INC

Security Health Plan Of Wisconsin, Inc Local CCP

Clinical Pharmacy Specialist Proudfit Jennifer

1-715-221-9920

1-715-221-9989

[email protected]

1515 Saint Joseph Avenue Marshfield WI 54449

Wisconsin



1-866-443-0934

[email protected]


Wisconsin




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Wisconsin



1-314-810-6102

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

WisconsinUCARE WISCONSIN INSURANCE UCare Local CCP Medical Director Christianson Craig

1-612-676-3375

1-612-676-6501


Wisconsin




1-765-526-2515

[email protected]


Wisconsin



1-765-526-2515



Wisconsin




1-972-569-3646

1-972-569-3679

[email protected]


Wisconsin


1-949-252-4339

1-949-474-4237


Wisconsin



1-949-221-9994

1-949-747-4237


Wisconsin


1-949-252-4339

1-949-474-4237


Wisconsin

UNITED HEALTHCARE OF WISCONSIN, INC


1-949-221-9994

1-949-747-4237


WisconsinUNITEDHEALTHCARE OF WISCONSIN

UnitedHealthcare of WI/Personal Care Plus Local CCP


1-713-599-5773

[email protected]


Wisconsin



1-813-290-6200 6620

[email protected]


Wisconsin



1-813-290-6200 5119

[email protected]


Wisconsin

WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION WPS Health Insurance PDP

Director Pharmacy Benefits Armstrong David

1-608-226-7883

[email protected]

1717 West Broadway

PO Box 8190 Madison WI 53708

Wyoming



1-386-963-2543

1-860-754-1481


Wyoming



1-386-963-2543

1-860-754-1481


Wyoming

ALTIUS HEALTH PLANS, INC. (WYOMING) Altius Advantra Local CCP


1-801-954-3043

[email protected]


Wyoming



1-651-662-8758

1-651-662-6009

[email protected]



Wyoming



1-651-662-8758

1-651-662-6009

[email protected]






PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Wyoming


1-860-226-6731

[email protected]


Wyoming



1-801-954-3043

[email protected]



Wyoming



1-330-405-8080 6320

1-330-405-8081

[email protected]


Wyoming



1-801-954-3043

[email protected]


Wyoming



1-801-954-3043

[email protected]


WyomingFOX INSURANCE COMPANY



1-646-340-1016

1-866-369-7978

[email protected]


Wyoming




1-916-463-9603

1-916-463-9750

[email protected]



Wyoming




1-615-565-8110

1-615-234-2154

[email protected]


WyomingHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


WyomingHUMANA INSURANCE COMPANY


1-502-580-3538

[email protected]


Wyoming






Wyoming




1-201-269-6717

1-201-269-1008

[email protected]


Wyoming



1-440-248-8448 135

1-440-248-1729

[email protected]


Wyoming




1-401-333-3987 7941

1-800-373-0238

[email protected]


WyomingROCKY MOUNTAIN HEALTH PLANS

Rocky Mountain Health Plans 1876 Cost Pharmacy Director Nolan Steve

1-970-244-7760 5182


Wyoming RXAMERICA, LLC RxAmerica PDP


1-801-961-6251

1-801-961-6313

[email protected]


Wyoming



1-866-443-0934

[email protected]


Wyoming




1-360-647-9080 29098

1-360-647-8632

[email protected]

2219 Rimland Drive


Wyoming



1-314-810-6102

[email protected]





PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

Wyoming




1-765-526-2515

[email protected]


Wyoming



1-765-526-2515



Wyoming




1-972-569-3646

1-972-569-3679

[email protected]


Wyoming


1-949-252-4339

1-949-474-4237


Wyoming



1-949-221-9994

1-949-747-4237


Wyoming


1-949-252-4339

1-949-474-4237


Wyoming



1-813-290-6200 6620

[email protected]


Wyoming



1-813-290-6200 5119

[email protected]


ASOCIACION DE MAESTROS DE PUERTO RICO

Employer/Union Only Direct Contract PFFS Sandoval Alma

1-469-524-5801

1-480-661-2771

[email protected]

750 West John Carpenter Freeway Ste. 500 Irving TX 75039

C AND O EMPLOYEES HOSPITAL ASSOCIATION

Employer/Union Only Direct Contract PDP Marks Iny

1-516-605-6966

1-412-322-2066

[email protected]

600 Waterfront Drive Suite 225 Pittsburgh PA 15222

CARPENTER'S HEALTH AND WELFARE TRUST FUND OF STL

Employer/Union Only Direct Contract PDP

Medicare D Coordinator Sickemier Carol

1-314-644-7226


1419 Hampton Avenue St Louis MO 63139

CDPHP UNIVERSAL BENEFITS, INC. PDP


1-518-641-3225

1-518-641-3208

[email protected]


EXPRESS SCRIPTS INSURANCE CO. PDP Hirsch Jeff

1-314-810-6102

[email protected]


GROUP HOSPITALIZATION AND MEDICAL SERVICES, INC. PFFS


1-410-528-7897

[email protected]


HAWAII MEDICAL SERVICES ASSOCIATION PDP

Clinical Pharmacist Nishimura Rachel

1-808-948-6808

1-808-948-5510

[email protected] 5 - PBM

818 Keeaumoku St Honolulu HI 96814

HEALTH ALLIANCE MEDICAL PLANS PFFS


1-800-851-3379 8078

1-217-255-4598


HORIZON BLUE CROSS BLUE SHIELD OF NJ PFFS


1-973-466-4575

[email protected]

3 Penn Plaza East - PP 13Q Newark NJ 7105

IBT VOLUNTARY EMPLOYEE BENEFITSTRUST

Employer/Union Only Direct Contract PDP Andrews Sheela

1-949-475-3302

1-949-474-4268

[email protected] 2300 Main St

MS CA 134-1000 Irvine CA 92614




PHONE EXT FAX EMAIL

STREET ADDRESS

STREET ADDRESS

2 CITY STATE ZIP

MO DOT AND MSHP MEDICAL AND LIFE INS PLAN

Employer/Union Only Direct Contract PDP Anderson Brian

1-636-614-1344

[email protected]

1061 Peruque Crossing Ct. Ofallon MO 63366

NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION

Employer/Union Only Direct Contract PDP Moyna Audrey

1-847-559-3999

1-847-559-4733

[email protected]


NMHC GROUP SOLUTION INSURANCE, INC. PDP

DIRECTOR, CLINICAL MEDICARE SERVICES MARKS INY R

1-516-605-6966

1-412-322-2066

[email protected]

600 WATERFRONT DR. STE 225 PITTSBURGH PA 15222

OKLAHOMA STATE AND EDUCATION EMP GRP INS BOARD

Employer/Union Only Direct Contract PDP Hamer Marti

1-405-717-8842

1-405-717-8965

[email protected]

3545 NW 58th Street, Suite 110 Oklahoma City OK 73112

PSERS HOP PROGRAM

Employer/Union Only Direct Contract PDP Anderson Brian

1-636-614-1344

[email protected]

1061 Peruque Crossing Ct Ofallon MO 63366

QCC INS CO D/B/A AMERIHEALTH INS CO PDP


1-215-241-7928

[email protected]

1901 Market Street 22nd Fl. Philadelphia PA 19103

ROCHESTER AREA HEALTH MAINTENANCE ORGANIZATION PFFS

Clinical Pharmacy Coordinator Colin Wendy

1-585-327-2577

[email protected] 259 Monroe Ave Rochester NY 14607

THE PORT OF AUTHORITY OF NEW YORK AND NEW JERSEY


Senior Account Director Cromer Keith

1-973-503-1039

1-973-560-5610

[email protected]

711 Ridgedale Avenue East Hanover NJ 7936

UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS


Director of Pharmacy Services Johnson Ben R

1-801-595-4364

1-801-595-2064

[email protected] PO Box 161020

1040 North 2200 West Suite 200 Salt Lake City UT 84116

Direct employer contracts and “800-series only” contracts that only offer employer plans may cover retirees in any state. Therefore, this list does not associate a specific state with these organizations and their respective MTMP contact. The state field has been left blank.


street organization phone street address state …...programs stern jody l 1-386-963-2543...

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