Easy Claim Help Desk Payer Listing

AUGUST 2009 Easy Claim Help Desk Payer Listing Payer Name BIN Phone Number 4-D Pharmacy Benefits 600428 S/D 800-522-7487 Absolute CompCare RX 7192 S/ 800-433-4893 Absolute Data Processing Inc. 8977 S/ 800-887-8717 Aclaim 5848 S/D 888-422-5246 877-861-5002 ADAP (NYS Uninsured Care Program) 610490 S/ 800-542-2437 (in state) 518-459-1641 (out of state) Advance / PCS 610415 S/D 800-345-5413 AdvancePCS 800002 S/D 800-364-6331 AdvancePCS 8514 S/D 800-364-6331 AdvancePCS Certification Testing 447225 S/D 480-614-7972 Advanced Paradigm 4336 S/D 800-364-6331 Advanced Pharmacy Care 610617 S/ 866-273-8483 Advantage Care MA-PD 12353 S/ 800-913-7690 ADVANTAGE Health Solutions 610468 S/D 800-311-0573 Aetna Standard Plan 610502 S/D 800-238-6279 Aetna US Healthcare 1884 S/D 800-238-6279 Aetna Wokermens' Compensation 12642 S/D 888-869-4600 ext 22110 or 22534 AGELITY 9265 S/W 800-847-7147 AGELITY / Advantage Wellness of America 13105 S/ 800-837-0581 AGELITY / FamilyWize 610194 S/ 877-435-7977 AGELITY / GetRxRelief 13824 S/ 800-808-1213 AGELITY / Groupnet 610198 S/W 888-788-7921 AHHS 3573 S/ 888-420-9711 Aids HealthCare Foundation 5947 S/ 888-869-4600 AKT Card 8696 S/ 800-700-3957 Alabama Medicaid 4146 S/D 800-456-1242 334-215-0111 (Out of state) AlaGap Data Systems, Inc. 610489 S/D 706-885-0204 Alaska Medicaid 9661 S/D 800-884-3238 Allwin Data Services 4766 S/D 800-879-6153 Alpha Scrip(Processor NMHCRx) 610600 S/C 800-324-2200 AME Benefits 11966 S/D 866-861-3413 American Health Care 610118 800-872-8276 American Legion 400042 S/D 800-770-8014 American Pharmacy Network - Affinity 600426 S/ 800-433-4893 AmeriHealth 65 Basic 12353 866-369-6037 (0366) 800-684-5501 (0367) AmeriHealth Advantage 12353 866-369-6037 (0366) 800-684-5501 (0367) Ameriplan 13907 S/ 888-244-8335 Pharmacy 800-647-8421 Members

AmeriScript 610640 S/D 800-325-1810 AmeriScript (Cincinnati Financial) 12957 S/D 800-681-6912 AmeriScript (Emerald Health Employees) 12924 S/D 866-349-0464 APCI (American Pharmacy Coop, INC) 10058 S 800-875-1989 Anthem 610575 S/ 800-662-0210 Apollo 610036 S/C 800-433-3894 Argus Health Systems 600428 S/D 800-522-7487 Arizona MED D 610524 S/ 800-957-6285 Arkansas Medcaid 610093 S/D 800-457-4454 501-376-2211 (out of state) Asuris Medicare 610623 S/D 888-437-1508 Asuris Northwest Health 610624 S/ 800-522-7487 Atlantic Prescription Services 610173 S/ 877-277-7972 Atlantic Prescription Services 610704 S/ 877-277-7972 AutoRx 610133 S/ 800-770-8014 Avia Partners 610550 S/ 800-273-9166 AVMed Health Plans 12163 S/ 8008828633 B-Claims RX 12015 S/D 800-388-2316 BC Rx 600426 S/ 330-405-0025 BadgerRx Gold Program 610602 S/ 866-333-2757 800-325-1810 (weekend) Bank of Stockton 9117 S/D 877-839-8119 BEBETTER - Anthem Prescription 13550 S/D 877-373-6768 Bellin Health Systems 610602 S/ 866-333-2757 800-325-1810 (weekend) Benecard PBF 14179 S/ 888-907-0050 Benefit Advantage 8183 S/ 800-967-7160 Benescript 3452 S/ 800-345-3189 Bergen Pluscare 3585 S/D 800-325-1810 Beyond Rx 610641 S/ 913-661-0298 Blue Cross of Michigan (DRAMS) 3585 S/D 800-437-3803 (517 Area) 800-272-0172 (616 Area) 800-255-1878 (906 Area) 800-336-9920 (313 Area) 800-245-9092 Blue Cross Blue Shield of Alaska 610014 S/D 800-922-1557 Blue Cross Blue Shield of California 610053 S/D 800-962-7378 BlueCross BlueShield of Alabama 4915 S/D 205-988-2213 Pharmacy claim's rejections 800-216-9920 BlueCross BlueShield of Arizona 603017 S/ 800-325-1810 BlueCross BlueShield of Arkansas 600428 S/ 800-880-0918 BlueCross BlueShield of Delaware 600428 S/ 800-522-7487 BlueCross BlueShield of Florida 12833 S/D 800-821-4795 BlueCross BlueShield of Florida Commerical 12833 S/D 800-821-4795 BlueCross BlueShield of Illinois 11552 S/ 800-821-4795 BlueCross BlueShield of Kansas 600428 S/ 800-522-7487 BlueCross BlueShield of Maine 610455 S/ 800-821-4795

Blue Cross Blue Shield of Michigan 003585 S/ 800-437-3803 BlueCross BlueShield of Mississippi 4583 S/ 800-551-5258 BlueCross BlueShield of North Carolina 7895 S/ 888-273-8400 BlueCross BlueShield of Nebraska 610455 S/ 800-821-4795 BlueCross BlueShield of New Hampshire 8563 S/D 800-228-3108 BlueCross BlueShield of New Mexico 11552 S/ 800-821-4795 BlueCross BlueShield of New Mexico 610575 S/D 800-281-6413 BlueCross BlueShield of North Dakota 610455 S/ 800-821-4795 BlueCross BlueShield of Oklahoma 11552 S/ 800-821-4795 BlueCross BlueShield of Oregon 610623 S/ 800-522-7487 BlueCross BlueShield of Rhode Island 610468 S/D 800-777-1023 BlueCross BlueShield of Texas 11552 S/ 800-821-4795 BlueCross Blueshield of Utah 610648 S/ 888-437-1508 BlueCross BlueShield of Wyoming 800001 S/ 800-821-4795 BlueCross of Northeastern Pennsylvania 3858 S/D 800-359-0776 BlueShield - Regence 610624 S/ 800-522-7487 BlueShield of Idaho 610648 S/ 800-332-5455 option# 2 BlueShield of Washington 610624 S/ 800-643-5918 Bluegrass Family Health 610468 S/ 877-205-6308 Brickstreet 610084 S/ 800-365-4944 Broadreach Medical Resources (BMR) 610171 S/ 800-248-1062 Brooks RXW/Maxi Drug, Inc. 610487 S/B 800-338-2636 CACH HMO, INC 610468 S/ 800-777-1023 CALOPTIMA 610575 S/D 888-730-2804 Healthy Family/ Healthy Kids 800-307-1259 MAPD 800-310-9747 Medicaid CareClaim 4303 S/ 800-666-4797 Care Company 3573 S/ None Listed CareFirst 11834 S/D 800-522-7487 Carelington 808412 S/ 888-886-5822 Caremark/PHS 610029 800-421-2342 CarePlus 610649 S/D 800-865-4034 CareRx 14252 S/ 877-823-1273 Cariten Health Care 11826 800-706-2702 Carolina Crescent 600428 S/D 800-522-7487 Carter V5.1 610169 S/ 817-572-0009 Cash Discount Program 11867 S/ 877-459-8475 Catalyst 5947 S/ 888-869-4600 Catalyst Laker Software 11685 S/ 800-774-2002 Catalyst Rx Hospiscript 11891 S/ 954-938-9980 Catalyst Rx EBRX 610560 S/ 888-869-4600 Catalyst Rx PremierScript 13667 S/ Refer to Member's Card Catalyst Rx PSG Workers Comp 5757 S/ 888-869-4600 Catalyst Rx SeniorScript 13170 S/ Refer to Member's Card Catalyst Rx/RXX 610140 S/D 888-869-4600 CCOK Commerical Business 13550 S/ 866-293-8628 CCOK Medicare Part D 13550 S/ 877-293-8628

Champ VA (VA Health Administration) 610593 S/D 800-733-8387 Chatham Steel 610468 S/ 800-777-1023 Choice Rx 3573 S/ 918-742-1720 Cignature-Rx Medicare Part D 12353 S/ City and County of San Francisco 3585 S/ 800-788-2949 Claim One 14567 S/ 904-962-8894 Claim RX - ScripSolutions 900020 S/ 800-213-5640 Claritin Rebate Program 610561 S/ 800-727-7856 CMS Medicare Part D Program 12295 S/ CogentHealth Walgreens WC 610214 S/ 866-752-0412 Colorado Medicaid 610084 S/D 800-365-4944 ***BBC# referred on inventory reconcliation issues only--ndc h/d any non-reconciliation issues and claim issues**** Comcotec 601683 S/D 800-317-2324 Comcotec 1553 S/D 800-325-1810 Comcotec/Workers Compensation 610453 S/D 800-325-1810 Commercial Plan 610084 800-365-4944 Communicare 6193 S/ 330-722-4642 Community CCRx 610211 S/D 866-684-5395 Community Health Plan of Sara 610493 S/D 217-348-3280 Community Partnership of Southern Arizona 7887 S/D 800-325-1810 Comprehensive Care Management 7895 S/ 888-273-8400 COMPTODAY 610713 S/ 866-752-0413 CompToday Workers Comp Program 610642 S/D 800-770-8014 Connecticare Insurance (CCI) 13337 S/ 877-224-8177 Connecticut Medicaid Full Adjud. 610480 S/D 860-409-4500 Local to Farmington/Out of state In State 800-842-8440 In state Connecticut Medicaid Eligibility 400041 S/D 860-409-4500 Local to Farmington/Out of state 800-842-8440 In state Conn Pace(Ct Medicaid Part D) 610480 S/D 800-423-5026 860-409-4555 locally Consolidated Prescription Services 5780 S/D 330-725-3631 Consulcare Precription Netk. 4781 A/H 417-889-4000 Consultec 610084 S/D 800-365-4944 Corporate Pharmacy Services 4808 A/ 205-543-9000 CoreCare 600426 S/ 800-433-4893 County of Los Angeles 5260 S/D 800-884-3238 Curascript 610083 S/D 800-798-1109 Cypress Care 10876 S/ 800-419-7191 Dakota Script 610456 S/D 605-333-2846 DATA RX 600426 S/ 800-433-4893 D.C. Care Consortium 600426 S/ 800-433-4893 D.C. Care Consortium (Group INS/MCD Copay) 600426 S/ 800-433-4893 Dean Health Plan 610602 S/ 800-279-1301 Delaware Med 610452 S/D 800-999-3371 Destination Rx 11362 800-379-9040 Diagnostek/Perform Cost Mgmt 610077 S/D 800-726-7220

Direct CompRX 9620 S/ 866-515-5535 District of Columbia Medical Assistance 610084 S/D 800-272-9679 Diversified Pharm Services 400004 S/D 800-824-0898 EasyCDH 12825 S/D 877-334-5517 ELK 877-685-0655 DPH 800-659-3035 ASI EasyFSA 12825 S/D 877-334-5517 ELK 877-685-0655 DPH 800-659-3035 ASI EBMS - Catalyst Health Solutions 610675 S/ 888-869-4600 EBRX, Inc. 610560 S/ 800-433-4893 Eckerd Health Services, d.b.a. TDI 610474 S/D 800-244-5800 EHIM 5285 A/D 800-311-3446 EmergeRx-D 14278 S/ 877-792-2699 Employer's Health Options 4527 S/D 817-773-3728 800-650-1817 Enhanced Pharmacy Care 8266 S/ 800-699-3542 EPIC NY 9704 S/D 800-634-1340 Epic NY Medicare Part D 12345 S/D 800-634-1340 ESI/FHP 4451 S/D 800-763-5550 evoucher 12759 S/ 800-388-2316 Test Claims 800-895-0333 Express Scrip, Inc. 3858 S/D 800-235-4357 EZ-DME 7895 S/ 888-273-0033 EZ-DME for Comprehensive Care Management 7895 S/ 888-273-0033 FAMILYWIZE 610194 S/ 800361-4542 Federal Employees Compensation Program 610084 S/ 202-693-0041 Fidelis 610211 S/D 877-372-7948 Option 1 Finger Lakes BC/BS 610475 S/D 800-724-5033 (formerly Blue Cross/BS of Rochester) 716-454-5338 Federal Black Lung 610084 S/H 866-664-5581 First Data Corporation 11198 S/ 877-456-9483 First Health 5260 S/D 800-884-3238 First Health Rx Part D 610678 S/ 916-374-3756 Florida Medicaid 13352 S/D 800-603-1714 Flu Shots - Washington State 7895 S/D 888-273-8400 Formula Corporation 9349 S/ 651-686-0412 ext 109/105 888-686-0412 ext 109/105 Fox Insurance Company 14194 S/ 877-447-6335 Fresenius 610211 S/D 888-284-9029 FSAok 808410 S/ 484-472-1500 FutureScripts 600428 S/D 888-678-7012 Gateway Healthplan 600428 S/ 800-522-7487 Georgia Medicaid 1553 S/D 866-525-5826 Technical assistance/help desk 866-525-5827 Clinical Prior Auth support Generations Healthcare 610211 S/D 877-864-3398 Generations Healthcare (Oklahoma Retirees) 610211 S/D 877-864-3398

GHI 13344 S/ 877-444-6479 GPP 610086 A/C 800-341-2234 Hawaii Medicaid 610084 S/ 877-439-0803 Hawaii Medical Service 65C Plus MA-PD 12353 S/ 800-790-4672 Hawaii Medical Service ArgusRx 600428 S/ 800-790-4672 Hawaii Medical Service Association 600428 S/ 800-790-4672 Hawaii Medical Service Assoc. Quest-HMSA 600428 S/ 800-790-4672 HCPP/Foxmeyer 610031 S/B 800-765-4239 elig. Health Net Medicare Part D 600428 S/D HealthCare Computers 7895 S/ 888-273-0033 HealthEsystems 012874 S/ 800-758-5779 HealthExtrasRx (formally IPM) 005559 S/ 800-476-3784 Health Insurance Plan of Greater New York 013865 (HIP) S/ 877-444-3786 Health Partners, Inc. 610468 S/ 800-777-1023 Health Partners MN 7895 S/ 888-273-8400 HealthSpring MA-PD / Prescription Drug Plan 12353 800-971-1581 HealthTrans Cash Discount Programs 11867 S/ 877-459-8474 HealthTrans Funded A (Hambro Group) 12502 S/ 877-839-8119 HealthTrends 600426 S/ 800-433-4893 Healthy Maine Prescriptions 5526 S/ 888-420-9711 Heritage Health 610468 S/ 800-311-0542 HIP of Florida 7838 S/D 877-794-4735 HIP of New York 400023 S/D 800-992-6227 Hoosier RX 610467 S/E 866-834-9824 Horizon Mercy 610606 S/ 800-682-9094 Hospice of North Central Florida 12155 S/ 888-743-9211 Hospice Pharmacy Alliance 610568 S/ 800-454-9399 Humana 610649 S/ 800-865-8715 Humana HMO 7895 S/ 888-273-8400 Humana MA-PD, National PDP & CarePlus MA-PD 610649 S/ 800.522.7487 Hyde Rx Services 11297 S/ 866-455-3047 Idaho Medicaid 610508 S/ 800-685-3757 Idaho Medicare Part D 13550 S/ 877-850-0180 Ideal Scripts 11289 S/ 877-747-2612 Illinois Department of Central Mgmt. 610150 S/ 800-228-3108 Illinois Medicaid 8259 S/B 217-782-5565 Independent Health 4626 S/D 800-993-9898 Independent Health 12635 S/D 800-993-9898 Indiana Medicaid 610467 S/E 800-577-1278 317-655-3240 Indiana Medicaid DME 4766 S/ 800-738-6770 Ingenix Property & Casualty Connectivity (IPACC) 610214 Auto S/D 866-752-0413 Ingenix Property & Casualty Connectivity (IPACC) 610214 Work Comp S/D 866-752-0413 Innoviant 610127 S/ 877-559-2955 INS and MCD Groups 600426 S/ 800-433-4893 Integrated Prescription Management (IPM) 14658 S/D 800-860-8846 Inteq 4469 S/D 800-324-2200

Interchange NMHCRx Group Health 610619 S/ 800-880-1188 Integrated Health Systems 13535 S/ 800-767-4226 Intermountain Health Care 800008 S/ 800-527-1118 InterValley Health Plan 400013 S/B 909-623-6333 IPS-QUALMED 6152 S/ 800-600-0180 Iowa Medicaid 11933 S/D 877-463-7671 515-725-1107 (local) Jordan Reses Rx Management Services 11065 S/ 800-848-4050 Kaiser Perm - Colorado 11255 S/B 303-338-4408 Kaiser Perm - Georgia 11222 S/ 404-261-2590 Kaiser Perm - Hawaii 11214 S/B 800-966-5955 Kaiser Perm - Mid Atlantic 11859 S/B 800-788-2949 Kaiser Perm - Northern California 11842 S/ 800-443-0815 Kaiser Perm - Northwest 11230 S/ 800-813-2000 Kaiser Perm - Ohio 11248 S/B 800-686-7100 Kaiser Perm - Southern California 11172 S/ 800-443-0815 Kansas Medicaid 610517 S/D 877645-1282 Keystone 65 Complete & AmeriHealth 65 12353 S/ 800-933-6593 866-369-6037 (0366) Keystone Mercy Health Plan (KMHP) 600428 S/ 800-684-5501 (0367) Kentucky Medicaid 11529 S/D 800-522-7487 Kroger Prescription Plan (KPP) 12882 S/ 800-432-7005 Krueger International 610602 S/ 800-575-7712 LDI Pharmacy Benefit Management Co. 800010 S/D 866-333-2757 Link2 Solutions 610108 800-652-9550 Local 1199 (L1199) 11800 S/ 888-758-7756 Long Term Care Pharmacy Alliance 610084 S/ 800-992-6227 Louisiana Medicaid 610514 S/D 866-490-1863 800-648-0790 Louisiana Medicaid Mgmt Info Systems 510514 S/D 800-776-6323 elig. Lumenos and CDHP 610575 800-648-0790 888-662-0947 M PLAN 610613 S/ 888-281-4880 M. Joseph and associates 610084 S/ 800-788-7811 MPB (Scriptline) 610544 S/ 800-365-4944 Maine Medicaid 3573 S/D 800-672-9540 Maine Medicaid 5526 S/ 888-420-9711 Maine Medicaid General Assistance 3573 S/D 888-420-9711 Maine Rx Plus 5526 S/ 888-420-9711 Maryland Breast and Cervical Cancer Diagnosis 610084 and Treatment S/D 888-420-9711 Maryland Department of Health and Mental Hygiene 610084 S/D 800-932-3918 Maryland Kidney Disease Program 610084 S/D 800-932-3918 Maryland Medicaid (Produr Patients Only) 610084 S/ 800-932-3918 Massachusetts Medicaid 9555 S/D 800-922-1557 9555 866-246-8503 MaxBenefits 10595 S/ 800-325-5231 Maxcare RX 610170 405-525-5248

Maxor Plus 9075 S/D 800-687-0707 Maxor Plus 5377 S/D 800-808-4836 Maxor Plus Medicare Part D 12478 S/D 800-687-0707 Maxor - Qualipharm 4204 S/D 800-687-0707 Maxor -Tarrant County- WWBTX 9083 S/ 800-947-6709 Mayo Health Plan 610468 S/D 800-777-1023 Mayo Management Services, Inc 610593 S/ 888-923-5757 MC-21 Corporation 10868 S/ 787-286-6032 MC-21 Corporation ALIVIO DORADO PROGRAM 10868 S/ 787-286-6032 Mckesson Health Solutions 610524 S/ 800-657-7613 Mckesson Healthcare Delivery System 610500 S/ 800-750-9835 MDwise 600428 S/ 800-522-7487 Med/Rx 610601 S/ 800-699-3542 Medco 610031 S/ 800-922-1557 Medco Balance Inquiry Payer Sheet 610056 S/ 800-922-1557 Medco Health (formerly Paid) 610014 S/C 800-922-1557 Medco Medicare COB 610013 S/C 800-922-1557 Medco NPI Certification Testing 610100 S/ 201-269-5168 Mede Select Script 600426 S/C 800-433-4893 MEDEL (state of Maine) 5526 S/ 888-420-9711 Medi-Cal (EDS) 610442 S/D 916-636-1990 (out/pos) (out/prv sup) 916-636-1100 800-427-1295 (IN/POS) (in/prv sup) 800-931-0169 Medi-CareFirst Advantage Blue PFFS 12353 S/D 800-541-5555 Medical Security Card 6053 S/ 800-333-3672 Medical Security Card / ScriptSave 6631 S/ 800-404-1031 Medicare Part A/B 12361 S/ 800-388-2316 Medicare Part D 11727 S/ 800-388-2316 Medicare Part D POS Facilitated Enrollment 610575 S/ 800-662-0210 Medicare Pricing Inquiry 8589 S/D 800-427-1295 CA Only (Associated with Medi-Cal) 916-636-1035 (outside of state) Medifax (Covina Workers Comp RxBuy) 610130 S/ 800-770-8014 MedImpact 3585 S/B 800-788-2949 Medscript 610705 S/ 866715-0876 MedTrak Services 800004 S/ 800-894-0794 MedTrak Services - Med Part D 14244 S/ 800-771-4648 Member Health Part D Program 12304 S/ 866-684-5395 MHS RX 10447 S/ 800-774-2002 Michigan Medicaid 9737 S/ 800-884-3238 Michigan Medicare Dis Prgm 11503 800-261-5989 Millenium Healthcare Group 9117 S/ 866-257-1419 Minerva Health Plan 9570 S/ 866-257-1419 Minnesota Medicaid 610459 S/D 8003665411 Mississippi Medicaid 610084 S/D 866-759-4108 Missouri Medicaid 4047 S/D 573-635-8908 800-884-3222

Missouri Senior Rx 11511 S/D 800-437-8482 Missouri Dept. of Transportation 610575 S/D 866-824-6507 for Medicare Part - D 866-824-9673 For Commercial Business Montana Medicaid 610084 S/D 800-365-4944 Montana Mental Health Services Program 610084 S/D 800-365-4944 MPC Managed Pharmacy Care 13832 S/D 800-582-5889 My Health, My ChoiceSM 14377 S/D 800-388-2316 mymatrixx 14211 S/ 877-804-4900 National Health Network 4923 S/ 402-597-8650 National Medical Health Card 3650 S/D 800-645-3332 National Pharmaceutical Services 4758 S/D 800-546-5677 National Prescription Administrators, Inc. 600568 S/D 800-526-7471 Navitus Health Solutions 610602 S/D 866-333-2757 Nebraska Medicaid 13766 S/D 800-368-9695 NetCard Systems / RxWEST 8878 S/ 888-886-5822 Network Health 3585 S/D 800-788-2949 Nevada Medicaid 9646 S/ 800-884-3238 New Benefits Cash Disc Prgm 11677 S/ 800-800-7616 New Hampshire Medicaid 9513 S/D 603-224-1747 New Jersey Medicaid Full Adjud 610515 S/D 800-776-6334 New Mexico Medicaid 610084 S/D 800-365-4944 New York Medicaid 4740 S/D 800-343-9000 New York Medicare Dis Prgm 11495 S/ 800-634-1340 NY EPIC Beneficiaries 800-261-5989 Non-NY EPIC Beneficiaries NMHC 610011 S/ 800-777-0074 NMHC Non-Medicare Part D 610011 S/ 800-777-0074 North Carolina Medicaid 601312 S/D 919851-8888 North Dakota Medicaid 601364 S/D 701-328-4030 North Dakota Medicaid- Aids Drug 610115 S/D 701-328-4555 North Dakota Medicaid- Children Spec. 610110 S/D 701-328-4815 North Dakota Medicaid- Workers Comp 627174 S/D 800-460-8988 North Dakota Medicaid- Youth Correct. 610116 S/D 701-328-4030 Northwest Pharmacy Services 6086 S/D 800-998-2611 Novascript 8035 S/ 800-699-3542 NY American Indian Health Program 11925 S/ 800-634-1340 NY EPIC PART D 12345 S/ 800-634-1340 NYS Adult Cystic Fibrosis Assistance Program 610630 S/ 518-474-1222 NYS EPIC 9704 S/ 800-634-1340 Oakwood 9117 S/ 877-839-8119 Occuscript 8936 S/ 800-699-3542 OH Bureau-Children w/ Medical Handicaps 610084 S/D 877-518-1545 Ohio BWC 610084 S/D 800-365-4944 Ohio Medicaid 610084 S/D 877-518-1545 Oklahoma Medicaid 10579 S/D 800-522-0114 OHCA Call Center 405-416-6801 EDI Omnisys 4303 S/D 800-666-4797 Open Pharmacy Network 610477 S/D 800-770-8014

Optimum 12353 S/D 800-913-7697 Option Health Care Network 14666 S/ 888-683-4221 Opus Health Information Systems 601341 S/ 800-364-4767 OPUS-ISM LLC 610707 S/D 631-439-0909 Oregon Medicaid 14203 S/D 800-527-5772 Outcome Resources 9885 S/ 866-257-1419 Outlook RX 11792 877-488-6183 Pharmacies 800-977-9655 Members Pace 2286 S/D 800-835-4080 Palliative Drug Card Program 610593 S/ 888-901-2092 Paramount Rx 610210 S/D 800-325-1810 Partners Rx Private Label 11818 S/ 888-730-2834 Passport Advantage 12353 S/D 800-913-3108 Patient Choice 4682 S/ 800-422-5604 PBM Plus 610106 S/ 800-263-2178 PBM Plus/CareNetwork 610478 S/D 866-618-3494 PC Professionals/NHN 4923 S/D 402-597-8650 Pennsylvania Medicaid 600760 S/D 800-932-0938 Pennsylvania Medicare Dis Prgm 11487 800-924-6739 PA PACE Beneficiaries 800-261-5989 Non-PA PACE Beneficiaries Pa Promise Plan 600760 800-932-0938 Perform Cost Management 610077 S/ 800-824-0898 PerformRx-PDP 12353 S/ 800-684-5502 Perspective Health Group 610557 S/ Refer to Member's Card Pharmacare 610468 S/D 800-777-1023 Pharmastrategies 14582 S/ 800-670-0042 Pharmacies 800-670-0039 Members Pharmacy Advantage System 4682 S/ 888-727-5560 Pharmacy Associates, Inc. 601577 S/D 800-880-1188 Pharmacy Data Management 610020 S/D 800-767-4226 Pharnacy Data Management, Inc. 6012 S/ 800-767-4226 Pharmacy Insurance Corp of America 610674 S/ 787-625-4343 Pharmacy Network of North Carolina 7110 S/ 800-476-3784 Physician Services Wokmens Comp 12726 S/ 800-747-1006 Pharmacy Service Corporation of New York 610527 S/D 800-510-8980 Pharmacy Services Group 5757 S/D 800-774-2002 Pharmacy Services of Oregon 610042 S/D 888-878-3971 Pharmadynamics 600426 S/ 800-433-4893 PharmAvail 610114 S/ 866-950-9949 Provider Relations Help Desk Info 800-933-3734 PharPix 610213 S/ Refer to Member's Card Physician Rx Care Discount 10553 S/ 866-652-4325 PMG of Ohio 600426 S/ 800-433-4893 PPS (Pronto-Pharma Scripts) 4591 S/ 800-699-3542 PPSC Cash 4682 S/ 850-656-0100 PPSC Health Care District 4682 S/ 850-656-0100 PPSC Managed Care 4682 S/ 800-577-6484

PPSC Workers Compensation 4682 S/ 800-577-6484 Preferred PatientRx S/ 800-388-2316 Presbyterian Health 610593 S/ 888-923-5757 PrescribaRx 610211 S/D 866-684-9071 PreScrip Managed Care and Cash Programs 4682 S/ 800-577-6484 Prescription Advantage (Mass SPAP) 610593 S/ 800-243-4636 Prescription Solutions 610494 S/D 800788-7871 Prescription Solutions Part D 610097 S/D 800788-7871 Prime Therapeutics (Propar) 610455 S/D 800-821-4795 Prime Therapeutics (Propar) 11552 S/D 800-821-4795 Prime Therapeutics Supplemental 12833 S/ 800-821-4795 Priority Health 600428 S/D 800-522-7487 ProAct 610575 S/D 866-614-0127 ProCare EHP PBM 14575 S/ 877-424-4009 ProCare PBM 9430 S/ 800-699-3542 Proclaim - ScripSolutions 900014 S/D 800-213-5640 Public Health Service Bureau/California ADAP 4519 S 888-311-7632 Public Health Service Bureau 13469 888-311-7632 Quality Helath Plans 11875 S/D 800-361-4542 Raley s 3573 S/ 916-373-6076 Regence RX 610622 888-437-1508 Regence RX PART D/MAPD_PDP 610647 S/ 888-437-1508 RegenceRx 303 610622 S/ 888-437-1508 Regence RX 303 MEDICARE 610647 S/ 888-437-1508 Regence RxEDO 610220 S/D 800-522-7487 RelayHealth Pharmacy Value Plan 14104 S/ 800-388-2316 Restat 600471 S/B 800-248-1062 Rhode Island Medicaid 610471 S/D 401-467-1837 Rhode Island - Medicare Part D 13550 S/ 8665453513 Rex Club 5491 S/D 800-311-3446 RiteAid 12493 S/ 800-277-1657 Rocky Mountain Health Medicare Part D 12147 S/ 800-641-8921 Rocky Mountain Health Plans 11081 S/ 800-641-8921 RX Advantage 6631 S/ 800-404-1031 RX America 610473 S/ 877-279-0372 RX America Medicare Part D 12189 S/D 877-279-0372 RX Innovations 7417 S/ 888-235-1288 RxNet of California 3592 S/ 800-447-9638 Rx Options 9893 S/B 800-361-4542 Rx Options Inc Part D program 12312 S/ 800-361-4542 RX/x Pharmacy Solutions 610140 S/ 888-869-4600 RxAmerica Medicare Part D 12189 S/ 877-279-0372 RxStrategies 9803 S/ 800-282-3232 RxWest 8878 S/ 888-479-2000 Safeway Managed Care Phcy. 610550 S/ 800-325-1810 San Bernardino County Department of Behavioral 14632 Health S/D 888-311-7632 SAV RX ADVANTAGE 8563 S/ 800-228-3108

SAV RX 6558 S/D 800-228-3108 Scott & White HMO 610141 A/D 800-522-7487 Scott & White RX Services 610141 A/D 800-522-7487 Script Care, LTD 4410 S/ 800-880-9988 Scripnet 610621 S/ 888-880-8562 ScripNet Pharmacy Program 13451 S/ 877-343-2455 ScripSolutions 610679 S/ 877-842-5097 Scriptrax 610174 S/ 877-774-8729 ScriptSave 9224 S/ 800-404-1031 ScriptSave Retail POS System 6053 S/D 800-404-1031 Seabury & Smith Associates 601475 S/ 800-770-8014 Select Care of Oklahoma (Tribute) 610211 S/D 888-258-5714 Select Care of Texas (TexanPlus) 610211 S/D 877-864-3402 Select Health 600428 S/B 800-522-7487 Serve You Custom RX Management 1553 S/ 800-759-3203 Sierra Health Services 7382 S/ 800-925-7455 800-325-1810 Weekends & Holidays Smith Premier Services 600518 S/ 800-247-4526 South Dakota Medicad 601574 S/D 800-452-7691 (in state) S/ 605-945-5006 (out of state) SPS Worker s Comp Plan 610548 S/D 800-759-3203 State Farm Auto Claims 502805 S/ 866-752-0413 State Farm Health 502805 S/ 866-752-0413 State Farm Work Comp Claims 502805 S/ 866-752-0413 State of CA Parolees 9117 S/ 877-839-8119 Sterling/Ideal Scripts 12543 S/ 866-257-1419 Summa Care 5947 S/ 888-869-4600 SunRx 610193 S/ 800-786-1791 SXC Health Solutions Inc. 610593 S/ 866-715-0876 Tahoe Truckee Sierra Disposal Co. 9117 S/D 877-839-8119 Teamsters Rx 11883 S/ 800-258-9732 Teamsters Local 237 Welfare Fund (L237) 10991 S/ 888-447-8175 Texas Medicaid 12338 S/ 800-435-4165 TexasFirst (TexanPlus) 610211 S/D 888-284-8690 The Macaluso Group (TMG) 014310 S/D 866-242-9104 Therapeutic Alternative Program (TAP) 014377 S/D 800-388-2316 Therapy First 004682 S/D 800-422-5604 Third Party Solutions dba TPS 5567 S/ 800-541-5234 Timesys 4261 S/ 800-964-2531 TMESYS 13071 S/D 877-674-2880 Today s Health 610211 S/D 877-864-3388 Today's Options PFFS 610211 S/D 866-275-0015 Today's Options PPO 610211 S/D 866-684-9068 Total Script 6524 S/D 800-752-2211 Tri County Schools Insurance Group 13477 S/ 800361-4542 TrialCard 4682 S/ 800-577-6484 Transaction Prescription Network 7093 S/ 800-770-8014

Tricare/ ESI 3858 S/ 866-684-4466 Triple i 004682 S/ 800-422-5604 TrueCare Pharmacy 011131 800-333-8097 Trust Script 014186 S/ 866-257-1419 United Drug 4428 S/ 800-364-8865 US Script 8019 S/D 800-460-8988 Utah Medicaid 610438 S/ 800-662-9651 VA Health Administration Center (Champ VA) 610593 S/ 866-715-0876 ValueRx 610041 800-824-0898 Vermont Medicaid 610593 S/C 800-250-8427 Virginia Medicaid 10900 800-552-8627 (in state) S/ 804-965-7729 (out of state) Virginia Premier Gold 12353 S/D 888-210-0758 Vista Health Plan 610631 800-522-7487 Vytra 10033 S/ 800-447-0210 Walgreen Health Initiatives 603286 S/ 800-207-2568 Walgreen Health Initiatives - COSVI 606464 S/ 866-744-8759 Walgreens Health Initiatives Part D 610652 S/ 800-207-2568 WalMart Workers Compensation 600426 S/D 800-527-0566 x12921 Washington Labor and Industry 610566 S/ 800-848-0811 Washington Medicaid 610706 S/ 800-562-3022 Well Care HMO, Inc. 7580 S/ 800-935-5227 WellPoint Medicare Part D Pos FE 610575 S/ 800-662-0210 WellPoint Pharmacy Management 610053 S/D 800-962-7378 West Virginia Medicaid 610164 S/ 800-847-3859 West Virginia Workers Comp 610084 S/ 800-365-4944 Wholesale Benefit Club Cash Discount 11867 S/D 866-257-1419 Wisconsin Medicaid 610499 S/ 800-947-9627 WMS Prescription Drug Plan 11669 S/ 800-972-0943 Wyoming Department of Health 14293 S/D 887-205-8083

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