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Managed Care Plan Contact Information Pharmacy Benefit Manager(PBM) or Billing Agent PBM/Billing Agent Contact Information Processor Control Number BIN Number Additional Information Required for Pharmacy Processing; Affinity Health Plan (866) 247-5678; CVS Caremark (800) 364-6331: ADV 004336: Group: RX4212. Amida Care (877) 354-3439; Express ...
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Updated: 1 hours ago
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ProCare Rx 009430, 013501, 014310, 014194, 012493 800-699-3542 *Independently Contracted. RESTAT 600471, 001693 800-926-5858 Sav-Rx 006558, 008563 800-228-3108 Script Care, LTD. 004410 800-880-9988 ScriptGuideRx 015327, 015202 855-367-747
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Updated: 4 hours ago
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Free and open company data on Puerto Rico company OPTUMRX PBM OF PUERTO RICO, LLC (company number 393949-1512), 361 San Francisco St. 4th Floor San Juan, PR 00901
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Updated: 6 hours ago
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Toll-free: 866-912-6285. Phone: 601-863-0700. MississippiCAN UnitedHealthcare. Pharmacy Help Desk. PBM is OptumRX. Toll-free: 877-305-8952. Toll-free: 877-743-8731. Keep in mind that MississippiCAN claims and PA requests must be submitte
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Updated: 6 hours ago
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PBM BINs Help Desk - Better business. Better pharmacy. Health (4 days ago) Argus Health Systems 012353, 600428, 011834, 610245, 610141, 015292, 610225 800-522-7487 Atlantic Prescription Services 610704 877-277-7934 AutoRx 610133 866-428-8679 BioScrip 900014, 900020, 610084, 610679 800-677-4323 Catamaran (Includes: AvMed, EBRX Network, Future Script, Independence Blue, Vaccines, …
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Updated: 5 hours ago
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For prior authorization of medications covered by the VDP, contact the contracted PBM at 1-800-460-8988. For information regarding contracting as a network pharmacy, please …
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Updated: 4 hours ago
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Please drop us a note and let us know if we can be of any assistance! Technical Support Lines. Erson Cams. PBM Performance. World Products. 800-641-7920. 800-588-9608. 877-630-6651. * …
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Douglas A. Ducey, Governor Thomas J. Betlach, Director DATE: TO: FROM: SUBJECT: AHCCCS Health Plans BIN PCN Group Number PBM Phone Number AHCCCS FFS 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Secondary to Commercial 001553 AZM OptumRx 855-577-6310 AHCCCS FFS – Dual Eligibles for Covered OTC Prescriptions 001553 AZM OptumRx 855-577 …
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Updated: just now
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If you are a patient, physician, pharmacy or are looking for a PBM solution, please fill out the form at the bottom of the page. Current clients, please contact us by phone, fax or email. 855.728.7706
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Updated: 7 hours ago
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CCC Plus Health Plan & PBM Help Desk Phone Number RxBIN RxPCN Group Aetna Better Health of VA 1-866-386-7882 610591 ADV RX8837 Anthem HealthKeepers 1-855-323-4687 020107 FM WQWA Magellan Complete Care 1-800-424-4524 016523 62282 VAMLTSS
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Updated: 5 hours ago
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Pharmacy Benefit Manager (PBM): Envolve Pharmacy Solutions. Iowa Total Care works with Envolve Pharmacy Solutions to administer pharmacy benefits, including the Prior Authorization process. Prior Authorization Fax: 1-866-399-0929. Clinic
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Pharmacy Solutions Mitchell Contact Us Pharmacy Solutions How Can We Help You? Please use the inquiry drop-down to indicate how we can help you today. To learn about Mitchell ScriptAdvisor PBM solution, please call 866.226.0408. To conta
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Updated: 4 hours ago
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Information on DFEC’s Pharmacy Benefits Management (PBM) Program In February 2021, the U.S. Department of Labor (DOL) began implementation of a new contract to provide Pharmacy Benefit Management (PBM) services to the Federal Employees’ Compensation Act (FECA) Program for all claims covered under FECA.
PBM contracts typically include financial guarantees for discounts off the average wholesale price (AWP), dispensing fees, administration fees, and rebates. All of these pricing components impact the pharmacy costs and trends.
PBM contracts often include a considerable number of definitions and terms that explain how drug claims are adjudicated and priced. Small wording nuances in these definitions can favor the PBM’s ability to meet their pricing or performance guarantees during year-end reconciliation.
Consider a pricing contract from a PBM where it quotes a specialty drug rebate of $1,000 per specialty brand drug. If this pricing contract excludes LDDs, and the LDDs are 30% of the total utilization, then the actual rebate this plan should expect to receive is $700 per specialty brand drug.
PBM pricing and reconciliation Contracts with PBMs typically involve guarantees in a number of pricing areas. The PBM may guarantee individual pricing by dispensing channel (retail, mail order, and specialty) as well as by drug type (brand or generic).