Rx bin 020107. The TRICARE pharmacy group number is DODA.

Rx bin 020107. Update: Single Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists. On December 22, 2021, Governor Hochul signed Chapter 720 of the Laws of 2021. The following information is for prescribers in the fee-for-service delivery system. For detailed information about this transition please visit the NYRx pharmacy benefit transition website. (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *013089 1-8ØØ-364-6331 Legacy PCS *013089 1-8ØØ-345-5413 Jan 1, 2021 · BIN and PCN Codes. BIN#: 020107 (IngenioRx) ID#: Sep 25, 2023 · Healthy Blue BIN: 020107 PCN: FG Group:WKLA CVS (833) 236-6194 Humana Healthy Horizons BIN: 610514 PCN: LOUIPROD Group: HUMANA Gainwell Technologies (800) 648-0790 Louisiana Healthcare Connections BIN: 004336 PCN: MCAIDADV Group: RX5444 CVS Caremark (800) 311-0543 United Healthcare BIN: 610494 PCN: 9999 Group: ACULA Optum Rx (866) 328-3108 PBM Processor BIN Number PCN Rx Group Number AmeriHealth Caritas PerformRx 019595 PRX00801 N/A Carolina Complete Health Envolve Rx (back end CVS Health) 004336 MCAIDADV RX5480 Healthy Blue (BCBS of NC) IngenioRx (back end CVS Health) 020107 NC 8473 United Healthcare Optum Rx 610494 4949 ACUNC Jan 10, 2024 · Your (1) Member ID number, (2) Rx BIN, (3) PCN, and (4) Group ID (or Rx Group) number are the four numbers that uniquely identify you and your Medicare Part D prescription drug plan - and these four numbers are usually found on your Medicare Part D Member ID card and on most of your Medicare plan's correspondences and printed information (such as your plan's Welcome letter and Evidence of Mar 11, 2021 · Pharmacy providers may call the Florida Medicaid Support Call Center at 1-800-603-1714 for any questions or concerns. Pharmacy Help Desk Information The Pharmacy Help Desk number is provided below: CVS Caremark System BIN Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 CVS Caremark® 610591 As communicated by plan or refer to member ID card. For outpatient pharmacy Important information regarding provider claims and billing: Pharmacies are to submit claims electronically using National Council of Prescription Drug Programs (NCPDP) standards. Contact Information Pharmacy Contractor (Express Scripts) 1-877-363-1303 Pharmacy Help Desk Information The Pharmacy Help Desk number is provided below: CVS Caremark System BIN Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 CVS Caremark® 610591 As communicated by plan or refer to member ID card. For MCO claims, the pharmacy should void and re-bill using 340B pricing identifying the drug as 340B using the Submission Clarification Jan 1, 2021 · BIN 610591 20107 610649 4336 4336 610494 11529 PCN ADV KY 3191501 MCAIDADV MCAIDADV 4040 P022011529 GROUP RX8831 WKVA RX5035 RX8893 ACUKY KY Medicaid PBM CVS Caremark IngenioRx Humana Pharmacy Solutions CVS Caremark CVS Caremark Optum Rx Magellan Kentucky Medicaid Bin/PCN/Group Numbers Effective 1/1/2021 Pharmacy Claims:OptumRX, PO Box 650334, Dallas, TX 75265-0334 For Pharmacists: 1-855-873-3493 United Healthcare Community Plan 91 1-87726-04 CardinalCare Virginia's Medicaid program Member ID: 001500001 Group Number: VACCCP Payer ID: 87726 OPTUMRx' Member: NEW M ENGLISH Medicaid ID: PCP Name: DOUGLAS GETWELL 9999999991 Rx Bin. Tracey Davis, PharmD Rx BIN: 019595 Director of Pharmacy Rx PCN: 06280000 (202) 349-3578 (office) PharmD Rx BIN: 020107 Pharmacist Program Manager Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Blood Glucose Testing Strips Preferred Product: TRUE METRIX glucose testing strips NDC#: 56151-1460-04 (50 ct. RXPCN: AC. BIN numbers are commonly noted as Rx BIN on health insurance cards. You can also call 833-262-1726 or fax the prescription to 833-263-2871. He is responsible for strengthening and expanding EmpiRx Health’s position as a driver of transformative change in the pharmacy benefits care industry. BIN: 610514 PCN: LOUIPROD Group: HUMANA. ) 56151-1460-01 . Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fifth page (H7323 - H9686) and sixth page (H9699 - S9701). UnitedHealthcare Community Plan BIN: 610494 PCN: 4343 GROUP: AMNJ UnitedHealthcare Community Plan Wellpoint BIN: 020107 PCN: WP GROUP: WKPA Our preferred way to accept prescriptions for CarelonRx Specialty Pharmacy is through ePrescribing. BIN: 020107 PCN: FG Group: WKLA. 1-800-424-1664 for all MCOs. Empire BlueCross BlueShield HealthPlus RXBIN Line of Business:020107 RXPCN AC RXGRP WKKA. Electronic Prior Authorization for Drugs Billed Through the Fee-For-Service Delivery System Pharmacy Benefit. Plan Name/Group Name BIN PCN Legacy ESI Commercial ØØ3858 A4 (or as assigned by ESI) SC (When secondary to Medicare Part D only). Pharmacy — Medicare Advantage Effective July 2, 2021 through August 31, 2021, the following actions are being taken by the Pharmacy team to ensure member access to medications is not disrupted: For Outpatient Pharmacy Important information regarding provider claims and billing: Pharmacies are to submit claims electronically using National Council of Prescription Drug Programs (NCPDP) standards. Pharmacy Billing Aug 23, 2023 · The Rx BIN number may be located on the front or back of plan ID cards for Medicare Part D and Medicare Advantage Prescription Drug plans. www. Bin List /BIN: Specify a Bin: Allows you to specify an individual bin number instead of a bin group. 66 (a)- (d). Preferred Lancets and Pen Needles Pen Needles . An Rx BIN number identifies the insurance provider who covers your prescription costs or a portion thereof. Jan 10, 2024 · The chart below is the sixth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9001 through X0001. RXBIN: 020107 RXPCN: Customer Care for Plan NE RXGRP: Members:RX8474 IngenioRx* and CVS Caremark®* are pleased to announce that January 1, 2021, CVS Caremark will begin to process claims for Healthy Blue. Click here for the first page (E0654 - H2134), second page (H2161 - H3655), third page (H3660 - H5355), fourth page (H5372 - H7220), and sixth page (H9662 - S9854). This pharmacy must use the information above to submit claims for the meter. o Medical claims that include drugs associated with the drug therapy will deny. BIN#: 020107 (IngenioRx) PCN#: CH . ) PCN#: CH Rx Group: WK3A BIN#: 020107 (IngenioRx) ID#: Member’s ID number %PDF-1. Pharmacy Help Desk Info: (800) 824-0898 Other versions supported: N/A . Payer Requirement: Required for claims processing on new prescriptions. The PDL was authorized by the NC General Assembly Session Law 2009-451, Sections 10. BIN: 610494 PCN: 9999 Group: ACULA. Service Clinical coverage policy link Scope Take a prescription for a TRUE METRIX AIR meter to an in-network pharmacy. com Member Services: 844-594-5070 Provider Services: 844-594-5072 Pharmacy Member Services: 844-594-5084 Help for Pharmacists: 833-296-5037 24/7 NurseLine: 844-545-1427 24/7 Behavioral Health Crisis: 844-594-5076 TTY: Use of this card by any person other than the member is fraud. Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , and fifth page (H6846 - H8998) . Blood Glucose Testing Strips Preferred Product: TRUE METRIX glucose testing strips NDC#: 56151 -1460 -04 (50 ct. Preferred Products •Effective May 1, 2019, IngenioRx is the Amerigroup pharmacy benefit manager: oClaims processing: DC Healthy Families Medicaid: •Rx BIN: 020107 •PCN: FC •Group WK4A DC Alliance and Immigrant Child Program: •Rx BIN: 020107 •PCN: FC •Group WK5A 11 IngenioRx Community Health BIN: 610613 PCN: 2417 ProAct BIN: 017366 PCN: 9999 FlexScripts/ProAct BIN: 018141 PCN: 9999 United Healthcare Community Plan of Texas BIN: 610494 PCN: 4400 United Healthcare Community Plan of Arizona BIN: 610494 PCN: 4100 MedalistRx BIN: 016580 PCN: <NA> Former Catalyst, informedRx and HealthTrans BIN: 004428 005947 Member may take a prescription for TRUE METRIX Strips to an in-network pharmacy. RXGRP: WKKA. Rx Group: WK3A . BIN: 019595 PCN: 06030000. To send an electronic prescription to CarelonRx Specialty Pharmacy, please search for CarelonRx Specialty Pharmacy in your ePrescribing platform. WHO CAN HELP? If you don’t have your 2024 Anthem medical ID card with you at the pharmacy, please provide the following prescription drug coverage information to the pharmacist: BIN: 020099 PCN: WG Group WLHA If that does not resolve the issue, ask the Amerigroup - Pharmacy Claims Billing information Program Claim BIN Claim PCN Claim Group STAR 020107 CS WKEA CHIP 020107 CS WKEA STAR+PLUS 020107 CS WKEA STAR+PLUS MMP 020115 IS WKUA STAR Kids 020107 CS WKEA Blue Cross Blu e Shield of Texas PBM: Prime Therapeutics Blue Cross Blue Shield of Texas - Pharmacy Enrollment For outpatient pharmacy Important information regarding provider claims and billing: Pharmacies are to submit claims electronically using National Council of Prescription Drug Programs (NCPDP) standards. Jul 1, 2021 · 020107 FM WQWA Molina Complete Care 1-800-424-4524 016523 62282 VAMLTSS Optima Family Care 1-844-604-9165 003858 MA OHPMDCD UnitedHealthcare 1-855-873-3493 610494 4900 ACUVA . (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *012114 1-8ØØ-364-6331 Legacy PCS *012114 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 17. RW Imp Guide: Required if Jan 3, 2023 · please bill: healthy blue/cvs, use bin 020107, pcn fg, grp wkla, medicaid id or plan id, or call 1-833-236-6194 please bill: lhcc/cvs caremark use bin 004336, pcn mcaidadv, grp rx5444, mcaid or plan id or call 1-800-311-0543 please bill: uhc/optum rx, use bin 610494, pcn 9999, grp acula, medicaid id or plan id, or call 1-866-328-3108 o NCPDP processor ID number (BIN): 020107 o Processor control number (PCN): NC o Group (GRP): 8473 • Submit medical equipment and service claims through Availity. ID#: Member’s ID number . Please do not turn the customer away if you receive a rejected claim. ) 56151-1460-01(100 ct. Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Pharmacy Services Provider Manual Manual Updated 05/01/13 CHANGE CONTROL RECORD 3 of 20 Date Section Page(s) Change 08-01-12 3 20 Updated hyperlink 08-01-12 5 1 5 7 Updated program area contact information to reflect Medicaid Bulletin dated June 29, 2012 Removed fax request information for SCDHHS forms PBM Processor BIN Number PCN Rx Group Number AmeriHealth Caritas PerformRx 019595 PRX00801 N/A Carolina Complete Health Envolve Rx (back end CVS Health) 004336 MCAIDADV RX5480 Healthy Blue (BCBS of NC) IngenioRx (back end CVS Health) 020107 NC 8473 United Healthcare Optum Rx 610494 4949 ACUNC Jul 2, 2024 · BIN: 10591; PCN: ADV; GROUP: RX8829 Aetna Better Health of New Jersey Fidelis Care BIN: 003858 PCN: MA GROUP: 2GDA Fidelis Care Horizon NJ Health BIN: 610606 PCN: HMC GROUP: HORIZON: Horizon NJ Health. Oct 1, 2021 · Pharmacy Update Page 1 of 4 October 6, 2021 Update: Single Statewide Formulary for Opioid Dependence Agents and Opioid Antagonists Empire BlueCross BlueShield HealthPlus RXBIN: 020107 RXPCN: AC, QN RXGRP: WKKA, WK2A Per the New York State Executive Budget for State Fiscal Year 2020-2021 and per Social Pharmacy Update Page 1 of 2. Have them call the phone number on the back of their ID card. The pharmacy must use the information above to submit claims for the meter. MY LOCAL PHARMACY IS HAVING TROUBLE FILLING MY PRESCRIPTION. Claims should be submitted at point of sale to RX BIN 020107, RX PCN: NC, RX Group: 8473. However, it also often applies to other medical expenses. Rx GRP. ) PCN#: CH . Specialty pharmacy drugs administered in the home under HIT are billed under the pharmacy benefit. Health Choice Management BIN: 610011 PCN: HEAMEDD Health Choice Management Utah BIN: 610011 PCN: HEAUMEDD Healthmarkets (HMIC) BIN: 016390 PCN: 0128 Catamaran / Seniorscript Services BIN: 013170 PCN: Not Required Cigna Medicare Part-D BIN: 017010 PCN: CIHSCARE Blue Cross Blue Shield South Carolina BIN: 021692 PCN: CTRXMEDD RXBIN: 020107; RXPCN: NC; RXGRP: 8473. Prescribers are encouraged to write prescriptions for “preferred” products. Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , and sixth page (H9001 - X0001) . Pharmacy Inquiries: Effective July 6, 2022, New York State (NYS) will reimburse pharmacies for clinical decision Pharmacy Update Page 1 of 3 January 2021 New Implementation Healthy Blue See new CHIP 599 Date of Birth Implementation section on page 3. Member may take a prescription for TRUE METRIX Strips to an in-network pharmacy. Perform Rx 600428 07390000 N/A 04/01/2016 – 12/01/2017 UnitedHealthcare Plan of the River Valley, Inc. X630694700091 Members: Present Pharmacy: • Rx Bin: 020099 • Plan Code: 040 • PCN: WG • Rx Group Number: WLHA • IngenioRX is open 27/7 and can be reached at 833- 261-2463 Effective April 1, 2023 the pharmacy benefit for New York State Medicaid Managed Care members will be transitioned to NYRX, the Medicaid Pharmacy Program formerly known as Medicaid Fee-for-Service. Aetna Better Health 610591 1-877-874-3317 Partners 025052 1-8ØØ-364-6331 CarelonRx 020107 020396 Jul 1, 2021 · The NC Medicaid Preferred Drug List (PDL) allows NC Medicaid to obtain better prices for covered outpatient drugs through supplemental rebates. healthybluenc. Medallion 4. PaxlovidTM Prescribing . Service Clinical coverage policy link Scope Jan 10, 2024 · The chart below is the fifth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H6846 through H8998. The TRICARE pharmacy group number is DODA. Provider: Dual Member Cost share should be verified and (HMO D-SNP) Amerigroup Texas, Inc. BIN/PCN Table . The pharmacy must use the following information to submit claims for the TRUE METRIX glucose testing strips: NDC #: 56151-1460-04 (50 count) or 56151-1460-01 (100 count) BIN #: 020107 PCN #: CH ID #: Member’s ID number Rx group: WK3A Preferred pen needles PLAN BIN PCN GROUP HELPLINE Fee for Service 010900 8263342243 VAMEDICAID 1-800-424-4046 Aetna 610591 ADV RX8837 1-855-270-2365 Anthem 020107 FM WQWA 1-833-207-3120 Molina CCC+ (non-dual) 004336 MCAIDADV RX21EK 1-800-424-4518 Molina CCC+ (dual) RX51BJ Molina Med4 RX21EK Molina FAMIS RX51BD Sentara 003858 MA OHPMDCD* VPMMDCD** SHPMDCD Oct 8, 2024 · The TRICARE pharmacy BIN is 003858. Note: All fields requiring alphanumeric data must be submitted in UPPER CASE. Providers can direct members to call the Member Services number listed on the back of their ID card for any questions about this change. Pharmacy Update March 16, 2022. Rx means medical prescription. 1 = Written 2 = Telephone 3 = Electronic 4 = Facsimile 5 = Pharmacy 354-NX SUBMISSION CLARIFICATION CODE COUNT Maximum count of 3. If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control Number). Dec 24, 2022 · The chart below is the fifth page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H7245 through H9649. 5 = Pharmacy RW Imp Guide: Required if necessary for plan benefit administration. BIN: 004336 PCN: MCAIDADV Group: RX5444. Rx PCN 610494 Express Scripts resources for pharmacists. BIN-005285-EHIM_ProCarePayerSheet_d0_02232023 (3) BIN-005491-Rex_Club_ProCarePayerSheet_d0_02232023; BIN-009265-610198-012965_Agelity_ProCarePayerSheet_d0upd04012023 (1) Rx BIN: 020115 Rx PCN: IS Rx GROUP: WM2A Issuer ID: 80840 Member ID: Amerivantage Dual Secure CMS H2593-PBP: 033-000 Most dual eligible members pay $0 for plan covered medical services. (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *013089 1-8ØØ-364-6331 Legacy PCS *013089 1-8ØØ-345-5413 to an in-network pharmacy. The pharmacy must use the information below to submit claims for the TRUE METRIX glucose testing strips: NDC#: (50 ct. 7 %âãÏÓ 4454 0 obj > endobj 4463 0 obj >/Filter/FlateDecode/ID[97914C59B6038342B8191DB74A329371>]/Index[4454 23]/Info 4453 0 R/Length 61/Prev 431088/Root Jan 1, 2020 · Pharmacy Contracting Issues. (24 hours a day) The Pharmacy Help Desk numbers are provided below: CVS Caremark® System BIN Help Desk Number Legacy ADV *004336 1-8ØØ-364-6331 Legacy PCS *610415 1-8ØØ-345-5413 Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. The RX BIN number is most often located in the lower left corner of the card along with your Medicare ID number, processor control number (PCN) and group ID number. Service NC Clinical Coverage Policy link Scope Pharmacy Solutions 020545 RXA377 RXGMIA01 07/01/2019 – 06/30/2021 MCO Pharmacy Billing Reference Historical MCOs MCO Plan Name PBM BIN PCN RxGRP Effective Date Range AmeriHealth Caritas Iowa, Inc. Optum Rx 610494 4401 ACUIA Wellcare Classic, Value Script, Wellness Rx, Medicare Rx Saver, Medicare Rx Select PDPs, Wellcare MA-PDs and SNPs: 004336 MEDDADV 788257 Cigna-HealthSpring Rx Secure, Cigna-HealthSpring Rx Secure-Extra, and Cigna-HealthSpring Rx Secure-Essential PDPs: BIN 020107 PCN: CH RxGroup: WK3A Pharmacies should contact the IngenioRx* Pharmacy Help Desk for additional assistance in overriding RTS rejects. The pharmacy must use the following information to submit claims for the TRUE METRIX glucose testing strips: NDC #: 56151-1460-04 (50 count) or 56151-1460-01 (100 count) BIN #: 020107 PCN #: CH ID #: Member’s ID number Rx group: WK3A Preferred pen needles Mar 7, 2022 · The chart below is the fourth page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5337 through H7322. ) 56151 -1460 -01 (100 ct. /BINA: AmWINS: 011289, 013492, 013527, 014848, 015178, 015185, 016341 /BINB: Argus For outpatient pharmacy Important information regarding provider claims and billing: Pharmacies are to submit claims electronically using National Council of Prescription Drug Programs (NCPDP) standards. Service Clinical coverage policy link Scope South Carolina Medicaid Managed Care Pharmacy Information Grid Company PBM BIN# PCN# Group# Pharmacy Helpdesk# Eligibility Helpdesk# Override Process Amerigroup Caremark 004336 ADV RX4281 1-800-454-3730 1-800-454-3730 Enter PAMC code 11112222333 for 3 day supply Blue Choice Wellpoint NextRX 610575 00890000 Leave blank 1-866-915- The pharmacy should void and re-bill the FFS Pharmacy claim using 340B pricing identifying the drug as 340B using the Submission Clarification Code of 20 in field 420-DK and Basis of Cost of 08 in field 423-DN. 0 Health Plans RxBIN RxPCN RxGRP Aetna Better Health of Virginia 610591 ADV RX8837 Anthem HealthKeepers Plus 020107 FM WQWA Pharmacy Help Desk Information Inquiries can be directed to the Interactive Voice Response (IVR) system or the Pharmacy Help Desk. Pharmacy Billing Information (DOS prior to 10/28/2023) BIN: 610591 PCN: ADV Group: RX8834. /INS: Specify a Name: Allows you to specify an insurance name instead of a bin group. Service NC Clinical Coverage Policy link Scope For outpatient pharmacy Important information regarding provider claims and billing: Pharmacies are to submit claims electronically using National Council of Prescription Drug Programs (NCPDP) standards. Billing Guidance for Pharmacy Reimbursement of . Aetna Better Health 610591 1-877-874-3317 Partners 025052 1-8ØØ-364-6331 CarelonRx 020107 020396 For Outpatient Pharmacy Important information regarding provider claims and billing: Pharmacies are to submit claims electronically using National Council of Prescription Drug Programs (NCPDP) standards. Rx ID: billed to member's Medicaid. ) 56151-1460-04 (100 ct. Catalyst Rx W/C SXC National 005947 See Card 888-869-4600 Catalyst Rx SXC National 005947 PCN- CLAIMCR, GR HEREIU 888-869-4600 Catalst Rx IPA Catalyst Rx New York 005947 888-869-4600 CatalystScripts Emdeon National 004682 Call h/desk 631/755-0029 Caterpillar Group Restat National 600471 7777 877-228-7909 Central Health Medicare Plan Danny Sanchez is the Chief Executive officer of EmpiRx Health, the leading clinically-driven pharmacy benefits management company. Service Clinical coverage policy link Scope Jul 12, 2021 · Pharmacy claim response transactions will include one of the following messages (as applicable) on the claim denied with edit 2093: AmeriHealth Caritas member: Bill to AMHC BIN 019595 PCN PRX00801 ; Carolina Complete member: Bill to CCHE BIN 004336 PCN MCAIDADV GRP RX5480 ; Healthy Blue member: Bill to BCBS BIN 020107 PCN NC GRP 8473 May 12, 2023 · For assistance processing a claim, please call the Express Scripts Pharmacy Help Desk at 1-833-750-4508. October 22, 2018. Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. Empire BlueCross BlueShield HealthPlus (Empire) RXBIN: 020107. zpnsqa ngamhw bnxs mijv ojna rmf sdrdb pjjyf gxtgd pgaoz