The information below has been collected pursuant to Bulletin 377 (PDF) in order to provide Maine pharmacies with contact information to obtain the terms and conditions of pharmacy networks they may wish to join. Click on a link in the list directly below and you will be brought to that company’s information.
- 4 Ever Life Insurance Company
- Aetna Health Inc.
- Aetna Health Management LLC
- Aetna Life Insurance Company
- American Republic Insurance Company
- Anthem Health Plans of Maine, Inc.
- Capital RX, Inc.
- CareLonRx
- Caremark LLC and CaremarkPCS Health LLC - CVS
- CIGNA Health and Life Insurance Company
- Community Health Options
- Continental General Insurance Co
- Costco Health Solutions, Inc.
- DST Pharmacy Solutions, Inc.
- Express Scripts Administrators, LLC.
- Fairview Pharmacy Services
- Harvard Pilgrim Health Care Inc.
- HPHC Insurance Company, Inc.
- Humana Pharmacy Solutions Inc.
- Independent Health's Pharmacy Benefit Dimensions, LLC
- Magellan Rx Management, LLC
- MedImpact
- OP Pharmacy LLC d/b/a OnePoint Patient Care
- OptumRx Inc.
- Pharma Force Group, LLC
- Script Care, Ltd.
- SGRX (ScriptGuideRX)
- Smith Health, Inc.
- Southern Scripts, LLC
- State Farm Mutual Automobile Insurance Company
- Taro Health Plan of Maine, Inc.
- Towers Administrators LLC
- UnitedHealthcare Insurance Company
- UnitedHealthcare of New England
- Washington National Insurance Company
- WellDyneRx, LLC
4 Ever Life Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: William Sterling
Title: Vice President
Mailing Address:
2 Mid America Plaza, Suite 200
Oakbrook Terrace, IL 60181
Direct Telephone: 630-472-7869
Fax:
E-Mail: consumerassistance@bcsf.com
Mail Order Pharmacies that Participate in the Network:
- Elixir Pharmacy
7835 Freedom Ave NW
North Canton, OH 44720 - www.envisionpharmacies.com/
Pharmacy Contracting Contact Information:
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- Universal Rx
710 3rd Street SW
Roanoke, VA 24016 - 540-777-7179
www.universalrx.com
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Aetna Health Inc
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Joy L Gittens
Title: Compliance Lead, Corporate Compliance
Mailing Address:
9 Entin Road, Suite 203
Parsippany, NJ 07054
Direct Telephone: (540) 524-8939
Fax: (973) 244-3710
E-Mail: gittensj@aetna.com
Mail Order Pharmacies that Participate in the Network:
- CVS Mail Order Pharmacy
CVS Specialty Pharmacy
One CVS Drive
Woonsocket, RI 02895 - https://www.cvshealth.com/services/pharmacy/mail-order-pharmacy.html
https://www.cvsspecialty.com/
For Pharmacists/Medical Professionals: https://www.caremark.com/pharmacists-medical-professionals
Pharmacy Contracting Contact Information:
- CVS Caremark Pharmacy
One CVS Drive
Woonsocket, RI 02895
1 (800) 552-8159
https://www.caremark.com/
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Compliance Officer with Responsibility for Network Pharmacy Operations:
Name: Shawn Smit, CVS Caremark
Title: Director of Network Operations
Mailing Address:
9501 E. Shea Blvd., MC080
Scottsdale, AZ 85260
Direct Telephone: (540) 524-8939
Fax: (973) 244-3710
E-Mail: shawn.smith@caremark.com
Mail Order Pharmacies that Participate in the Network:
- CVS Caremark Mail Order Pharmacy
CVS Specialty Pharmacy - https://www.cvshealth.com/services/pharmacy/mail-order-pharmacy.html
https://www.cvsspecialty.com/
For Pharmacists/Medical Professionals: https://www.caremark.com/pharmacists-medical-professionals
Pharmacy Contracting Contact Information:
- Shawn Smit, CVS Caremark
Director of Network Operations
9501 E. Shea Blvd., MC080
Scottsdale, AZ 85260
(540) 524-8939
shawn.smith@caremark.com
Aetna Health Management LLC
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Joy L Gittens
Title: Compliance Lead, Corporate Compliance
Mailing Address:
9 Entin Road, Suite 203
Parsippany, NJ 07054
Direct Telephone: (540) 524-8939
Fax: (973) 244-3710
E-Mail: gittensj@aetna.com
Mail Order Pharmacies that Participate in the Network:
- CVS Mail Order Pharmacy
CVS Specialty Pharmacy
One CVS Drive
Woonsocket, RI 02895 - https://www.cvshealth.com/services/pharmacy/mail-order-pharmacy.html
https://www.cvsspecialty.com/
For Pharmacists/Medical Professionals: https://www.caremark.com/pharmacists-medical-professionals
Pharmacy Contracting Contact Information:
- CVS Caremark Pharmacy
One CVS Drive
Woonsocket, RI 02895
1 (800) 552-8159
https://www.caremark.com/
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Compliance Officer with Responsibility for Network Pharmacy Operations:
Name: Shawn Smit, CVS Caremark
Title: Director of Network Operations
Mailing Address:
9501 E. Shea Blvd., MC080
Scottsdale, AZ 85260
Direct Telephone: (540) 524-8939
Fax: (973) 244-3710
E-Mail: shawn.smith@caremark.com
Mail Order Pharmacies that Participate in the Network:
- CVS Caremark Mail Order Pharmacy
CVS Specialty Pharmacy - https://www.cvshealth.com/services/pharmacy/mail-order-pharmacy.html
https://www.cvsspecialty.com/
For Pharmacists/Medical Professionals: https://www.caremark.com/pharmacists-medical-professionals
Pharmacy Contracting Contact Information:
- Shawn Smit, CVS Caremark
Director of Network Operations
9501 E. Shea Blvd., MC080
Scottsdale, AZ 85260
(540) 524-8939
shawn.smith@caremark.com
Aetna Life Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Joy L Gittens
Title: Compliance Lead, Corporate Compliance
Mailing Address:
9 Entin Road, Suite 203
Parsippany, NJ 07054
Direct Telephone: (540) 524-8939
Fax: (973) 244-3710
E-Mail: gittensj@aetna.com
Mail Order Pharmacies that Participate in the Network:
- CVS Mail Order Pharmacy
CVS Specialty Pharmacy
One CVS Drive
Woonsocket, RI 02895 - https://www.cvshealth.com/services/pharmacy/mail-order-pharmacy.html
https://www.cvsspecialty.com/
For Pharmacists/Medical Professionals: https://www.caremark.com/pharmacists-medical-professionals
Pharmacy Contracting Contact Information:
- CVS Caremark Pharmacy
One CVS Drive
Woonsocket, RI 02895
1 (800) 552-8159
https://www.caremark.com/
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Compliance Officer with Responsibility for Network Pharmacy Operations:
Name: Shawn Smit, CVS Caremark
Title: Director of Network Operations
Mailing Address:
9501 E. Shea Blvd., MC080
Scottsdale, AZ 85260
Direct Telephone: (540) 524-8939
Fax: (973) 244-3710
E-Mail: shawn.smith@caremark.com
Mail Order Pharmacies that Participate in the Network:
- CVS Caremark Mail Order Pharmacy
CVS Specialty Pharmacy - https://www.cvshealth.com/services/pharmacy/mail-order-pharmacy.html
https://www.cvsspecialty.com/
For Pharmacists/Medical Professionals: https://www.caremark.com/pharmacists-medical-professionals
Pharmacy Contracting Contact Information:
- Shawn Smit, CVS Caremark
Director of Network Operations
9501 E. Shea Blvd., MC080
Scottsdale, AZ 85260
(540) 524-8939
shawn.smith@caremark.com
American Republic Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Martin Gibson
Title: VP Chief Admin Officer
Mailing Address: 601 6th Ave
Des Moines, Iowa 50309
Direct Telephone: 515-695-2373
Fax: 515-247-2491
E-Mail: martin.gibson@americanenterprise.com
Mail Order Pharmacies that Participate in the Network:
- Express Scripts
One Express Way
St. Louis, MO 63121
https://www.express-scripts.com
- Accredo (an Express Scripts specialty pharmacy)
6272 Lee Vista Blvd
Orlando, FL 32822
https://www.accredo.com
Pharmacy Contracting Contact Information:
- Mark Strange
Account Manager
One Express Way
St. Louis, MO 63121
Phone: 480-664-9178
Mark_Strange@express-scripts.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- Express Script
One Express Way
St. Louis, MO 63121
https://www.express-scripts.com
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Anthem Health Plans of Maine, Inc
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Christine Swick
Title: Staff Vice President & Pharmacy Compliance Officer
Mailing Address:
233 S. Wacker Drive, Suite 3700
Chicago, IL 60606
Direct Telephone: 630-360-0576
Fax: 314-923-5078
E-Mail: Christine.swick@carelon.com
Mail Order Pharmacies that Participate in the Network:
- CarelonRx Home Delivery
4821 N. Stone Ave., Suite C
Tucson, AZ 85704
www.carelonrx.com/
Pharmacy Contracting Contact Information:
- CaremarkPCS Health, L.L.C.:
866-488-4708
https://www.caremark.com/wps/portal/FOR_HEALTH_PROS_HOME (Home page for Pharmacy resources) https://cvs.az1.qualtrics.com/jfe/form/SV_cvyY0ohqT2VXYod?Q_JFE=qdg (specific page to complete on line pre-enrollment questionnaire)
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Capital Rx Inc.
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Lloyd Fiorini
Title: Geral Counsel / Chief enCompliance Officer
Mailing Address:
228 Park Ave S Ste 87234
New York, NY 10003
Direct Telephone: 888-617-6521
Fax: 917-451-1782
E-Mail: licensing@cap-rx.com
Mail Order Pharmacies that Participate in the Network:
UAB SPECIALTY PHARMACY
601 19TH STREET SOUTH
BIRMINGHAM, AL 35249
OPTUM PHARMACY 701, LLC
1830 S. HORNE
MESA, AZ 85204
WALGREENS #21372
120 N 83RD AVE STE B
TOLLESON, AZ 85353
CCS MEDICAL
5464 E LA PALMA AVE
ANAHEIM, CA 92807
HTTPS://CCSMED.COM/
COSTCO PHARMACY #562
215 DEININGER CIR
CORONA, CA 92880
OPTUM PHARMACY 707, INC.
4900 RIVERGRADE RD
IRWINDALE, CA 91706
WWW.OPTUMRX.COM
WALGREENS #21439
100 E. EUCALYPTUS AVE
CHINO, CA 91710
THE KROGER CO. KS113
1220 S LIPAN ST
DENVER, CO 80223
WELLDYNE SPECIALTY PHARMACY
7472 S TUCSON WAY
CENTENNIAL, CO 80112
WWW.WELLDYNESPECIALTY.COM
CCS MEDICAL
14255 49TH ST N
CLEARWATER, FL 33762
HTTPS://CCSMED.COM/
OPTUM PHARMACY 700, LLC
5700 DOT COM COURT
OVIEDO, FL 32765
WWW.OPTUMRX.COM
ACROSS SPECIALTY PHARMACY
2579 LAWRENCEVILLE HWY, SUITE A2
DECATUR, GA 30033
WWW.ACROSSRX.COM
DIVYO HEALTH SOLUTIONS INC
320 W. 9TH STREET, NE
ROME, GA 30165
MAGNOLIA PHARMACY
2620 BETHELVIEW DR STE 100
CUMMING, GA 30040
WWW.MYMAGNOLIARX.COM
HY-VEE PHARMACY FULFILLMENT MAIL ORDER
4707 FLEUR DRIVE
DES MOINES, IA 50321
COSTCO PHARMACY #1347
260 LOGISTICS AVE, STE C
JEFFERSONVILLE, IN 47130
WWW.COSTCO.COM
COSTCO PHARMACY #1348
260 LOGISTICS AVE
JEFFERSONVILLE,IN 47130
WWW.COSTCO.COM
OPTUMRX, INC.
6800 WEST 115TH STREET
OVERLAND PARK, KS 66211
WWW.OPTUMRX.COM
PHARMACY, INC.
370 INDUSTRIAL ROAD
MURRAY, KY 42071
SAINT JOHN PHARMACY
122 SAINT JOHN ST STE A
MONROE, LA 71201
CORNERSTONE HEALTH SOLUTIONS
41 TEED DR
RANDOLPH, MA 2368
I CARE PHARMACY
`227 MAIN ST
FORT FAIRFIELD, ME 4742
WWW.I-CAREPHARMACY.COM
MARTIN'S POINT HEALTHCARE PORTLAND PHARMACY II
901 WASHINGTON AVENUE
PORTLAND, ME 4103
NORTHERN LIGHT PHARMACY
70 BENNETT ST
BANGOR, ME 4401
HEALTHPRO PHARMACY
24755 FORD RD
DEARBORN, MI 48128
WWW.HEALTHPRORX.NET
HOMESCRIPTS
500 KIRTS BLVD STE 300
TROY, MI 48084
HTTPS://HOMESCRIPTS.ENVOLVEHEALTH.COM/
KEYSTONE PHARMACY LLC
106 HIGHLAND WAY STE 206
MADISON, MS 39110
RIDGEWAY PHARMACY LTD
2824 HWY 93 N
VICTOR, MT 59875
WWW.RIDGEWAYPHARMACY.COM
OPTUM PHARMACY 701, LLC
4015 SHOPTON ROAD
CHARLOTTE, NC 28217
WWW.OPTUMRX.COM
OPTUM PHARMACY 700, LLC
19 CHAPIN ROAD
PINE BROOK, NJ 7058
WWW.OPTUMRX.COM
WALGREENS #21569
1000 MACARTHUR BLVD
MAHWAH, NJ 7430
PROACT PHARMACY SERVICES, INC.
1226 US HIGHWAY 11
GOUVERNEUR, NY 13642
VIVO HEALTH PHARMACY AT HOME
225 COMMUNITY DR STE 140
GREAT NECK, NY 11021
WWW.VIVOHEALTHPHARMACY.COM
CLEVELAND CLINIC SPECIALTY/HOME DELIVERY PHARMACY
3175 SCIENCE PARK DR
BEACHWOOD, OH 44122
WWW.CLEVELANDCLINIC.ORG/PHARMACY
HARNESS HEALTH PHARMACY
7160 INDUSTRIAL ROW DR STE 330
MASON, OH 45040
HTTPS://HARNESSHP.COM/PHARMACY/
POSTAL PRESCRIPTION SERVICES
3500 SE 26TH AVE
PORTLAND, OR 97202
WEIS PHARMACY #399
16 S INDUSTRIAL PARK RD
MILTON, PA 17847
WELLSPAN PHARMACY
40 V TWIN DR
GETTYSBURG, PA 17325
OPTUM PHARMACY 704, INC.
5627 UNIVERSITY HEIGHTS BOULEVARD
SAN ANTONIO, TX 78249
WWW.OPTUMRX.COM
WALGREENS CENTRAL FILL #1418-M
13157 US HIGHWAY 271
TYLER, TX 75708
WALMART PHARMACY 10-2625
1025 W TRINITY MILLS RD
CARROLLTON, TX 75006
CCS MEDICAL
3601 THIRLANE RD NW
ROANOKE, VA 24019
HTTPS://CCSMED.COM/
COSTCO PHARMACY #581
802 134TH ST SW STE 140
EVERETT, WA 98204
COSTCO PHARMACY #583
802 134TH ST SW STE 140
EVERETT, WA 98204
WWW.COSTCO.COM
OPTUM PHARMACY 701, LLC
8131 W BOSTIAN RD STE A350
WOODINVILLE, WA 98072
WWW.OPTUMRX.COM
Pharmacy Contracting Contact Information:
- Tim Dyer
VP Provider Contracting
228 Park Ave S Ste 87234
New York, NY 10003
914-361-4644
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
CareLonRx
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Christine Swick
Title: Staff Vice President & Pharmacy Compliance Officer
Mailing Address:
233 S. Wacker Drive, Suite 3700
Chicago, IL 60606
Direct Telephone: 630-360-0576
Fax: 314-923-5078
E-Mail: Christine.swick@carelon.com
Mail Order Pharmacies that Participate in the Network:
- CarelonRx Home Delivery
4821 N. Stone Ave., Suite C
Tucson, AZ 85704
www.carelonrx.com/
Pharmacy Contracting Contact Information:
- CaremarkPCS Health, L.L.C.:
866-488-4708
https://www.caremark.com/wps/portal/FOR_HEALTH_PROS_HOME (Home page for Pharmacy resources) https://cvs.az1.qualtrics.com/jfe/form/SV_cvyY0ohqT2VXYod?Q_JFE=qdg (specific page to complete on line pre-enrollment questionnaire)
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Caremark LLC and CaremarkPCS Health LLC
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Shawn Smith
Title: Director of Network Operations
Mailing Address:
9501 E. Shea Blvd., MC080
Scottsdale, AZ 85260
Direct Telephone: 480 391-4844
Fax: 480-314-6964
E-Mail: Shawn.Smith@CVScaremark.com
Mail Order Pharmacies that Participate in the Network:
- Caremark Prescription SVC
1780 Wall Street
Mt Prospect, IL 60056 - Caremark Prescription SVC
1 Great Valley Blvd
Wilkes Barre, PA 18706 - https://www.caremark.com/
- Insurance Carriers and Health Plans that Use the Pharmacy Network:
- Aetna Health Inc
151 Farmington Avenue
Hartford, CT 06156 - Aetna Health Management LLC
151 Farmington Avenue
Hartford, CT 06156 - Aetna Life Insurance Company
151 Farmington Avenue
Hartford, CT 06156 - www.aetna.com
- Anthem Health Plans of Maine, Inc.
Wellpoint, Inc.
4241 Irwin Simpson Rd
Mason, OH 45040
www.anthem.com - State Farm Mutual Automobile Insurance Company
One State Farm Plaza
Total Rewards-Benefits, C-1
Bloomington, IL 61710
www.Sstatefarm.com - Trustmark Insurance Company
400 N Field Drive
Lake Forest, IL 60045
www.trustmarkins.com - Martin's Point Health Care, Inc.
331 Veranda Street
Portland, ME 04104-5040
www.martinspoint.org
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
CIGNA Health and Life Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Thuy Pham
Title: Compliance Senior Manager
Mailing Address:
1 Express Way
St. Louis, MO 63121
Direct Telephone: 267-314-4360
Fax:
E-Mail: Kate.Keller@express-scripts.com
Mail Order Pharmacies that Participate in the Network:
- Express Scripts Pharmacy Inc. dba Express Scripts
1 Express Way
St. Louis, MO 63121
https://www.express-scripts.com
- ESI Mail Pharmacy Service, Inc. dba Express Scripts
1 Express Way
St. Louis, MO 63121
https://www.express-scripts.com
Pharmacy Contracting Contact Information:
- Elizabeth Connor
Compliance Senior Advisor
900 Cottage Grove Rd B6LPA
Hartford, CT 06152
Elizabeth.Wing@Evernorth.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- CIGNA Health and Life Insurance Company
900 Cottage Grove Rd B6LPA
Hartford, CT 06152
www.cigna.com
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Community Health Options
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Mike Takach
Title: Pharmacy Director
Mailing Address:
PO Box 1121
Lewiston, ME 04243
Direct Telephone: 207-402-3861
Fax: n/a
E-Mail: mtakach@healthoptions.org
Mail Order Pharmacies that Participate in the Network:
- Accredo Health Solutions, Inc.
1620 Century Center Parkway #109
Memphis, TN 38134
https://www.accredo.com/
- ESI Mail Pharmacy Services, Inc
4600 North Hanley Road
St. Louis, MO 63134
https://www.express-scripts.com/
Pharmacy Contracting Contact Information:
- Express Scripts, Inc.
1 Express Way
St. Louis, MO 63121 - Direct Telephone: 888-571-8182
https://www.express-scripts.com/
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- Express Scripts, Inc.
1 Express Way
St. Louis, MO 63121 - Direct Telephone: 888-571-8182
https://www.express-scripts.com/
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Continental General Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Kimberly Barney
Title: Vice President Administrative Services
Mailing Address:
601 6th Ave
Des Moines, Iowa 50309
Direct Telephone: 515-695-2039
Fax: 515-247-2491
E-Mail: Kimberly.Barney@AmericanEnterprise.com
Mail Order Pharmacies that Participate in the Network:
- Express Scripts
- Accredo (an Express Scripts specialty pharmacy)
Pharmacy Contracting Contact Information:
- Express Scripts
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Costco Health Solutions, Inc.
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Christopher Pierce
Title: Assistant Secretary
Mailing Address:
Attn: Licensing
PO BOX 35005
Seattle, WA 98124
Direct Telephone: 425-427-7986
Fax:
E-Mail: cpierce@costco.com
Mail Order Pharmacies that Participate in the Network:
- Costco Mail Order Pharmacy
260 Logistics Ave, Suite B
Jeffersonville, I 47130 - Costco Mail Order Pharmacy
215 Deininger Circle
Corona, CA 92878 - Costco Mail Order Pharmacy
802 134th St SW, Bldg C Suite 140
Everett, WA 98204
Pharmacy Contracting Contact Information:
- Lisa Simpson
Licensing Specialist
PO Box 35005
Seattle, WA 98124
425-313-6275
lsimpson@costco.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Costco Health Solutions, Inc.
730 Lake Drive
Issaquah, WA 98027
Costcohealthsolustions.com
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Continental Battery Company
402 S. Avenue/PO Box 959
Yakima, WA 98907
Costco Employee Benefits Program
730 Lake Drive
Issaquah, WA 98027
Everi Payments
7250 S. Tenaya Way #100
Las Vegas, NV 89113
Palace Entertainment
4800 Kennywood Blvd
West Mifflin, PA 15122
UNITEDAG Benefit Trust
54 Corporate Park
Irvine, CA 92606
Voya Financial
5780 Powers Ferry Rd
Atlanta, GA 30327
Workcare, Inc.
300 Harbor Blvd #600 Suite 410
Anaheim, CA 92805
World Vision, Inc.
PO Box 9716
Federal Way, WA 98063
DST Pharmacy Solutions
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Mark Cone
Title: Vice President and Chief Compliance Officer
Mailing Address:
1055 Broadway, 4th Floor
Kansas City, MO 64105
Direct Telephone: 816-935-9692
E-Mail: Mark.Cone@sscinc.com
Mail Order Pharmacies that Participate in the Network:
- AllianceRx Walgreens Prime 03397
7003 Presidents Dr Ste 260
Orlando, FL 32809
https://www.alliancerxwp.com/
- Elixir Pharmacy, LLC
7835 Freedom Ave NW
North Canton, OH 44720
www.elixirsolutions.com/plansponsors/pharmacy - Postal Prescription Services
3500 SE 26th Ave
Portland, Or 97202
https://www.ppsrx.com/health/pps?redirectUrl=/rx/dashboard - PraxisRx Pharmacy
5455 West Waters Ave Ste 214
Tampa, FL 33634
www.praxisrx.com/ - Southern Pharmaceutical Corp
165 Rosecrest Lane
Columbus, MS 39705-0009
https://www.spchme.com/ - Walmart Pharmacy 10-2625
1025 W Trinity Mills
Carrollton, TX 75006
www.elixirsolutions.com/plansponsors/pharmacy
Pharmacy Contracting Contact Information:
- Lisa Versch
Dir Business Systems Analysis, Accounting
1055 Broadway, 4th Floor
Kansas City, MO 64105
Phone: 816-435-2228
Email: Lisa.Versch@sscinc.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- Humana Pharmacy Solutions, Inc.
500 West Main St.
Louisville, KY 40202
www.humana.com - Magellan Rx Management, LLC
2900 Ames Crossing Rd
Eagan, MN 55121
https://www1.magellanrx.com/ - Insurance Carriers and Health Plans that Use the Pharmacy Network:
Express Scripts Administrators LLC
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Thuy pham
Title: State PBM Compliance Officer
Mailing Address:
1 Express Way
St. Louis, MO 63121
Direct Telephone: 267-314-4360
Fax:
E-Mail: Thuy.Pham@evernorth.com
Mail Order Pharmacies that Participate in the Network:
- ESI Mail Pharmacy Services, Inc. d/b/a Express Scripts
1 Express Way
St. Louis, MO 63121
- Express Scripts Pharmacy, Inc. d/b/a/ Express Scripts
1 Express Way
St. Louis, MO 63121
https://www.express-scripts.com/ - Accredo Health Group, Inc.
1 Express Way
St. Louis, MO 63121
https://www.accredo.com/
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
- Cigna Health & Life Insurance Co.
900 Cottage Grove Rd, B6LPA
Hartford, CT 06152
https://www.cigna.com/ - Community Health Options
150 Mill Street, 3rd Floor
Lewiston, ME 04240
https://www.healthoptions.org/
Fairview Pharmacy Services
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Alyssa Goree
Title: Manager, Compliance & Licensing
Mailing Address:
Attn: Compliance and Licensing
711 Kasota Avenue SE
Minneapolis, MN 55414
Direct Telephone: 612-672-6551
E-Mail: dept-fps-licensing@fairview.org
Mail Order Pharmacies that Participate in the Network:
- Fairview Specialty Services Pharmacy
711 Kasota Avenue SE; Ste. A
Minneapolis, MN 55414 - Phone: 866-377-6245
- Website: https://www.fairview.org/
- Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- MedImpact Healthcare Systems, Inc
10181 Scripps Gateway Court
San Diego, CA 92131 - Website: www.medimpact.com/
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Harvard Pilgrim Health Care Inc
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Joe Bonica
Title: Director, Pharmacy Operations
Mailing Address:
Harvard Pilgrim Health Care Inc
1 Wellness Way
Canton, MA 02021
Direct Telephone: 781-612-3342 ext. 83342
Fax:
E-Mail: Joseph.Bonica@point32health.org
Mail Order Pharmacies that Participate in the Network:
- OptumRx
2300 Main Street
Irvine, CA 92614
Website: www.optumrx.com/public/landing
Pharmacy Contracting Contact Information:
- Pharmacy Network Relations
Independent Contracting
OptumRx
11000 Optum Circle
Eden Prairie, MN 55344
Phone: 800-797-9798
Fax: 844-305-2623
Independent.contracting@optum.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
HPHC Insurance Company Inc
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Joe Bonica
Title: Director, Pharmacy Operations
Mailing Address:
HPHC Insurance Company
1 Wellness Way
Canton, MA 02021
Direct Telephone: 781-612-3342 ext. 83342
Fax:
E-Mail: Joseph.Bonica@point32health.org
Mail Order Pharmacies that Participate in the Network:
- OptumRx
2300 Main Street
Irvine, CA 92614
Website: www.optumrx.com/public/landing
Pharmacy Contracting Contact Information:
- Pharmacy Network Relations
Independent Contracting
OptumRx
11000 Optum Circle
Eden Prairie, MN 55344
Phone: 800-797-9798
Fax: 844-305-2623
Independent.contracting@optum.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Humana Pharmacy Solutions Inc.
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Sean Joseph O'Reilly
Title: Vice President & Chief Compliance Officer
Mailing Address:
500 West Main Street
Louisville, KY 40202
Direct Telephone: 502-302-3560
E-Mail: company_licensing@humana.com
Mail Order Pharmacies that Participate in the Network:
Pharmacy Contracting Contact Information:
- Humana Pharmacy Solutions, Inc.
500 West Main Street
Louisville, KY 40202
Website: https://www.humana.com/pharmacy/ - E-Mail: pharmacycontracting@humana.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Independent Health’s Pharmacy Benefit Dimensions, LLC
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Nicole Britton
Title: VP-Chief Compliance Officer
Mailing Address:
511 Farber Lakes Drive
Buffalo, NY 14221
Direct Telephone: (716) 635-4874
E-Mail: nicole. britton@,indeoendenthealth.com
Mail Order Pharmacies that Participate in the Network:
- Wegmans Pharmacy
PO Box 64472
Rochester, NY 14624
website:www.reliancerxsp.com
- Specialty Pharmacy Management LLC d/b/a Reliance Rx
45 Earhart Drive, Suite 110
Amherst, NY 14221
Website: www.reliancerxsp.com - Proact Pharmacy
1226 US Highway 11
Gouverneur, NY 13642
Website: www.secure.proactrx.com/
Pharmacy Contracting Contact Information:
- Michael Bojaiski
Pharmacy Network Analyst
511 Farber Lakes Drive
Buffalo, NY 14221
716-635-4956
Michael.Bojarski@pbdrx.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Magellan Rx Management, LLC
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name:Joseph McKee
Title: Senior Director, Pharmacy and Medicare Compliance
Mailing Address:
11013 W. Broad Street, Suite 500
Glen Allen, VA 23060
Direct Telephone: 804-548-0439
Fax: 410-953-5207
E-Mail: jrmckee@magellanhealth.com
Mail Order Pharmacies that Participate in the Network:
- Martin's Point Healthcare Portland Pharmacy II
901 Washington Avenue
Portland, ME 04103
- I Care Pharmacy
227 Main St
Fort Fairfield, ME 04742
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- Magellan Rx Management, LLC
8621 Robert Fulton Drive
Columbia, MD 21406
https://www1.magellanrx.com/
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
MedImpact Healthcare Systems, Inc.
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Debra Harper
Title: Corporate Compliance Officer
Mailing Address:
10181 Scripps Gateway Court
San Diego, CA 92131
Direct Telephone: 858-790-6340
Fax: 858-357-2569
E-Mail: Debra.Harper@MedImpact.com
Mail Order Pharmacies that Participate in the Network:
- Birdi, Inc.
8060 South Kyrene Road
Tempe, AZ 85284-2109
www.Birdirx.com - Birdi, Inc.
7835 Freedom Ave. NW
North Canton, OH 44720
www.Birdirx.com - Birdi, Inc.
43811 Plymouth Oaks Blvd
Plymouth, MI 48170
www.Birdirx.com - Centerwell Pharmacy, Inc.
9843 Windisch Rd.
West Chester Township, OH 45069
www.centerwellpharmacy.com - Centerwell Pharmacy, Inc.
4302 W. Buckeye Rd.
Phoenix, AZ 85043
www.centerwellpharmacy.com - HealthDyne Pharmacy
500 Eagles Landing Dr Ste B
Lakeland, FL 33810
www.healthdyne.com
Pharmacy Contracting Contact Information:
- Lisa Smith
Manager Regulatory Compliance
10181 Scripps gateway Court
San Diego, CA 92131
Direct Phone: 858-226-6894
Fax: 858-357-2569
Email: Licensing@medimpact.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
OP Pharmacy LLC d.b.a OnePoint Patient Care
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Brett Jung
Title: Vice President - PBM Services
Mailing Address:
8130 Lehigh Ave
Morton Grove, IL 60053
Direct Telephone: (847) 583-5665
Fax: (847) 583-5602
E-Mail: Bjung@oppc.com
Mail Order Pharmacies that Participate in the Network:
- Pharmerica
6330 E 75th St. Suite 322
Indianapolis, IN 46250
Pharmacy Contracting Contact Information:
- Jenny Palmer
Director - PBM Services
8130 Lehigh Ave
Morton Grove, IL 60053
(847) 583-560352-8159 - Website: https://www.oppc.com/
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
TRISTAR
100 Oceangate, Suite 700
Long Beach, CA 90802
Website: https://tristargroup.net/
OptumRx, Inc
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Denise McCabe
Title: Compliance Officer
Mailing Address:
11000 Optum Circle
MN101-W013
Eden Prairie, MN 55344
Direct Telephone: 888-445-8745
E-Mail: ORxDOILic@optum.com
Mail Order Pharmacies that Participate in the Network:
- OptumRx
6800 West 115th Street
Suite 600
Overland Park, KS 66211
www.optumrx.com
Pharmacy Contracting Contact Information:
- Pharmacy Network Relations
Independent Contracting
11000 Optum Circle
Eden Prairie, MN 55344
800-797-9798
fax: 844-305-2623
Independent.contracting@optum.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
- Point32Health
1 Wellness Way
Canton, MA 02021
www.point32health.org, www.harvardpilgrim.org, www.tuftshealthplan.com
- United HealthCare and Affiliates
9700 Health Care Lane
Minnetonka, MN 55343
www.uhc.com
Pharma Force Group, LLC
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: David Valentine
Title: PBM Chief Operating Officer
Mailing Address:
4300 S. US Hwy 1 Ste 203-329
Jupiter, FL 33477
Direct Telephone: 717-207-9691
Fax: 561-231-2001
E-Mail: pbmlicensing@thepharmaforce.com
Mail Order Pharmacies that Participate in the Network:
- Birdi, Inc.
8060 South Kyrene Road
Tempe, AZ 85284-2109
www.Birdirx.com - Birdi, Inc.
43811 Plymouth Oaks Blvd
Plymouth, MI 48170
www.Birdirx.com
Pharmacy Contracting Contact Information:
- David Valentine
PBM Chief Operating Officer
4300 S. US Hwy 1 Ste 203-329
Jupiter, FL 33477
Direct Phone: 717-207-9691
Fax: 561-231-2001
Email: pbmlicensing@thepharmaforce.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Script Care, Ltd.
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Frank Messina
Title: General Counsel
Mailing Address:
6380 Folsom Drive
Beaumont, Texas 77706
Direct Telephone: 409-923-7331
Fax: 409-923-7331
E-Mail: fmessina@scriptcare.com
Mail Order Pharmacies that Participate in the Network:
- RPH Partners, LLC DBA Prescription Mart
4144 Dowlen Rd
Beaumont, Texas 77706
www.presmartinc.com
Pharmacy Contracting Contact Information:
- Frank Messina
General Counsel
6380 Folsom Drive
Beaumont, Texas 77706
Direct Phone: 409-923-7331
Fax Number: 409-923-7331
fmessina@scriptcare.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
SGRX (SCRIPTGUIDERX)
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Vikki Columbus
Title: Chief Pharmacy Officer
Mailing Address:
15400 E. Jefferson Ave
Grosse Pointe, Park, MI 48230
Direct Telephone: 888-509-8565 ext 210
Fax: 313-284-9204
E-Mail: vcolumbus@script-guiderx.com
Mail Order Pharmacies that Participate in the Network:
- Express Scripts
1 Express Way
St. Louis, MO 63121
https://www.express-scripts.com/
Pharmacy Contracting Contact Information:
- Heather Hage-Kosalski
Networks Manager
1500 E. Jefferson Ave
Grosse Pointe Park, MI 48230
Direct Phone: 888-509-8565 ext 202
Fax Number: 313-499-3211
hhagekosalski@scriptguiderx.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Smith Health, Inc.
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: William Sloan
Title: VP, Legal
Mailing Address:
300 Brannan Street
Suite 601
San Francisco, CA 94107
Direct Telephone: 628-219-3551
E-Mail: compliance@smithrx.com; William.Sloan@smithrx.com
Mail Order Pharmacies that Participate in the Network:
- PillPack LLC d/b/a Amazon Pharmacy
250 Commercial St Ste 2012
Manchester, NH 03101
https://pharmacy.amazon.com/pyr/smithrx - Walmart Mail Order Pharmacy
1025 W. Trinity Mills Rd
Carrolton, TX 75006
https://www.walmart.com/cp/pharmacy/5431 - Mark Cuban Cost Plus Drug Company, PBC
320 S Walton St.
Dallas, TX 75226
https://costplusdrugs.com/
Pharmacy Contracting Contact Information:
- Sovanny May, CPhT
Senior Pharmacy Network Manager
1331 W Powell Way, 4th Floor
Lehi, UT 84043
Phone: 801-503-1998
Fax: 866-441-4290
Pharmacynetwork@smithrx.com; Sovanny.may@smithrx.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- Smith Health Inc.
300 Brannan St. Suite 601
San Francisco, CA 94107
Website: https://smithrx.com/
Insurance Carriers and Health Plans that Use the Pharmacy Network:
- Gagne & Son
28 Old Route 27 Road
Belgrade, ME 04917 - Strategic Maintenance Solutions
12 Estate Drive
Gorham, ME 04038 - Oceanview Management
20 BLUEBERRY LANE
Falmouth, ME 04105 - Hardwood Products
PO Box 149
Guilford, ME 04443 - RFB Advertising, LLC
8 N Main Street
Rockland, ME 04841 - Viking Lumber
PO BOX B
Belfast, ME 04915 - Coutts Bros
13 Barber Road
Randolph, ME 04346 - The Baker Company
175 Gatehouse Road,
Sanford, ME 04073 - Volunteers of America Northern New England
14 Maine Street, Suite 100,
Brunswick, ME 04011 - Delta Ambulance
29 Chase Ave
Waterville, ME 04901 - Prescott Metal
18 Morin Street
Biddeford, ME 04005 - Direct Mail of Maine
44 Manson Libby Rd
Scarborough, ME 04074 - UNITED INSURANCE
470 Forest Ave
Portland, ME 04101 - RJ Grondin & Sons
11 Bartlett Rd
Gorham, ME 04038-2641 - Compounding Solutions
258 Goddard Road
Lewiston, ME 04240 - Hussey Seating Company
38 Dyer Street
North Berwick, ME 03906 - Maine Drilling and Blasting
542 Brunswick Avenue
Gardiner, ME 04345 - Jobs for Maine's Graduates
65 Stone Street
Augusta, ME 04330 - Precinmac
79 Prospect Ave
South Paris, ME 04281 - The Northern Lighthouse
172 Academy Street
Presque Isle, ME 04769 - Sabre Yachts
12 Hawthorne Road
Raymond, ME 04071 - RLC Engineering
267 Whitten Rd
Hallowell, ME 04347 - Robbins Lumber
53 GHENT
Searsmont, ME 04973 - H O Bouchard Inc
349 Coldbrook Rd
Hampden ME 04444 - Alcom LLC
6 Millennium Dr
Winslow, ME 04901-0777 - Gaftek
160 Perry Road
Bangor, ME 04401 - Taro Health - Maine
421 8th Avenue
PO Box 1174
New York, NY 10116 - Somic America
6 Baker Boulevard
Brewer, ME 04412 - J.S. McCarthy Printers
15 Darin Drive
Augusta, ME 04330 - Sweetser
50 Moody Street
Saco, ME 04072 - Puritan Medical Products Company LP
PO Box 149
Guilford, ME 04443 - Chenmark Holdings
75 Washington Ave, Ste 2C
Portland, ME 04101 - SKILLS, Inc.
461 Hartland Road
Saint Albans, ME 04971 - Brooklin Boat Yard
44 Center Harbor Road
Brooklin, ME 04616 - CPM Constructors
30 Bonney Street
Freeport, ME 04032 - Spurwink Services
901 Washington Avenue #100
Portland, ME 04103 - International Grand Investment Corp d/b/a Woodland Pulp
144 Main Street
Baileyville, ME 04694 - The Baker Company
175 Gatehouse Road
Sanford, ME 04073 - Revision Energy
758 Westbrook Street
South Portland, ME 04106
Southern Scripts, LLC
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Colette Cray
Title: Sr Legal Counsel & Compliance Officer
Mailing Address:
411Bienville Street
Natchitoches, LA 71457
Direct Telephone: 800-710-9341
E-Mail: legal@liviniti.com
Mail Order Pharmacies that Participate in the Network:
- Postal Prescription Services
P.O. Box 842772
Boston, MA 02284
www.ppsrx.com
- MiRx, Pharmacy
993 S. 24th Street, Suite A
Billings, MT 59102
www.mirxpharmacy.com
- TRUEPILL
3121 Diablo Ave
Haywoard, CA 94545
https://www.truepill.com/
Pharmacy Contracting Contact Information:
- Robert Carney
Director of Provider Relations Operations
411 Bienville Street
Natchitoches, LA 71457
Direct Telephone: 562-481-6132
RobertCarney@southernscripts.net
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
- A Franchi Contractors
190 North Main Street
Natick, ME 01760
http://afranchi.com/ - Berwick Acadamy
31 Academy Street
South Berwick, ME 03908
https://www.berwickacademy.org/ - Community Care of Maine
40 Summer Street, 2nd Floor
Bangor, ME 04401
https://comcareme.org
- Community Living Association
45 School Street
Houlton, ME 04730
- Enercon Tecchynologies
25 Northbrook Drive
Gray, ME 04039
https://www.enercontechnologies.com - Hartt Transportation Systems, Inc.
PO Box 13685
Bangor, ME 04401
www.hartt-trans.com
- Hospitality Health, LLC for Shipyard Brewing Co.
86 Newbury Street
Portland, ME 04104
https://shipyard.com
- JS McCarthy Co., Inc
15 Darin Drive
Augusta, ME 04330
https://jsmccarthy.com
- Kennebec Behavioral
67 Eustis Parkway
Waterville, ME 04901
https://kbhmaine.org
- Kennebec Valley Community Action Program (KVCAP)
97 Water Street
Waterville, ME 04901
www.kvcap.org
- Lucas Tree Experts
12 Northbrook Drive
Falmouth, ME 04105
www.lucastree.com
- Maine public
1450 Lisbon Street
Lewiston, ME 04240
www.mainepublic.org
- Medical Care Development
11 Parkwood Drive
Augusta, ME 04330
www.mcd.org
- Morrison Center
60 Chamberlain Road
Scarborough, ME 04074
www.morrison-maine.org - Northeast Mobile Health Services
24 Washington Avenue
Scarborough, ME 04074
www.nemhs.com
- Paul G. White Tile Company, Inc.
444 Riverside Industrial Park
Portland, ME 04107
www.paulwhitecompany.com
- Penobscot Community Health Center
1012 Union Street
Bangor, ME 04401
www.pchc.com/ - Prentiss & Carlisle
107 Court St
PO Box 637
Bangor, ME 04402
www.prentissandcarlisle.com
State Farm Mutual Automobile Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Callie Cherry
Title: Benefits Analyst
Mailing Address:
State Farm
One State Farm Plaza
Total Rewards – Benefits, C-1
Bloomington, IL 61710
Direct Telephone: 309-766-5724
E-Mail: callie.cherry.vaade4@statefarm.com
Mail Order Pharmacies that Participate in the Network:
- CVS Caremark Mail Order Pharmacy
- CVS Caremark Specialty Pharmacy
www.caremark.com
Pharmacy Contracting Contact Information:
- CVS Caremark
- www.cvsspecialty.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Taro Health Plan of Maine, Inc.
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Paige Schmidt
Title: Counsel, Regulatory and Compliance
Mailing Address:
421 Eth Avenue
PO Box 1174
New York, NY 10116
Direct Telephone: 610-888-2003
Fax:
E-Mail: paige@tarohealth.com
Mail Order Pharmacies that Participate in the Network:
- Serve You DirectRx Mail Order
10201 West Innovation Drive, Ste 600
Milwaukee, WI 53226
https://serveyourx.com/ - Walmart Mail Order Pharmacy
1025 W. Trinity Mills Rd
Carrolton, TX 75006
https://www.walmart.com/cp/pharmacy/5431 - Mark Cuban Cost Plus Drug Company, PBC
320 S Walton St.
Dallas, TX 75226
https://costplusdrugs.com/
Pharmacy Contracting Contact Information:
- Sovanny May, CPhT
Senior Pharmacy Network Manager
1331 W Powell Way, 4th Floor
Lehi, UT 84043
Direct Telephone: 801-503-1998
Fax: 866-441-4290
E-Mail: Sovanny.may@smithrx.com or Pharmacynetwork@smithrx.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- Smith Health Inc.
300 Brannan St. Suite 601
San Francisco, CA 94107 - https://smithrx.com/
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Towers Administrators LLC
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Angela Plassmann
Title: Paralegal
Mailing Address:
99 High Street, FL 28
Boston, MA 02110
Direct Telephone: 413-265-1260
FAX: 857-557-4170
E-Mail: aplassmann@rxsense.com
Mail Order Pharmacies that Participate in the Network:
Pharmacy Contracting Contact Information:
- Angela Plassmann
Paralegal
99 High Street FL 28
Boston, MA 02110
Phone: 413-265-1260
FAX: 857-557-4170
E-Mail: aplassmann@rxsense.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
- Pro Act
151 Fairchild Ave #4
Plainview, NY 11803
Website: https://secure.proactrx.com/ - Scriptguide Rx
15400 E. Jefferson
Grosse Pointe Park, MI 48230
Website: https://www.sgrxhealth.com/ - TrueRx
4 Williams Brothers Drive
Washington, IN 47501
Website: https://truerx.com/ - VerusRx
8150 N. Central Expy
Dallas, TX 75206
Website: https://www.abadmin.com/ - VividClear Rx
5820 Westown Parkway
West Des Moines, IA 50266
Website: https://www.vividclearrx.com/
Insurance Carriers and Health Plans that Use the Pharmacy Network:
UnitedHealthcare Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Scott E. Sebastian
Title: Associate General Counsel/Director, Regulatory Affairs
Mailing Address:
UnitedHealthcare Employer and Individual
185 Asylum Street, CT039-020A
Hartford, CT 06103
Direct Telephone: 860-702-5159
E-Mail: Scott_E_Sebastian@uhc.com
Pharmacy Contracting Contact Information:
- Pharmacy Network Relations
Independent Contracting
2300 Main Street
M/S CA 134-0245
Irvine, CA 92614
Phone: 800-797-9798
Indpendent.contracting@optum.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
UnitedHealthcare of New England
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Scott E. Sebastian
Title: Associate General Counsel/Director, Regulatory Affairs
Mailing Address:
UnitedHealthcare Employer and Individual
185 Asylum Street, CT039-020A
Hartford, CT 06103
Direct Telephone: 860-702-5159
E-Mail: Scott_E_Sebastian@uhc.com
Pharmacy Contracting Contact Information:
- Pharmacy Network Contracting
Independent Contracting
2300 Main Street
M/S CA 134-0245
Irvine, CA 92614
Phone: 800-797-9798
Indpendent.contracting@optum.com
https://www.uhc.com/
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
Washington National Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Kathryn Yurkovich
Title: Compliance Manager
Mailing Address:
Automated Benefit Services, Inc.
800 Tower Drive Ste 300
Troy, MI 48098
Direct Telephone: 512-963-56367
Fax: 586-693-4835
E-Mail: Kathryn.yurkovich@ascension.org
Mail Order Pharmacies that Participate in the Network:
- Express Scripts Mail Order
Pharmacy Contracting Contact Information:
- Express Scripts
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network:
WellDyneRx, LLC
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Phillip P. Bisesi
Title: Vice President and Secretary
Mailing Address:
500 Eagles Landing Drive
Lakeland, FL 33810
Direct Telephone: 888-479-2000
Fax: 863-686-4710
E-Mail: Administration@welldynerx.com
Mail Order Pharmacies that Participate in the Network:
- WellDyneRx, LLC
500 Eagles Landing Drive
Lakeland, FL 33810
www.welldynerx.com
Pharmacy Contracting Contact Information:
- WellDyneRx, LLC
500 Eagles Landing Drive
Lakeland, FL 33810
www.welldynerx.com
Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.
Insurance Carriers and Health Plans that Use the Pharmacy Network: