WebRX BIN: 004336 RX PCN: ADV RX Group: RX0546 Prescription Prior Authorization Request: Prescriptions for medications requiring prior approval or for medications not included on the Molina Formulary List may be approved when medically necessary and when formulary list options have demonstrated ineffectiveness. WebJul 1, 2024 · Pharmacy Help Desk Contact Information. AmeriHealth Caritas: 866-885-1406. Carolina Complete Health: 833-992-2785. Healthy Blue: 833-434-1212. United Healthcare: 855-258-1593.
BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan
WebFollowing are billing instructions for the Medicaid Plans: BIN: 004336, PCN: MCAIDADV GRP: RX0546, RX6422, RX6423 Following are billing instructions for the Essential Plans: BIN: 004336, PCN: ADV GRP: RX6424 NCPDP D.0 Segment Field Value Service Provider ID (201-B1) The Type 2 NPI for the pharmacy contracted for COVID-19 test services should WebPlan PBM Phone BIN PCN Group OHA (Fee -for-Service or “Open Card”) 888-202-2126 014203 ORDHSFFS ... PacificSource Community Solutions 855-228-6229 004336 ADV RX6156 Trillium – Lane County 833-913-1004 004336 MCAIDADV RX5461 Trillium – Tri County 833-913-1004 004336 MCAIDADV RX5481 ... devon pa horse show
BIN: 404336 Details
WebPCN: Group Number PBM: Phone Number. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 ... OptumRx; 855-577-6310 United Healthcare Community Plan (Acute, CRS, DD, LTC) 610494 4100 ACUAZ OptumRx; 877-305-8952 Care1st 004336 MCAIDADV RX5496 CVS-Caremark 866-560-4042 Mercy Care DCS CHP (formerly CMDP) ... Mercy Care … WebMedicaid Health Plan BIN PCN Group Aetna Better Health of Michigan 610591 ADV RX8826 Blue Cross Complete of Michigan 600428 06210000 n/a ... Meridian Health Plan 004336 MCAIDADV RX5492 Molina Healthcare of Michigan 004336 ADV RX0506 Priority Health Choice 003858 MA PHMEDCD United HealthCare Community Plan, Inc. 610494 … WebDec 24, 2024 · For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. We are an independent education, … churchill reserve port