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OptumRx 610494 4444 ACUIA 877-495-2272 800-464-9484 800-464-9484 www Members may fi l prescriptions at a level 2 pharmacy, but l will pay more out of pocket Rx BIN PCN Group Number Member Number BC BS Rx BIN PCN Group Number XJK901000011 XJK901000011 090 590 090 Pharmacy Benefit Manager (PBM) or Billing Agent PBMBilling Agent Contact Information. OptumRx Part-D and MAPD Plans BIN 610097 PCN 9999 Part-D WRAP Plans BIN 610097 PCN 8888 PCN 8500 OptumRx (This represents former informedRx) BIN &216;1&216;868 61&216;593. Click here for the first page (E0654 - H2235) , third page (H3962 - H5928) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701). . His family later moved to Saudi Arabia where his father worked in Pakistani Embassy Riyadh.

BIN 610097 PCN 9999. Plan As referenced in this Provider Operations Manual, "Plan" refers to the entity that has been authorized by Optum to access its network of providers.

9999 8888 610097 610097 COS Local 436 Local 400 IBT TEAMStar. . Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701) Advertisement.

Aug 19, 2020 &183; This drug list was updated in December 2021 ii The enclosed formulary is current as of December 1, 2021. pool membership chattanooga Pharmacy Rx Bin 020099. Search Bin 003858 Pcn Md. OptumRx NCPDP Version D. Diplomat Specialty A human approach with next-level results RxPCN Number 9999 Grand Canyon University is a private Christian university located in Phoenix, Arizona BIN 004336. Rx BIN 610097; Rx PCN 9999; Rx Group MEMPW90; Slide 33 Kaiser Permanente.

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OptumRx NCPDP Version D. Plan NameGroup Name BIN 006012 PCN MEDDPDM PCN PDMI PCN Not required BIN 014955 PCN PDMI PCN Not required MarketPlace 2014 BIN 610020 PCN MRKTPDM Spectrum Health Pharmacy BIN 610020 PCN CHOICEPLUS True Scripts BIN 017274 PCN PDMI Wisian LLC BIN 610325 PCN WSN RxPreferred BIN 610020 PCN. Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701) Advertisement. Oct 28, 2021.

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. Click here for the first page (E0654 - H2235) , third page (H3962 - H5928) , fourth page (H5928 - H8634) and fifth page (H8634 - S9701). BIN 610097 PCN 9999 Group MPDOHCSP Medicaid Only Members BIN 610494 PCN 9999 Group ACUOHMMP Briova Specialty Pharmacy.

0 Payer Sheet MEDICARE ONLY Payer Name OptumRx Date 01012022 OptumRx Part-D and MAPD Plans BIN 610097 PCN 9999 Part-D WRAP Plans BIN 610097 PCN 8888 PCN 8500 OptumRx (This represents former informedRx) BIN 610593 PCN HNEMEDD PHPMEDD PCN SXCFLH OptumRx (This represents former. . Commercial and Medicaid BIN 610494 PCN 9999 Community Health BIN 610613 PCN 2417 ProAct BIN 017366 PCN 9999 FlexScriptsProAct BIN 018141 PCN 9999 United Healthcare. .

. Diplomat Specialty A human approach with next-level results RxPCN Number 9999 Grand Canyon University is a private Christian university located in Phoenix, Arizona BIN 004336. . 0 Payer Sheet MEDICARE ONLY Payer Name OptumRx Date 0101 2022 OptumRx Part-D and MAPD Plans BIN 610097 PCN 9999 Part-D WRAP Plans BIN 610097 PCN 8888 PCN 8500 OptumRx (This represents former informedRx) BIN 610593 PCN HNEMEDD PHPMEDD PCN SXCFLH OptumRx (This represents former informedRx) BIN.

Health Benefits Program Guide 2022 - Medicare (pages 10, 14). . OptumRx NCPDP Version D.