Contracted PBM Listing
(Revised 05/04/2020)
PBM
Aetna
American Health Care
Applied Underwriters, Inc
AutoRx
(Mitchell)
BeneCard
Blue Eagle Health
Capital Rx
CastiaRx
(formerly LDI/PTI-NPS)
Change HealthCare
(formerly Emdeon)
Citizen's Rx
(Gateway Pharmacy Networks)
ClaritasPSM
(formerly CareMoreRx)
CVS Caremark
DST Pharmacy Solutions
(formerly Argus)
For questions please contact, Health Mart Atlas Customer Care.
Phone: 800-824-1763, option 2. Email: service.HMAtlas@mckesson.com
Contracted Lines of Business BINs* PBM Help Desk Numbers
Medicare D 610502 P: 800-238-6279
Medicare D Extended Day
Commercial 014872, 018240, 610118 P: 800-872-8276
Commercial Extended Day E: pharmacy.support@americanhealthcare.com
Retail Rural MAC: https://macappeals.ahcrx.com
Commercial 013329 P: 877-234-4420
Commercial Extended Day E: customerservice@auw.com
Commercial Rural
Workers Compensation
Auto Insurance 610133 P: 866-428-8679
E: autorx@mitchell.com
Commercial 014179 P: 888-907-0050
Commercial Extended Day 017688 E: NetworkQuality@benecardpbf.com
Commercial LTC F: 888-723-6008
Commercial LTC Extended Day Reimbursement inquiries: 877-723-6004
Commercial Limited 018050 P: 800-536-0352
Commercial Limited Extended Day E: contactus@blueeagle-health.com
Commercial Standard
Commercial Standard Extended Day
Discount Card Programs
Commercial 610744 P: 800-424-5940
Commercial Extended Day E: support@cap-rx.com
Commercial 020321, 800010 P: 800-652-9550
Commercial Extended Day E: ProviderRelations@castiaRx.com
Commercial Rural Claims Processing : memberservices@castiarx.com
Discount Card Programs Pricing and MAC: pricing@castiaRx.com
Commercial Preferred 004682, 014947 P: 877-363-3666
Commercial Non-Preferred 016184, 019140 E:provider.relations@changehealthcare.com
Medicare D Select 019579, 019876
Medicare D Preferred 600426, 610268
Workers Compensation
Commercial 015284 P: 888-545-1120
Commercial Extended Day Spanish Phone: 877-532-7912
Commercial Preferred E: info@citizensrx.com
Discount Card Programs
Specialty
Specialty Preferred
Workers Compensation
Hospice 004527 P: 855-355-8553
Aetna Commercial Plans 004245, 004336, Aetna Commercial/Medicaid: 1-866-638-1232
Anthem Commercial, Medicaid, Medicare 006144, 007093, 008019 Aetna Medicare BIN: 610502: 1-800-238-6279
Commercial 012114, 012147, 012189 FEP BIN 610239: 1-800-364-6331
Commercial Extended Day 013089, 013303, BIN 004336: 1-800-364-6331
Discount Card Programs 014046, 020099, BIN 610029: 1-800-421-2342
Medicaid 020107, 020115, BIN 610415: 1-800-345-5413
Medicare D 601475, 603604, BIN 610591 refer to ID card for phone number
Medicare D Extended Day 610029, 610130, BINs: 004245, 610449, 610474, 603604: 1-800-777-1023
Medicare D Preferred 610235, 610239, Unclaimed funds for pharmacies not affiliated with HMAtlas:
Medicare D Preferred Extended Day 610415, 610449, 800-505-2192
Retail Commercial 610474, 610473, Credentialing: 866-488-4708
Retail Commercial Extended Day 610477, 610468,
Specialty 610591
Workers Compensation
Vaccines
Commercial 011834, 012353, 013113 P: 800-522-7487
Commercial Extended Day 013824, 015292, 016607, Audit: audit.pharmacy@argushealth.com
Copay Card Programs 016978, 017267, 017655, Discount Card: 866-921-7286
Discount Card Programs 017878, 018042, 018133, EFT Forms: P:866-211-9459 or email:
Medicaid 018265, 018323, 018357 reconcustomerservice@argushealth.com
Medicare D 018398, 018547, 018612, MAC: 844-343-0987
Medicare D Extended Day 019041, 019059, 019158,
Medicare LTC 019330, 019520, 019645,
Medicare Home Infusion 019934, 019975, 020958,
Preferred Commercial 021452, 021700, 250529,
Retail Commercial 600428, 610141, 610220,
Retail Commercial Extended Day 610225, 610245, 610272,
Vaccines 610280, 610367, 610622,
610709, 610728, 808413
Contracted PBM Listing For questions please contact, Health Mart Atlas Customer Care.

(Revised 05/04/2020) Phone: 800-824-1763, option 2. Email: service.HMAtlas@mckesson.com

PBM Contracted Lines of Business BINs* PBM Help Desk Numbers

EnvisionRx Commercial 009893, 011289, 011875, P: 800-361-4542
(MedtrakRx, AmWINSRx) Commercial Extended Day 012312, 013477, 013492, E: pharmacyaccountingissues@envisionrx.com
Medicaid 014244, 014848, 015185, F: 330-405-8081
Medicare D 015342, 016473, 017134, EFT Forms: P: 800-361-4542 or email:
Medicare D Extended Day 017529, 017944, 018075, pharmacyaccountingissues@envisionrx.com
Discount Card Programs 018687, 018852, 019074, MAC: macdisputes@envisionrx.com
Vaccines 019802, 019819, 019872, Medtrak Phone: 1-800-771-4648
019926, 019950, 610272, Medtrak Fax: 913-262-2025
610288, 610303, 610342,
610346, 610724, 610748,
637639, 800004
Employee Health Insurance Commercial 005285 P: 800-311-3446
Management(EHIM) F: 248-948-9904
Envolve (US Script) Medicaid 008019 P: 800-460-8988
Accounts payable: 800-413-7721
MAC portal: https://rxservices.cvscaremark.com
Express Scripts Cigna Commercial & Medicare D Plans 003858, 010033, DOD Tricare: 877-363-1304
Commercial 010991, 011800, Non-DOD Tricare: 800-922-1557
Commercial Extended Day 013337, 013344, Credentialing: https://www.esiprovider.com
Discount Card Programs 013865, 015748, MAC: MACDepartment@express-scripts.com
High Performance Network 017010, 019363, Online application/ Network contracting: 888-571-8182
Medicaid 400023, 610014, Remittance: Remittance@express-Scripts.com
Medicare D 610031, 610053, Spanish phone: 800-525-2671
Medicare D Extended Day 610056, 610084,
Medicare LTC 610575
Medicare Home Infusion
Preferred Commercial
Prime Therapeutics Commercial Plans
Retail Commercial
Retail Commercial Extended Day
Vaccines
GuidantRx Commercial Network 610106 P: 866-618-3494
(formerly PBM Plus) Commercial Limited Network E: providerservices@pbmplus.com
F: 513-248-3079
Independent Health Commercial Network 004626, 012635, P: 716-631-2927
Medicaid 016557
Medicare D
Medicare D Extended Day
Integrated Prescription Management (IPM) Commercial Network 014658 P: 877-860-8846
Rural Network E: info@rxipm.com
Magellan Health Services Commercial 015035, 015251, P: 800-424-3312 option 3, pharmacy
(4D Management) Commercial Extended Day 017431, 017449, Credentialing: 800-788-4005
Commercial Preferred 017465, 017480, MAC: RxNetworksDept@magellanhealth.com
Discount Card Programs 018117, 018679,
Medicaid 018786, 018810,
Medicare D 018927, 019439,
Medicare D Extended Day 021106
Medicare D LTC
Medicare D Home Infusion
Medicare D Preferred
Vaccines
MaxCare Commercial 610170 P: 800 259-7765
Commercial Preferred F: 405-213-1521
MaxorPlus Commercial 004204, 005377, 009075, P: 800-687-0707 or 877-829-9961
Commercial Extended Day 009083, 009929, 020040, Audit: pharmacyaudits@maxor.com
Commercial Preferred 019611 MAC: macappeals@maxor.com
Commercial Premier
Commercial Select
Discount Card Programs
MC-Rx Commercial 022188
Commercial Extended Day
Medicaid
Medicare D
Medicare D Extended Day
Discount Card Programs
Contracted PBM Listing For questions please contact, Health Mart Atlas Customer Care.

(Revised 05/04/2020) Phone: 800-824-1763, option 2. Email: service.HMAtlas@mckesson.com

PBM Contracted Lines of Business BINs* PBM Help Desk Numbers

MedImpact Commercial 003585, 011917, P: 800-788-2949
Commercial Extended Day 012882, 014988, E: customerservice@medimpact.com
Discount Card Programs 015400, 015441, Credentialing: Pharmacyoperationssups@medimpact.com
Medicaid 015517, 015574,
Medicare D 015921, 017142,
Medicare D Extended Day 018050, 018596,
Medicare D LTC 018605, 020008,
Medicare D Home Infusion 610312, 610475,
Retail Commercial 610679, 808412
Retail Commercial Extended Day
Vaccines
MedOne Healthcare Systems Commercial 021775, 020040, 610311 P: 888-884-6331
Commercial Extended Day F: 563-588-8725
Commercial Preferred
MeridianRx Commercial 018091 P: 866-984-6462
Medicare D 022006
Medicare D Specialty 610241
Medicaid Rural
Medicaid Specialty
Navitus Health Solution Commercial 016127 P: 866-333-2757 or 608-298-5777
Commercial Extended Day 022006 E: providerrelations@navitus.com
Commercial Limited 610186 Audits: P: 920-221-4100 E: auditing@navitus.com
Commercial Preferred 610602 Payments: P: 608-298-5777 Email:
Commercial Rural remittanceinquiry@navitus.com
Discount Card Programs Credentialing: P: 608-298-5779 Email:
Medicaid credentials@navitus.com
Medicare D
Medicare D Extended Day
Medicare Home Infusion
Medicare LTC
Vaccines
OptumRx Commercial 001553, 003452, 003650, Credentialing: 800-613-3591 or email:
(Catamaran, ScriptNet) Commercial Extended Day 004469, 004519, 005757, pharmacycredentialing@optum.com
Commercial Preferred 005947, 006524, 007887, MAC: MAC@optum.com or 800-613-3591
Discount Card Programs 008878, 009117, 009951, Medicaid: 888-306-3243
Medicaid 010553,011149, 011297, ProAct Pharmacy: 877-635-9545
Medicare D 011321, 011677, 011792, OptumRx: 800-788-7871
Medicare D Extended Day 011867, 011875, 012163, MedalistRx: 855-633-2579
Medicare D Home Infusion 012295, 012353,012502, FlexScripts: 800-603-7796
Medicare D LTC 012882, 012874, 012924, Cigna: 800-244-6224
Vaccines 013170, 013907, 014582, AARP MedicareComplete and UnitedHealthcare
Workers Compensation 014681, 014848, 015053, MedicareComplete Plans: 877-889-6510
015383, 015558, 015756, AARP MedicareRx, United MedicareRx, UnitedHealthcare
015764, 015789, 015814, MedicareRx Plans:
015962, 016093, 016143, 877-889-6481
017010, 017366, 017911, UnitedHealthcare Medicaid Plans:
018240, 018643, 018704, 888-306-3243
021692, 600428, 600471,
601577, 601683, 603017,
603286, 610011, 610097,
610106, 610118, 610127,
610140, 610171, 610182,
610212, 610279, 610494,
610527, 610548, 610550,
610560, 610593, 610619,
610621, 610622, 610623,
610624, 610648, 610652,
610675, 610679, 610704,
800010
Paramount Rx Inc. Commercial 610210 P: 800-481-0605
Commercial Extended Day E: contact@paramountrx.com
PerformRx Commercial 019587, 019595, 600428 Credentialing:
P: 866-533-5492providers@paramountrx.com
(Select Health) Discount Card Programs F: 800-684-5504
Medicaid E: pharmhelpdesk@performrx.com
Medicare D, Medicare D Extended Day Specialty: 800-555-5690
Medicare D LTC Contracting: pharmacynetworkcontracting@performrx.com
Vaccines Credentialing or FWA:
PharmacyNetworkCredentials@performrx.com.
Contracted PBM Listing For questions please contact, Health Mart Atlas Customer Care.

(Revised 05/04/2020) Phone: 800-824-1763, option 2. Email: service.HMAtlas@mckesson.com

PBM Contracted Lines of Business BINs* PBM Help Desk Numbers

PDMI- Pharmacy Data Management, Inc. Commercial 006012, 014955, 017274, P: 800-767-4226 or 800-800-7364
(Universal Rx) Commercial Extended Day 019629, 021031, 022279, Accounting: pharmacyPayables@pdmi.com
Commercial Rural 610020, 610325 MAC: MAC@pdmi.com
Discount Card Programs
Hospice
Medicaid
Medicare D
Workers Compensation

Prime Therapeutics Medicare D 011552,020289, P: 800-821-4795

Medicare D Extended Day 012833, 014897, Audits: pharmacyauditdesktop@PrimeTherapeutics.com
Medicare D Home Infusion 014906, 015905, Credentialing: 888-277-5510 or email:
Medicare D LTC 016499, 016895, pharmacyops@primetherapeutics.com
Medicare D Preferred 045906, 610455,
Vaccines 610624, 610648
Workers Compensation
ProCare Rx Commercial 009265, 009430, 010439, P: 800-277-2480
(AgelityRx, BioScript) Commercial Extended Day 011669, 012965, 013832, F: 678-207-5090
Discount Card Programs 014310, 015235, 016846, E: network@procarerx.com
Hospice 016994, 017043, 017218,
Mail Order 017515, 017614, 017647,
Medicaid 017670, 017754, 018159,
Workers Compensation 018166, 018224, 018299,
018364, 018372, 018497,
018753, 018778, 020826,
021056, 021924, 022188,
610198, 610711, 610719,
900014, 900020
RxAdvance Commercial 020545, 610315 P: 877-281-1745
Commercial Extended Day E: CSR@rxadvance.com
Discount Card Program Audit: Compliance@rxadvance.com
Credentialing: Credentialing@rxadvance.com
RxSense Commercial 610568, 021874 Website: https://rxsense.com/members-providers/
Commercial Extended Day
Discount Card Program
Sav-Rx Commercial 006558 P: 800-228-3108
Discount Card Programs 008563 F: 888-810-1394
Script Care Commercial 004410, 008704, 017051, P: 800-880-9988
Commercial Extended Day 018273, 018704, 018711, E: providerinfo@scriptcare.com
Discount Card Programs 018729, 018737, 018943, Credentialing: providerinfo@scriptcare.com
018951, 019082, 019090,
019116, 019132, 020073,
020131, 021395, 021478,
021551, 021569, 021577,
021585, 021593, 021841,
021924, 022096, 022378,
022386, 022096, 984000

ScriptClaim Commercial 18570, 18877, 610740 P: 833-986-7726

Commercial Extended Day F: 800-850-4801
Discount Card Programs
Vaccines
Scriptcycle Discount Card Programs 016466 P: 877-288-3628
Manufacture Coupon E: support@scriptcycle.com

ScriptGuideRx Commercial 015202, 015327 P: 855-367-7479

Commercial Extended Day Billing issues: 313-821-3200 Ext.206
Medicaid

ScriptSave Discount Card Programs 006053, 008696, 009224, P: 800-404-1031

015715, 015673, 015707,
017696, 610312
Self Insured Pharmacy Network (SIPN) Commercial 019629 P: 919-436-3359 or 800-767-4226
Commercial Extended Day F: 919-792-1921
Discount Card Programs E: PharmacyRelations@sipharmacynetwork.com
Vaccines
Serve You Commercial 610548 P: 800-759-3203
Commercial Extended Day E: provider_relations@serve-you-rx.com
Commercial Preferred
SERVRx Workers Compensation 015730 P: 888-907-9770 option 1
E: info@servrx.com
Contracted PBM Listing For questions please contact, Health Mart Atlas Customer Care.

(Revised 05/04/2020) Phone: 800-824-1763, option 2. Email: service.HMAtlas@mckesson.com

PBM Contracted Lines of Business BINs* PBM Help Desk Numbers

SmithRx Commercial 019025 P: 844-512-3030
Commercial Extended Day F: 866-642-5620
Discount Card Programs E: Provider@smithrx.com
Vaccines
Workers Compensation
StoneRiver Pharmacy Solutions Workers Compensation 005567 P: 800-541-5234 option 2
(SRPS/OptumRx) E: ClientServices3@optum.com
Ventegra Commercial 012528, 018893 BIN 012528: 877-829-9961
Commercial Extended Day BIN 018893: 855-355-3015
Commercial Rural
Compounds
Vaccines
WellDyneRx Commercial 008878, 014856, P: 888-886-5822
(NetCard Services) Commercial Extended Day 015383, 015723, 015962,
Medicaid 016359, 018034, 018506,
Specialty 018794, 019173, 019975,
Vaccines 020586, 021809, 022501,
Workers Compensation 022591, 022600, 022287

* BIN changes and/or updates may apply * Revised 05/04/2020

McKesson Corporation Confidential and Proprietary