Maine's Any Willing Pharmacy Information - Bulletin 377

The information below has been collected pursuant to Bulletin 377 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
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: William Sterling
Title: Assistant Vice President - Compliance
Mailing Address: 2 Mid America Plaza, Suite 200
                             Oakbrook Terrace, IL 60181
Direct Telephone: 630-472-7869
Fax:
E-Mail: wsterling@bcsf.com

Mail Order Pharmacies that Participate in the Network:

Pharmacy Contracting Contact Information:

 

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Aetna Health Inc
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Elizabeth Little, PharmD, RPh, CHC
Title: Business Compliance Officer – PBM, Specialty, and Mail; Compliance and Integrity
Mailing Address: 9501 E Shea Blvd
                              Scottsdale, AZ 85260
Direct Telephone: 480-267-8698
Fax:
E-Mail: Elizabeth.Little@CVSHealth.com

Mail Order Pharmacies that Participate in the Network:

  • CVS Mail Order Pharmacy

Pharmacy Contracting Contact Information:

  • Aetna Health Management is a licensed PBM in Maine; however, CVS Caremark is our primary PBM for network contracting responsibilities.

 

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Aetna Health Management LLC
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Elizabeth Little, PharmD, RPh, CHC
Title: Business Compliance Officer – PBM, Specialty, and Mail; Compliance and Integrity
Mailing Address: 9501 E Shea Blvd
                              Scottsdale, AZ 85260
Direct Telephone: 480-267-8698
Fax:
E-Mail: Elizabeth.Little@CVSHealth.com

Mail Order Pharmacies that Participate in the Network:

  • CVS Mail Order Pharmacy

Pharmacy Contracting Contact Information:

  • Aetna Health Management is a licensed PBM in Maine; however, CVS Caremark is our primary PBM for network contracting responsibilities.

 

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Aetna Life Insurance Company
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Elizabeth Little, PharmD, RPh, CHC
Title: Business Compliance Officer – PBM, Specialty, and Mail; Compliance and Integrity
Mailing Address: 9501 E Shea Blvd
                              Scottsdale, AZ 85260
Direct Telephone: 480-267-8698
Fax:
E-Mail: Elizabeth.Little@CVSHealth.com

Mail Order Pharmacies that Participate in the Network:

  • CVS Mail Order Pharmacy

Pharmacy Contracting Contact Information:

  • Aetna Health Management is a licensed PBM in Maine; however, CVS Caremark is our primary PBM for network contracting responsibilities.

 

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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American National Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Joseph Songy
Title: Senior Claim Compliance Analyst
Mailing Address: One Moody Plaza
                           Galveston, TX 77550
Direct Telephone: 281-538-4878
Fax: 281-535-4669
E-Mail: Joseph.Songy@ANICO.com or HealthClaims.Compliance@ANICO.com

Mail Order Pharmacies that Participate in the Network:

  •  

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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American Republic Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Meg Brown
Title: Vice-President and Chief Administrative Officer
Mailing Address:   601 6th Ave
                                Des Moines, Iowa 50309
Direct Telephone: 515-245-4253
Fax: 515-247-2491
E-Mail: meg.brown@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:

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Anthem Health Plans of Maine, Inc

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Jennifer Verheyden
Title: Staff Vice President & Pharmacy Compliance Officer
Mailing Address:   2505 N State Highway 360
                                 Grand Prairie, TX   75050
Direct Telephone: 512-639-5991
Fax:
E-Mail: Jennifer.verheyden@anthem.com

Mail Order Pharmacies that Participate in the Network:

  • Caremark Prescription Srvc WBP
    1 Great Valley Blvd
    Wilkes Barre, PA 18706
  • Caremark Prescription Svcs Sat
    7034 Alamo Downs Pky
    San Antonio, Tx 78238
  • Caremark Prescription Svcs Mtp
    800 Biermann Ct Ste A
    Mount Prospect, Il 60056
  • Caremark Prescription Svcs Phx
    4121 E Cotton Center Blvd
    Phoenix, Az 85040
  • Express Scripts
    4600 North Hanley Road
    St. Louis, MO 63134
  • Express Scripts
    7909 South Hardy, Suite 106
    Tempe, AZ 85284
  • Express Scripts
    2040 Route 130 North
    Burlington, NJ 08016
  • Express Scripts
    255 Phillipi Road
    Columbus, OH 43228
  • Express Scripts of Indiana
    4750 E 450 South
    Whitestown, IN 46075-8404


Pharmacy Contracting Contact Information:
CaremarkPCS Health, L.L.C. and Express Scripts serve as pharmacy benefit management companies for Anthem Health Plans of Maine, Inc., doing business as Anthem Blue Cross Blue Shield, and offer pharmacy preferred provider arrangements in the state of Maine.  Contact information for pharmacies interested in becoming a preferred provider is as follows:

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) 

Express Scripts: https://www.esiprovider.com/ or call 888.571.8182

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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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@caremark.com

Mail Order Pharmacies that Participate in the Network:

  • CVS Caremark Advanced Technology Pharmacy, L.L.C. d/b/a/ CVS Caremark
  • Caremark Texas Mail Pharmacy L.L.C. d/b/a CVS Caremark
  • CaremarkPCS Pennsylvania Mail Pharmacy L.L.C. d/b/a CVS Caremark

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

  • Aetna Health Inc
  • Aetna Health Management LLC
  • Aetna Life Insurance Company
  • State Farm Mutual Automobile Insurance Company
  • Trustmark Insurance Company

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CIGNA Health and Life Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Karl Wickizer
Title: Pharmacy Compliance Director
Mailing Address:      900 Cottage Grove Road
                                Hartford, Connecticut 06152
Direct Telephone: 860-294-6158
Fax:
E-Mail: Phil.Wickizer@Cigna.com

Mail Order Pharmacies that Participate in the Network:

  • CIGNA Home Delivery Pharmacy
    206 Welsh Rd
    Horsham, PA 19044
    www.cigna.com

Pharmacy Contracting Contact Information:

  • CIGNA Health and Life Insurance Company
    900 Cottage Grove Rd B5PHR
    Hartford, CT 06152
    www.cigna.com

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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CIGNA Pharmacy Management Services

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Karl Wickizer
Title: Pharmacy Compliance Director
Mailing Address:      900 Cottage Grove Road
                                Hartford, Connecticut 06152
Direct Telephone: 860-294-6158
Fax:
E-Mail: Phil.Wickizer@Cigna.com

Mail Order Pharmacies that Participate in the Network:

  • CIGNA Home Delivery Pharmacy
    206 Welsh Rd
    Horsham, PA 19044
    www.cigna.com

Pharmacy Contracting Contact Information:

  • CIGNA Health and Life Insurance Company
    900 Cottage Grove Rd B5PHR
    Hartford, CT 06152
    www.cigna.com

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Community Health Options
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Nancy Johnson
Title: AVP, Compliance and Regulatory Affairs
Mailing Address:   PO Box 1121
                             Lewiston, ME 04243
Direct Telephone: 207-402-3325
Fax: 207-520-6234
E-Mail: njohnson@healthoptions.org

Mail Order Pharmacies that Participate in the Network:

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Continental General Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Meg Brown
Title: Vice President and Chief Administrative Officer
Mailing Address:   601 6th Ave
                                Des Moines, Iowa 50309
Direct Telephone: 515-245-4253
Fax: 515-247-2491
E-Mail: meg.brown@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:

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Express Scripts Administrators LLC

Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Doug Lang
Title: VP Compliance – Pharmacy Compliance
Mailing Address:   1 Express Way
                              St. Louis, MO 63121
Direct Telephone: 314-989-5901
Fax: 800-417-8163
E-Mail: DRLang@express-scripts.com

Mail Order Pharmacies that Participate in the Network:

  • ESI Mail Order Processing, Inc. d/b/a Express Scripts
    1 Express Way
    St. Louis, MO 63121
  • ESI Mail Pharmacy Service, Inc. d/b/a Express Scripts
    1 Express Way
    St. Louis, MO 63121
  • MAH Pharmacy, LLC d/b/a/ CHD
    1 Express Way
    St. Louis, MO 63121

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Fairview Pharmacy Services
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Amy Gall
Title: Manager, Compliance & Licensing
Mailing Address:   2550 University Avenue West, Ste. 320N
                                St. Paul, MN 55114
Direct Telephone: 612-672-6551

Fax: 612-672-7523
E-Mail: agall1@fairview.org

Mail Order Pharmacies that Participate in the Network:

  • Fairview Specialty Services Pharmacy
    711 Kasota Avenue SE; Ste. A
    17900 Minneapolis, MN 55414

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

  • DST Pharmacy Solutions, Inc.
    1300 Washington Street
    Kansas City, MO 64105

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GuidantRx Inc.

Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Walter Valentine
Title: Licensing Manager, Pharmacist in Charge
Mailing Address:   1601 Cherry Street Suite 1800
                                Philadelphia, PA 19102
Direct Telephone: 732-996-1187
Fax: 215-282-1587
E-Mail: wvalentine@enclarapharmacia.com

Mail Order Pharmacies that Participate in the Network:

  • Enclara Pharmacia

Pharmacy Contracting Contact Information:

  • GuidantRx, Inc.
    300 TechneCenter Dr., Suite B
    Milford, OH 45150

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Harvard Pilgrim Health Care Inc

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Ann T. Naughton RPh MBA
Title: Director, Pharmacy Management
Mailing Address:   Harvard Pilgrim Health Care Inc
                                93 Worcester Street
                                Wellesley, MA 02481
Direct Telephone: 617-509-4635
Fax: 617-509-2042
E-Mail: ann_naughton@hphc.org

Mail Order Pharmacies that Participate in the Network:

  • MedImpact Direct, LLC
    PO Box 51580
    Phoenix, AZ 85076

Website: www.medimpactdirect.com

Pharmacy Contracting Contact Information:

  • MedImpact Healthcare Systems, Inc.
    Roderick M. Wade Vice President, Contract Management
    10181 Scripps Gateway Ct
    San Diego, CA 92131
    858-790-6561 Phone
    858-357-2412 Fax
    Rod.Wade@MedImpact.com

 

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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HPHC Insurance Company Inc

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Ann T. Naughton RPh MBA
Title: Director, Pharmacy Management
Mailing Address:   Harvard Pilgrim Health Care Inc
                                93 Worcester Street
                                Wellesley, MA 02481
Direct Telephone: 617-509-4635
Fax: 617-509-2042
E-Mail: ann_naughton@hphc.org

Mail Order Pharmacies that Participate in the Network:

  • MedImpact Direct
    PO Box 51580
    Phoenix, AZ 85076

Website: www.medimpactdirect.com

 

Pharmacy Contracting Contact Information:

  • MedImpact Healthcare Systems, Inc.
    Roderick M. Wade Vice President, Contract Management
    10181 Scripps Gateway Ct
    San Diego, CA 92131
    858-790-6561 Phone
    858-357-2412 Fax
    Rod.Wade@MedImpact.com

 

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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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
Fax:
E-Mail: company_licensing@humana.com

Mail Order Pharmacies that Participate in the Network:

  • Humana Pharmacy
    9843 Windisch Road
    West Chester, OH 45069
  • Humana Pharmacy
    4302 West Buckeye Road
    Phoenix, AZ 85043

Website: http://www.humanapharmacy.com

 

Pharmacy Contracting Contact Information:

  • Humana Pharmacy Solutions, INc.
    321 West Main Street
    Louisville, KY 40202

https://www.humana.com/agent/products-and-services/pharmacy/solutions

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Independent Health’s Pharmacy Benefit Dimensions, LLC

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Mark Fulton
Title: Director PBM Programs & Compliance

Mailing Address:   511 Farber Lakes Drive
                                Buffalo, NY 14221
Direct Telephone: 716-635-4970
Fax: 
E-Mail: Mark.Fulton@pbdrx.com

Mail Order Pharmacies that Participate in the Network:

  • Wegmans Pharmacy
    PO Box 64472
    Rochester, NY 14624

Pharmacy Contracting Contact Information:

Pharmacy Contracting Contact

  • Michael O’Neil
    PBM Contract Manager
    511 Farber Lakes Drive
    Buffalo, NY 14221
    716-635-3953
    Michael.ONeil@pbdrx.com

Pharmacy Network Administrator

  • Independent Health’s Pharmacy Benefit Dimensions LLC
    511 Farber Lakes Drive
    Buffalo, NY 14221
    website: www.pbdrx.com

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

  • City of Stamford
    888 Washington Blvd
    Stamford, CT 06904
  • UB Foundation Activities
    Flint & Service Center RD
    Buffalo, NY 14260
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Leehar Distributors, LLC dba CastiaRx
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Janice Forsyth
Title: Compliance Officer
Mailing Address:   701 Emerson Rd Suite 301
                                Creve Coeur, MO. 63141
Direct Telephone: 512-639-5991
Fax: 314 -652-2126
E-Mail: jforsyth@castiarx.com

Mail Order Pharmacies that Participate in the Network:

  • CastiaRx Pharmacy
    701 Emerson Rd Suite 343
    Creve Coeur, MO. 63141
  • CastiaRx Specialty Pharmacy
    701 Emerson Rd Suite 332
    Creve Coeur, MO. 63141

Website: http://www.castiarx.com

 

Pharmacy Contracting Contact Information:

  • Leehar Distributros, LLC dba CastiaRx
    701 Emerson Rd Suite 301
    Creve Coeur, MO. 63141

     

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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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
  • Miller Drug
    401 N Main St, Suite A & B
    Brewer, ME 04412

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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MedImpact Healthcare Systems, Inc.

Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Andy Massura
Title: Interim Corporate Compliance Officer
Mailing Address:   10181 Scripps Gateway Court
                                San Diego, CA 92131
Direct Telephone: 858-790-6133
Fax: 858-357-2569
E-Mail: Andy.Massura@MedImpact.com

Mail Order Pharmacies that Participate in the Network:

 

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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MeridianRx LLC
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Michael Yount
Title: Chief Compliance Officer
Mailing Address:   1 Campus Martius Suite 750
                             Detroit, MI 48226
Direct Telephone: 813-206-5282
Fax: 313-324-9028
E-Mail: licensing@mhlnan.com

Mail Order Pharmacies that Participate in the Network:

Pharmacy Contracting Contact Information:

 

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

  • University of Utah Insurance Plans d/b/a University of Utah Health Plans
    6053 Fashion Square Drive, Suite 110
    Murray, UT 84107
    https://uhealthplan.utah.edu/

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OptumRx, Inc
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: David Oberg
Title: Compliance Officer
Mailing Address:   2300 Main Street
                               Irvine, CA 92614
Direct Telephone: 949-988-5893
Fax:
E-Mail: David.Oberg@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 Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

  • United Healthcare Insurance Company
    185 Asylum Street
    Hartford, CT 06103-0450

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Pharmaceutical Technologies, Inc.

Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name:
Michael Vrbicky
Title: Compliance Officer
Mailing Address:   Pharmaceutical Technologies, Inc.
                               13660 California Street
                                
Omaha NE 68154
Direct Telephone:
402-965-8800 ext 1047
Fax:
E-Mail:
mvrbicky@pti-nps.com

Mail Order Pharmacies that Participate in the Network:

  • Integrated HMO Pharmacy
  • Walgreens

Pharmacy Contracting Contact Information:

  • Pharmaceutical Technologies, Inc.
    13660 California Street
    Omaha NE 68154


Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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SGRX (SCRIPTGUIDERX)

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Vikki Columbus
Title: Chief Pharmacy Officer
Mailing Address:   1500 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:

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:

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Smith Health, Inc.
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: David Moran
Title: Engineering Manager
Mailing Address:   300 Brannan Street
                               Suite 601
  San Francisco, CA 94107
Direct Telephone: 844-454-0123
Fax: 
E-Mail: compliance@smithrx.com

Mail Order Pharmacies that Participate in the Network:

Pharmacy Contracting Contact Information:

  • Matt Davis-Ratner
    Head of Legal
    300 Brannan Street, Suite 601
    San Francisco, CA 94107
    844-454-0123
    legal@smithrx.com

  • Smith Health, Inc.
    300 Brannan Street, Suite 601
    San Francisco, CA 94107
    https://smithrx.com/

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Southern Scripts, LLC

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Lindsey Sarullo
Title: Compliance Officer
Mailing Address:  411 Bienville Street
                               Natchitoches, LA 71457
Direct Telephone: 318-214-4764
Fax: 318-214-4190
E-Mail: lindsey.coffey@ehnhllc.com ; jenny.hancock@ehnhllc.com (please email both)

Mail Order Pharmacies that Participate in the Network:

  • Postal Prescription Services
    3500 SE 26th Avenue
    Portland, OR 97202
    www.ppsrx.com

Pharmacy Contracting Contact Information:

  • Southern Scripts, LLC (as network administrator)
    411 Bienville Street
    Natchitoches, LA 71457
    www.southernscripts.net

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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State Farm Mutual Automobile Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Leathea Speer
Title: Healthcare Analyst
Mailing Address:   State Farm
                               One State Farm Plaza
                               Total Rewards – Benefits, C-1
                               Bloomington, IL 61710
Direct Telephone: 309-766-7507
Fax: 309-766-2480
E-Mail: Leathea.speer.bhly@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:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Trustmark Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Carolyn Johnson
Title: Regulatory Reporting Analyst
Mailing Address:   400 N Field Drive
                                Lake Forest, IL 60045
Direct Telephone: 847-283-3089
Toll Free: 800-666-6977 ext 33089
Fax: 847-615-3872
E-Mail: carolyn.johnson@trustmarkins.com

Mail Order Pharmacies that Participate in the Network:

  • CVS CareMark
    Attn: Vice President, Legal Services and Managing Counsel
            2211 Sanders Road, 10th Floor,
            Northbrook, Illinois 60062,
            800-746-7287
            847-559-4879
            www.cvscaremark.com

 

Pharmacy Contracting Contact Information:

  • CVS CareMark
    Attn: Vice President, Legal Services and Managing Counsel
            2211 Sanders Road, 10th Floor,
            Northbrook, Illinois 60062,
            800-746-7287
            847-559-4879
            www.cvscaremark.com

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Unicare Life and Health Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Alana Faith Rothman
Title: Staff V.P. Compliance and Audit
Mailing Address:   Anthem, Inc.
                                4241 Irwin Simpson Rd
                                Mason, OH 45040
Direct Telephone: 513-336-3352
Fax: 513-336-3682
E-Mail: alana.rothman@anthem.com

Mail Order Pharmacies that Participate in the Network

  • Express Scripts, 4600 North Hanley Road, St. Louis, MO 63134
  • Express Scripts, 7909 South Hardy, Suite 106, Tempe, AZ 85284
  • Express Scripts, 2040 Route 130, North Burlington, NJ 08016
  • Express Scripts (formerly Medco of Ohio), 255 Phillipi Road, Columbus, OH 43228
  • Express Scripts of Indiana, 4750 E 450 South, Whitestown, IN 46075-8404

 

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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UnitedHealthcare Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Scott E. Sebastiona
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
Fax:
E-Mail: Scott_E_Sebastian@uhc.com

Mail Order Pharmacies that Participate in the Network:

Pharmacy Contracting Contact Information:

  • OptumRx
    Attn: Pharmacy Network Contracting
    2300 Main Street
    M/S CA 134
    Irvine, CA  92614
    Phone:  800-613-3591 Option 7
    https://www.uhc.com/

 

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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Washington National Insurance Company

Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Kim Watson
Title: Compliance Manager
Mailing Address:   Automated Benefit Services, Inc.
                               8220 Irving Rd.
                               Sterling Heights, MI 48312
Direct Telephone: 586-693-4243
Fax: 586-693-4835
E-Mail: KWatson@abs-tpa.com

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:

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WellDyneRx, LLC
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Zachary Johnson
Title: President
Mailing Address:   500 Eagles Landing Drive
                               Lakeland, FL 33810
Direct Telephone: 888-479-2000
Fax: 863-686-5682
E-Mail: Administration@welldynerx.com

Mail Order Pharmacies that Participate in the Network:

Pharmacy Contracting Contact Information:

Pharmacy Benefits Administrators (PBMs) that Administer Benefits through the Network.

Insurance Carriers and Health Plans that Use the Pharmacy Network:

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