HIP/Emblem
Indepence Care System
Integra
Metroplus
Managed Health Inc
NorthShore
Senior Whole Health
VillageCare
VNS
WellCare
GuildNet
Elderserve
Fidelis
Plan Name
Aetna
Agewell
AlphaCare
Amerigroup
ArchCare
Centerlight
Centers Plan
Elderplan
ICS Community Care Plus FIDA MMP
Integra FIDA Plan
MetroPlus FIDA Plan
Healthfirst AbsoluteCare FIDA Plan
North Shore-LIJ FIDA LiveWell
SWH Whole Health FIDA
VillageCareMAX Full Advantage FIDA Plan
VNSNY Choice FIDA Complete
WellCare Advocate Complete FIDA
EmblemHealth Dual Assurance FIDA Plan
Fidelis Care FIDA Plan
GuildNet Gold Plus FIDA Plan
FIDA Marketing Name
Aetna Better Health FIDA Plan
AgeWell New York FIDA
AlphaCare Signature FIDA Plan
HealthPlus Amerigroup FIDA Plan
ArchCare Community Advantage FIDA Plan
CenterLight Healthcare FIDA Plan
FIDA Care Complete
Elderplan FIDA Total Care
RiverSpring FIDA Plan
1-855-283-2148
1-877-427-2525
1-855-505-5451
1-844-288-3432
1-855-675-7630
1-855-776-7545
1-844-861-3432
1-800-469-6292
1-866-783-1444
1-855-595-2063
1-800-815-0000
1-800-950-9000
1-800-247-1447
Plan Contact Number
1-855-494-9945
1-866-586-8044
1-855-632-5742
1-855-817-5789
1-844-471-0620
1-877-226-8500
1-800-466-2745
1-855-462-3167
Express Scripts
MedImpact
MedImpact
CVS Caremark
CVS Caremark
CVS Caremark
Express Scripts
MedImpact
MedImpact
Catamaran
Express Scripts
MeridianRX
CVS Caremark
PBM Name
CVS Caremark
Envision Pharmaceutical
MedImpact
Express Scripts
CVS Caremark
Express Scripts
MedImpact
Envision Pharmaceutical
1-866-447-9717
1-888-807-7524
1-888-807-6802
1-866-693-4620
1-866-693-4620
1-866-693-4620
1-800-935-6103
1-888-807-6806
1-888-672-7203
1-866-800-6111
1-877-444-3973
1-855-898-1482
1-800-364-6331
PBM Contact Number
1-855-364-2979
1-855-889-0046
1-888-807-5963
1-800-281-8172
1-800-364-6331
1-800-922-1557
1-888-266-7460
1-844-860-6749
400023
015574
015574
004336
004336
004336
003858
015574
015574
603286
400023
610241
004336
BIN #
610591
012312
015574
003858
004336
610014
015574
012312
20030720
ASPROD1
ASPROD1
MEDDADV
MEDDADV
MEDDADV
MD
ASPROD1
ASPROD1
MMP
MEDDADV
RSNYFIDA
MEDDADV
Processor
Control Number
PCN
MEDDADV
PARTD
ASPROD1
MD
MEDDADV
MEDDPRIME
ASPROD1
PART D
Rx Group #
RX8823
H6308001
ACN02
WKTA
RX8571
CCMCRX1
CPL02
H8029001
Plan does
not use a
group #
RX8671
Plan does
not use a
group #
Plan does
not use a
group #
ICS01
IMI01
RX8542
RX1110
RX8523
M6EA
VCM01
VNS02
WMMP
4
FIDA Plan Contact & Billing Information
Questions regarding this article may be sent to: [email protected].
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