S4167 HARRIS CORPORATION Pharmacy Benefit Manager Contact 1 1025 West Nasa Blvd Melbourne FL 32919 Employer Sponsored PDP
S4231 UNIVERSAL HEALTH CARE, INC. Formulary Contact 14301 First Bank Parkway Suite 200 Omaha NE 68154 Medicare Prescription Drug Plan
S4231 UNIVERSAL HEALTH CARE, INC. Pharmacy Benefit Manager Contact 1 14301 First Bank Parkway Suite 200 Omaha NE 68154 Medicare Prescription Drug Plan
S4744 MO DOT & MSHP MEDICAL AND LIFE INS PLAN Formulary Contact 1061 Peruque Crossing Ct. Ofallon MO 63366 Employer Sponsored PDP
S4744 MO DOT & MSHP MEDICAL AND LIFE INS PLAN Pharmacy Benefit Manager Contact 1 11467 Huebner Rd. Ste 260 San Antonio TX 78230 Employer Sponsored PDP
S4802 STERLING LIFE INSURANCE COMPANY Formulary Contact 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Medicare Prescription Drug Plan
S4802 STERLING LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 9501 E Shea Boulevard Scottsdale AZ 85260 Medicare Prescription Drug Plan
S5540 BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA Formulary Contact Blue Cross and Blue Shield of North Carolina 5901 Chapel Hill Road Durham NC 27707 Medicare Prescription Drug Plan
S5540 BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA Pharmacy Benefit Manager Contact 1 Medco Health Solutions, Inc. 100 Parsons Pond Drive Franklin Lakes NJ 7417 Medicare Prescription Drug Plan
S5552 HUMANA INSURANCE COMPANY OF NEW YORK Formulary Contact 500 West Main Street Louisville KY 40202 Medicare Prescription Drug Plan
S5552 HUMANA INSURANCE COMPANY OF NEW YORK Pharmacy Benefit Manager Contact 1 500 West Main Street Louisville KY 40202 Medicare Prescription Drug Plan
S5555 MCS LIFE INSURANCE COMPANY (H4006) Formulary Contact Suite 201 255 Ponce De Leon Avenue San Juan PR 917 Medicare Prescription Drug Plan
S5555 MCS LIFE INSURANCE COMPANY (H4006) Pharmacy Benefit Manager Contact 1 East Shea Boulevard 9501 MC032 Scottsdale AR 85260-6719 Medicare Prescription Drug Plan
S5557 FOX INSURANCE COMPANY Formulary Contact 6263 North Scottsdale Road Suite 200 Scottsdale AZ 85250 Medicare Prescription Drug Plan
S5557 FOX INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 45 Commerce Drive, Suite 5, PO Box 1090 Augusta ME 4332 Medicare Prescription Drug Plan
S5566 GROUP HEALTH SERVICES OF OKLAHOMA, INC. Formulary Contact 1400 S. Boston Tulsa OK 74119 Medicare Prescription Drug Plan
S5566 GROUP HEALTH SERVICES OF OKLAHOMA, INC. Pharmacy Benefit Manager Contact 1 1020 Discover Road Eagan MN 55121 Medicare Prescription Drug Plan
S5569 CAMBRIDGE LIFE INSURANCE COMPANY Formulary Contact 4300 Cox Road Glenn Allen VA 23060 Medicare Prescription Drug Plan
S5569 CAMBRIDGE LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 4300 Cox Road Glenn Allen VA 23060 Medicare Prescription Drug Plan
S5578 HEALTHSPRING, INC. Formulary Contact 44 Vantage Way Suite 300 Nashville TN 37228 Medicare Prescription Drug Plan
S5578 HEALTHSPRING, INC. Pharmacy Benefit Manager Contact 1 1300 Washginton St Kansas MO 64105 Medicare Prescription Drug Plan
S5580 FIRST UNITED AMERICAN LIFE INSURANCE COMPANY Formulary Contact 3700 S. Stonebridge Drive McKinney TX 75070 Medicare Prescription Drug Plan
S5580 FIRST UNITED AMERICAN LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 3700 S. Stonebridge Drive McKinney TX 75070 Medicare Prescription Drug Plan
S5581 MARQUETTE NATIONAL LIFE INSURANCE COMPANY Formulary Contact 695 George Washington Highway Lincoln RI 2865 Medicare Prescription Drug Plan
S5581 MARQUETTE NATIONAL LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 695 George Washington Highway Lincoln RI 2865 Medicare Prescription Drug Plan
S5584 BLUE CROSS BLUE SHIELD OF MICHIGAN Formulary Contact 27000 W. Eleven MIle Road MC B773 Southfield MI 48034 Medicare Prescription Drug Plan
S5584 BLUE CROSS BLUE SHIELD OF MICHIGAN Pharmacy Benefit Manager Contact 1 27000 W. Eleven Mile Road MC B775 Southfield MI 48034 Medicare Prescription Drug Plan
S5585 HEALTHNOW NEW YORK INC. Formulary Contact 10201 East 92nd Street North Owasso OK 74055 Medicare Prescription Drug Plan
S5585 HEALTHNOW NEW YORK INC. Pharmacy Benefit Manager Contact 1 1651 Christy Drive St. Charles MO 63303 Medicare Prescription Drug Plan
S5588 PROMEDICA LIFE INS D/B/A PARAMOUNT INS CO Formulary Contact 1901 Indian Wood Circle Maumee OH 43537 Medicare Prescription Drug Plan
S5588 PROMEDICA LIFE INS D/B/A PARAMOUNT INS CO Pharmacy Benefit Manager Contact 1 1901 Indian Wood Circle Maumee OH 43537 Medicare Prescription Drug Plan
S5593 HIGHMARK SENIOR RESOURCES INC. Formulary Contact 120 Fifth Avenue Ste. 1812 Pittsburgh PA 15222 Medicare Prescription Drug Plan
S5593 HIGHMARK SENIOR RESOURCES INC. Pharmacy Benefit Manager Contact 1 3 Gateway Center, Suite 250 401 Liberty Avenue Pittsburgh PA 15222 Medicare Prescription Drug Plan
S5596 ANTHEM INSURANCE COMPANIES, INC. Formulary Contact 5350 Bevis Avenue Sherman Oaks CA 91411 Medicare Prescription Drug Plan
S5596 ANTHEM INSURANCE COMPANIES, INC. Pharmacy Benefit Manager Contact 1 11365 Westwood Road Alden NY 14004 Medicare Prescription Drug Plan
S5597 PENNSYLVANIA LIFE INSURANCE COMPANY Formulary Contact 695 George Washington Highway Lincoln RI 2865 Medicare Prescription Drug Plan
S5597 PENNSYLVANIA LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 695 George Washington Highway Lincoln RI 2865 Medicare Prescription Drug Plan
S5601 SILVERSCRIPT INSURANCE COMPANY Formulary Contact 11311 McCormick Rd. Hunt Valley Bldg 75, Ste 230 Hunt Valley MD 21031 Medicare Prescription Drug Plan
S5601 SILVERSCRIPT INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 9501 E. Shea Blvd Scottsdale AZ 85260 Medicare Prescription Drug Plan
S5609 ASURIS NORTHWEST HEALTH Formulary Contact 200 SW Market St M/S 2P Portland OR 97201 Medicare Prescription Drug Plan
S5609 ASURIS NORTHWEST HEALTH Pharmacy Benefit Manager Contact 1 1300 Washington Street Kansas City MO 64105 Medicare Prescription Drug Plan
S5617 CONNECTICUT GENERAL LIFE INSURANCE COMPANY Formulary Contact 8826 N 23rd Ave Phoenix AZ 85021 Medicare Prescription Drug Plan
S5617 CONNECTICUT GENERAL LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 900 Cottage Grove Rd Bloomfield, CT CT 6002 Medicare Prescription Drug Plan
S5644 RXAMERICA, LLC Formulary Contact 221 N Charles Lindbergh Dr Salt Lake City UT 84116 Medicare Prescription Drug Plan
S5644 RXAMERICA, LLC Pharmacy Benefit Manager Contact 1 221 N. Charles Lindbergh Dr. Salt Lake City UT 84116 Medicare Prescription Drug Plan
S5650 SELECT HEALTH OF SOUTH CAROLINA, INC. Formulary Contact 200 Stevens Drive Philadelphia PA 19113 Medicare Prescription Drug Plan
S5650 SELECT HEALTH OF SOUTH CAROLINA, INC. Pharmacy Benefit Manager Contact 1 200 Stevens Drive Philadelphia PA 19113 Medicare Prescription Drug Plan
S5660 MEDCO CONTAINMENT LIFE INSURANCE COMPANY Formulary Contact 100 Parsons Pond Drive Franklin Lakes NJ 7417 Medicare Prescription Drug Plan
S5660 MEDCO CONTAINMENT LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417 Medicare Prescription Drug Plan
S5670 COVENTRY HEALTH AND LIFE INSURANCE COMPANY Formulary Contact 501 Corporate Centre Drive Franklin TN 37067 Medicare Prescription Drug Plan
S5670 COVENTRY HEALTH AND LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 501 Corporate Cente Drive Franklin TN 37067 Medicare Prescription Drug Plan
S5674 FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Formulary Contact 501 Corporate Centre Drive Franklin TN 37067 Medicare Prescription Drug Plan
S5674 FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 501 Corporate Centre Drive
Franklin TN 37067 Medicare Prescription Drug Plan
S5678 HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Formulary Contact 10540 White Rock Rd.., Ste. 200 Rancho Cordova CA 95670 Medicare Prescription Drug Plan
S5678 HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Pharmacy Benefit Manager Contact 1 10540 White Rock Rd.., Ste. 200 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Medicare Prescription Drug Plan
S5704 GLOBALHEALTH, INC. Formulary Contact 3001 South Priest Drive Tempe AZ 85282 Medicare Prescription Drug Plan
S5704 GLOBALHEALTH, INC. Pharmacy Benefit Manager Contact 1 3001 South Priest Drive Tempe AZ 85282 Medicare Prescription Drug Plan
S5715 HCSC INSURANCE SERVICES COMPANY Formulary Contact 300 East Randolph Chicago IL 60601 Medicare Prescription Drug Plan
S5715 HCSC INSURANCE SERVICES COMPANY Pharmacy Benefit Manager Contact 1 901 S. Central Expressway, North Building Richardson TX 75080 Medicare Prescription Drug Plan
S5726 BLUE CROSS BLUE SHIELD OF KANSAS Formulary Contact 5350 Bevis Avenue Sherman Oaks CA 91411 Medicare Prescription Drug Plan
S5726 BLUE CROSS BLUE SHIELD OF KANSAS Pharmacy Benefit Manager Contact 1 11365 Westwood Road Alden NY 14004 Medicare Prescription Drug Plan
S5740 TEXAS HEALTHSPRING I, LLC Formulary Contact 44 Vantage Way Suite 300 Nashville TN 37228 Medicare Prescription Drug Plan
S5740 TEXAS HEALTHSPRING I, LLC Pharmacy Benefit Manager Contact 1 1300 Washington Street Kansas City MO 64105 Medicare Prescription Drug Plan
S5741 HIP HEALTH PLAN OF NEW YORK Formulary Contact 55 Water Street New York NY 10041-8190 Medicare Prescription Drug Plan
S5741 HIP HEALTH PLAN OF NEW YORK Pharmacy Benefit Manager Contact 1 55 Water Street New York NY 10041 Medicare Prescription Drug Plan
S5743 BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE Formulary Contact Blue Cross Blue Shield of Minnesota 3400 Yankee Drive Eagan MN 55122 Medicare Prescription Drug Plan
S5743 BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE Pharmacy Benefit Manager Contact 1 1020 Discovery Road Eagan MN 55121-2095 Medicare Prescription Drug Plan
S5753 WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION Formulary Contact 1717 W. Broadway PO Box 8190 Madison WI 53708 Medicare Prescription Drug Plan
S5753 WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION Pharmacy Benefit Manager Contact 1 1717 West Broadway PO Box 8190 Madison WI 53708 Medicare Prescription Drug Plan
S5755 UNITED AMERICAN INSURANCE COMPANY Formulary Contact 3700 S. Stonebridge Drive McKinney TX 75070 Medicare Prescription Drug Plan
S5755 UNITED AMERICAN INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 3700 S. Stonebridge Drive McKinney TX 75070 Medicare Prescription Drug Plan
S5766 FIRST CARE, INC. Formulary Contact 100 S. Charles Street Baltimore MD 21201 Medicare Prescription Drug Plan
S5766 FIRST CARE, INC. Pharmacy Benefit Manager Contact 1 1300 Washington Street Kansas City MO 64105 Medicare Prescription Drug Plan
S5768 FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY Formulary Contact 4300 Cox Road Glenn Allen VA 23060 Medicare Prescription Drug Plan
S5768 FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 4300 Cox Road Glenn Allen VA 23060 Medicare Prescription Drug Plan
S5775 PHARMACY INSURANCE CORPORATION OF AMERICA Formulary Contact PO Box 70232 San Juan PR 00936-8232 Medicare Prescription Drug Plan
S5775 PHARMACY INSURANCE CORPORATION OF AMERICA Pharmacy Benefit Manager Contact 1 PO Box 70232 San Juan PR 00936-8232 Medicare Prescription Drug Plan
S5783 QCC INS CO D/B/A AMERIHEALTH INS CO Formulary Contact 200 Stevens Drive Philadelphia PA 19113 Medicare Prescription Drug Plan
S5783 QCC INS CO D/B/A AMERIHEALTH INS CO Pharmacy Benefit Manager Contact 1 1700 Market Street Philadelphia PA 19103 Medicare Prescription Drug Plan
S5795 ARKANSAS BCBS, A MUTUAL INS CO Formulary Contact 695 George Washington Highway Lincoln RI 2865 Medicare Prescription Drug Plan
S5795 ARKANSAS BCBS, A MUTUAL INS CO Pharmacy Benefit Manager Contact 1 695 George Washington Highway Lincoln RI 2865 Medicare Prescription Drug Plan
S5803 MEMBERHEALTH, INC. Formulary Contact 29100 Aurora Rd., Ste. 301 Solon OH 44139 Medicare Prescription Drug Plan
S5803 MEMBERHEALTH, INC. Pharmacy Benefit Manager Contact 1 29100 Aurora Rd., Ste. 301 Solon OH 44139 Medicare Prescription Drug Plan
S5805 UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK Formulary Contact UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Medicare Prescription Drug Plan
S5805 UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK Pharmacy Benefit Manager Contact 1 1417 Lake Cook Road MS L457 Deerfield IL 60015 Medicare Prescription Drug Plan
S5810 AETNA LIFE INSURANCE COMPANY Formulary Contact 5350 148th Place Wellborn FL 32094-2352 Medicare Prescription Drug Plan
S5810 AETNA LIFE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 11100 Wayzata Blvd., Ste. 400 Mail Stop F615 Minnetonka MN 55305 Medicare Prescription Drug Plan
S5815 HEALTHSPRING, INC. Formulary Contact 44 Vantage Way Suite 300 Nashville TN 37228 Medicare Prescription Drug Plan
S5815 HEALTHSPRING, INC. Pharmacy Benefit Manager Contact 1 1300 Washington Street Kansas MO 64105 Medicare Prescription Drug Plan
S5820 UNITED HEALTHCARE INSURANCE COMPANY Formulary Contact UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Medicare Prescription Drug Plan
S5820 UNITED HEALTHCARE INSURANCE COMPANY Pharmacy Benefit Manager Contact 1 1417 Lake Cook Road MS L457 Deerfield IL 60015 Medicare Prescription Drug Plan
S5822 ELDER HEALTH MID-ATLANTIC, INC. Formulary Contact 3601 O'Donnell Street Baltimore MD 21224 Medicare Prescription Drug Plan