Commercial Plan List

1 Commercial plan ListPlan Name / Network NamePBM/ProcessorRegionBINPCN/GroupHelp Desk4D Pharmacy Network-Managed Phy Network4 DNational6004291990000888-378-47434D Pharmacy Network- Managed Choice4 DNational6004291990000888-378-47434D Pharmacy Network - Traditional4 DNational6004291990000888-378-4743 AARP (United HealthCare Senior)Express ScriptsNational003858gp- ESI800/763-5550 or 800-776-8735 ABC Disposal ServicesMedImpactMA00358535026800-788-29 49 ABI - Besly Products CorpMed ImpactFL00358523121800/788-2949 Aetna US HealthcareAetnaNational61050200670000800 /238-6279 Aetna US Healthcare-APNAA etnaNational610502670000800-238-6279 Aetna Member's PlanAetnaNational610502800-238-6279 Aetna W/Comp (AWCA)AetnaNational610502NO PCN800/238-6206 Affinity Cash Discount (APN)

2 MEDE AmericaNational600426 Call H/desk631/755-0029 Agelity Prescription PlansAgelityNational009265AG800-847-7147 Allied BenefitsWHI/WHPIL & National603286gp 514694800/207-2568 Allied International UnionMed ImpactNY00358531905800/788-2949 Alpha BarnesMaxorPlusTX0053778253800-687-0707 American health CareAHCN ational610118 AHC800/872-8276 American Medical Society Pres SolutionsNational6104949999, Grp AMS800/788-7871 AmeriChoicePres SolutionsNY/NJ6104949999, AMNY/AMNS800/788-7871 Amerigroup Community CareSXCN ational610593 See Card800-454-3730 AmeriHealthCaremark/PCSNJ, PA004336 CMDRUG800/364-6331 Amerihealth MercyPerform RxNational6004281940000800-555-5690 AmeriscriptAmeriscriptNational610640 AMER9999800-681-6912 Ancira Auto GroupMaxorPlusTexas00537710000019800-687 -0707 plan Name / Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskAnderson CorporationPharmacareNational610468HP.

3 Gr 60351000800-777-1023 Anthem Rx NetworkAnthemNational61057500890000 or 00990000800/662-0210 ANA - 1 NetworkArgusNational600428 Call h/desk800/522-7487 ANA - 2 NetworkArgusNational600428 Call h/desk800/522-7487 ANA - 3 NetworkArgusNational600428 Call h/desk800/522-7487 ANA - 4 NetworkArgusNational600428 Call h/desk800/522-7487 ANA - 5 NetworkArgusNational600428 Call h/desk800/522-7487 ANA - 35 NetworkArgusNational600428 Call h/desk800/522-7487 APS - Atlantic Prescription Svs Managed CareSXC HealthNational610704 APSRX877-277-7934 APS - Discount Rx Card NetworkSXC HealthNational610704 APSRX877-277-7934 Applied UnderwritersRelay HealthNational013329 APP402-827-3424 Argus health SystemsArgusNational600428 Call h/desk800/522-7487A T & TCaremarkNational610029 ATTRX800-421-2342 Atlantis health PlanCatalyst RxNational005947claimcr888-341-8570 Auto RxAuto RxNY/NJ/PAW/compCall h/desk888/791-3389 AvmedCatalyst RxFL005947 See Card866-643-6681 BCBS of arizona (City of Phoenix)BCBSAZAZ/CA603017 BAZ800/364-6332 BCBS of AlabamaPreferred Care SvsNational004915 Call h/desk800/216-9920 BCBS of FloridaPrime TherapeuticsFL012833 FLBC888-877-6323 BCBS of Illinois (bluescript and PPO)

4 Prime TherapeuticsIL011552 ILSC800-821-4795 BCBS of KansasPrime TherapeuticsNational610455 KSBCS800/821-4795 BCBS of MassachusettsExpress ScriptsMA/CT/VT003858gp- ESI800/892-5120 BCBS of Michigan/Blue CareMed ImpactNational003585use gp #800/748-6277 BCBS of MinnesotaPrime TherapeuticsNational610455 PGIGN800/821-4795 Commercial plan ListPlan Name / Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskBCBS of MOAnthem/WellpointMO61057500890000 or 00990000800/662-0210BC BS of NevadaAnthem/WellpointNV610053 See Card800-777-1023 BCBS of New YorkBSNY/ArgusNY6004281910000800/522-748 7 BCBS of OklahomaPrime TherapeuticsOklahoma0115521215877-353-09 92 BCBS of Rhode IslandBX/WellPointNational610468use gp #800/777-1023 BCBS of South CarolinaMedical MatrixNational004992 PCN-599800/880-1396 BCBS of WIWellpointWI610053GP-RVA800-662-0210 Benecard ArgusNational60042802480000800/522-7487 BeneScript ServicesBeneScriptNational003452 Call h/desk800-345-3189 Best Overnight ExpressAHCCA610118 AHC.

5 GR 8168800/872-8276 Beyond-RxBeyond-RxNational610641PB866/24 7-9996 BioscripBioscripNational900020 See card800-230-8187 Blue Cross/Blue ShieldWellPoint/UnicareIL610053 Call h/desk800/962-7378 Blue Cross/WellPointWellPointNational610053 Call h/desk800-962-7378 Bluegrass Family HealthProcare RxNational008878 Call h/desk800/699-3542 Blue Shield of CalforniaArgusCA6004281910000, PDP 03510000800/522-7487 Blue Shield of Texas - HMO BluePrime TherapeuticsTX011552 BCTX800-821-4795 Brighton Best Socket InnoviantNational61012701960000877-559-2 955 Brownsville Doctors HospitalInnoviantNational6101270196000, GR01960430877-559-2955 Cal-OptimaWellpointCA610575 See card800-962-8192 Care First health PlanMedImpactCA00358550280800/788-2949 Caremark (Cash Discount)Caremark/PCSN ationalVariableCall h/desk800-421-2342 Caremark/PCSC aremark/PCSN ational610029 Variable800-421-2342 Variable.

6 Call h/desk480-614-7972610415use gp #800-345-5413 plan Name / Network NamePBM/ProcessorRegionBINPCN/GroupHelp Desk004336800-364-6331800002008514004816 006350610502 Caremark RxClusive Consumer Card 610415 CareSourceRx AmericaOH, MI6104730797 or 0798866-669-0321 California Service Employees health & Welfare TrustPres SolutionsCA6104949999 CSE800/797-9791 Capital BlueCrossExpress ScriptsPA003858gp- ESI800/824-0898 Capital health PlanCaremarkNational004336gp - RX1004800-364-6331 Carpenters health & Welfare TrustExpress ScriptsCA/AZ003858gp- ESI800/824-0898 Catalyst Rx W/CSXCN ational005947 See Card888-869-4600 Catalyst RxSXCN ational005947 PCN- CLAIMCR, GR HEREIU888-869-4600 Catalst Rx IPAC atalyst RxNew York005947888-869-4600 CatalystScriptsEmdeonNational004682 Call h/desk631/755-0029 Caterpillar GroupRestatNational6004717777877-228-790 9 Central health Medicare PlanMed ImpactCA00358550125800/788-2949 Centruss (PSCNY)NMHCRxNY area610527 Use gp800/510-8980 ChampVASXCN ational610593VA, Grp RVA888-546-5503 Chesapeake HealthMedImpactNational00358548110800/78 8-2949 Child health Plus ( health Plus of NY)

7 MedImpactNY00358558005800/788-2949 Choice90- 90 day Maint PlanMedImpactNational003585 Call h/desk800/788-2949 Cigna HealthcareArgusCA,IL,TX60042800600000800 /522-7487CA , IL and TX area must call for contract860-226-8072 Commercial plan ListPlan Name / Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskCity of EffinghamWHI/WHPIL60328601410000, GR 514572800/207-2568 City of GarfieldMaxor PlusNJ005377 See card800-687-0707 City of KingmanInnoviantNational6101270233000087 7-559-2955 City of Phoenix- BC/BS of AZCaremark/PCSAZ/CA004337RX1245, ADV800/364-6332 City of SparksCatalyst RxNV005947 CLAIMCR, CDS888-869-4600 City of SpringfieldWHI/WHPIL60328601410000, GR 514441800/207-2568 ClaimsPro Preferred NetworkPharmaCareNational004245 Member ID800/777-1023 ClaimsPro Managed Care NwkPharmaCareNational'004245 Member ID800/777-1023 Community First health plan -CFHSPECIALMedImpactNational00358559 090800/788-2949 Community health Group (CHG)

8 MedImpactNational003585 CHG01800/788-2949 Community Plus Pharmacy NetworkBCBSMSN ational004583, '004084800-551-5258 Consolidated Rx ServicesWebMDNational005947 Call h/desk888/722-4652 Corporate Services, IncWHI/WHPIL60328601410000, GP 514694800/207-2568 County Medical Svcs Program-ODSMedImpactCA00358550145, 38021800/788-2949 Covalence Specialty MaterialsExpress ScriptsLA,MA,MN,NJ003858V2CA800-763-5550 Covenant health PlansWHI/WHPN ational60328601410000, GP 516282800/207-2568 Cox health PlansCatalyst RxMO005947 ClaimCr888-341-8578 Cracker BarrelCatalyst RxNational005947 CBOCS800-997-3784 Cross CompanyAHCFL610118 AHC, GR 5311800/872-8276 Curtis GunnInnoviantNational610127 PCN '02330000877-559-2955 Cypress Care (W/comp)EmdeonNational010876W/comp800/41 9-7102 Data RxData RxNational610568 DRX877-823-1273 plan Name / Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskDept of Defense (DoD Tricare)Express ScriptsNational003858gp- ESI866/684-4466 Destination Rx - AgelityAgelityNational010439AG800-847-71 47 Diversified Pharm Svcs (DPS)

9 Express ScriptsNational003858gp- ESI877/776-8735 Driscoll Children's health PlanExpress ScriptsTX only003858gp- ESI361/904-0955 Eastern Kentucky UniversityExpress ScriptsKY003858gp- EKUA877-776-8735 EBRx - Standard NetworkCatalyst RxNational61056095800/406-0015 Egyptian Area SchoolsExpress ScriptsIL only003858gp- ESI800/235-4357 EHIM - Employee health Ins MgmtEHIMNE005285 See card248-948-9900 Empire Wholesale LumberWHI/WHPN ational60328601410000, GP 516225800/207-2568 Envision HPP Private Label Savings CardNationalEnvision009893 ROIRX800-361-4524 Evercare- United HealthWHI/WHPN ational61065282260000, GP UHCMAPD800-207-2568 ExpressComp-WCExpress ScriptsNational003858gp- ESI888/201-5389 Express Scripts-Express Net 50 Express ScriptsNational003858gp- ESI888/201-5389 Express Scripts (PBM)Express ScriptsNational003858gp- ESI800-763-5550 Express Scripts Express CompExpress ScriptsNational003858gp-ESI800-763-5550 Family health Plus - health Plus of NYMed ImpactNY00358558005800/788-2949 Federal Employees Group (FEP)Caremark/PCSN ational VariableCall h/desk800/614-7972 Federal Employees Group (FEP)

10 Caremark/PCSN ational 61041565006500800/614-7972 Federated Department StoresExpress ScriptsNational 003858gp-FDSA888-201-5389 First health Rx/CoventryCoventryNational 0022866000800-844-9636 Commercial plan ListPlan Name / Network NamePBM/ProcessorRegionBINPCN/GroupHelp DeskFiserv health PlansInnoviantNational61012701960000877- 559-2955 Fishing Partnership health PlanMedImpactMA003585 Grp 35026800-788-2949 FlexScriptsWHI/WHPTX/FL60328601410000, GP 513274800/207-2568 FLRxFLRxNational610475 See Card585-327-7530 Fox InsuranceProcare RxNational014194877-447-6335 Fretz ConstructionWHI/WHPN ational60328601410000, GP 512235800/207-2568 GHI (Gp health Incorporated-City of NY)Express ScriptsNY/NJ/CT/PA/FL/CA003858gp- ESI877/534-3682 Goellner, IncMedImpactIL00358534004800-788-2949 GoldlineMEDE AmericaNational600426 Call h/desk631-755-0029 Gold PN2 NetworkPharmaCareNational610468 Member ID800/777-1023 Great West HealthcareExpress ScriptsNational003858gp-ESI800/235-4357 Great West Life & AnnuityAHCMD & WV610118"gp-5681pcn.