Maine's Any Willing Pharmacy Requirements
Pursuant to Maine’s “any-willing-pharmacy” law, 24-A M.R.S.A. § 4317, insurance carriers offering health plans subject to the Maine Health Plan Improvement Act that provide prescription drug benefits through a network of participating pharmacies may not refuse to contract with a pharmacy that is willing to meet the terms and conditions for participation in the health plan’s pharmacy network. If the network is a tiered network, Maine pharmacies must be offered the opportunity to participate in each tier. A pharmacy benefits manager may not require a pharmacist or pharmacy to participate in one network in order to participate in another network. The pharmacy benefits manager may not exclude an otherwise qualified pharmacist or pharmacy from participation in one network solely because the pharmacist or pharmacy declined to participate in another network managed by the pharmacy benefits manager.
The insurance carrier is responsible for assuring that the pharmacy network it uses for its fully insured health plans** complies with Maine’s “any-willing-pharmacy” requirements, whether the carrier manages the network itself or contracts with a network administrator. Preferred provider arrangements (PPAs) are also required to comply with Maine’s “any-willing-pharmacy” law pursuant to 24-A M.R.S.A. § 2673-A(3).
In order to comply with Maine’s “any-willing-pharmacy” law, carriers are required to make specimen pharmacy contracts readily available to Maine pharmacies upon request for each network subject to the requirement. A network administrator may provide this information on the carrier’s behalf.
** Maine’s “any-willing-pharmacy” requirement does not apply to self-funded employer health plans administered by insurance carriers.
The information below has been collected for Maine Insurance carriers 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.
Aetna Health Inc.
Aetna Health Management LLC
Aetna Life Insurance Company
American National Insurance Company
American Republic Insurance Company
Anthem Health Plans of Maine, Inc.
CIGNA Health and Life Insurance Company
CIGNA Pharmacy Management Services
Connecticut General Life Insurance Company
Continental General Insurance Co
CVS Caremark
Express Scripts, Inc.
Golden Rule Insurance Company
Harvard Pilgrim Health Care Inc.
HPHC Insurance Company, Inc.
Medco Health LLC
MedImpact
MEGA Life and Health Insurance Company
New York Life Insurance Company
Standard Security Life Insurance Company of New York
State Farm Mutual Automobile Insurance Company
Trustmark Insurance Company
Unicare Life and Health Insurance Company
UnitedHealthcare Insurance Company
Washington National Insurance Company
World Insurance Company
Aetna Health Inc |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Linda Duda
Title: Head of Pharmacy Quality
Mailing Address: 151 Farmington Avenue
Atrium Bldg.
Hartford, CT 06156
Direct Telephone: (860)-273-4286
Fax: (860)-273-8144
E-Mail: DudaL@aetna.com |
Mail Order Pharmacies that Participate in the Network:
- Aetna Pharmacy Home Delivery
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- Aetna Health Management is a licensed PBM in Maine; however, CVS Caremark is our primary PBM for network contracting responsibilities.
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Aetna Health Management LLC |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Linda Duda
Title: Head of Pharmacy Quality
Mailing Address: 151 Farmington Avenue
Atrium Bldg
Hartford, CT 06156
Direct Telephone: (860)-273-4286
Fax: (860)-273-8144
E-Mail: DudaL@aetna.com |
Mail Order Pharmacies that Participate in the Network:
- Aetna Pharmacy Home Delivery
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- Aetna Health Management is a licensed PBM in Maine; however, CVS Caremark is our primary PBM for network contracting responsibilities.
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Aetna Life Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Linda Duda
Title: Head of Pharmacy Quality
Mailing Address: 151 Farmington Avenue
Atrium Bldg
Hartford, CT 06156
Direct Telephone: (860)-273-4286
Fax: (860)-273-8144
E-Mail: DudaL@aetna.com |
Mail Order Pharmacies that Participate in the Network:
- Aetna Pharmacy Home Delivery
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- Aetna Health Management is a licensed PBM in Maine; however, CVS Caremark is our primary PBM for network contracting responsibilities.
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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:
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:
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
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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
- CuraScripts
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
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Anthem Health Plans of Maine, Inc |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Debra A. Keena
Title: PBM Contract Director
Mailing Address: Wellpoint, Inc.
One Wellpoint Way
Thousand Oaks, CA 91362
Direct Telephone: 951-894-1383
Fax: 951-304-0886
E-Mail: Debra.Keena@wellpoint.com |
Mail Order Pharmacies that Participate in the Network:
- ESI Mail Pharmacy Service, Inc.
dba Express Scripts
4600 North Hanley Road
St. Louis, MO 63134
- ESI Mail Pharmacy Service, Inc.
dba Express Scripts
7909 South Hardy, Suite 106
Tempe, AZ 85284
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- Express Scripts serves as the pharmacy benefit management company for Anthem Health Plans of Maine, Inc., doing business as Anthem Blue Cross and Blue Shield, and offers a pharmacy preferred provider arrangement in the state of Maine. Pharmacies interested in becoming a preferred provider should call the Express Scripts Network Contracting and Management Department at 1-866-296-9943, or send a written request to Express Scripts, Network Contracting and Management Department, One Express Way, St. Louis, MO 63121.
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Caremark LLC and CaremarkPCS Health LLC |
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Danny Pagnillo
Title: Director of Network Operations
Mailing Address: 9501 E. Shea Blvd., MC080
Scottsdale, AZ 85260
Direct Telephone: (480)-661-2008
Fax: (480)-314-6964
E-Mail: danny.pagnillo@caremark.com |
Mail Order Pharmacies that Participate in the Network:
- Caremark Florida Mail Pharmacy L.L.C. d/b/a/ CVS Caremark
- Caremark Illinois Mail 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
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Insurance Carriers and Health Plans that Use the Caremark Pharmacy Network:
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CIGNA Health and Life Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Deborah Nelson
Title: Compliance Manager
Mailing Address: Cigna Pharmacy Management
900 Cottage Grove Road
Hartford, Connecticut 06152
Direct Telephone: (860)-226-7742
Fax: (860)-226-3535
E-Mail: Deborah.Nelson2@Cigna.com |
Mail Order Pharmacies that Participate in the Network:
- CIGNA Home Delivery Pharmacy
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
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CIGNA Pharmacy Management Services |
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Deborah Nelson
Title: Compliance Manager
Mailing Address: Cigna Pharmacy Management
900 Cottage Grove Road
Hartford, Connecticut 06152
Direct Telephone: (860)-226-7742
Fax: (860)-226-3535
E-Mail: Deborah.Nelson2@Cigna.com |
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Insurance Carriers and Health Plans that Use the CIGNA Pharmacy Management Services Pharmacy Network:
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Connecticut General Life Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Deborah Nelson
Title: Compliance Manager
Mailing Address: Cigna Pharmacy Management
900 Cottage Grove Road
Hartford, Connecticut 06152
Direct Telephone: (860)-226-7742
Fax: (860)-226-3535
E-Mail: Deborah.Nelson2@Cigna.com |
Mail Order Pharmacies that Participate in the Network:
- CIGNA Home Delivery Pharmacy
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
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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
- CuraScripts
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
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Express Scripts, Inc. |
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Bonnie Roberts
Title: Director - Network Contracting
Mailing Address: Express Scripts
Network Contracting and Management Department
One Express Way
St. Louis, MO 63121
Direct Telephone: (314)-684-5102
Fax: (800)-417-8163
E-Mail: bonnie.roberts@express-scripts.com |
Mail Order Pharmacies that Participate in the Network:
- ESI Mail Pharmacy Service, Inc. dba Express Scripts
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Insurance Carriers and Health Plans that Use the Express Scripts Pharmacy Network:
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Golden Rule Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Gail Kahl
Title: Director
Mailing Address: UnitedHealthcare Legal and Regulatory NE Region
48 Monroe Turnpike
Trumbull, CT 06611
Direct Telephone: 1-888-889-7658 or (203)-459-6378
Fax:
E-Mail: gail_a_kahl@uhc.com |
Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- Medco Pharmacy Services Department
MS B3-1
100 Parsons Pond Drive
Franklin Lakes, NJ 07417
Direct Telephone: 1-800-922-1557
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Harvard Pilgrim Health Care Inc |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: John J. Burke
Title: Vice President of Corporate Compliance
Mailing Address: Harvard Pilgrim Health Care Inc
93 Worcester Street
Wellesley, MA 02481
Direct Telephone: (617)-509-6063
Fax: (617)-509-7531
E-Mail: jack_burke@hphc.org |
Mail Order Pharmacies that Participate in the Network:
Walgreens
Regulatory Law Department
104 Wilmot Road
Deerfield, IL 60015
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
Name: Roderick M. Wade
Title: Vice President, Contract Management
Mailing Address: Medimpact Healthcare Systems, Inc.
10680 Treena Street, Stop 5
San Diego, CA 92131-2446
Direct Telephone: (858)-790-6561
Fax: (858)-621-5147
E-Mail: Rod.Wade@MedImpact.com |
HPHC Insurance Company Inc |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: John J. Burke
Title: Vice President of Corporate Compliance
Mailing Address: Harvard Pilgrim Health Care Inc
93 Worcester Street
Wellesley, MA 02481
Direct Telephone: (617)-509-6063
Fax: (617)-509-7531
E-Mail: jack_burke@hphc.org |
Mail Order Pharmacies that Participate in the Network:
Walgreens
Regulatory Law Department
104 Wilmot Road
Deerfield, IL 60015 |
Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
Name: Roderick M. Wade
Title: Vice President, Contract Management
Mailing Address: Medimpact Healthcare Systems, Inc.
10680 Treena Street, Stop 5
San Diego, CA 92131-2446
Direct Telephone: (858)-790-6561
Fax: (858)-621-5147
E-Mail: Rod.Wade@MedImpact.com |
Medco Health LLC |
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Patrick Robert McNamee
Title: Executive VP and Chief Operating Officer
Mailing Address: One Express Way
St. Louis, MO 63121
Direct Telephone: (314)-692-1900
Fax: (800)-417-8163
E-Mail: corporatelicensing@accredohealth.com |
Mail Order Pharmacies that Participate in the Network:
- Medco Health of Indiana, 4750 E 450 S, Whitestown, IN 46075
- Medco Health Columbus N, 255 Phillipi Rd, Columbus, OH 43228
- Medco Health Willingboro, 1 Millenium Dr., Willingboro, NJ 08046
- Accredo Health Group, 1620 Century Center Pkwy #109,Memphis, TN 38134
- Medco Health Richmond, 9210 Forest Hill Ave, Richmond, VA 23235
- Medco Health Las Vegas, 6225 Annie Oakley Dr., Las Vegas, NV 89120
- Medco Health Spokane, 23102 E. Appleway Ave, Liberty Lake, WA 99019
- Liberty Medical Group of OH, 255 Phillipi Rd #100, Columbus, OH 43228
- Accredo Health Group Inc, 6820 Charlotte Pike, Nashville, TN 37209
- Medco Health Ft Worth, 15001 Trinity Blvd, Fort Worth, TX 76155
- Medco Health Netpark, 5701 E Hillsborough Ave, Ste 1300, Tampa, FL 33610
- Medco Health N Versailles, 1810 Lincoln Hwy, N Versailles, PA 15137
- CBOH2 Pharmacy #24, 255 Phillipi Rd, Columbus, OH 43228
- Liberty Healthcare Phcy of NV, 6225 Annie Oakley Dr #100, Las Vegas NV 89120
- Medco Health Fairfield, 4865 Dixie Hwy, Fairfield, OH 45014
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Insurance Carriers and Health Plans that Use the Medco Health LLC Pharmacy Network:
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MedImpact Healthcare Systems, Inc. |
Compliance Officer with Responsibility for Network Pharmacy Operations in Maine:
Name: Lisa Byerley
Title: Corporate Compliance Officer/VP, Corporate Compliance
Mailing Address: 10181 Scripps Gateway Court
San Diego, CA 92131
Direct Telephone: (858)-790-6370
Fax: (858)-621-5147
E-Mail: lisa.byerley@medimpact.com |
Mail Order Pharmacies that Participate in the Network:
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Insurance Carriers and Health Plans that Use the Medimpact Pharmacy Network:
- Harvard Pilgrim Health Care Inc
- HPHC Insurance Company Inc
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MEGA Life and Health Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Susan Dew, Sr. Vice-President
Title: SVP, Deputy General Counsel & Chief Compliance Officer
Mailing Address: 9151 Boulevard 26
North Richland Hills, TX 76180
Direct Telephone: (817)-255-5516
Fax: (817)-255-8125
E-Mail: susan.dew@healthmarkets.com |
Mail Order Pharmacies that Participate in the Network:
- Mail Order prescriptions are available through our PBM, CVS Caremark.
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- CVS Caremark is our PBM that contracts with providers and administers pharmacy benefits.
The MEGA Life and Health Insurance Company does not contract directly with pharmacies. |
New York Life Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: 1. Cory Warren OR 2. Rosalie DiBianca
Title: 1. Senior Departmental Assistant OR 2. Director, TPA Claim Administration
Mailing Address: 1 Rockwood Road, 2S-813 (Cory) or 2S611 (Rosalie)
Sleepy Hollow, NY 10591
Direct Telephone: 1. (914)-846-3375 OR 2. (914)-846-3392
Fax: 1. (914)-846-4700 OR 2. (914)-846-4478
E-Mail: 1. cwarren@newyorklife.com OR 2. Rosalie_Dibianca@newyorklife.com |
Mail Order Pharmacies that Participate in the Network:
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
Mailing Address: MEDCO Pharmacy Support MS B#-1
100 Parsons Pond Drive
Franklin Lakes, NJ 07417
Direct Telephone: 1-800-922-1557 |
Standard Security Life Insurance Company of New York |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: John Fahey
Title: Assistant General Counsel & Director of Compliance
Mailing Address: 2101 W Peoria Avenue
Suite 100
Phoenix, AZ 85029
Direct Telephone: (602)-395-7060
Fax: (602)-906-2654
E-Mail: john.fahey@ihcgroup.com |
Mail Order Pharmacies that Participate in the Network:
- CIGNA Home Delivery Pharmacy
P.O. Box 1019
Horsham, PA 19044-9805 |
Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- The Bureau has been advised that CIGNA Pharmacy Management is the PBM.
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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
- Prime Therapeutics Mail Order Pharmacy
- Prime Therapeutics Specialty Pharmacy
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
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Trustmark Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Dawn Dyer
Title: Regulatory Reporting Analyst
Mailing Address: 400 Field Drive
Lake Forest, IL 60045
Direct Telephone: (847)-283-2291
Fax: (847)-615-3872
E-Mail: dawn.dyer@trustmarkins.com |
Mail Order Pharmacies that Participate in the Network: |
Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- CVS CareMark
Mailing Address: 2211 Sanders Road, 10th Floor, Northbrook, Illinois 60062, Attn: Vice President, Legal Services and Managing Counsel
Direct Telephone: (800)-746-7287
Fax: (847)-559-4879
E-Mail: www.cvscaremark.com
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Unicare Life and Health Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Debra A Keena
Title: PBM Contract Director
Mailing Address: Wellpoint, Inc.
1 Wellpoint Way
Thousand Oaks, California 91362
Direct Telephone: (951)-894-1383
Fax: (951)-304-0886
E-Mail: Debra.Keena@wellpoint.com |
Mail Order Pharmacies that Participate in the Network:
- ESI Mail Pharmacy Service, Inc., dba Express Scripts, 4600 North Hanley Road, St. Louis, MO 63134
- ESI Mail Pharmacy Service, Inc., dba Express Scripts, 7909 South Hardy, Suite 106, Tempe, AZ 85284
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- Express Scripts serves as the pharmacy benefit manager company for Anthem Health Plans of Maine, Inc, doing business as Anthem Blue Cross Blue Shield, and offers a pharmacy preferred provider arrangement in the state of Maine. Pharmacies interested in becoming a preferred provider should call the Express Scripts Network Contracting and Management Department at 1-866-296-9943, or send a written request to Express Scripts, Network Contracting and Management Department, One Express Way, St. Louis, MO 63121.
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UnitedHealthcare Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Gail Kahl
Title: Director
Mailing Address: UnitedHealthcare Legal and Regulatory NE Region
48 Monroe Turnpike
Trumbull, CT 06611
Direct Telephone: 1-888-889-7658 or (203)-459-6378
Fax:
E-Mail: gail_a_kahl@uhc.com |
Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
- Medco Pharmacy Services Department
MS B3-1
100 Parsons Pond Drive
Franklin Lakes, NJ 07417
Direct Telephone: 1-800-922-1557
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Washington National Insurance Company |
Compliance Officer with Responsibility for Maine Pharmacy Operations:
Name: Mark Johnson
Title: Senior Vice President and Chief Compliance Officer
Mailing Address: 11825 North Pennsylvania Street
Carmel, IN 46032
Direct Telephone: (317)-817-5569
Fax: (317)-817-2826
E-Mail: mark.johnson@cnoinc.com |
Mail Order Pharmacies that Participate in the Network:
- Express Scripts Mail Order (AR, NM, NY, PA, MO)
- NEXTRX (OH, TX)
- Central Fill Inc (PA)
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
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World 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
- CuraScripts
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Pharmacy Network Administrator or PBM Responsible for Pharmacy Contracting:
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Last Updated:
June 14, 2012
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