STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Alabama
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Alabama
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Alabama
BCBS OF ALABAMA AND BCBS OF TENNESSEE BlueRx PDP
Clinical Pharmacy Admin Layne Paul
1-205-220-6522
450 Riverchase Parkway East Birmingham AL 35244
Alabama
BLUE CROSS AND BLUE SHIELD OF ALABAMA
Blue Cross Blue Shield of Alabama Local CCP
Clinical Pharmacy Admin Layne Paul
1-205-220-6522
450 Riverchase Parkway East Birmingham AL 35244
Alabama
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Alabama
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Alabama
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Alabama
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
AlabamaDAVITA VILLAGEHEALTH, INC.
DaVita VillageHealth Insurance of Alabama, Inc. Local CCP
Director of Clinical Pharmacy Manley Harold
1-518-932-4416
[email protected] 16 Vagele Lane Glenmont NY 12077
Alabama
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Alabama
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Alabama
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Alabama
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
AlabamaHEALTHSPRING OF ALABAMA, INC.
Healthspring of Alabama, Inc. Local CCP
Director, Government Programs Christopher Kelly
1-615-565-8110
601 Mainstream Drive Nashville TN 37228
AlabamaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
AlabamaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
AlabamaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 1
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Alabama
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Alabama
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Alabama
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Alabama
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Alabama
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Alabama RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Alabama
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Alabama
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Alabama
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Alabama
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Alabama
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Alabama
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Alabama
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Alabama
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Alabama
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Alabama
UNITED HEALTHCARE OF ALABAMA, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Alabama VIVA HEALTH, INC. VIVA Medicare Plus Local CCPManager of Quality Improvement Scott Jan P
1-205-930-5520
1-205-930-5597
1222 14th Avenue South Birmingham AL 35205
Alabama
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
2008 MTMP Contacts, Updated 0613/08 2
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Alabama
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
AlabamaWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
AlabamaWINDSOR HEALTH PLANS, INC.
Windsor Medicare Extra Local CCP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
Alaska
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Alaska
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Alaska
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Alaska
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Alaska
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Alaska
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Alaska
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Alaska
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
AlaskaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
AlaskaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Alaska
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Alaska
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Alaska
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Alaska RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Alaska
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
2008 MTMP Contacts, Updated 0613/08 3
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Alaska
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Alaska
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Alaska
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Alaska
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Alaska
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Alaska
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Alaska
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Alaska
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Alaska
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
American Samoa
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
American Samoa
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
ArizonaABRAZO ADVANTAGE HEALTH PLAN
Abrazo Advantage Health Plan Local CCP Pharmacy Director Cruz Patti
1-602-824-3773
1-602-824-3762
[email protected] 7878 N. 16th St. Suite 105 Phoenix AZ 85020
Arizona AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Arizona
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Arizona
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Arizona
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 4
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
ArizonaARCADIAN HEALTH PLAN, INC.
Desert Canyon Community Care Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
ArizonaARIZONA PHYSICIANS IPA, INC.
APIPA Personal Care Plus Local CCP Pharmacy Director Cabrera Lourdes
1-954-858-4302
1-954-858-3765
13621 NW 12TH ST Sunrise FL 33323
ArizonaBRIDGEWAY HEALTH SOLUTIONS
Advantage by Bridgeway Health Solutions Local CCP
VP Pharmacy Operations Health Plans Pica Mike
1-732-476-1047
1-732-549-5824
499 Thornall Street, 4th floor Edison NJ 8837
ArizonaCARE1ST HEALTH PLAN OF ARIZONA
ONECare by Care1st Health Plan Of Arizona Local CCP
Compliance Officer Hollin Cheyenne
1-602-778-1850 8318
2355 E. Camelback Rd., Ste. 300 Phoenix AZ 85016
Arizona
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
ArizonaCIGNA HEALTHCARE OF ARIZONA, INC.
CIGNA HealthCare of Arizona Local CCP Chief Pharmacist Zheng Yi
1-860-226-6731
900 Cottage Grove Rd. Wilde Hartford CT 6152
ArizonaCIGNA HEALTHCARE OF ARIZONA, INC.
CIGNA HealthCare of Arizona PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd. Wilde Hartford CT 6152
Arizona
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Arizona
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Arizona
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Arizona
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Arizona
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
ArizonaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
ArizonaHEALTH CHOICE ARIZONA, INC.
Health Choice Generations Local CCP
Director, Pharmacy Sartor Lynn
1-480-303-4431
1-480-350-2231
1600 W. Broadway, Suite 110 Tempe AZ 85282
Arizona
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Arizona
HEALTH NET LIFE INSURANCE COMPANY Health Net Regional CCP
Senior Vice President, Chief Clinical Officer White Virginia E
1-916-463-9603
10540 White Rock Rd., Ste 280
Mail Stop: CA-175-02-02 Rancho Cordove CA 95670
ArizonaHEALTH NET OF ARIZONA, INC.
Health Net of Arizona, Inc. Local CCP
Senior Vice President
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-9750
10540 White Rock Rd., Ste. 280 Rancho Cordova CA 95670
Arizona
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
ArizonaHUMANA HEALTH PLAN, INC.
Humana Health Plan, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ArizonaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 5
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
ArizonaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ArizonaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ArizonaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Arizona
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Arizona
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
ArizonaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
ArizonaPACIFICARE OF ARIZONA, INC
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Arizona
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Arizona
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Arizona
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Arizona RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
ArizonaSCAN HEALTH PLAN OF ARIZONA
SCAN Health Plan Arizona Local CCP
Director of Pharmacy Bakshi Sharon
1-562-989-5168
1-562-997-3196
3800 Kilroy Airport Way Suite 100 Long Beach CA 90806
Arizona
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Sierra Spectrum Local CCP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Arizona
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Arizona
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Arizona
SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION Mercy Care Advantage Local CCP
Corporate Director of Pharmacy Clark Mark
1-602-659-1100
4645 E Cotton Center Blvd
Building 1, Suite 200 Phoenix AZ 85040
Arizona
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Arizona
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
ArizonaSUN HEALTH MEDISUN, INC.
Sun Health MediSunONE Local CCP
Director of Pharmacy Nesemann Lydia
1-623-974-7474
1-623-974-7495
[email protected] P.O. Box 1489
13632 N. 99th Ave, Suite B Sun City AZ 85372
Arizona
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
2008 MTMP Contacts, Updated 0613/08 6
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Arizona
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Arizona
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Arizona
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Arizona
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Arizona
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Arizona
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Arizona
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
ArizonaUNITEDHEALTHCARE OF ARIZONA INC
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Arizona
UNIVERSAL HEALTH CARE INSURANCE COMPANY
Universal Health Care Insurance Company, Inc. PFFS
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
ArizonaUPH/MIHS VENTURES L.L.C.
University Physicians/Maricopa Care Advantage Local CCP Rabbitt Rebecca
1-800-332-5455
13900 Riverport Drive
Maryland Heights MO 63043
Arizona
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Arizona
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Arkansas
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Arkansas
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
ArkansasARKANSAS BCBS, A MUTUAL INS CO
Arkansas Blue Cross and Blue Shield PDP
Dir. Clinical Operations Moyna Audrey
1-847-559-3999
1-847-559-4733
211 Sanders Road Northbrook IL 60062
Arkansas
ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL INS.
Arkansas Blue Cross - Medi-Pak Advantage PFFS
Dir. Clinical Operations Monya Audrey
1-847-559-3999
1-847-559-4733
211 Sanders Road Northbrook IL 60062
ArkansasARKANSAS COMMUNITY CARE
Arkansas Community Care, Inc. Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
2008 MTMP Contacts, Updated 0613/08 7
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Arkansas
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.
Care Improvement Plus Regional CCP Help Desk MTM
1-866-443-0934
9501 East Shea Boulevard Scottsdale AZ 85260
Arkansas
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Arkansas
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Arkansas
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Arkansas
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Arkansas
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Arkansas
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
ArkansasFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
Arkansas
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Arkansas
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
ArkansasHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ArkansasHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ArkansasHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ArkansasHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ArkansasHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Arkansas
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Arkansas
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
ArkansasMERCY HEALTH PLANS Mercy Health Plans Local CCP
Director of Clinical Pharmacy Linsin Cathy
1-314-214-2489
1-314-214-8101
14528 S. Outer 40, Ste. 300 Chesterfield MO 63017
2008 MTMP Contacts, Updated 0613/08 8
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Arkansas
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Arkansas
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Arkansas
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Arkansas RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Arkansas
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Arkansas
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Arkansas
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Arkansas
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Arkansas
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Arkansas
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Arkansas
UNISON HEALTH PLAN OF TENNESSEE, INC. Unison Advantage Local CCP Brekosky Robert
1-412-349-6167
1-412-457-1616
[email protected] Unison Plaza
1001 Brinton Road Pittsburgh PA 15221
Arkansas
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Arkansas
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Arkansas
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Arkansas
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
ArkansasUNITEDHEALTHCARE OF ARKANSAS, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Arkansas
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Arkansas
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
ArkansasWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
2008 MTMP Contacts, Updated 0613/08 9
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
ArkansasWINDSOR HEALTH PLANS, INC.
Windsor Medicare Extra Local CCP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
CaliforniaAETNA HEALTH OF CALIFORNIA,INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
California
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
California
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
CaliforniaAIDS HEALTHCARE FOUNDATION
POSITIVE HEALTHCARE PARTNERS Local CCP
MEDICAL DIRECTOR HOWELL SCOTT
1-954-522-3132
1-954-522-3260
[email protected] 110 SE 6th St. Fort Lauderdale FL 33301
California
ALAMEDA ALLIANCE JOINT POWERS AUTHORITY (JPA) Alliance for Health Local CCP
Manager, Pharmacy Services Yang Anna
1-510-747-6155
1-510-747-4507
1240 South Loop Road Alameda CA 94502
California
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.
BC LIFE & HEALTH INSURANCE COMPANY Regional CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
CaliforniaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
CaliforniaARTA MEDICARE HEALTH PLAN, INC.
Arta Medicare Health Plan Local CCP Pharmacy Director Sefain Hani
1-818-368-7538
1-818-368-7169
19641 Tulsa Street Chatsworth CA 91311
CaliforniaBLUE CROSS OF CALIFORNIA
Blue Cross of California Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
CaliforniaBLUE CROSS OF CALIFORNIA
Blue Cross Of California PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
California
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
California
CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA
Blue Shield of California PDP
Medication Management Coordinator Becker-Ellison Dawn
1-916-350-6624
1-916-350-6216
4205 Town Center Blvd El Dorado Hills CA 95762
California
CALIFORNIA PHYSICIANS' SERVICE
Blue Shield of California Local CCP
Medication Management Coordinator Becker-Ellison Dawn
1-916-350-6624
1-916-350-6216
4205 Town Center Blvd El Dorado Hills CA 95762
CaliforniaCARE1ST HEALTH PLAN
Care1st Medicare Advantage Plan Local CCP Pharmacy Director Lasconia Michael
1-323-889-6638 6532
601 Potrero Grande Drive Monterey Park CA 91755
CaliforniaCAREMORE HEALTH PLAN CareMore Health Plan Local CCP
Director of Pharmacy Rose James
1-562-622-2900 2982
1-562-622-2814
12900 Park Plaza Drive Suite 150 Cerritos CA 90703
California
CENTRAL HEALTH PLAN OF CALIFORNIA, INC.
Central Health Medicare Plan Local CCP
Pharmacy Operations Manager Britton, MD Timothy
1-866-314-2427 2229
1-626-388-2363
18575 East Gale Avenue Suite 258 City of Industry CA 91748
California
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
California
CHINESE COMMUNITY HEALTH PLAN
Chinese Community Health Plan Local CCP
Director of Pharmacy Services Wong Adrian
1-415-955-8800 3275
1-415-955-8814
445 Grant Avenue, Suite 700 San Francisco CA 94108
2008 MTMP Contacts, Updated 0613/08 10
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
CaliforniaCITIZENS CHOICE HEALTHPLAN
Citizens Choice Healthplan Local CCP
Director, Health Care Services Maxon, RN Marcie
1-562-207-4508
1-323-728-8494
17315 Studebaker Road Suite 200 Cerritos CA 90703
CaliforniaCOMMUNITY HEALTH GROUP
Community Health Group Local CCP
Director-Health Care Operations Koizumi Noreen
1-619-498-6476
1-619-407-4648
[email protected] 740 Bay Blvd. Chula Vista CA 91910
California
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
California
CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTH
Contra Costa Health Plan Local CCP Lawson Mark
1-215-937-5352
1-215-937-8450
200 Stevens Drive Philadelpha PA 19113
CaliforniaEASY CHOICE HEALTH PLAN INC.
Easy Choice Health Plan Local CCP Account Executive Umeda Greg
1-916-428-5321
1-858-621-5147
MedImpact Healthcare Systems, Inc.
10680 Treena Street San Diego CA 92131
California
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
California
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
California
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
CaliforniaGEMCARE HEALTH PLAN INC.
GEMCARE Health Plan Local CCP
Vice President Clinical Programs Schoening Shellie K
1-800-546-5677 1110
1-866-632-7946
[email protected] P.O. Box 407 Boys Town NE 68010
California
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
California
HEALTH NET LIFE INSURANCE COMPANY
Health Net Life Insurance Company Local CCP
Senior Vice President, Chief Clinical Officer
White, Pharm. D. Virginia E
1-916-463-9603
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho cordova CA 95670
California
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
California HEALTH NET_OF CA Health Net Of CA Local CCP V.P. OperationsWhite, Pharm. D. Virginia E
1-916-463-9603
1-916-463-9750
10540 White Rock Rd., Ste 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
California
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
California HMO CALIFORNIA Brand New Day Local CCP
Vice President Medicare Operations & Compliance Snyder Connie
1-562-981-5054
1-562-981-5818
1600 East Hill Street Signal Hill CA 90755
CaliforniaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
CaliforniaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
CaliforniaIEHP HEALTH ACCESS
IEHP Medicare DualChoice Local CCP
Director of Pharmaceutical Services Chan Chris
1-909-890-2943
1-909-890-2995 [email protected]
303 E. Vanderbilt Way, Suite 100 San Bernardino CA 92408
CaliforniaINTER VALLEY HEALTH PLAN, INC. Inter Valley Health Plan Local CCP
VP of Health Services Tenorio Susan
1-800-251-8191 631
1-909-620-8092
[email protected] PO Box 6002
300 South Park Ave, Suite 300 Pomona CA 91769
2008 MTMP Contacts, Updated 0613/08 11
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
CaliforniaKAISER FOUNDATION HP, INC. Kaiser Permanente Local CCP
Director, Medicare Compliance Fletcher Michael
1-626-405-6629
393 E. Walnut Street, 7th Floor Pasadena CA 91188
CaliforniaL. A. CARE HEALTH PLAN L.A. Care Health Plan Local CCP
Director, Pharmacy & Formulary Leong Susan
1-213-438-5655
1-213-438-5721
555 West 5th Street 19th Floor Los Angeles CA 90013
California
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
California MD CARE, INC. MD Care Inc Local CCP Help Desk MTM1-866-443-0934
1-480-661-2774
9501 E Shea Blvd. Scottsdale AZ 85260
California
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
California MEDCORE HP Medcore HP Local CCP Hirsch Jeff1-314-810-6102
One Express Way St. Louis MO 63121
CaliforniaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
California
MOLINA HEALTHCARE OF CALIFORNIA
Molina Healthcare of California Local CCP
Director, Pharmacy Johnson Beth
1-801-858-0466
1-801-748-0536
7050 South UnionPark Center Midvale UT 84047
CaliforniaORANGE COUNTY HEALTH AUTHORITY OneCare Local CCP
Director of Clinical Pharmacy Gericke Kristin
1-714-246-8471
1-714-246-8649
1120 West La Veta Avenue Orange CA 92868
California
PACIFICARE OF CALIFORNIA/SECURE HORIZONS
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
California
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
California
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
California
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
California RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
CaliforniaSAN MATEO HEALTH COMMISSION
Health Plan of San Mateo Local CCP
Pharmacy Manager Cheung Barrie
1-650-616-2073
701 Gateway Blvd, Ste 400
South San Francisco CA 94080
CaliforniaSAN MIGUEL HEALTH PLAN, INC. San Miguel Health Plan Local CCP
Chief Medical Officer Bass Stephan
1-562-787-1403
1-562-435-9200
100 West Broadway Suite 4000 Long Beach CA 90802
California
SANTA CLARA COUNTY HEALTH AUTHORITY
Santa Clara Family Health Plan Local CCP Garg Angeli
1-408-874-1818
1-408-874-1961
210 East Hacienda Ave Campbell CA 95008
California SCAN HEALTH PLAN SCAN Health Plan Local CCPDirector of Pharmacy Bakshi Sharon
1-562-989-5168
1-562-997-3196
3800 Kilroy Airport Way Suite 100 Long Beach CA 90806
California SCAN HEALTH PLAN SCAN Health Plan Local CCPDirector of Pharmacy Bakshi Sharon
1-562-989-5168
1-562-997-3196
3800 Kilroy Airport Way Suite 100 Long Beach CA 90806
California SCAN HEALTH PLAN VillageHealth DemoDirector of Pharmacy Bakshi Sharon
1-562-989-5168
1-562-997-3196
3800 Kilroy Airport Way Suite 100 Long Beach CA 90806
California
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
California
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
2008 MTMP Contacts, Updated 0613/08 12
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
California
SOLANO-NAPA-YOLO COMMISSION ON MEDICAL CARE
Partnership HealthPlan of California Local CCP
Chief Medical Officer Cammisa Chris
1-707-863-4228
1-707-863-4118
360 Campus Lane, Suite 100 Fairfield CA 94534
California
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
California
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
California
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
California
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
California
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
California
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
California
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
California
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
California
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
CaliforniaWESTERN HEALTH ADVANTAGE
Western Health Advantage Local CCP
Clinical Pharmacist Fischer Joe
1-916-563-2273
1-916-563-3182
2349 Gateway Oaks Drive, Suite 100 Sacramento CA 95833
Colorado
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Colorado
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
ColoradoANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
ColoradoANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
Colorado
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Colorado COLORADO ACCESS Colorado Access Local CCPDirector of Pharmacy Girgis Irene
1-720-744-5526
10065 E. Harvard Ave. Suite 600 Denver CO 80231
2008 MTMP Contacts, Updated 0613/08 13
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Colorado
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Colorado
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Colorado
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
ColoradoDENVER HEALTH MEDICAL PLAN, INC.
Denver Health Medical Plan Local CCP Medical Director Brody, MD David
1-720-956-2361
1-720-956-2303
777 Bannock Street
Mail Code 6000 Denver CO 80204
Colorado
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Colorado
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
ColoradoFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
Colorado
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Colorado
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
ColoradoHMO COLORADO, INC.
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
ColoradoHUMANA HEALTH PLAN, INC.
Humana Health Plan, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ColoradoHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ColoradoHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ColoradoHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ColoradoKAISER FOUNDATION HP OF CO Kaiser Permanente Local CCP
Quality & Clinical Pharmacy Manager Chester Beth
1-303-326-7612
1-303-739-3574
16601 E. Centretech Parkway Aurora CO 80011
Colorado
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
ColoradoMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
ColoradoPACIFICARE OF COLORADO, INC
AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Colorado
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Colorado
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
2008 MTMP Contacts, Updated 0613/08 14
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Colorado
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Colorado
ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION
Rocky Mountain Health Plans PDP Pharmacy Director Nolan Steve
1-970-244-7760 5182
[email protected] PO Box 10600 Grand Junction CO 81502
ColoradoROCKY MOUNTAIN HEALTH PLANS
Rocky Mountain Health Plans 1876 Cost Pharmacy Director Nolan Steve
1-970-244-7760 5182
[email protected] PO Box 10600 Grand Junction CO 81502
Colorado RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Colorado
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Colorado
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Colorado
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Colorado
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Colorado
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Colorado
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Colorado
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Colorado
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Colorado
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Colorado
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Colorado
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Colorado
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Colorado
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Colorado
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
2008 MTMP Contacts, Updated 0613/08 15
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Colorado
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Connecticut AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Connecticut
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Connecticut
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Connecticut
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Connecticut
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
ConnecticutANTHEM HEALTH PLANS, INC
Anthem Blue Cross and Blue Shield Local CCP
Director of Clinical Operations Moyna Audrey
1-847-559-3999
1-847-559-4733
2211 Sanders Road Northbrook IL 60062
ConnecticutANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Connecticut BLUE MEDICARERX Blue MedicareRx PDPClinical Pharmacist Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Connecticut
CONNECTICARE INSURANCE COMPANY, INC.
ConnectiCare Insurance Company, Inc. PFFS Aral Jasmine
1-646-447-7186
[email protected] 55 Water Street New York NY 10041
Connecticut CONNECTICARE, INC. ConnectiCare, Inc. Local CCP Aral Jasmine1-646-447-7186
[email protected] 55 Water Street New York NY 10041
Connecticut
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Connecticut
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Connecticut
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Connecticut
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Connecticut
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Connecticut
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
ConnecticutHEALTH NET OF CONNECTICUT
Health Net of Connecticut Local CCP
Senior Vice President, Chief Clinical Officer
White, Pharm D. Virginia E
1-916-463-9603
1-916-463-9750
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
2008 MTMP Contacts, Updated 0613/08 16
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Connecticut
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
ConnecticutHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
ConnecticutHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Connecticut
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
ConnecticutOXFORD HEALTH PLANS (CT), INC.
SecureHorizons by UnitedHealthCare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Connecticut
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Connecticut
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Connecticut RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
ConnecticutSENIOR WHOLE HEALTH, LLC
Senior Whole Health of Connecticut Local CCP
Director of Pharmacy Services Dichter Gayle
1-617-494-5353 6324
1-617-494-5599
[email protected] 58 Charles Street Cambridge MA 2141
Connecticut
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Connecticut
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Connecticut
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Connecticut
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Connecticut
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Connecticut
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Connecticut
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Connecticut
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Connecticut
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Connecticut
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 17
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
ConnecticutWELLCARE OF CONNECTICUT, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
Connecticut
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Delaware AETNA HEALTH, INC Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Delaware
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Delaware
AETNA LIFE INSURANCE COMPANY Aetna Medicare Regional CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Delaware
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Delaware
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
DelawareBRAVO HEALTH MID- ATLANTIC INC. Bravo Health PFFS
Vice President, Pharmacy Services Owens Heather
1-410-864-4583
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
Delaware
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Delaware
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Delaware
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Delaware
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Delaware FIRST CARE, INC.Medi-CareFirst BlueCross BlueShield PDP
Director, Pharmacy Management Wong Winston
1-410-528-7897
1501 S. Clinton St 8th Floor Baltimore MD 21224
Delaware
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Delaware
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Delaware
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
DelawareHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 18
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
DelawareHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Delaware
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Delaware
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
DelawareMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Delaware
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Delaware
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Delaware RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Delaware
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Delaware
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Delaware
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Delaware
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Delaware
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Delaware
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Delaware
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Delaware
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Delaware
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Delaware
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Delaware
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 19
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Delaware
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Delaware
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Florida AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Florida
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Florida
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Florida
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Florida
AIDS HEALTHCARE FOUNDATION MCO OF FLORIDA, INC.
Positive Healthcare Partners Local CCP
Plan Medical Director Howell Scott
1-954-496-9321
1-954-318-4161
110 SE 6th Street, Ste 1960 Fort Lauderdale FL 33301
FloridaAMERIGROUP FLORIDA, INC.
AMERIGROUP Community Care Local CCP
Director Clinical Pharmacy Miller Leslie
1-757-518-3420
4425 Corporation Lane #300 Virginia Beach VA 23462
Florida AVMED, INCAvMed Medicare Preferred Local CCP
Manager of Clinical Pharmacy Kuznik Melissa
1-352-337-8785
1-352-337-8737
AvMed Health Plans
4300 NW 89 Blvd. Gainesville FL 32606
Florida AVMED, INC.AvMed Medicare Preferred PPO Local CCP
Manager of Clinical Pharmacy Kuznik Melissa
1-352-337-8785
1-352-337-8737
AvMed Health Plans
4300 NW 89 Blvd. Gainesville FL 32606
Florida
BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
Blue Cross and Blue Shield of Florida, Inc. Local CCP
Director, Government Pharmacy Programs Griffin Cynthia
1-904-905-6307
1-904-905-5907
4800 Deerwood Campus Pkwy
DCC Building 300, 3rd Floor Jacksonville FL 32246
Florida
BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
Blue Cross and Blue Shield of Florida, Inc. PDP
Director, Government Pharmacy Programs Griffin Cynthia
1-904-905-6307
1-904-905-5907
4800 Deerwood Campus Pkwy
DCC Building 300, 3rd Floor Jacksonville FL 32246
Florida
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
FloridaCAPITAL HEALTH PLAN Capital Health Plan Local CCP
Clinical Pharmacist Johnston April
1-850-523-7416
1-850-383-3495
[email protected] P.O. Box 15349 Tallahassee FL 32317
FloridaCARE PLUS HEALTH PLAN
CarePlus Health Plans, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Florida
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
FloridaCITRUS HEALTH CARE
CITRUS HEALTH CARE PDP
VICE PRESIDENT CLINICAL PROGRAMS SCHOENING SHELLIE
1-800-546-5677 1110
1-866-632-7946
[email protected] PO BOX 407 BOYS TOWN NE 68010
2008 MTMP Contacts, Updated 0613/08 20
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
FloridaCITRUS HEALTH CARE, INC. Citrus Health Care, Inc. Local CCP
Vice President Clinical Programs Schoening Shellie
1-402-965-8800 1110
1-402-965-9774
[email protected] PO BOX 407 Boys town NE 68010
Florida
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Florida
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Florida
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Florida
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Florida
FIRST MEDICAL HEALTH PLAN (OF FLORIDA)
First Medical Health Plan of Florida, Inc. Local CCP Miller Scott A
1-847-964-6944
1415 Lake Cook Road Deerfield IL 60015
FloridaFLORIDA HEALTH CARE PLAN, INC.
Florida Health Care Plan, Inc. Local CCP Pharmacist fox Dave
1-800-352-9824 4016
1-386-676-7165 [email protected]
1340 Ridgewood Avenue Holly Hill FL 32117
FloridaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
FloridaFREEDOM HEALTH PLAN, INC. Freedom Health, Inc. Local CCP Pharmacy Director Keilty Mike
1-813-506-6000 1031
1-813-506-6152
5403, Church Ave N, Tamap FL 33614
FloridaHEALTH FIRST HEALTH PLANS, INC.
Health First Medicare Plans Local CCP
Compliance Analyst Breisch Laura
1-321-434-5660
1-321-434-4361
6450 US Highway 1 Rockledge FL 32955
Florida
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
FloridaHEALTH OPTIONS, INC
Health Options, Inc / Blue Cross Blue Shield of FL Local CCP
Director, Government Pharmacy Programs Griffin Cynthia
1-904-905-6307
1-904-905-5907
4800 Deerwood Campus Pkwy
DCC Building 300, 3rd Floor Jacksonville FL 32246
Florida
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
FloridaHEALTHSUN HEALTH PLANS, INC.
HealthSun Health Plans, Inc. Local CCP
Compliance Officer de la Llama Marianela
1-305-234-9292
1-305-444-9148
1205 SW 37th Avenue Miami FL 33135
Florida
HUMANA HEALTH INSURANCE COMPANY OF FL, INC.
Humana Health Insurance Company Of Fl, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
FloridaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
FloridaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
FloridaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
FloridaHUMANA MEDICAL PLAN, INC
Humana Medical Plan, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Florida
LEON MEDICAL CENTERS HEALTH PLANS, INC
Leon Medical Centers Health Plans, Inc. Local CCP VP of UM Hernandez Henry
1-305-559-5366
1-305-644-2530
11501 SW 40th Street Miami FL 33165
2008 MTMP Contacts, Updated 0613/08 21
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Florida
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
FloridaMD MEDICARE CHOICE MD MedicareChoice Local CCP Pharmacy Director Limberg Cari
1-813-477-3886
1-813-880-8425
5501 West Waters Ave. Suite 401 Tampa FL 33634
Florida
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Florida
MEDICA HEALTHCARE PLANS, INC.
Medica HealthCare Plans, Inc. Local CCP
Clinical Pharmacist Borges Alejandro M
1-305-460-0690
1-305-460-0613
4000 Ponce de Leon Blvd. Suite 650 Coral Gables FL 33146
FloridaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
FloridaMETCARE HEALTH PLANS, INC. AdvantageCare Local CCP
Pharmacy DUR/MTM PerfromRx Lawson Mark
1-215-937-5352
1-215-937-8450
200 Stevens Drive Philadelphia PA 19113
FloridaOPTIMUM HEALTHCARE, INC.
Optimum HealthCare, Inc. Local CCP
Supervisor, MTM DUR Programs Lawson Mark
1-215-937-5352
1-215-937-8450
200 Stevens Drive Philadelphia PA 19113
Florida
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Florida
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
FloridaPHYSICIANS UNITED PLAN, INC. Physicians United Plan Local CCP
Chief Pharmacy Officer Bullard, R.Ph. Richard
1-480-624-9265
1-480-624-9401
15950 N. 76th Street Suite 200 Scottsdale AZ 85260
FloridaPREFERRED CARE PARTNERS INC.
Preferred Care Partners, Inc. Local CCP Pharmacy Director Prieto Jennifer
1-305-670-8440 1274
1-786-888-1964
9100 S. DadelandBlvd. Suite 1250 Miami FL 33156
Florida
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
FloridaQUALITY HEALTH PLANS, INC
QUALITY HEALTH PLANS PDP
Director of Pharmacy Rackley Qiana
1-727-945-8400 158
1-727-756-1080
2435 US Highway 19 Suite 470 Holiday FL 34691
FloridaQUALITY HEALTH PLANS, INC. Quality Health Plans Local CCP
Director of Pharmacy Rackley Qiana
1-727-945-8400 158
1-727-756-1080
2435 US Highway 19 Suite 470 Holiday FL 34691
Florida RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Florida
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Florida
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Florida
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
FloridaSUMMIT HEALTH PLAN, INC.
Summit Health Plan, Inc. Local CCP
Vice President Compliance Gartner Darcey
1-954-858-3667
1-954-858-3695
1340 Concord Terrace Sunrise FL 33323
Florida
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
2008 MTMP Contacts, Updated 0613/08 22
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Florida
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Florida
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Florida
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Regional CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNITED HEALTHCARE OF FL, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNITED HEALTHCARE OF FLORIDA INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Florida
UNIVERSAL HEALTH CARE INSURANCE COMPANY
Universal Health Care Insurance Company, Inc. PFFS
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
FloridaUNIVERSAL HEALTH CARE, INC.
Universal Health Care, Inc. Local CCP
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
FloridaUNIVERSAL HEALTH CARE, INC.
Universal Health Care, Inc. Local CCP
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
Florida
VISTA HEALTHPLAN OF SOUTH FLORIDA, INC.
Vista Healthplan of South Florida, Inc. Local CCP
Vice President, Compliance Gartner Darcey
1-954-858-3667
1-954-858-3695
1340 Concord Terrace Sunrise FL 33323
FloridaVISTA HEALTHPLAN, INC. Vista Healthplan, Inc. Local CCP
Vice President, Compliance Gartner Darcey
1-954-858-3667
1-954-858-3695
1340 Concord Terrace Sunrise FL 33323
FloridaWELL CARE OF FLORIDA, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
2008 MTMP Contacts, Updated 0613/08 23
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Florida
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Florida
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
GeorgiaAETNA HEALTH INC.(GEORGIA) Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Georgia
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Georgia
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Georgia
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
GeorgiaANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
GeorgiaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
Georgia
ARCADIAN HEALTH PLAN OF GEORGIA, INC.
Southeast Community Care Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
GeorgiaBLUE CROSS BLUE SHIELD OF GEORGIA
Blue Cross Blue Shield Healthcare Plan of Georgia Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Georgia
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO
Care Improvement Plus Regional CCP Help Desk MTM
1-866-443-0934
9501 East Shea Boulevard Scottsdale AZ 85260
Georgia
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Georgia
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
Georgia
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Georgia
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Georgia
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
2008 MTMP Contacts, Updated 0613/08 24
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Georgia
COVENTRY HEALTH CARE OF GEORGIA, INC. Advantra Local CCP
Director, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
GeorgiaDAVITA VILLAGEHEALTH, INC.
DaVita VillageHealth of Georgia, Inc. Local CCP
Director of Clinical Pharmacy Manley Harold
1-518-932-4416
[email protected] 16 Vagele Lane Glenmont NY 12077
Georgia
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Georgia
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Georgia
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Georgia
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Georgia
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
GeorgiaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
GeorgiaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
GeorgiaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
GeorgiaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Georgia
INSTIL HEALTH INSURANCE COMPANY
InStil Health Insurance Company PDP
Director Medical Services Lachuk Lester
1-803-763-6559
1-803-935-1605
17 Technology Circle, AG-790 Columbia SC 29203
GeorgiaKAISER FOUNDATION HP OF GA, INC.
Kaiser Permanente Senior Advantage Local CCP
Interim Clinic Manager Charnelda Gray
1-404-364-7085
1-404-364-7347
3495 Piedmont Road NE Atlanta GA 30305
Georgia
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Georgia
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Georgia
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Georgia
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Georgia RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Georgia
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Georgia
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
2008 MTMP Contacts, Updated 0613/08 25
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Georgia
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Georgia
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Georgia
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Georgia
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Georgia
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Georgia
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Georgia
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Georgia
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Georgia
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Georgia
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Georgia
UNITED HEALTHCARE OF GEORGIA, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Georgia
UNIVERSAL HEALTH CARE INSURANCE COMPANY
Universal Health Care Insurance Company, Inc. PFFS
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
Georgia
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
GeorgiaWELLCARE OF GEORGIA, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
Georgia
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Guam
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Guam
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 26
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Hawaii
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Hawaii
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Hawaii ALOHACARE AlohaCare Local CCPDirector of Clinical Operations Catalan Stella
1-808-973-6359
1-808-973-0726
1357 Kapiolani Blvd., Suite 1250 Honolulu HI 96814
Hawaii
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Hawaii
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Hawaii
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Hawaii
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
HawaiiFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
HawaiiHAWAII MED. SRVC. ASSN. HMSA's 65C Plus 1876 Cost
Clinical Pharmacist Nishimura Rachel
1-808-948-6808
1-808-948-5510
[email protected] 5 - PBM
818 Keeaumoku St Honolulu HI 96814
Hawaii
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Hawaii
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Hawaii
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
HawaiiHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
HawaiiHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
HawaiiKAISER FOUNDATION HP, INC.
Kaiser Foundation Health Plan, Inc. (Hawaii) Local CCP
Quality Management Coordinator Wilson Susan T
1-808-432-7533
Kaiser Permanente
501 Alakawa Street Honolulu HI 96819
Hawaii
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Hawaii
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Hawaii
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
2008 MTMP Contacts, Updated 0613/08 27
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Hawaii
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Hawaii RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Hawaii
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Hawaii
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Hawaii
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Hawaii
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Hawaii
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Hawaii
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Hawaii
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Hawaii
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Hawaii
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Regional CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Hawaii
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Hawaii
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Hawaii
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Hawaii
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Idaho
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Idaho
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 28
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Idaho
BLUE CROSS OF IDAHO HEALTH SERVICES, INC
Blue Cross Of Idaho Hlth Services Inc Local CCP
Pharmacy Clinical Services Hettich Lisa
1-765-526-2515
8407 Fallbrook Ave # CAAF01 West Hills CA 91304
Idaho
BLUE CROSS OF IDAHO HEALTH SERVICES, INC.
Blue Cross Of Idaho Hlth Services Inc PFFS
Pharmacy Clinical Services Hettich Lisa
1-765-526-2515
8407 Fallbrook Ave # CAAF01
attn: Network Management West Hills CA 91304
Idaho
BLUE CROSS OF IDAHO HLTH SERVICES INC
Blue Cross Of Idaho Hlth Services Inc Local CCP
Pharmacy Clinical Services Hettich Lisa
1-765-526-2515
8407 Fallbrook Ave #CAAF01
Attn: Network Management West Hills CA 91304
Idaho
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Idaho
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Idaho
EDUCATORS MUTUAL INSURANCE ASSOCIATION
Educators Mutual Insurance Association PDP Gallegos Jennifer
1-801-262-7476
852 East Arrowhead Lane Murray UT 84107
Idaho
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Idaho
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Idaho
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Idaho
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Idaho
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
IdahoHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IdahoHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Idaho
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
IdahoMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Idaho
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Idaho
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Idaho
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
2008 MTMP Contacts, Updated 0613/08 29
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
IdahoREGENCE BLUE SHIELD OF IDAHO
Regence BlueShield Of Idaho Local CCP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
1211 West Myrtle Suite 110
PO Box 2560 Boise ID 87301
Idaho
REGENCE LIFE AND HEALTH INSURANCE COMPANY
Regence Life and Health PDP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
1211 West Myrtle Suite 210
PO Box 2560 Boise ID 87301
Idaho RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Idaho
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Idaho
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Idaho
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Idaho
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Idaho
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Idaho
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Idaho
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Idaho
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Idaho
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Idaho
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Idaho
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Idaho
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Idaho
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
IllinoisAETNA HEALTH OF ILLINOIS, INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 30
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Illinois
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Illinois
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Illinois
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Illinois
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Illinois
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Illinois
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Illinois
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Illinois
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Illinois ESSENCE L.L.P. Essence Healthcare Local CCPDirector of Quality Improvement Keys Mary Kay
1-314-851-3664
1-314-851-3610
[email protected] 12655 Olive Blvd St. Louis MO 63141
Illinois
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
IllinoisGROUP HEALTH PLAN, INC. Group Health Plan, Inc. Local CCP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Illinois
HARMONY HEALTH PLAN OF ILLINOIS, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
IllinoisHCSC INSURANCE SERVICES COMPANY
HISC - Blue Cross Blue Shield of IL, TX, and NM PDP Pharmacy Director Nguyen Marie
1-651-286-4206
1-651-286-4403
Prime Therapeutics, LLC
1020 Discovery Road Eagen MN 55121
IllinoisHEALTH ALLIANCE MEDICAL PLANS
Health Alliance Medical Plans Local CCP
Director of Pharmacy Barrington Christina
1-800-851-3379 8078
1-217-255-4598
[email protected] 301 S. Vine St. Urbana IL 61801
IllinoisHEALTH ALLIANCE MEDICAL PLANS
Health Alliance Medical Plans Local CCP
Director of Pharmacy Barrington Christina
1-800-851-3379 8078
1-217-255-4598
[email protected] 301 S. Vine St. Urbana IL 61801
Illinois
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Illinois
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
Illinois HEALTHSPRING, INC. HealthSpring, Inc. Local CCP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-291-7011
601 Mainstream Drive Nashville TN 37228
2008 MTMP Contacts, Updated 0613/08 31
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
IllinoisHUMANA HEALTH PLAN, INC.
Humana Health Plan, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IllinoisHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IllinoisHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IllinoisHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IllinoisHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IllinoisHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Illinois
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
IllinoisMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Illinois
MERCY HEALTH PLANS OF MISSOURI INC.
Mercy Health Plans of Missouri, Inc. Local CCP
Director of Clinical Pharmacy Linsin Cathy
1-314-214-2489
1-314-214-8101
14528 S. Outer 40, Ste. 300 Chesterfield MO 63017
IllinoisOSF HEALTHPLANS, INC. OSF Care Advantage Local CCP
Associate Director of Pharmacy Porch William
1-309-677-8553
1-309-677-8354
7915 N Hale Ave, Ste D Peoria IL 61615
IllinoisOSF HEALTHPLANS, INC. OSF Care Preferred Local CCP
Associate Director of Pharmacy Porch Willaim
1-309-677-8553
1-309-677-8354
7915 N Hale Ave, Ste D Peoria IL 61615
Illinois
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Illinois
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Illinois
PERSONAL CARE INSURANCE OF ILLINOIS
PersonalCare Advantra Gold and Silver Local CCP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Illinois
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Illinois RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Illinois
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Illinois
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Illinois
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Illinois
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Illinois
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
2008 MTMP Contacts, Updated 0613/08 32
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Illinois
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Illinois
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Illinois
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Illinois
UNITED HEALTHCARE INS. COMPANY, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Illinois
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Illinois
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Illinois
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Illinois
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Illinois
UNITED HEALTHCARE OF THE MIDWEST, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Illinois
UNITED HEALTHCARE PLAN OF THE RIVER VALLEY, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Illinois
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Illinois
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
IndianaADVANTAGE HEALTH SOLUTIONS, INC.
Advantage Health Solutions, Inc. Local CCP
Director, Pharmacy and Data Analysis Musial Brian
1-317-573-6691
9490 Priority Way West Drive Indianapolis IN 46240
Indiana
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Indiana
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
IndianaANTHEM INSURANCE COMPANIES, INC.
Anthem Blue Cross and Blue Shield Local CCP Client Manager Drummond Michelle
1-714-637-1282
1-714-637-1209
8407 Fallbrook Avenue
Mailstop CAAF West Hills CA 91304
IndianaANTHEM INSURANCE COMPANIES, INC.
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
2008 MTMP Contacts, Updated 0613/08 33
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
IndianaANTHEM INSURANCE COMPANIES, INC.
Anthem Blue Cross and Blue Shield Regional CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
IndianaANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
IndianaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
Indiana
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Indiana
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
Indiana
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Indiana
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Indiana
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Indiana ESSENCE L.L.P. Essence Healthcare Local CCP Director of QA Keys Mary Kay1-314-851-3664
1-314-851-3610
[email protected] 12655 Olive Blvd. St. Louis MO 63141
Indiana
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Indiana
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Indiana
HARMONY HEALTH PLANS OF ILLINOIS, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
Indiana
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Indiana
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
IndianaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IndianaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IndianaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IndianaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IndianaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 34
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Indiana
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Indiana
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
IndianaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Indiana NHP OF INDIANA, LLCWelborn HMO Senior Advantage Local CCP Elpers Cathy
1-877-447-8744 1314
1-812-773-0514
101 S.E. Third Street Evansville IN 47708
Indiana
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Indiana
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Indiana
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Indiana RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Indiana
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Indiana
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Indiana
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Indiana
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Indiana
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Indiana
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Indiana
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Indiana
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Indiana
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Indiana
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 35
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Indiana
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Indiana
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Indiana
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Iowa
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Iowa
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Iowa
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue PPO Regional CCP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross and Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
Iowa
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue Rx PDP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
Iowa
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Iowa
COVENTRY HEALTH AND LIFE INS COMPANY
Coventry Health and Life Insurance Company Local CCP
Director Pharmacy Ops. Williams Roger
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Iowa
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
IowaCOVENTRY HEALTH CARE OF IOWA, INC.
Coventry Health Care of Iowa, Inc. Local CCP
Director, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Iowa
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Iowa
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Iowa
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
IowaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
Iowa
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Iowa
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
IowaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 36
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
IowaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
IowaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Iowa
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Iowa
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
IowaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Iowa
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Iowa
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Iowa
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Iowa RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Iowa
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Iowa
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Iowa
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Iowa
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Iowa
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Iowa
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Iowa
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Iowa
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Iowa
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 37
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Iowa
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Iowa
UNITED HEALTHCARE OF THE MIDLANDS, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Iowa
UNITED HEALTHCARE PLAN OF THE RIVER VALLEY, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Iowa
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Iowa
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Kansas
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Kansas
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
KansasBLUE CROSS BLUE SHIELD OF KANSAS Blue MedicareRx PDP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Kansas
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Kansas
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Kansas
COVENTRY HEALTH AND LIFE INS. COMPANY
Coventry Health And Life Ins. Company Local CCP
Director Pharmacy Operations Williams Roger L
1-801-954-3043
2650 S Decker Lane Salt Lake City UT 84119
Kansas
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Kansas
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Kansas
COVENTRY HEALTH CARE OF KANSAS, INC.
Coventry Health Care of Kansas, Inc. Local CCP
Director Pharmacy Operations Williams Roger L
1-801-954-3043
2650 S Decker Lane Salt Lake City UT 84119
Kansas
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Kansas
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Kansas
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
2008 MTMP Contacts, Updated 0613/08 38
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Kansas
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
KansasHUMANA HEALTH PLAN, INC.
Humana Health Plan, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
KansasHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
KansasHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
KansasHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
KansasHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Kansas
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Kansas
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
KansasMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Kansas
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Kansas
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Kansas
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Kansas RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Kansas
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Kansas
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Kansas
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Kansas
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Kansas
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Kansas
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
2008 MTMP Contacts, Updated 0613/08 39
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Kansas
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Kansas
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Kansas
UNITED HEALTHCARE INSURANCE COMPANY
AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Kansas
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Kansas
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Kansas
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Kansas
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Kansas
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Kansas
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Kentucky
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Kentucky
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Kentucky
ANTHEM HEALTH PLANS OF KENTUCKY, INC.
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Kentucky
ANTHEM HEALTH PLANS OF KENTUCKY, INC.
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
KentuckyANTHEM INSURANCE COMPANIES, INC.
Anthem Blue Cross and Blue Shield Regional CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
KentuckyANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
KentuckyANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
Kentucky
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
2008 MTMP Contacts, Updated 0613/08 40
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Kentucky
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Kentucky
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Kentucky ESSENCE L.L.P. Essence Healthcare Local CCP Director of QA Keys Mary Kay1-314-851-3664
1-314-851-3610
[email protected] 12655 Olive Blvd. St. Louis MO 63141
Kentucky
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Kentucky
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Kentucky
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Kentucky
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
KentuckyHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
KentuckyHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
KentuckyHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
KentuckyHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
KentuckyHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Kentucky
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Kentucky
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Kentucky
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Kentucky
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Kentucky
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Kentucky RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Kentucky
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
2008 MTMP Contacts, Updated 0613/08 41
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Kentucky
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Kentucky
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Kentucky
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Kentucky
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Kentucky
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Kentucky
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Kentucky
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Kentucky
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Kentucky
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
KentuckyUNIVERSITY HEALTH CARE, INC. Passport Advantage Local CCP
Supervisor, Pharmacy DUR/MTM Lawson Mark
1-215-937-5352
1-215-937-8450
200 Stevens Drive 4th Floor Philadelphia PA 19113
Kentucky
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Kentucky
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Louisiana
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Louisiana
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Louisiana
ARCADIAN HEALTH PLAN OF LOUISIANA, INC.
Arcadian Community Care Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
Louisiana
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Louisiana
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
2008 MTMP Contacts, Updated 0613/08 42
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Louisiana
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Louisiana
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Louisiana
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Louisiana
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Louisiana
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Louisiana
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
Louisiana
HUMANA HEALTH BENEFIT PLAN OF LA, INC.
Humana Health Benefit Plan of LA, Inc. PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Louisiana
HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC
Humana Health Benefit Plan Of Louisiana Inc Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
LouisianaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
LouisianaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Louisiana
LOUISIANA HEALTH SERVICE AND INDEMNITY COMPANY
Blue Cross and Blue Shield of Louisiana PDP
Medicare Part D Pharmacy Manager McLean Gionne
1-225-298-7134
1-225-298-7545
5525 Reitz Avenue Baton Rouge LA 70809
Louisiana
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Louisiana
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Louisiana
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Louisiana
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Louisiana
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Louisiana RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Louisiana
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Louisiana
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
2008 MTMP Contacts, Updated 0613/08 43
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Louisiana
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Louisiana
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Louisiana
TENET CHOICES, INC. / PEOPLES HEALTH NETWORK Peoples Health Local CCP
Clinical Pharmacist Smith Shannon
1-504-849-4500 8887
1-504-849-6901
Three Lakeway Center
3838 N Causeway Blvd, Suite 2200 Metairie LA 70002
Louisiana
TENET CHOICES, INC. / PEOPLES HEALTH NETWORK Peoples Health Local CCP PharmD Smith Shannon
1-504-849-4500 8887
1-504-849-6901
Three Lakeway Center
3838 N Causeway Blvd, Suite 2200 Metairie LA 70002
Louisiana
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Louisiana
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Louisiana
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Louisiana
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Louisiana
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Louisiana
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Louisiana
UNIVERSAL HEALTH CARE INSURANCE COMPANY
Universal Health Care Insurance Company, Inc. PFFS
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
LouisianaVANTAGE HEALTH PLAN, INC.
Vantage Health Plan, Inc. Local CCP Director of UR/QM Halley Melissa
1-318-361-0900 110
[email protected] 130 DeSiard St Suite 300 Monroe LA 71201
Louisiana
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
LouisianaWELLCARE OF LOUISIANA, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
Louisiana
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Maine AETNA HEALTH Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Maine
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 44
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Maine
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Maine
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Maine
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
MaineANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
MaineANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
MaineARCADIAN HEALTH PLAN, INC.
Northeast Community Care Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
Maine
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Maine
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
Maine
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Maine
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Maine
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Maine
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
MaineFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
Maine
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Maine
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
MaineHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MaineHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MaineMARTINS POINT GENERATIONS, LLC
Martin's Point Generations Advantage Local CCP
Vice President, Pharmacy Services Takach Michael
1-207-791-3745
1-207-828-2494
331 Veranda Street
PO Box 9746 Portland ME 4104
2008 MTMP Contacts, Updated 0613/08 45
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Maine
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Maine
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Maine
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Maine RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Maine
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Maine
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Maine
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Maine
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Maine
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Maine
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Maine
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Maine
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Maine
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Maine
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Maine
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Maine
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
MarylandAETNA HEALTH INC. (MARYLAND) Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 46
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Maryland
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Maryland
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Maryland
AETNA LIFE INSURANCE COMPANY Aetna Medicare Regional CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Maryland
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Maryland
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
MarylandAMERIGROUP MARYLAND, INC.
AMERIGROUP Community Care Local CCP
Director Clinical Pharmacy Miller Leslie
1-757-518-3420
4425 Corporation Lane #300 Virginia Beach VA 23462
MarylandBRAVO HEALTH MID- ATLANTIC INC. Bravo Health PFFS
Vice President, Pharmacy Services Owens Heather
1-410-864-4583
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
MarylandBRAVO HEALTH MID- ATLANTIC INC. Bravo Health Local CCP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell St Baltimore MD 21224
Maryland
CARE IMPROVEMENT PLUS OF MARYLAND, INC.
Care Improvement Plus Local CCP Help Desk MTM
1-866-443-0934
9501 East Shea Boulevard Scottsdale AZ 85260
Maryland
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Maryland
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Maryland
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Maryland
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Maryland FIRST CARE, INC.Medi-CareFirst BlueCross BlueShield PDP
Director, Pharmacy Management Wong Winston
1-410-528-7897
1501 S. Clinton St 8th Floor Baltimore MD 21224
Maryland
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Maryland
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Maryland
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
2008 MTMP Contacts, Updated 0613/08 47
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
MarylandHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MarylandHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Maryland
KAISER FNDN HP OF THE MID-ATLANTIC STS
Kaiser Permanente Medicare Plus 1876 Cost Pharmacy Director Downard Susan
1-301-816-6835
2101 East Jefferson St Rockville MD 20852
Maryland
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
MarylandMARYLAND CARE - MEDICARE, INC. Golden Advantage Plus Local CCP
Director Corporate Pharmacy Clark Mark
1-602-659-2062
4645 E Cotton Center Blvd Phoenix AZ 85040
Maryland
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
MarylandMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Maryland
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Maryland
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Maryland RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Maryland
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Maryland
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Maryland
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Maryland
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Maryland
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Maryland
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Maryland
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Maryland
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Maryland
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 48
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Maryland
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Maryland
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Maryland
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Maryland
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Massachusetts
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Massachusetts
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Massachusetts
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Massachusetts
BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.
Blue Cross and Blue Shield of Massachusetts Local CCP
Clinical Pharmacist Flori, RPh Jeremy J
1-617-246-6654
[email protected] Landmark Center
401 Park Drive Boston MA 2215
Massachusetts
BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.
Blue Cross and Blue Shield of Massachusetts Local CCP
Clinical Pharmacist Flori, RPh Jeremy J
1-617-246-6654
[email protected] Landmark Center
401 Park Drive Boston MA 2215
Massachusetts
BLUE CROSS AND BLUE SHIELD OF MASS. HMO BLUE, INC.
Blue Cross and Blue Shield of Massachusetts PFFS
Clinical Pharmacist FLORI, RPh JEREMY
1-617-246-6654
401 PARK DRIVE BOSTON MA 2215
Massachusetts BLUE MEDICARERX Blue MedicareRx PDPClinical Pharmacist Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Massachusetts
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
MassachusettsCOMMONWEALTH CARE ALLIANCE
Commonwealth Care Alliance Local CCP
Director of Pharmacy Shebli Basem
1-617-426-0600 238
1-617-426-3109
[email protected] 30 Winter Street Boston MA 2108
MassachusettsCOMMONWEALTH CARE ALLIANCE, INC.
Commonwealth Care Alliance, Inc. Local CCP
Director of Pharmacy Shebli Basem
1-617-426-0600 238
1-617-426-3109
[email protected] 30 Winter Street Boston MA 2108
Massachusetts
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Massachusetts
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Massachusetts
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
2008 MTMP Contacts, Updated 0613/08 49
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
MassachusettsFALLON COMMUNITY HEALTH PLAN
Fallon Community Health Plan Local CCP Pharmacist Haji Mojgan
1-800-333-2535 69916
One Chestnut Place
10 Chestnut Street Worcester MA 1608
MassachusettsFALLON COMMUNITY HEALTH PLAN
Fallon Community Health Plan Local CCP Pharmacist Haji Mojgan
1-800-333-2535 69916
One Chestnut Place
10 Chestnut Street Worcester MA 1608
Massachusetts
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Massachusetts
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Massachusetts
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Massachusetts
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Massachusetts
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
MassachusettsHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MassachusettsHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Massachusetts
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Massachusetts
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Massachusetts
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Massachusetts RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
MassachusettsSENIOR WHOLE HEALTH, LLC Senior Whole Health Local CCP
Director of Pharmacy Services Dichter Gayle
1-617-494-5353 6324
1-617-494-5599
58 Charles Street, 2nd Floor Cambridge MA 2141
Massachusetts
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Massachusetts
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Massachusetts
TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, Tufts Health Plan PFFS
Senior Clinical Pharmacist Calcagni Christophe
1-617-972-9400 3217
1-617-673-0133
[email protected] 705 Mt Auburn St Watertown MA 2472
MassachusettsTUFTS ASSOCIATED HMO, INC. Tufts Health Plan Local CCP
Senior Clinical Pharmacist Calcagni Christophe
1-617-972-9400 3217
1-617-673-0133
705 Mt Auburn Street Watertown MA 2472
MassachusettsTUFTS ASSOCIATED HMO, INC. Tufts Health Plan Local CCP
Senior Clinical Pharmacist Calcagni Christophe
1-617-972-9400 3217
1-617-673-0133
705 Mt Auburn Street Watertown MA 2472
2008 MTMP Contacts, Updated 0613/08 50
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Massachusetts
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Massachusetts
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Massachusetts
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Massachusetts
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Massachusetts
UNITED HEALTHCARE INSURANCE COMPANY
AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Massachusetts
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Massachusetts
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Massachusetts
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Senior Care Options Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Massachusetts
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Massachusetts
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Massachusetts
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Michigan
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Michigan
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Michigan
ALLIANCE HEALTH AND LIFE INSURANCE COMPANY Alliance Medicare Rx PDP
Director, Pharmacy Care Management Pindolia Vanita
1-248-443-8849 [email protected]
2850 West Grand Blvd Detroit MI 48202
Michigan
ALLIANCE HEALTH AND LIFE INSURANCE, CO Alliance Medicare PPO Local CCP
Director, Pharmacy Care Management Pindolia Vanita
1-248-443-8849 [email protected]
2850 West Grand Blvd Detroit MI 48202
Michigan
BLUE CARE NETWORK OF MICHIGAN Blue Care Network Local CCP
Pharmacy Manager Cavanaugh Jeanne
1-248-455-3592
1-248-455-3692
20500 Civic Center Drive Southfield MI 48076
MichiganBLUE CROSS BLUE SHIELD OF MICHIGAN
Blue Cross Blue Shield of Michigan PFFS
Clinical Pharmacist Davis Betsy
1-248-448-7868
27300 West Eleven Mile Road MC B776 Southfield MI 48034
2008 MTMP Contacts, Updated 0613/08 51
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
MichiganBLUE CROSS BLUE SHIELD OF MICHIGAN
Blue Cross Blue Shield of Michigan PDP
Clinical Pharmacist Davis Betsy
1-248-448-7868
27300 West Eleven Mile Road MC B776 Southfield MI 48034
Michigan
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
Michigan
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
MichiganCOMMUNITY CHOICE MICHIGAN
Community Choice Michigan Local CCP
Vice President Pharmacy Services Keeley Jon
1-937-224-3300 2011
1-937-531-2434
[email protected] 1 S. Main Street
One Dayton Centre Dayton OH 45402
Michigan
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Michigan
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Michigan
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
MichiganDAVITA VILLAGEHEALTH, INC.
DaVita VillageHealth of Michigan, Inc. Local CCP
Director of Clinical Pharmacy Manley Harold
1-518-932-4416
[email protected] 16 Vagele Lane Glenmont NY 12077
Michigan
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Michigan
FIDELIS SECURECARE OF MICHIGAN
Fidelis SecureCare Of Michigan Local CCP Wilborn Jerome
1-734-779-1680
1-734-779-1681
38777 West Six Mile Road Suite 207 Livonia MI 48152
Michigan
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
MichiganGREAT LAKES HEALTH PLAN, INC.
Great Lakes Personal Care Plus Local CCP
Pharmacy Manager Cormier Leah
1-713-599-5773
2000 West Loop South, Suite 800 Houston TX 77027
MichiganHEALTH ALLIANCE PLAN OF MICHIGAN HAP Senior Plus Local CCP
Director, Pharmacy Care Management Pindolia Vanita
1-248-443-8849 [email protected]
2850 West Grand Blvd Detroit MI 48202
Michigan
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
MichiganHEALTHPLUS OF MICHIGAN HealthPlus of Michigan Local CCP
Pharmacy Project and Development Manager Sopo Deborah A
1-810-230-2276
1-810-720-2757
2050 S. Linden Road Flint MI 48532
Michigan
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
MichiganHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MichiganHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MichiganHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 52
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
MichiganHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Michigan
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
MichiganMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
MichiganMIDWEST HEALTH PLAN, INC. Midwest Advantage Local CCP
SR. DIRECTOR OF HEALTH SERVICES ANDERSON ELLEN
1-313-586-6033
1-313-586-6045
5050 SCHAEFER ROAD DEARBORN MI 48126
Michigan
MOLINA HEALTHCARE OF MICHIGAN
Molina Healthcare of Michigan Local CCP
Director, Pharmacy Johnson Beth
1-801-858-0466
1-801-748-0536
7050 South UnionPark Center Midvale UT 84047
MichiganPARAMOUNT CARE, INC Paramount Elite Local CCP
Coordinator, Prescription Drug PRogram Bogner Craig M
1-419-887-2249
1-419-887-2015
1901 Indian Wood Circle Maumee OH 43537
Michigan
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Michigan
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Michigan PRIORITY HEALTH PriorityMedicare Local CCPDirector, Pharmacy Marciniak Steve
1-248-324-2820
34505 West 12 Mile Rd Farmington Hills MI 48331
Michigan
PRIORITY HEALTH INSURANCE COMPANY PriorityMedicareRx PDP
Director, Pharmacy Marciniak Steve
1-248-324-2820
34505 West 12 Mile Rd Farmington Hills MI 48331
Michigan
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Michigan RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Michigan
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Michigan
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Michigan
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Michigan
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Michigan
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Michigan
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Michigan
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 53
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Michigan
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Michigan
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Michigan
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Michigan
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Michigan
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Michigan
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Minnesota
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Minnesota
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Minnesota
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue PPO Regional CCP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross and Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
Minnesota
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue Rx PDP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
Minnesota BLUE PLUS Blue Plus Local CCP
Senior Manager, Product and Program Management Conway Elizabeth
1-651-662-3258
3400 Yankee Drive Eagan MN 55122
Minnesota
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Minnesota
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Minnesota
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Minnesota
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
MinnesotaFIRST PLAN OF MINNESOTA First Plan Blue Local CCP
Director of Pharmacy First Plan of Minnesota McDannold Roger
1-218-740-2330 7263
1-218-834-9531
SuperiorHealth Pharmacy
1010 Fourth Street Two Harbors MN 55616
2008 MTMP Contacts, Updated 0613/08 54
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Minnesota
FIRSTSOLUTIONS DBA FIRST PLAN OF MINNESOTA First Plan Blue Local CCP
Director of Pharmacy First Plan of Minnesota McDannold Roger
1-218-740-2330 7263
1-218-834-9531
SuperiorHealth Pharmacy
1010 Fourth Street Two Harbors MN 55616
MinnesotaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
Minnesota GROUP HEALTH
HealthPartners Classic MN Senior Health Options Local CCP
Director Pharmacy Services Cooper Sue
1-952-967-5818
8170 33rd Avenue South, PO Box 1309
MS: 21111B Minneapolis MN 55440
MinnesotaGROUP HEALTH PLAN, INC.
HealthPartners Classic Plan Local CCP
Director Pharmacy Services Cooper Susan
1-952-967-5818
8170 33rd Avenue South
PO Box 1309 Minneapolis MN 55440
Minnesota
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Minnesota HEALTHPARTNERSHealthPartners Freedom Plan 1876 Cost
Director Pharmacy Services Cooper Susan
1-952-967-5818
8170 33rd Avenue South
PO Box 1309 Minneapolis MN 55440
Minnesota
HEALTHPARTNERS INSURANCE COMPANY
HealthPartners Liberty Medicare PFFS
Director Pharmacy Services Cooper Susan
1-952-967-5818
8170 33rd Avenue South
PO Box 1309 Minneapolis MN 55440
Minnesota
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
MinnesotaHMO MINNESOTA D/B/A BLUE PLUS Blue Plus Local CCP
Senior Manager, Product and Program Management Conway Elizabeth
1-651-662-3258
3400 Yankee Drive Eagan MN 55122
MinnesotaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MinnesotaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MinnesotaITASCA MEDICAL CARE Itasca Medical Care Local CCP MTM, Manager Moyna Audry
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd. Scottsdale AZ 85260
Minnesota
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
MinnesotaMEDICA HEALTH PLAN Medica Health Plans Local CCP Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
MinnesotaMEDICA HEALTH PLANS Medica Health Plans PFFS Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
MinnesotaMEDICA HEALTH PLANS Medica Health Plans Local CCP Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
MinnesotaMEDICA INSURANCE COMPANY
Medica Insurance Company 1876 Cost Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
MinnesotaMETROPOLITAN HEALTH PLAN
Metropolitan Health Plan MSHO Local CCP
Director of Medical Administration Moore Ned
1-612-596-0725
1-612-904-4265
400 South 4th Street Suite 201 Minneapolis MN 55415
MinnesotaMETROPOLITAN HEALTH PLAN
North Star Advantage / North Star Advantage Plus Local CCP
Director of Medical Administration Moore Ned
1-612-596-0725
1-612-904-4265
400 South 4th Street Suite 201 Minneapolis MN 55415
Minnesota
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Minnesota
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
2008 MTMP Contacts, Updated 0613/08 55
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
MinnesotaPRIMEWEST HEALTH SYSTEM
Primewest Health System Local CCP
Utilization Management & Pharmacy Manager Hagen Christophe A
1-320-335-5228
1-320-335-5238
2209 Jefferson Street Suite 101 Alexandria MN 56308
MinnesotaPRIMEWEST HEALTH SYSTEM
PrimeWest Health System Local CCP
Manager, Utilization Management & Pharmacy Hagen Christophe A
1-320-335-5228
1-320-335-5238
PrimeWest Health System
2209 Jefferson Street, Suite 101 Alexandria MN 56308
Minnesota
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Minnesota RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Minnesota
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
MinnesotaSOUTH COUNTRY HEALTH ALLIANCE
South Country Health Alliance Local CCP Nguyen Marie
1-651-286-4206
1-651-286-4424
Prime Therapeutics Inc.
1020 Discovery Road No. 100 Eagan MN 55121
MinnesotaSOUTH COUNTRY HEALTH ALLIANCE
South Country Health Alliance Local CCP Nguyen Marie
1-651-286-4206
1-651-286-4424
Prime Therapeutics Inc.
1020 Discovery Road No. 100 Eagan MN 55121
Minnesota
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Minnesota
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Minnesota UCARE MINNESOTA UCare Local CCP Medical Director Christianson Craig1-612-676-3375
1-612-676-6501
[email protected] PO Box 52 Minneapolis MN 55440
Minnesota UCARE MINNESOTA UCare Local CCP Medical Director Christianson Craig1-612-676-3375
1-612-676-6501
[email protected] PO Box 52 Minneapolis MN 55440
Minnesota UCARE MINNESOTA UCare Local CCP Medical Director Christianson Craig1-612-676-3375
1-612-676-6501
[email protected] PO Box 52 Minneapolis MN 55440
Minnesota
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Minnesota
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Minnesota
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Minnesota
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Minnesota
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Minnesota
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Minnesota
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
2008 MTMP Contacts, Updated 0613/08 56
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Minnesota
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Mississippi
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Mississippi
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Mississippi
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Mississippi
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Mississippi
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Mississippi
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Mississippi
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Mississippi
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Mississippi
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
MississippiHEALTHSPRING OF TENNESSEE, INC. Healthspring, Inc. Local CCP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
MississippiHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MississippiHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MississippiHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Mississippi
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Mississippi
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Mississippi
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Mississippi
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
2008 MTMP Contacts, Updated 0613/08 57
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Mississippi
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Mississippi RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Mississippi
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Mississippi
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Mississippi
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Mississippi
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Mississippi
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Mississippi
UNISON HEALTH PLAN OF TENNESSEE, INC. Unison Advantage Local CCP Brekosky Robert
1-412-349-6167
1-412-457-1616
[email protected] Unison Plaza
1001 Brinton Road Pittsburgh PA 15221
Mississippi
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Mississippi
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Mississippi
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Mississippi
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Mississippi
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Mississippi
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
MississippiWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
MississippiWINDSOR HEALTH PLANS, INC.
Windsor Medicare Extra Local CCP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
Missouri
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Missouri
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 58
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
MissouriANTHEM INSURANCE COMPANIES, INC.
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
MissouriANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
Missouri
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.
Care Improvement Plus Regional CCP Help Desk MTM
1-866-443-0934
9501 East Shea Boulevard Scottsdale AZ 85260
Missouri
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Missouri
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Missouri
COVENTRY HEALTH AND LIFE INS. COMPANY
Coventry Health And Life Ins. Company Local CCP
Director Pharmacy Operations Williams Roger L
1-801-954-3043
2650 S Decker Lane Salt Lake City UT 84119
Missouri
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Missouri
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Missouri
COVENTRY HEALTH CARE OF KANSAS, INC.
Coventry Health Care of Kansas, Inc. Local CCP
Director Pharmacy Operations Williams Roger L
1-801-954-3043
2650 S Decker Lane Salt Lake City UT 84119
Missouri
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Missouri ESSENCE L.L.P. Essence Healthcare Local CCPDirector of Quality Improvement Keys Mary Kay
1-314-851-3664
1-314-851-3610
[email protected] 12655 Olive Blvd St. Louis MO 63141
Missouri
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
MissouriGROUP HEALTH PLAN, INC. Group Health Plan, Inc. Local CCP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Missouri
HARMONY HEALTH PLAN OF ILLINOIS, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6220
8735 Henderson Road Tampa FL 33634
Missouri
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Missouri
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
Missouri
HEALTHY ALLIANCE LIFE INSURANCE COMPANY
Blue Cross Blue Shield of Missouri PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Missouri HMO MISSOURI, INC.Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
MissouriHUMANA HEALTH PLAN, INC.
Humana Health Plan, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MissouriHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 59
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
MissouriHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MissouriHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MissouriHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MissouriHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Missouri
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Missouri
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
MissouriMERCY HEALTH PLANS Mercy Health Plans Local CCP
Director of Clinical Pharmacy Linsin Cathy
1-314-214-2489
1-314-214-8101
14528 S. Outer 40, Ste. 300 Chesterfield MO 63017
Missouri
MERCY HEALTH PLANS OF MISSOURI INC.
Mercy Health Plans of Missouri, Inc. Local CCP
Director of Clinical Pharmacy Linsin Cathy
1-314-214-2489
1-314-214-8101
14528 S. Outer 40, Ste. 300 Chesterfield MO 63017
Missouri
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Missouri
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Missouri
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Missouri RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Missouri
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Missouri
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Missouri
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Missouri
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Missouri
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Missouri
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Missouri
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 60
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Missouri
UNITED HEALTHCARE INS. COMPANY, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Missouri
UNITED HEALTHCARE INSURANCE COMPANY
AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Missouri
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Missouri
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Missouri
UNITED HEALTHCARE OF THE MIDWEST, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Missouri
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Missouri
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Montana
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Montana
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Montana
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue PPO Regional CCP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross and Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
Montana
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue Rx PDP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
MontanaCLEAR CHOICE HEALTH PLANS, INC.
Clear Choice Health Plans Local CCP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Montana
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Montana
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Montana
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Montana
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
MontanaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
2008 MTMP Contacts, Updated 0613/08 61
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Montana
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Montana
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
MontanaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
MontanaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Montana
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Montana
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
MontanaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
MontanaNEW WEST HEALTH SERVICES
New West Health Services Local CCP Quality Director Wassell Monica
1-406-457-2210
1-406-457-2255
[email protected] 130 Neill Avenue Helena MT 59601
Montana
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Montana
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Montana
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Montana RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Montana
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Montana
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Montana
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Montana
STERLING LIFE INSURANCE COMPANY (MT)
Sterling Life Insurance Company PFFS Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Montana
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Montana
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Montana
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
2008 MTMP Contacts, Updated 0613/08 62
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Montana
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Montana
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Montana
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Montana
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Montana
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Nebraska
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Nebraska
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Nebraska
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue PPO Regional CCP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross and Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
Nebraska
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue Rx PDP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
Nebraska
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Nebraska
COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)
Coventry Health and Life Insurance Company Local CCP
Director, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Nebraska
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Nebraska
COVENTRY HEALTH CARE OF NEBRASKA, INC.
Coventry Health Care of Nebraska Advantra Local CCP
Director, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Nebraska
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Nebraska
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Nebraska
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
NebraskaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
2008 MTMP Contacts, Updated 0613/08 63
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Nebraska
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Nebraska
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
NebraskaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
NebraskaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Nebraska
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Nebraska
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
NebraskaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Nebraska
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Nebraska
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Nebraska
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Nebraska RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Nebraska
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Nebraska
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Nebraska
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Nebraska
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Nebraska
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Nebraska
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Nebraska
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Nebraska
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 64
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Nebraska
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Nebraska
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Nebraska
UNITED HEALTHCARE OF THE MIDLANDS, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Nebraska
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Nebraska
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Nevada AETNA HEALTH Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Nevada
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Nevada
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Nevada
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
NevadaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
Nevada
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Nevada
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Nevada
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Nevada
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Nevada
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Nevada
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
2008 MTMP Contacts, Updated 0613/08 65
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Nevada
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
NevadaHEALTH PLAN OF NEVADA, INC. Senior Dimensions Local CCP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
NevadaHEALTH PLAN OF NEVADA, INC. Senior Dimensions Local CCP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Nevada
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
NevadaHOMETOWN HEALTH PLAN Senior Care Plus Local CCP Pharmacist Britt Judy
1-775-982-3089
1-775-982-3748
[email protected] 830 Harvard Way Reno NV 89502
NevadaHOMETOWN HEALTH PLAN Senior Care Plus Local CCP Pharmacist Britt Judy
1-775-982-3089
1-775-982-3748
[email protected] 830 Harvard Way Reno NV 89502
NevadaHUMANA HEALTH PLAN, INC.
AARP MedicareComplete provided by SecureHorizons Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
NevadaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
NevadaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Nevada
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Nevada
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Nevada
MOLINA HEALTHCARE OF NEVADA, INC.
Molina Healthcare of Nevada Local CCP
Director, Pharmacy Johnson Beth
1-801-858-0466
1-801-748-0536
7050 South UnionPark Center Midvale UT 84047
Nevada
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Nevada
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Nevada
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Nevada
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Nevada
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.
Anthem Blue Cross and Blue Shield PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Nevada RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Nevada
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.
Sierra Nevada Spectrum Regional CCP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
2008 MTMP Contacts, Updated 0613/08 66
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Nevada
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Sierra Spectrum Local CCP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Nevada
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Nevada
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Nevada
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Nevada
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Nevada
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Nevada
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Nevada
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Nevada
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Nevada
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Nevada
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Nevada
UNIVERSAL HEALTH CARE INSURANCE COMPANY
Universal Health Care Insurance Company, Inc. PFFS
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
Nevada
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Nevada
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
New Hampshire
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New Hampshire
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New Hampshire
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
2008 MTMP Contacts, Updated 0613/08 67
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New HampshireANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
New HampshireANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
New Hampshire
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
New Hampshire
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
New Hampshire
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
New Hampshire
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
New Hampshire
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
New HampshireFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
New Hampshire
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
New Hampshire
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
New HampshireHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New HampshireHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New Hampshire
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
New Hampshire
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
New Hampshire
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
New Hampshire RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
New Hampshire
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
New Hampshire
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
New Hampshire
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
2008 MTMP Contacts, Updated 0613/08 68
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New Hampshire
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
New Hampshire
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
New Hampshire
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
New Hampshire
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
New Hampshire
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New Hampshire
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
New Hampshire
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
New Jersey AETNA HEALTH, INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New Jersey
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New Jersey
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New Jersey
AETNA LIFE INSURANCE COMPANY Aetna Medicare Regional CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New Jersey
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New Jersey
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
New JerseyAMERICHOICE OF NEW JERSEY, INC
AmeriChoice Personal Care Plus Local CCP
Pharmacy Manager Cormier Leah
1-713-599-5773
2000 West Loop South, Suite 800 Houston TX 77027
New JerseyAMERIGROUP NEW JERSEY, INC.
AMERIGROUP Community Care Local CCP
Director Clinical Pharmacy Miller Leslie
1-757-518-3420
4425 Corporation Lane #300 Virginia Beach VA 23462
New JerseyAMERIHEALTH HMO, INC. AmeriHealth Rx PDP
Senior Clinical Pharmacist DaCosta Maribel
1-215-241-7928
1901 Market Street 22nd Fl. Philadelphia PA 19103
2008 MTMP Contacts, Updated 0613/08 69
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New JerseyAMERIHEALTH HMO_INC AmeriHealth 65 Local CCP
Manager, Population Health & Wellness Siejak Kimberly
1-215-241-4016
1901 Market Street 29th Fl. Philadelphia TX 19103
New Jersey
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
New Jersey
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
New Jersey
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
New Jersey
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
New Jersey
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
New JerseyFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
New Jersey
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
New Jersey
HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. Healthfirst NJ Local CCP Pharmacy Director Elbeck Maurice
1-212-453-4468
[email protected] 25 Broadway 9th Floor New York NY 10004
New Jersey
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
New Jersey
HORIZON HEALTHCARE OF NEW JERSEY, INC.
Horizon Blue Cross Blue Shield of New Jersey, Inc. Local CCP
Director, Clinical Programs Jan Saira
1-973-466-4575
3 Penn Plaza East - PP 13Q Newark NJ 7105
New Jersey
HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ
Horizon Blue Cross Blue Shield of New Jersey, Inc. PDP
Director, Clinical Programs Jan Saira
1-973-466-4575
Three Penn PlazaEast PP-13Q Newark NJ 7105
New JerseyHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New JerseyHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New Jersey
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
New JerseyOXFORD HEALTH PLANS (NJ), INC.
AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New Jersey
OXFORD HEALTH PLANS OF NEW JERSEY, INC
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New Jersey
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
New Jersey
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
2008 MTMP Contacts, Updated 0613/08 70
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New Jersey RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
New Jersey
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
New Jersey
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
New Jersey
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
New Jersey
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
New Jersey
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
New Jersey
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
New Jersey
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
New Jersey
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
New Jersey
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New Jersey
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New Jersey
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
New Jersey
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
New Jersey
WELLCARE HEALTH PLANS OF NEW JERSEY, INC. WellCare Local CCP
Manager Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
New Jersey
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
New Mexico
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New MexicoAMERIGROUP NEW MEXICO, INC.
AMERIGROUP Community Care Local CCP
Director Clinical Pharmacy Miller Leslie
1-757-518-3420
4425 Corporation Lane #300 Virginia Beach VA 23462
2008 MTMP Contacts, Updated 0613/08 71
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New Mexico
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
New Mexico
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
New Mexico
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
New Mexico
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
New MexicoHCSC INSURANCE SERVICES COMPANY
HISC - Blue Cross Blue Shield of IL, TX, and NM PDP Pharmacy Director Nguyen Marie
1-651-286-4206
1-651-286-4403
Prime Therapeutics, LLC
1020 Discovery Road Eagen MN 55121
New MexicoHCSC INSURANCE SERVICES COMPANY
HISC - Blue Cross Blue Shield of New Mexico Local CCP
Pharmacy Director, Government Programs Nguyen Marie
1-651-286-4206
1-651-283-4403
Prime Therapeutics
1020 Discovery Road, No.100 Egan MN 55121
New Mexico
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
New Mexico
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
New Mexico
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
New MexicoHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New MexicoHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New MexicoHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New MexicoLOVELACE HEALTH SYSTEM, INC. Lovelace Senior Plan Local CCP
Director Pharmacy Services Murvin Thomas
1-505-232-1804
4101 Indian School Rd, NE Albuquerque NM 87110
New Mexico
LOVELACE INSURANCE COMPANY
Lovelace Insurance Company Local CCP
Director: Pharmacy Services Murvin Thomas E
1-505-232-1804
1-505-262-7390
4101 Indian School R. NE Suite 110S Albuquerque NM 87111
New Mexico
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
New Mexico
MOLINA HEALTHCARE OF NEW MEXICO, INC.
Molina Healthcare of New Mexico, Inc. Local CCP
Director, Pharmacy Johnson Beth
1-801-858-0466
1-801-748-0536
7050 South UnionPark Center Midvale UT 84047
New Mexico
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
New Mexico
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
New Mexico
PHYSICIANS HEALTH CHOICE OF NEW MEXICO
PHYSICIANS HEALTH CHOICE OF NEW MEXICO Local CCP
Vice President of Pharmacy - Envision Peterson Amanda
1-330-486-6302
2181 E. Aurora Rd. STE 201 Twinsburg OH 44087
2008 MTMP Contacts, Updated 0613/08 72
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New MexicoPRESBYTERIAN HEALTH PLAN
Presbyterian Senior Care Local CCP Pharmacy Director Georgopoulos Larry
1-505-923-5530
1-505-923-5540
[email protected] P.O. Box 27489 Albuquerque NM 87125
New Mexico
PRESBYTERIAN INSURANCE COMPANY, INC.
Presbyterian MediCare PPO Local CCP Pharmacy Director Georgopoulos Larry
1-505-923-5530
1-505-923-5201
[email protected] P.O. Box 26267 Albuquerque NM 87125
New Mexico RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
New Mexico
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
New Mexico
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
New Mexico
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
New Mexico
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
New Mexico
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
New Mexico
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
New Mexico
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
New Mexico
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
New Mexico
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New Mexico
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New Mexico
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New Mexico
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
New Mexico
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
New Mexico
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
New York AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 73
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New York
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New York
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New York
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
New YorkAFFINITY HEALTH PLAN, INC. Affinity Health Plan Local CCP
Medication Therapy Management Hirsch Jeff
1-800-344-3405
One Express Way St. Louis MO 63121
New York
AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY
American Progressive Life & Health Ins Co of NY PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
New York
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
New YorkAMERICHOICE OF NEW YORK, INC
AmeriChoice Personal Care Plus Local CCP
Pharmacy Manager Cormier Leah
1-713-599-5773
2000 West Loop South, Suite 800 Houston TX 77027
New YorkAMERIGROUP NEW YORK, LLC
AMERIGROUP Community Care Local CCP
Director Clinical Pharmacy Miller Leslie
1-757-518-3420
4425 Corporation Lane #300 Virginia Beach VA 23462
New York
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
New York
CAMBRIDGE LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
New York
CAMBRIDGE LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
New York
CAMBRIDGE LIFE INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
New York
CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.
CDPHP Medicare Choice Local CCP
Academic Intervention Pharmacist Winn Sue
1-518-641-3225
1-518-641-3208
500 Patroon Creek Blvd Albany NY 12206
New YorkCATHOLIC SPECIAL NEEDS PLAN, LLC ArchCare Advantage Local CCP Moyna Audrey
1-847-559-3999
1-847-559-4733
[email protected] Caremark
2211 Sanders Road Northbrook IL 60062
New YorkCDPHP UNIVERSAL BENEFITS, INC. CDPHP Medicare PPO Local CCP
Academic Intervention Pharmacist Winn Sue
1-518-641-3225
1-518-641-3208
500 Patroon Creek Blvd Albany NY 12206
New York
COMPREHENSIVE CARE MANAGEMENT CORP.
Comprehensive Care Management Corp. Local CCP Genao-Tejada Sonia
1-718-944-2101
2275 Olinville Avenue Bronx NY 10647
New York
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
New York
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
2008 MTMP Contacts, Updated 0613/08 74
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New York ELDERPLAN, INC. Elderplan, Inc. Local CCPAVP Medical Management Montella Lynda
1-718-921-8409
1-718-921-8813
6323 Seventh Avenue Brooklyn NY 11220
New YorkELDERPLAN, INC. - SHMO Elderplan, Inc. Local CCP
AVP Medical Management Montella Lynda
1-718-921-8409
1-718-921-8813
6323 Seventh Avenue Brooklyn NY 11220
New York
EMPIRE HEALTHCHOICE ASSURANCE, INC.
Empire BlueCross BlueShield Local CCP
Director of Clinical Operations Moyna Audrey
1-847-559-3999
1-847-559-4733
2211 Sanders Road Northbrook IL 60062
New York
EMPIRE HEALTHCHOICE ASSURANCE, INC.
Empire BlueCross BlueShield PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
New York
EMPIRE HEALTHCHOICE HMO, INC.
Empire BlueCross BlueShield HMO Local CCP
Director of Clinical Operations Moyna Audrey
1-847-559-3999
1-847-559-4733
2211 Sanders Road Northbrook IL 60062
New York
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
New YorkEXCELLUS HEALTH PLAN, INC Simply Prescriptions PDP
Director, FLRx Clinical Operations Rocco Darlene
1-585-327-7544
[email protected] 165 Court Street Rochester NY 14647
New YorkEXCELLUS HEALTH PLAN, INC.
Excellus Health Plan, Inc. Local CCP
Director, FLRx Clinical Operations Rocco Darlene
1-585-327-7544
[email protected] 165 Court Street Rochester NY 14647
New YorkEXCELLUS HEALTH PLAN, INC.
Excellus Health Plan, Inc. Local CCP
Director, FLRx Clinical Operations Rocco Darlene
1-585-327-7544
[email protected] 165 Court Street Rochester NY 14647
New YorkEXCELLUS HEALTH PLAN, INC.
Excellus Health Plan, Inc. 1876 Cost
Director, FLRx Clinical Operations Rocco Darlene
1-585-327-7544
[email protected] 165 Court Street Rochester NY 14647
New York
FIRST UNITED AMERICAN LIFE INSURANCE COMPANY
First United American Life Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
New YorkGHI (GROUP HEALTH INCORPORATED)
GHI Medicare Prescription Drug Plan PDP Director Sebastian Tobin
1-212-615-4567
1-212-563-8500
[email protected] 441 Ninth Avenue New York NY 10001
New YorkGROUP HEALTH INCORPORATED
GHI Medicare Choice PPO Local CCP Director Laurora Nicholas
1-646-447-7838
[email protected] 55 Water Street New York NY 10041
New York GROUP HEALTH, INC.GHI Medicare Private Fee for Service PFFS Laurora Nicholas
1-646-447-7838
[email protected] 55 Water Street New York NY 10041
New York GUILDNET, INC. GuildNet Local CCP Director Laurora Nicholaus1-646-447-7838
[email protected] 55 Water Street New York NY 10041
New York
HEALTH NET INSURANCE OF NEW YORK, INC. Health Net Pearl PFFS V.P., Operations
White, Pharm D Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
New York
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
New YorkHEALTHNOW NEW YORK INC Senior Blue Local CCP
Director Clinical Pharmacy Services Baker Philip
1-716-887-8765
257 West Genesee Street Buffalo NY 14202
New YorkHEALTHNOW NEW YORK INC.
HealthNow New York Inc. PDP
Director Clinical Pharmacy Services Baker Philip
1-716-887-8765
257 West Genesee Street Buffalo NY 14202
New YorkHEALTHNOW NEW YORK INC.
Traditional Blue Medicare PPO Local CCP
Director Clinical Pharmacy Services Baker Philip
1-716-887-8765
257 West Genesee Street Buffalo NY 14202
New YorkHEALTHNOW NEW YORK, INC.
Traditional Blue Medicare PFFS PFFS
Director Clinical Pharmacy Services Baker Philip
1-716-887-8765
257 West Genesee Street Buffalo NY 14202
New York
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
2008 MTMP Contacts, Updated 0613/08 75
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New YorkHIP HEALTH PLAN OF NEW YORK
HIP Insurance Company of New York PDP Director Aral Jasmine
1-646-447-7186 [email protected] 55 Water Street New York NY 10041
New YorkHIP OF GREATER NEW YORK
HIP Health Plan of Greater New York Local CCP
Director of Medicare Prescription Programs Laurora Nicholas
1-646-447-7838
[email protected] 55 Water Street New York NY 10041
New York
HUMANA INSURANCE COMPANY OF NEW YORK
Humana Insurance Company of New York PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New York
HUMANA INSURANCE COMPANY OF NEW YORK
Humana Insurance Company of New York PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
New York
INDEPENDENT HEALTH ASSOCIATION, INC. Independent Health Local CCP
Utilization Management Pharmacist Verrall Kelly
1-716-635-4885
1-716-631-0149
511 Faber Lakes Drive Buffalo NY 14221
New York
INDEPENDENT HEALTH BENEFITS CORP Independent Health Local CCP
Utilization Management Pharmacist Verrall Kelly
1-716-635-4885
1-716-631-0149
511 Farber Lakes Drive Buffalo NY 14221
New York
INDEPENDENT HEALTH BENEFITS CORPORATION Independent Health PFFS
Utilization Management Pharmacist Verrall Kelly
1-716-635-4885
1-716-631-0149
511 Farber Lakes Drive Buffalo NY 14221
New YorkLIBERTY HEALTH ADVANTAGE, INC.
Liberty Health Advantage Local CCP
Vice President Clinical Programs Schoening Shellie
1-800-546-5677 1110
1-866-632-7946
[email protected] PO Box 407 Boystown NE 68010
New YorkMANAGED HEALTH, INC.
Healthfirst Medicare Plan Local CCP Pharmacy Director Elbeck Maurice
1-212-453-4468
[email protected] 25 Broadway 9th Floor New York NY 10004
New York
MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
New YorkMETROPLUS HEALTH PLAN, INC. MetroPlus Health Plan Local CCP
Director, Medicare Clinical Services Marks Iny
1-516-605-6966
1-412-322-2066
600 Waterfront Drive Suite 225 Pittsburgh PA 15222
New YorkMVP HEALTH PLAN, INC, MVP Gold Local CCP Pharmacy Director Colin Wendy
1-585-327-2577
1-585-258-8621
[email protected] 259 Monroe Ave Rochester NY 14607
New York
NEIGHBORHOOD HEALTH PROVIDERS LLC
Neighborhood Health Providers Local CCP
Vice President, Care Management Campbell Deborah S
1-704-329-7065 4402
1-704-329-0211
4944 Pkwy. Plaza Blvd. Suite 110 Charlotte NC 28217
New York
NEW YORK STATE CATHOLIC HLTH PLAN INC Fidelis Care Local CCP CMO Michelson Marco
1-718-896-6500 1036
9525 Queens Blvd. Rego Park NY 11374
New YorkOXFORD HEALTH PLANS (NY) INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New York
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
New York
ROCHESTER AREA HEALTH MAINTENANCE ORG.
Preferred Care GoldAnywhere Local CCP
Pharmacy Coordinator Colin Wendy
1-585-327-2577
[email protected] 259 Monroe Ave. Rochester NY 14607
New York
ROCHESTER AREA HMO/ DBA PREFERRED CARE Preferred Care Gold Local CCP
Clinical Pharmacy Coordinator Colin Wendy
1-585-327-2577
[email protected] 259 Monroe Ave. Rochester NY 14607
New York RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
2008 MTMP Contacts, Updated 0613/08 76
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
New YorkSENIOR WHOLE HEALTH, LLC
Senior Whole Health of New York Local CCP
Director of Pharmacy Services Dichter Gayle
1-617-494-5353 6324
1-617-494-5599
58 Charles Street, 2nd Floor Cambridge MA 2141
New York
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
New York
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
New York
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
New YorkTOUCHSTONE HEALTH HMO, INC. Touchstone Health Local CCP
Pharmacy DUR/MTM PerformRX Lawson Mark
1-215-937-5352
1-215-937-8450
[email protected] 200 Stevens Dr Philadelphia PA 19113
New YorkTOUCHSTONE HEALTH HMO, INC. Touchstone Health Local CCP
Pharmacy DUR/MTM PerfromRx Lawson Marl
1-215-937-5352
1-215-937-8450
200 Stevens Drive Philadelphia PA 19113
New York
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
New York
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
New York
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
New York
UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK
SecureHorizons by UnitedHealthcare Regional CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New York
UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New York
UNITED HEALTHCARE INSURANCE COMPANY OF NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
New York
UNITED HEALTHCARE OF NEW YORK, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
New York VNS CHOICEVNS CHOICE Medicare Local CCP Brown Nancy
1-401-333-3987 7941
1-401-335-7941
PharmaCare Management Services, Inc.
695 George Washington Highway Lincoln RI 2865
New York
WELLCARE HEALTH INSURANCE OF NEW YORK, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
New York
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
New YorkWELLCARE_OF NEW YORK, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
2008 MTMP Contacts, Updated 0613/08 77
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
North Carolina
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
North Carolina
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
North Carolina
AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.
AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC. PFFS Pharmacy Schoening Shellie
1-800-546-5677 1110
1-866-632-7946
13660 California Street Omaha NE 68154
North Carolina
ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.
Southeast Community Care Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
North Carolina
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA
BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA PDP
Director, Health Services Miller Debra
1-336-201-4310
5660 University Parkway Winston-Salem NC 27105
North Carolina
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
North Carolina
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
North Carolina
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
North Carolina
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
North Carolina
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
North Carolina
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
North Carolina
FIDELIS SECURECARE OF NORTH CAROLINA
Fidelis SecureCare of North Carolina Local CCP Medical Director Herman Chris
1-877-372-8080
1-877-372-8081
11301 Carmel Commons Boulevard Suite 215 Charlotte NC 28226
North Carolina
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
North CarolinaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
North Carolina
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
North Carolina
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
North Carolina
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
2008 MTMP Contacts, Updated 0613/08 78
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
North CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
North CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
North CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
North CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
North Carolina
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
North Carolina
PARTNERS NATIONAL HEALTH PLANS OF NC INC
PARTNERS National Health Plans, a BCBSNC company Local CCP
Director, Health Services Miller Debra
1-336-201-4310
5660 University Parkway Winston-Salem NC 27105
North Carolina
PARTNERS NATIONAL HEALTH PLANS OF NC, INC.
PARTNERS National Health Plans, a BCBSNC company Local CCP
Director, Health Services Miller Debra
1-336-201-4310
5660 University Parkway Winston-Salem NC 27105
North Carolina
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
North Carolina
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
North Carolina
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
North Carolina RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
North Carolina
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
North Carolina
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
North Carolina
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
North Carolina
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
North Carolina
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
North Carolina
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
North Carolina
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
North Carolina
UNITED HEALTHCARE INS. COMPANY, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 79
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
North Carolina
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
North Carolina
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
North Carolina
UNITED HEALTHCARE OF NORTH CAROLINA
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
North Carolina
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
North Carolina
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
North Dakota
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
North Dakota
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
North Dakota
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue PPO Regional CCP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross and Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
North Dakota
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue Rx PDP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
North Dakota
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
North Dakota
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
North Dakota
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
North Dakota
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
North Dakota
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
North DakotaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
North Dakota
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
North Dakota
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
2008 MTMP Contacts, Updated 0613/08 80
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
North DakotaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
North DakotaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
North Dakota
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
North Dakota
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
North DakotaMEDICA HEALTH PLANS Medica Health Plans PFFS Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
North DakotaMEDICA INSURANCE COMPANY
Medica Insurance Company 1876 Cost Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
North Dakota
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
North Dakota
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
North Dakota RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
North Dakota
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
North Dakota
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
North Dakota
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
North Dakota
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
North Dakota
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
North Dakota
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
North Dakota
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
North Dakota
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
North Dakota
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
North Dakota
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
2008 MTMP Contacts, Updated 0613/08 81
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
North Dakota
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Northern Mariana Islands
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Northern Mariana Islands
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Ohio AETNA HEALTH, INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Ohio
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Ohio
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Ohio
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
OhioANTHEM INSURANCE COMPANIES, INC.
Anthem Blue Cross and Blue Shield Regional CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
OhioANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
Ohio
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
Ohio
BUCKEYE COMMUNITY HEALTH PLAN, INC.
Advantage by Buckeye Community Health Plan Local CCP
VP Pharmacy Operations Health Plans Pica Mike
1-732-476-1047
1-732-549-5824
499 Thornall Street, 4th floor Edison NJ 8837
Ohio CARESOURCE CareSource Local CCP
Vice President Pharmacy Services Keeley Jon
1-937-224-3300 2011
1-937-531-2434
[email protected] 1 S. Main Street
One Dayton Centre Dayton OH 45402
Ohio
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Ohio
COMMUNITY INSURANCE COMPANY
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Ohio
COMMUNITY INSURANCE COMPANY
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Ohio
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Ohio
COVENTRY HEALTH AND LIFE INS. COMPANY Carelink Advantra PPO Local CCP
Director Pharmacy Operations Williams Roger L
1-801-954-3043
2650 S. Decker Ln. Salt Lake City UT 84119
2008 MTMP Contacts, Updated 0613/08 82
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Ohio
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Ohio
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
OhioDAVITA VILLAGEHEALTH, INC.
DaVita VillageHealth of Ohio, Inc. Local CCP
Director of Clinical Pharmacy Manley Harold
1-518-932-4416
[email protected] 16 Vagele Lane Glenmont NY 12077
Ohio
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Ohio
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
OhioGATEWAY HEALTH PLAN OF OHIO, INC.
Gateway Health Plan Medicare Assured Local CCP
Manager, Clinical Pharmacy Scalise Lorraine
1-412-255-1349
1-888-245-2049
600 Grant Street, 41st Floor Pittsburgh PA 15219
Ohio
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Ohio
HEALTH PLAN OF THE UPPER OHIO VALLEY The Health Plan Local CCP
Director Pharmacy Services Neal Steve
1-740-695-7638
1-740-695-7925
[email protected] The Health Plan
52160 National Road East St. Clairsville OH 43950
Ohio
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
OhioHOMETOWN HEALTH PLAN The Health Plan Local CCP
Director Pharmacy Services Neal Steve
1-740-695-7638
1-740-695-7925
[email protected] The Health Plan
52160 National Road East St. Clairsville OH 43950
OhioHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OhioHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OhioHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OhioHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OhioKAISER FOUNDATION HP OF OHIO
Kaiser Foundation Health Plan of Ohio 1876 Cost
Manager Abulatory Care Clinical Pharmacy Kramer Amy
1-216-265-4403
1-216-265-4483
[email protected] 12301 Snow Rd.
Clinical Pharmacy Services Parma OH 44130
Ohio
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Ohio
MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan Local CCP
Clinical Pharmacist Kmiecik Karen
1-330-363-2250
2600 Sixth Street SW Canton OH 44710
Ohio
MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan Local CCP
Clinical Pharmacist Kmiecik Karen
1-330-363-2250
2600 Sixth Street SW Canton OH 44710
Ohio
MCKINLEY LIFE INSURANCE COMPANY PrimeTime Health Plan PFFS
Clinical Pharmacist Kmiecik Karen
1-330-363-2250
2600 Sixth Street SW Canton OH 44710
2008 MTMP Contacts, Updated 0613/08 83
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Ohio
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
OhioMEDICAL MUTUAL OF OHIO
Advantage Plan from Medical Mutual of Ohio PFFS
Mgr. Pharmaceutical Benefits Hendricks Chad
1-216-687-2882
2060 East Ninth Street Clevleland OH 44115
OhioMEDICAL MUTUAL OF OHIO
Advantage Plans from Medical Mutual of Ohio Local CCP
Mgr. Pharmaceutical Benefits Hendricks Chad
1-216-687-2882
2060 East Ninth Street Clevleland OH 44115
OhioMEDICAL MUTUAL OF OHIO
Advantage Plans from Medical Mutual of Ohio PDP
Mgr. Pharmaceutical Benefits Hendricks Chad
1-216-687-2882
2060 East Ninth Street Clevleland OH 44115
OhioMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
OhioMT. CARMEL HEALTH PLAN, INC. MediGold Local CCP
Director, Clinical Operations Moyna Audrey
1-847-559-3999
1-847-559-4733
2211 Sanders Road Northbrook IL 60062
OhioPARAMOUNT CARE, INC Paramount Elite Local CCP
Coordinator, Prescription Drug PRogram Bogner Craig M
1-419-887-2249
1-419-887-2015
1901 Indian Wood Circle Maumee OH 43537
Ohio
PARAMOUNT INSURANCE COMPANY
Paramount Prescription Drug Plan PDP Bogner Craig
1-419-887-2249
1-419-887-2015
1901 Indian Wood Circle Maumee OH 43537
Ohio
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Ohio
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Ohio
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Ohio RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Ohio
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Ohio
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Ohio
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Ohio
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Ohio SUMMACARE INC. SummaCare Local CCP Pharmacy Director Colligan Tim1-800-996-8411
1-330-996-8580
[email protected] P.O. Box 3620 Akron OH 44309
OhioTHP INSURANCE COMPANY
Health Plan SecureChoice Local CCP
Director Pharmacy Services Neal Steve
1-740-695-7638
1-740-695-7925
[email protected] The Health Plan
52160 National Road East St. Clairsville OH 43950
OhioTHP INSURANCE COMPANY
Health Plan SecureFreedom PFFS
Director Pharmacy Services Neal Steve
1-740-695-7638
1-740-695-7925
[email protected] The Health Plan
52160 National Road East St. Clairsville OH 43950
Ohio
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
2008 MTMP Contacts, Updated 0613/08 84
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
OhioUNISON HEALTH PLAN OF OHIO, INC. Unison Advantage Local CCP Brekosky Robert
1-412-349-6167
1-412-457-1616
[email protected] Unison Plaza
1001 Brinton Road Pittsburgh PA 15221
Ohio
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Ohio
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Ohio
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Ohio
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Ohio
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Ohio
UNITED HEALTHCARE OF OHIO, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
OhioUPMC HEALTH BENEFITS, INC UPMC Health Plan PDP
Manager, Medicare Operations Cain John
1-412-454-5539
1-412-454-7711 [email protected]
112 Washington Place Suite 800 Pittsburgh PA 15219
Ohio
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
Ohio
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
OhioWELLCARE OF OHIO, INC. WellCare Local CCP
Manager Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
Ohio
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Oklahoma AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Oklahoma
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Oklahoma
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Oklahoma
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 85
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
OklahomaARCADIAN HEALTH PLAN Arcadian Health Plan Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
Oklahoma
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
OklahomaCOMMUNITY CARE HMO, INC
CommunityCare Senior Health Plan Local CCP QI Analyst Beyersdorf Lee Ann
1-918-594-5295 4053
1-918-877-9729
[email protected] 218 W. 6th Street Tulsa OK 74119
Oklahoma
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Oklahoma
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Oklahoma
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Oklahoma
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Oklahoma
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Oklahoma GLOBALHEALTH, INC.Generations Healthcare Local CCP
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
OklahomaHCSC INSURANCE SERVICES COMPANY
Blue Cross And Blue Shield Of Oklahoma Local CCP
Clinical Pharmacy Manager Hettich Lisa
1-765-526-2515 6346
1-765-391-1023
8407 Fallbrook Ave West Hills CA 91304
OklahomaHCSC INSURANCE SERVICES COMPANY
BLUE CROSS AND BLUE SHIELD OF OKLAHOMA PDP Pharmacy Director Nguyen Marie
1-651-286-4403
Prime Therapeutics
1020 Discovery Road Eagen MN 55121
Oklahoma
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Oklahoma
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
OklahomaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OklahomaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OklahomaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OklahomaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Oklahoma
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Oklahoma
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
OklahomaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
2008 MTMP Contacts, Updated 0613/08 86
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
OklahomaPACIFICARE OF OKLAHOMA, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Oklahoma
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Oklahoma
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Oklahoma
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Oklahoma RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
OklahomaSELECTCARE OF OKLAHOMA, INC.
SelectCare of Oklahoma Local CCP
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Oklahoma
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Oklahoma
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Oklahoma
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Oklahoma
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Oklahoma
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Oklahoma
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Oklahoma
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Oklahoma
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Oklahoma
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Oklahoma
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Oklahoma
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Oklahoma
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Oregon
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 87
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Oregon
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
OregonASURIS NORTHWEST HEALTH
Asuris Northwest Health PDP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
[email protected] 1211 West Myrtle
PO Box 2560 Boise ID 87301
OregonATRIO HEALTH PLANS ATRIO MyAdvantage Local CCP
Chief Operations Officer Hoffman Steve O
1-541-672-8620 5206
1-541-672-8670
500 SE Cass Ave. Suite 230 Roseburg OR 97470
Oregon
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
OregonCLEAR CHOICE HEALTH PLANS, INC.
Clear Choice Health Plans Local CCP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Oregon
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Oregon
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
OregonFAMILYCARE HEALTH PLANS, INC.
FamilyCare Health Plans, Inc. Local CCP
Pharmacy Manager Thanem Michael
1-503-471-2147
1-503-471-2197
2121 SW Broadway Suite 300 Portland OR 97201
Oregon
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Oregon
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
OregonFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
Oregon
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Oregon
HEALTH NET LIFE INSURANCE COMPANY
Health Net Medicare Advantage Local CCP
Vice President, Operations - HNPS
White, Pharm. D. Virginia E
1-916-463-9603
10540 White Rock Rd., Ste 280
Mail Top: CA-175-02-02 Rancho Cordova CA 95670
OregonHEALTH PLAN OF CAREOREGON, INC.
CareOregon Advantage Local CCP
Clinical Pharmacy Program Coordinator Benkstein Kristen
1-503-416-1734
1-503-416-1428
CareOregon Advantage
315 SW Fifth Avenue, Suite 900 Portland OR 97204
Oregon
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
OregonHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OregonHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
OregonKAISER FOUNDATION HP OF THE N W
Kaiser Foundation Health Plan of the NW Local CCP
Pharmacy Benefit Manager Logan Steve
1-503-261-7980
5725 NE 138th Ave Portland OR 97230
OregonKAISER FOUNDATION HP OF THE N W
Kaiser Foundation Health Plan of the NW Local CCP
Pharmacy Benefit Manager Logan Steve
1-503-261-7980
5725 NE 138th Ave Portland OR 97230
2008 MTMP Contacts, Updated 0613/08 88
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Oregon
MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.
Marion Polk Community Health Plan Advantage Local CCP
Medical Management Coordinator Morgan Roberta
1-503-371-7701 145
1-503-371-8046
245 Commercial St. SE, Ste. 220 Salem OR 97301
Oregon
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Oregon
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
OregonMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Oregon
MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION CareSource Local CCP
Medicare Coordinator Ackerman Cynthia
1-541-471-4106
1-541-471-1524
[email protected] 740 SE 7th Street Grants Pass OR 97526
Oregon
MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION CareSource Local CCP
Director of Medical Affairs Ackerman Cynthia
1-541-471-4106
1-541-471-1524
[email protected] 740 SE 7th Street Grants Pass OR 97526
OregonODS HEALTH PLAN, INC. ODS Health Plan, Inc. Local CCP
Medicare Coordinator
Siegfried-Roads Carey A
1-503-265-4719
1-503-265-4790
601 S.W. Second Avenue Portland OR 97204
OregonODS HEALTH PLAN, INC. ODS Health Plan, Inc. PDP
Medicare Coordinator
Siegfried-Roads Carey A
1-503-265-4719
1-503-265-4790
601 S.W. Second Avenue Portland OR 97204
OregonPACIFICARE OF OREGON, INC.
AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Oregon
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Oregon
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
OregonPROVIDENCE HEALTH PLAN Providence Health Plan Local CCP
PHARMACY DIRECTOR NOONAN HELEN M
1-503-574-5708
1-503-574-8646
[email protected] PO BOX 3125 PORTLAND OR 97208
Oregon
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Oregon
REGENCE BLUECROSS BLUESHIELD OF OR
Regence BlueCross BlueShield of Oregon Local CCP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
1211 West Myrtle Suite 210
PO Box 2560 Boise ID 87301
Oregon RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
OregonSAMARITAN HEALTH PLANS, INC.
Samaritan Advantage Health Plan Local CCP
Pharmacy Operations Manager Tracer Tamatha
1-541-768-5207
1-541-768-4294
[email protected] PO Box M Corvallis OR 97339
Oregon
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Oregon
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
2008 MTMP Contacts, Updated 0613/08 89
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Oregon
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Oregon
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Oregon
TRILLIUM COMMUNITY HEALTH PLAN Trillium Advantage Local CCP
Clinical Pharmacist Wick Shauna
1-541-485-2155 1242
1-541-302-8052
1800 Millrace Drive Eugene OR 97403
Oregon
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Oregon
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Oregon
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Oregon
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Oregon
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Oregon
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Oregon
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Oregon
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Oregon
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Oregon
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Pennsylvania AETNA HEALTH INC Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Pennsylvania
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Pennsylvania
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 90
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Pennsylvania
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Pennsylvania
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
PennsylvaniaAVALON INSURANCE COMPANY
Avalon Insurance Company PDP
Pharmacy Manager Frost Lisa
1-717-703-8466
2500 Elmerton Avenue Harrisburg PA 17177
Pennsylvania
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
PennsylvaniaBRAVO HEALTH PENNSYLVANIA INC. Bravo Health Local CCP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell St Baltimore MD 21224
Pennsylvania
CAPITAL ADVANTAGE INSURANCE COMPANY
Capital Advantage Insurance Company Local CCP
Pharmacy Manager Frost Lisa
1-717-703-8466
2500 Elmerton Avenue Harrisburg PA 17177
Pennsylvania
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Pennsylvania
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
Pennsylvania
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Pennsylvania
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Pennsylvania
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Pennsylvania
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Pennsylvania
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
PennsylvaniaGATEWAY HEALTH PLAN, INC.
Gateway Health Plan Medicare Assured Local CCP
Manager, Clinical Pharmacy Scalise Lorraine
1-412-255-1349
1-888-245-2049
600 Grant Street, 41st Floor Pittsburgh PA 15219
PennsylvaniaGEISINGER HEALTH PLAN Geisinger Gold Local CCP
Clinical Pharmacist Collins Vanessa L
1-570-214-9606
1-570-214-6768
100 North Academy Avenue Danville PA 17822
Pennsylvania
GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Gold Local CCP
Clinical Pharmacist Collins Vanessa L
1-570-214-9606
1-570-214-6768
100 North Academy Avenue Danville PA 17822
Pennsylvania
GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Gold PFFS
Clinical Pharmacist Collins Vanessa L
1-570-214-9606
1-570-214-6768
100 North Academy Avenue Danville PA 17822
Pennsylvania
GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Gold PDP
Clinical Pharmacist Collins Vanessa L
1-570-214-9606
1-570-214-6768
100 North Academy Avenue Danville PA 17822
2008 MTMP Contacts, Updated 0613/08 91
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
PennsylvaniaHEALTH ASSURANCE PENNSYLVANIA, INC. Advantra PPO Local CCP
Director, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Pennsylvania
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
PennsylvaniaHEALTHAMERICA PENNSYLVANIA, INC.
HealthAmerica Advantra Local CCP
Director, Pharmacy OPS Williams Roger L
1-801-954-3043
2650 S Decker Lane Salt Lake City UT 84119
Pennsylvania
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
PennsylvaniaHIGHMARK SENIOR RESOURCES INC.
Highmark Senior Resources Inc. PDP
Manager, Clinical Pharmacy Services Culley Eric
1-412-544-4005
1-412-544-4092
120 Fifth Avenue Ste. 1812 Pittsburgh PA 15222
Pennsylvania HIGHMARK, INC. Highmark Inc. Local CCPManager- Clincal Services Culley Eric
1-412-544-4005
1-412-544-7546
120 Fifth Avenue Place Suite 1812 Pittsburgh PA 15222
PennsylvaniaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
PennsylvaniaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
PennsylvaniaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
PennsylvaniaINDEPENDENCE BLUE CROSS Personal Choice 65 Local CCP
Manager, Population Health & Wellness Siejak Kimberly
1-215-241-4016
1901 Market Street 29th Fl. Philadelphia PA 19103
PennsylvaniaKEYSTONE HEALTH PLAN CENTRAL,INC.
Keystone Health Plan Central, Inc. Local CCP Frost Lisa
1-717-703-8466
2500 Elmerton Avenue Harrisburg PA 17177
PennsylvaniaKEYSTONE HEALTH PLAN EAST, INC. Keystone 65 Local CCP
Manager, Population Health & Wellness Siejak Kimberly
1-215-241-4016
1901 Market Street 29th Fl. Philadelphia PA 19103
PennsylvaniaKEYSTONE HEALTH PLAN WEST, INC.
Keystone Health Plan West, Inc. Local CCP
Manager - Clinical Services Culley Eric
1-412-544-4005
1-412-544-7546
120 Fifth Avenue Place Suite 1812 Pittsburgh PA 15222
Pennsylvania
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Pennsylvania
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
PennsylvaniaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Pennsylvania
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Pennsylvania
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Pennsylvania
QCC INS CO D/B/A AMERIHEALTH INS CO
AmeriHealth Advantage PDP
Supervisor, Pharmacy DUR/MTM Lawson Mark
1-215-937-5352
200 Stevens Drive 4th Floor Philadelphia PA 19113
2008 MTMP Contacts, Updated 0613/08 92
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Pennsylvania
QCC INS CO D/B/A AMERIHEALTH INS CO AmeriHealth Rx PDP
Senior Clinical Pharmacist DaCosta Maribel
1-215-241-7928
1901 Market Street 22nd Floor Philadelphia PA 19103
PennsylvaniaQCC INSURANCE COMPANY Select Advantage PFFS
Manager, Population Health & Wellness Siejak Kimberly
1-215-241-4016
1901 Market Street, 29th flr 29th flr Philadelphia PA 19103
Pennsylvania RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
PennsylvaniaSENIOR PARTNERS BY BRAVO HEALTH Senior Partners Local CCP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
Pennsylvania
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Pennsylvania
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Pennsylvania
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Pennsylvania
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Pennsylvania
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Pennsylvania
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Pennsylvania
UNISON HEALTH PLAN OF PENNSYLVANIA, INC. Unison Advantage Local CCP Brekosky Robert
1-412-349-6167
1-412-457-1616
[email protected] Unison Plaza
1001 Brinton Road Pittsburgh PA 15221
Pennsylvania
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Pennsylvania
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Pennsylvania
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Pennsylvania
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Pennsylvania
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Pennsylvania
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Pennsylvania
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 93
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Pennsylvania
UNIVERSITY OF PITTSBURGH MEDICAL CENTER UPMC Health Plan Local CCP
Manager, Medicare Operations Cain John
1-412-454-5539
1-412-454-7711 [email protected]
112 Washington Place Suite 800 Pittsburgh PA 15219
PennsylvaniaUPMC HEALTH BENEFITS, INC UPMC Health Plan PDP
Manager, Medicare Operations Cain John
1-412-454-5539
1-412-454-7711 [email protected]
112 Washington Place Suite 800 Pittsburgh PA 15219
PennsylvaniaUPMC HEALTH NETWORK UPMC Health Plan Local CCP
Manager, Medicare Operations Cain John
1-412-454-5539
1-412-454-7711 [email protected]
112 Washington Place Suite 800 Pittsburgh PA 15219
Pennsylvania
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Pennsylvania
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Puerto RicoAMERICAN HEALTH, INC.
American Health Medicare Local CCP
Pharmacy and Delegated Entities Manager Hernandez Carmen
1-787-620-1919 4054
1-787-620-0929
American Health Medicare
P.O. Box 11320 San Juan PR 922
Puerto RicoAUXILIO PLATINO, INC. Auxilio Platino Local CCP
Clinical Pharmacist Muniz Omaris M
1-787-273-1110 2459
1-787-625-8445
[email protected] PO Box 363628 San Juan PR 936
Puerto Rico
COOPERATIVA DE SEGUROS DE VIDA DE PUERTO RICO CosviMed Care Local CCP Miller Scott A
1-847-964-6944
1-847-374-2645
1411 Lake Cook Road, MS-L-415 Deerfield IL 60015
Puerto Rico
COOPERATIVE DE SEGUROS DE VIDA DE PUERTO RICO CosviMed Care PDP Miller Scott A
1-847-964-6944
1-847-374-2645
1411 Lake Cook Road, MS-L-415 Deerfield IL 60015
Puerto RicoFIRST MEDICAL HEALTH PLAN, INC
First Medical Health Plan, Inc. PDP
pharmacy manager Soto Ivette
1-866-515-5885 337
1-787-625-8544
[email protected] PO box 195080 San Juan PR 60062
Puerto RicoFIRST MEDICAL HEALTH PLAN, INC.
First Medical Health Plan, Inc. Local CCP
Pharmacy manager Soto Ivette
1-866-515-5885 337
1-787-625-8544
First Medical Health Plan
PO box 191580 San Juan PR 919
Puerto RicoFIRST MEDICAL HEALTH PLAN, INC.
First Medical Health Plan, Inc. Local CCP
Pharmacy manager Soto Ivette
1-866-515-5885
1-787-625-1189
First Medical Health Plan
PO box 191580 San Juan PR 919
Puerto Rico
HUMANA HEALTH PLANS OF PUERTO RICO INC
Humana Health Plans Of Puerto Rico Inc Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Puerto Rico
HUMANA INSURANCE OF PUERTO RICO, INC
Humana Insurance Of Puerto Rico, Inc PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Puerto Rico
HUMANA INSURANCE OF PUERTO RICO, INC
Humana Insurance of Puerto Rico, Inc PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Puerto Rico
HUMANA INSURANCE OF PUERTO RICO, INC.
Humana Insurance of Puerto Rico, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Puerto Rico
MAPFRE LIFE INSURANCE COMPANY
MAPFRE LIFE INSURANCE COMPANY Local CCP Moyna Audrey
1-847-559-3999
1-847-559-4733
2211 Sanders Road Northbrook IL 60062
Puerto RicoMCS ADVANTAGE INC. MCS Classicare Local CCP
Pharmacy Clinical Director Rodriguez Carolyn
1-787-758-2500 2700
[email protected] PO Box 191720 San Juan PR 919
Puerto RicoMCS ADVANTAGE INC. RedMed Local CCP
Pharmacy Clinical Director Rodriguez Carolyn
1-787-758-2500 2700
[email protected] PO Box 191720 San Juan PR 919
2008 MTMP Contacts, Updated 0613/08 94
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Puerto RicoMCS ADVANTAGE, INC. MCS Classicare PDP
Pharmacy Clinical Director Rodriguez Carolyn
1-787-758-2500 2700
[email protected] PO Box 191720 San Juan PR 919
Puerto Rico
MCS LIFE INSURANCE COMPANY MCS Classicare PFFS
Pharmacy Clinical Director Rodriguez Carolyn
1-787-758-2500 2700
[email protected] PO Box 191720 San Juan PR 919
Puerto Rico
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Puerto Rico
MENNONITE GENERAL HOSPITAL, INC
Menonita Medicare Advantage PDP
Director Clinical Education Miller Scott A
1-847-964-6762
1-847-374-2645
1411 Lake Cook Road Deerfield IL 60015
Puerto Rico
MENNONITE GENERAL HOSPITAL, INC.
Menonita Medicare Advantage Local CCP
Director, Clinical Education Miller Scott A
1-847-964-6944
1-847-374-2645
1415 Lake Cook Road Deerfield IL 60015
Puerto RicoMMM HEALTHCARE, INC. Medicare y Mucho Más Local CCP
AVP Pharmacy Services Reyes Maria J
1-787-354-7999
1-787-300-5503
Bechara Industrial Park, Marginal Ave. Kennedy
Segarra Street Bldg., No. 411 San Juan PR 936
Puerto Rico
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Puerto Rico
PHARMACY INSURANCE CORPORATION OF AMERICA
Pharmacy Insurance Corporation of America - PICA PDP Clinical Echevarria Irma
1-787-625-4343 4711
1-787-625-4363
[email protected] PO Box 70232 San Juan PR 936
Puerto RicoPREFERRED HEALTH INC. Preferred Medicare PFFS
Medicare Consultant Perez Awilda
1-787-751-3701
1-787-751-3718
273 Ponce de Leon Avenue Suite 801 San Juan PR 917
Puerto Rico
PREFERRED MEDICARE CHOICE, INC.
Preferred Medicare Choice, Inc. Local CCP
VP Pharmacy Services Reyes Maria J
1-787-354-7999
1-787-300-5503
Bechara Industrial Park, Marginal Ave., Kennedy
Segarra Street Bldg. No.411 San Juan PR 936
Puerto Rico
PREFERRED MEDICARE CHOICE, INC.
Preferred Medicare Choice, Inc. PDP
AVP Pharmacy Services Reyes Maria J
1-787-354-7999
1-787-300-5503
Bechara Industrial Park, Marginal Ave., Kennedy
Segarra Street Bldg., No. 411 San Juan PR 936
Puerto RicoPROSALUD HMO, CORP. ProSalud HMO Corp Local CCP
Director Clinical Education Miller Scott
1-847-964-6944
1415 Lake Cook Road Deerfield IL 60015
Puerto RicoSDM HEALTHCARE MANAGEMENT, INC.
Salud Dorada con Medicare Local CCP Medical Director Irizarry Maria
1-787-999-4848
1-787-999-7941
[email protected] P.O Box 3078 Bayamon PR 960
Puerto Rico
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Puerto Rico TRIPLE-S, INC. Triple-S PDPClinical Pharmacist Muniz Omaris M
1-787-273-1110 2459
1-787-625-8445
[email protected] PO Box 363628 San Juan PR 936
Puerto Rico TRIPLE-S, INC. Triple-S, Inc. Local CCPClinical Pharmacist Muniz Omaris M
1-787-273-1110 2459
1-787-625-8445
[email protected] PO Box 363628 San Juan PR 936
Puerto Rico TRIPLE-S, INC. Triple-S, Inc. Local CCPClinical Pharmacist Muniz Omaris M
1-787-273-1110 2459
1-787-625-8445
[email protected] PO Box 363628 San Juan PR 936
Puerto Rico
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Puerto Rico
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 95
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Rhode Island
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Rhode Island
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Rhode Island
BLUE CROSS AND BLUE SHIELD OF RHODE ISLAND
Blue Cross & Blue Shield Of Rhode Island Local CCP
MTM Clinical Interventions Manager Hettich Lisa
1-765-526-2515
1-765-391-1023
8407 Fallbrook Ave West Hills CA 91304
Rhode Island BLUE MEDICARERX Blue MedicareRx PDPClinical Pharmacist Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Rhode Island
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Rhode Island
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Rhode Island
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Rhode Island
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Rhode Island
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Rhode Island
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
Rhode IslandHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Rhode IslandHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Rhode Island
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Rhode Island
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Rhode Island
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Rhode Island RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Rhode Island
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Rhode Island
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
2008 MTMP Contacts, Updated 0613/08 96
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Rhode Island
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Rhode Island
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Rhode Island
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Rhode Island
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Rhode Island
UNITED HEALTH PLANS OF NEW ENGLAND, INC.
AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Rhode Island
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Rhode Island
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Rhode Island
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Rhode Island
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Rhode Island
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
South Carolina
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
South Carolina
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
South Carolina
AMERICA'S 1ST CHOICE HEALTH PLANS, INC.
AMERICA'S 1ST CHOICE HEALTH PLANS, INC. PFFS Pharmacy Schoening Shellie
1-800-546-5677 1110
1-866-632-7946
13660 California Street Omaha NE 68154
South CarolinaARCADIAN HEALTH PLAN, INC.
Southeast Community Care Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
South Carolina
BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA
Blue Cross Blue Shield of South Carolina Local CCP
Director - Provider Contracting Baughman Angie
1-803-264-3234
1-803-419-8020
I-20 at Alpine Road Columbia SC 29219
South Carolina
BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA
Blue Cross Blue Shield of South Carolina PDP
Director - Provider Contracting Baughman Angie
1-803-264-3234
1-803-419-8020
I-20 at Alpine Road Columbia SC 29219
South Carolina
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO
Care Improvement Plus Regional CCP Help Desk MTM
1-866-443-0934
9501 East Shea Boulevard Scottsdale AZ 85260
2008 MTMP Contacts, Updated 0613/08 97
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
South Carolina
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
South Carolina
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
South Carolina
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
South Carolina
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
South Carolina
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
South Carolina
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
South Carolina
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
South Carolina
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
South Carolina
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
South CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
South CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
South CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
South CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
South CarolinaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
South Carolina
INSTIL HEALTH INSURANCE COMPANY
InStil Health Insurance Company PDP
Director Medical Services Lachuk Lester
1-803-763-6559
1-803-935-1605
17 Technology Circle, AG-790 Columbia SC 29203
South Carolina
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
South Carolina
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
South Carolina
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
2008 MTMP Contacts, Updated 0613/08 98
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
South Carolina
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
South Carolina
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
South Carolina RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
South Carolina
SELECT HEALTH OF SOUTH CAROLINA, INC. PerformRx PDP
Supervisor, Pharmacy DUR/MTM Lawson Mark
1-215-937-5352
200 Stevens Drive 4th Floor Philadelphia PA 19113
South Carolina
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
South Carolina
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
South Carolina
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
South Carolina
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
South Carolina
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
South Carolina
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
South Carolina
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
South Carolina
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
South Carolina
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
South Carolina
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
South Carolina
UNIVERSAL HEALTH CARE INSURANCE COMPANY
Universal Health Care Insurance Company, Inc. PFFS
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
South Carolina
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
South Carolina
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
South CarolinaWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
South CarolinaWINDSOR HEALTH PLANS, INC.
Windsor Medicare Extra Local CCP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
2008 MTMP Contacts, Updated 0613/08 99
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
South Dakota
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
South Dakota
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
South Dakota
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue PPO Regional CCP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross and Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
South Dakota
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue Rx PDP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
South Dakota
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
South Dakota
COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO
Coventry Health and Life Insurance Company Local CCP
Director Pharmacy Ops. Williams Roger
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
South Dakota
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
South Dakota
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
South Dakota
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
South Dakota
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
South DakotaFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
South Dakota
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
South Dakota
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
South DakotaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
South DakotaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
South Dakota
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
South Dakota
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
2008 MTMP Contacts, Updated 0613/08 100
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
South DakotaMEDICA INSURANCE COMPANY
Medica Insurance Company 1876 Cost Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
South DakotaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
South Dakota
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
South Dakota
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
South Dakota
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
South Dakota RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
South Dakota
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
South Dakota
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
South Dakota
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
South Dakota
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
South Dakota
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
South Dakota
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
South Dakota
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
South Dakota
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
South Dakota
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
South Dakota
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
South Dakota
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Tennessee AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 101
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Tennessee
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Tennessee
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Tennessee
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
TennesseeAMERIGROUP TENNESSEE, INC.
AMERIGROUP Community Care Local CCP
Director Clinical Pharmacy Miller Leslie
1-757-518-3420
4425 Corporation Lane #300 Virginia Beach VA 23462
Tennessee
BCBS OF ALABAMA AND BCBS OF TENNESSEE BlueRx PDP
Clinical Pharmacy Admin Layne Paul
1-205-220-6522
450 Riverchase Parkway East Birmingham AL 35244
Tennessee
BLUE CROSS BLUE SHIELD OF TENNESSEE
BlueCross BlueShield of Tennessee Local CCP Barry Lesley
1-334-213-6653
1-334-213-6617
450 Riverchase Parkway East Birmingham AL 35244
TennesseeCARITEN HEALTH PLAN IN Cariten Senior Health Local CCP
Pharmacy supervisor Feliciano Susan
1-865-670-7340
1420 Centerpoint Blvd Knoxville TN 37932
TennesseeCARITEN INSURANCE COMPANY
Cariten Senior Health (PPO) Local CCP Pharmacy Director Ciufo John
1-865-670-7382
1-865-670-7205
1420 Centerpoint Blvd Knoxville TN 37932
Tennessee
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Tennessee
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
Tennessee
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Tennessee
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Tennessee
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Tennessee
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Tennessee
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Tennessee
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Tennessee
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
2008 MTMP Contacts, Updated 0613/08 102
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
TennesseeHEALTHSPRING OF TENNESSEE, INC. Healthspring Local CCP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
TennesseeHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
TennesseeHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
TennesseeHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
TennesseeHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Tennessee
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Tennessee
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Tennessee
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Tennessee
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Tennessee
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Tennessee RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Tennessee
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Tennessee
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Tennessee
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Tennessee
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
TennesseeUAHC HEALTH PLAN OF TENNESSEE, INC. UAHC Gold Local CCP Vice President Northway Cynthia
1-515-237-0001 126
1-515-237-0002
601 E. Locust, Suite 100 Des Moines IA 50309
Tennessee
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Tennessee
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Tennessee
UNISON HEALTH PLAN OF TENNESSEE, INC. Unison Advantage Local CCP Brekosky Robert
1-412-349-6167
1-412-457-1616
[email protected] Unison Plaza
1001 Brinton Road Pittsburgh PA 15221
2008 MTMP Contacts, Updated 0613/08 103
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Tennessee
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Tennessee
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Tennessee
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Tennessee
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Tennessee
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Tennessee
UNITED HEALTHCARE OF TENNESSEE, INC.
AARP MedicareComplete provided by SecureHorizons Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Tennessee
UNITED HEALTHCARE PLAN OF THE RIVER VALLEY, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Tennessee
UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.
AmeriChoice Secure Plus Complete Local CCP Pharmacy Director Cabrera Lourdes
1-954-858-4302
1-954-858-3765
13621 NW 12TH ST SUNRISE FL 33323
Tennessee
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Tennessee
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
TennesseeWINDSOR HEALTH PLAN, INC Windsor Rx PDP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
TennesseeWINDSOR HEALTH PLANS, INC.
Windsor Medicare Extra Local CCP Pharmacy Director King Sonya
1-615-782-7860
1-615-782-7822
7100 Commerce Way, Ste 285 Brentwood TN 37027
Texas AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Texas
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Texas
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Texas
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 104
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
TexasAMERIGROUP TEXAS, INC.
AMERIGROUP Community Care Local CCP
Director Clinical Pharmacy Miller Leslie
1-757-518-3420
4425 Corporation Lane #300 Virginia Beach VA 23462
TexasARCADIAN HEALTH PLAN, INC.
Texas Community Care Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
TexasARKANSAS COMMUNITY CARE
Arkansas Community Care, Inc. Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
Texas
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PFFS
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
TexasBRAVO HEALTH TEXAS, INC. Bravo Health Local CCP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell St Baltimore MD 21224
Texas
CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY
Care Improvement Plus Regional CCP Help Desk MTM
1-866-443-0934
9501 East Shea Boulevard Scottsdale AZ 85260
Texas
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Texas
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
Texas
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Texas
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Texas
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Texas
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
TexasEVERCARE OF TEXAS, LLC
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Texas
FIDELIS SECURECARE OF TEXAS, INC.
Fidelis SecureCare of Texas, Inc. Local CCP
Chief Medical Officer Sarran Scott
1-877-372-6203
1-847-517-1085
1700 East Golf Road Suite 1115 Schaumburg IL 60173
Texas
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
TexasHCSC INSURANCE SERVICES COMPANY
HISC - Blue Cross Blue Shield of IL, TX, and NM PDP Pharmacy Director Nguyen Marie
1-651-286-4206
1-651-286-4403
Prime Therapeutics, LLC
1020 Discovery Road Eagen MN 55121
TexasHCSC INSURANCE SERVICES COMPANY
HISC - Blue Cross Blue Shield of Texas Local CCP
Pharmacy Director, Government Programs Nguyen Marie
1-651-286-4206
1-651-286-4403
Prime Therapeutics
1020 Discovery Road, No. 100 Egan MN 55121
Texas
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Texas
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
2008 MTMP Contacts, Updated 0613/08 105
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Texas
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
TexasHUMANA HEALTH PLAN OF TEXAS,INC.
Humana Health Plan of Texas, Inc. Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
TexasHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
TexasHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
TexasHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
TexasHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
TexasHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Texas
KS PLAN ADMINISTRATORS, LLC KelseyCare Advantage Local CCP
Director Pharmacy and Infusion Services Salinas Cathryn
1-713-442-5251
1-713-442-5253
8900 Lakes at 610 Drive Houston TX 77054
Texas
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Texas
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Texas
MOLINA HEALTHCARE OF TEXAS, INC.
Molina Healthcare of Texas, Inc. Local CCP
Director, Pharmacy Johnson Beth
1-801-858-0466
1-801-748-0536
7050 South UnionPark Center Midvale UT 84047
TexasPACIFICARE OF TEXAS, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Texas
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Texas
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
TexasPSO HEALTH SERVICES, LLC
PHYSICIANS HEALTH CHOICE Local CCP
Vice President of Pharmacy - Envision Peterson Amanda
1-330-486-6302
2181 E. Aurora Rd. STE 201 Twinsburg OH 44087
Texas
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Texas RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
TexasSCOTT AND WHITE HEALTH PLAN
Scott and White Health Plan SeniorCare 1876 Cost PharmD Gabrillo Evelyn
1-254-298-6152
1-254-298-6189
4236 Lowes Drive Suite 100 Temple TX 76502
TexasSCOTT AND WHITE HEALTH PLAN
Scott and White Health PlanTexas Rx Plan PDP
Patient Care Pharmacist Gabrillo Evelyn
1-254-298-6152
1-254-298-6189
4236 Lowes Drive Suite 100 Temple TX 76502
TexasSELECTCARE HEALTH PLANS, INC.
TexasFirst Health Plans Local CCP
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
TexasSELECTCARE OF TEXAS, L.L.C.
SelectCare of Texas, LLC Local CCP
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
2008 MTMP Contacts, Updated 0613/08 106
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Texas SHA, L.L.C FirstCare Advantage Local CCP
Director of Pharmacy Services Crognale III Louis
1-512-257-6206
1-512-257-6016
12940 North Highway 183 Austin TX 78750
Texas
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Texas
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Texas
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Texas
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
TexasSUPERIOR HEALTH PLAN, INC.
Advantage by SuperiorHealthPlan Local CCP
VP Pharmacy Operations Health Plans Pica Mike
1-732-476-1047
1-732-549-5824
499 Thornall Street, 4th floor Edison NJ 8837
TexasTEXAS HEALTHSPRING LLC Texas HealthSpring Local CCP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
Texas
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Texas
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Texas
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Texas
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Texas
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Texas
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Texas
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Texas
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Texas
UNIVERSAL HEALTH CARE INSURANCE COMPANY
Universal Health Care Insurance Company, Inc. PFFS
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
Texas
VALLEY BAPTIST INSURANCE COMPANY
Valley Baptist Health Plans Local CCP
Directory of Pharmacy Services Crognale III Louis
1-512-257-6206
1-512-257-6016
12940 N. Highway 183 Austin TX 78750
Texas
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
2008 MTMP Contacts, Updated 0613/08 107
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
TexasWELLCARE OF TEXAS, INC. WellCare Local CCP
Manager, Clinical Pharmacy Rackley Qiana
1-813-290-6200 6620
8735 Henderson Road Tampa FL 33634
Texas
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Utah
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Utah
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
UtahALTIUS HEALTH PLANS, INC. (UTAH) Altius Advantra Local CCP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Utah
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Utah
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Utah
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Utah
EDUCATORS MUTUAL INSURANCE ASSOCIATION
Educators Mutual Insurance Association PFFS Gedge Nathan
1-801-262-7476 2974
852 East Arrowhead Lane Murray UT 84107
Utah
EDUCATORS MUTUAL INSURANCE ASSOCIATION
Educators Mutual Insurance Association PDP Gallegos Jennifer
1-801-262-7476
852 East Arrowhead Lane Murray UT 84107
Utah
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Utah
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Utah
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Utah
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Utah
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
UtahHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
UtahHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
UtahHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 108
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
UtahHUMANA MEDICAL PLAN OF UTAH
Humana Medical Plan of Utah Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Utah
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Utah
MOLINA HEALTHCARE OF UTAH, INC.
Molina Healthcare of Utah Local CCP
Director, Pharmacy Johnson Beth
1-801-858-0466
1-801-748-0536
7050 South UnionPark Center Midvale UT 84047
Utah
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Utah
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Utah
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Utah
REGENCE BLUECROSS BLUESHIELD OF UT
Regence BlueCross BlueShield of Utah Local CCP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
1211 West Myrtle Suite 210
PO Box 2560 Boise ID 87301
Utah
REGENCE LIFE AND HEALTH INSURANCE COMPANY
Regence Life and Health PDP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
1211 West Myrtle Suite 210
PO Box 2560 Boise ID 87301
Utah RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Utah
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. Sierra Spectrum Local CCP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Utah
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Utah
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Utah
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Utah
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Utah
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Utah
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Utah
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Utah
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 109
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Utah
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Utah
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
UtahUNITEDHEALTHCARE OF UTAH, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Utah
UNIVERSAL HEALTH CARE INSURANCE COMPANY
Universal Health Care Insurance Company, Inc. PFFS
VICE PRESIDENT CLINICAL PROGRAM SCHOENING SHELLIE K
1-800-546-5677 1110
14301 FIRST NATIONAL BANK PARKWAY SUITE 200 OMAHA NE 68154
Utah
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Utah
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Vermont
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Vermont
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Vermont
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Vermont BLUE MEDICARERX Blue MedicareRx PDPClinical Pharmacist Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Vermont
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
Vermont
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Vermont
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Vermont
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Vermont
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Vermont
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Vermont
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
VermontHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
2008 MTMP Contacts, Updated 0613/08 110
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
VermontHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Vermont
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Vermont
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Vermont
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Vermont RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Vermont
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Vermont
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Vermont
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Vermont
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Vermont
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Vermont
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Vermont
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Vermont
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Vermont
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Vermont
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Virgin Islands
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Virgin Islands
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Virgin Islands
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 111
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Virginia AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Virginia
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Virginia
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Virginia
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Virginia
ANTHEM HEALTH PLANS OF VIRGINIA, INC.
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
VirginiaANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
VirginiaANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
Virginia
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Virginia
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
CIGNA Medicare Access PFFS Zheng Yi
1-860-226-6731
900 Cottage Grove Rd Hartford CT 6152
Virginia
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Virginia
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Virginia
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
VirginiaDAVITA VILLAGE HEALTH, INC.
DaVita VillageHealth of Virginia, Inc. Local CCP
Director of Clinical Pharmacy Manley Harold
1-518-932-4416
[email protected] 16 Vagele Lane Glenmont NY 12077
Virginia
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Virginia
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Virginia
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Virginia
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
2008 MTMP Contacts, Updated 0613/08 112
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Virginia
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
VirginiaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
VirginiaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
VirginiaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Virginia
KAISER FNDN HP OF THE MID-ATLANTIC STS
Kaiser Permanente Medicare Plus 1876 Cost Pharmacy Director Downard Susan
1-301-816-6835
2101 East Jefferson St Rockville MD 20852
Virginia
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
VirginiaMENNONITE MUTUAL AID ASSOCIATION
Mennonite Mutual Aid Association PFFS Moyna Audrey
1-847-559-3999
1-847-559-4733
9501 E. Shea Blvd Scottsdale AZ 85260
Virginia
OPTIMA HEALTH INSURANCE COMPANY Optima Medicare Local CCP
Clinical Pharmacist Brusig Elizabeth
1-757-552-7519
1-757-552-7516
4417 Corporation Lane Virginia Beach VA 23462
Virginia
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Virginia
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Virginia
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Virginia RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Virginia
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Virginia
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Virginia
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Virginia
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Virginia
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Virginia
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Virginia
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
2008 MTMP Contacts, Updated 0613/08 113
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Virginia
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Virginia
UNITED HEALTHCARE INSURANCE COMPANY Erickson Advantage Demo Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Virginia
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Virginia
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Virginia
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Virginia
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Virginia
UNITED HEALTHCARE PLAN OF THE RIVER VALLEY, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
VirginiaVIRGINIA PREMIER HEALTH PLAN, INC. Virginia Premier Gold Local CCP
Supervisor Pharmacy DUR/MTM Lawson Mark
1-215-937-5352
1-215-937-8450
200 Stevens Drive Philadelphia PA 19113
Virginia
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Virginia
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Washington
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Washington
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
WashingtonARCADIAN HEALTH PLAN
Spokane Community Care Local CCP
Vice President of Pharmacy Services Owens Glenda
1-909-971-6816
1-909-971-6866
955 Overland Court., Second Floor San Dimas CA 91773
WashingtonASURIS NORTHWEST HEALTH
Asuris Northwest Health Local CCP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
1211 West Myrtle Suite 210
PO Box 2560 Boise ID 87301
WashingtonASURIS NORTHWEST HEALTH
Asuris Northwest Health PDP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
[email protected] 1211 West Myrtle
PO Box 2560 Boise ID 87301
Washington
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
Washington
COMMUNITY HEALTH PLAN OF WASHINGTON
Community HealthFirst Medicare Advantage Plan Local CCP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
2008 MTMP Contacts, Updated 0613/08 114
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Washington
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Washington
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Washington
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Washington ESSENCE L.L.P. Essence Healthcare Local CCP Director of QA Keys Mary Kay1-314-851-3664
1-314-851-3610
[email protected] 12655 Olive Blvd. St. Louis MO 63141
Washington
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Washington
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
WashingtonFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
WashingtonGROUP HEALTH COOPERATIVE
Group Health Cooperative Local CCP
Associate Director of Clinical Pharmacy Operations Reitz Shirley
1-206-901-4334 [email protected]
Group Health Cooperative
12400 E. Marginal Way South Seattle WA 98168
Washington
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Washington
HEALTH NET LIFE INSURANCE COMPANY
Health Net Medicare Advantage Local CCP
Vice President, Operations - HNPS
White, Pharm. D. Virginia E
1-916-463-9603
10540 White Rock Rd., Ste 280
Mail Top: CA-175-02-02 Rancho Cordova CA 95670
Washington
HEALTH NET LIFE INSURANCE COMPANY, INC. Health Net PFFS V.P., Operations
White, Pharm. D. Virginia E
1-916-463-9603
1-916-463-8056
10540 White Rock Rd., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Washington
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
WashingtonHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
WashingtonHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
WashingtonKAISER FOUNDATION HP OF THE N W
Kaiser Foundation Health Plan of the NW Local CCP
Pharmacy Benefit Manager Logan Steve
1-503-261-7980
5725 NE 138th Ave Portland OR 97230
WashingtonKAISER FOUNDATION HP OF THE N W
Kaiser Foundation Health Plan of the NW Local CCP
Pharmacy Benefit Manager Logan Steve
1-503-261-7980
5725 NE 138th Ave Portland OR 97230
Washington
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Washington
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Washington
MOLINA HEALTHCARE OF WASHINGTON, INC.
Molina Healthcare of Washington, Inc. Local CCP
Director, Pharmacy Johnson Beth
1-801-858-0466
1-801-748-0536
7050 South UnionPark Center Midvale UT 84047
2008 MTMP Contacts, Updated 0613/08 115
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
WashingtonODS HEALTH PLAN, INC. ODS Health Plan, Inc. PDP
Medicare Coordinator
Siegfried-Roads Carey A
1-503-265-4719
1-503-265-4790
601 S.W. Second Avenue Portland OR 97204
WashingtonPACIFICARE OF WASHINGTON, INC.
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Washington
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
WashingtonPROVIDENCE HEALTH PLAN Providence Health Plan Local CCP
PHARMACY DIRECTOR NOONAN HELEN M
1-503-574-5708
1-503-574-8646
[email protected] PO BOX 3125 PORTLAND OR 97208
Washington
PUGET SOUND HEALTH PARTNERS, INC.
Puget Sound Health Partners Local CCP Pharmacist Low Jeff
1-801-961-6000
221 N Charles Lindbergh Dr Salt Lake City UT 84116
Washington
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
WashingtonREGENCE BLUE SHIELD OF IDAHO
Regence BlueShield Of Idaho Local CCP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
1211 West Myrtle Suite 110
PO Box 2560 Boise ID 87301
Washington
REGENCE BLUECROSS BLUESHIELD OF OR
Regence BlueCross BlueShield of Oregon Local CCP
Manager Clinical Pharmacy Leonard Ruth J
1-208-395-7732
1-208-395-7744
1211 West Myrtle Suite 210
PO Box 2560 Boise ID 87301
WashingtonREGENCE BLUESHIELD Regence BlueShield Local CCP
Clinical Pharmacist Consultant III Leonard Ruth J
1-208-395-7732
1-208-395-7744
[email protected] 1211 West Myrtle
PO Box 2560 Boise ID 97201
Washington RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Washington
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Washington
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Washington
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Washington
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Washington
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Washington
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Washington
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Washington
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 116
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Washington
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Washington
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Washington D.C. AETNA HEALTH INC. Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Washington D.C.
AETNA LIFE INSURANCE COMPANY Aetna Medicare Local CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Washington D.C.
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Washington D.C.
AETNA LIFE INSURANCE COMPANY Aetna Medicare Regional CCP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Washington D.C.
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Washington D.C.BRAVO HEALTH MID- ATLANTIC INC. Bravo Health PFFS
Vice President, Pharmacy Services Owens Heather
1-410-864-4583
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
Washington D.C.BRAVO HEALTH MID- ATLANTIC INC. Bravo Health Local CCP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell St Baltimore MD 21224
Washington D.C.
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Washington D.C.
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Washington D.C.
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
2008 MTMP Contacts, Updated 0613/08 117
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Washington D.C.DAVITA VILLAGEHEALTH, INC.
DaVita VillageHealth of DC, Inc. Local CCP
Director of Clinical Pharmacy Manley Harold
1-518-932-4416
[email protected] 16 Vagele Lane Glenmont NY 12077
Washington D.C.
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Washington D.C. FIRST CARE, INC.Medi-CareFirst BlueCross BlueShield PDP
Director, Pharmacy Management Wong Winston
1-410-528-7897
1501 S. Clinton St 8th Floor Baltimore MD 21224
Washington D.C.
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Washington D.C.
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Washington D.C.
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
Washington D.C.HUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Washington D.C.
KAISER FNDN HP OF THE MID-ATLANTIC STS
Kaiser Permanente Medicare Plus 1876 Cost Pharmacy Director Downard Susan
1-301-816-6835
2101 East Jefferson St Rockville MD 20852
Washington D.C.
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Washington D.C.
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Washington D.C.
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Washington D.C. RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Washington D.C.
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
Washington D.C.
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Washington D.C.
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Washington D.C.
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
Washington D.C.
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Washington D.C.
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Washington D.C.
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
2008 MTMP Contacts, Updated 0613/08 118
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Washington D.C.
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington D.C.
UNITED HEALTHCARE INSURANCE COMPANY
Evercare® Health Plans Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington D.C.
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington D.C.
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington D.C.
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Washington D.C.
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Washington D.C.
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
West Virginia
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
West Virginia
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
West Virginia
AMERICAN PROGRESSIVE LIFE/HLTH INS. Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
West VirginiaAVALON INSURANCE COMPANY
Avalon Insurance Company PDP
Pharmacy Manager Frost Lisa
1-717-703-8466
2500 Elmerton Avenue Harrisburg PA 17177
West Virginia
BRAVO HEALTH INSURANCE COMPANY, INC. Bravo Health PDP
Clinical Pharmacist Owens Heather
1-800-625-9432
1-866-464-0709
3601 O'Donnell Street Baltimore MD 21224
West Virginia
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
West Virginia
COVENTRY HEALTH AND LIFE INS. COMPANY Carelink Advantra PPO Local CCP
Director Pharmacy Operations Williams Roger L
1-801-954-3043
2650 S. Decker Ln. Salt Lake City UT 84119
West Virginia
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
West Virginia
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
West Virginia
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
2008 MTMP Contacts, Updated 0613/08 119
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
West Virginia
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
West Virginia
GEISINGER INDEMNITY INSURANCE COMPANY Geisinger Gold PDP
Clinical Pharmacist Collins Vanessa L
1-570-214-9606
1-570-214-6768
100 North Academy Avenue Danville PA 17822
West Virginia
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
West Virginia
HEALTH PLAN OF THE UPPER OHIO VALLEY The Health Plan Local CCP
Director Pharmacy Services Neal Steve
1-740-695-7638
1-740-695-7925
[email protected] The Health Plan
52160 National Road East St. Clairsville OH 43950
West Virginia
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
West Virginia
HIGHMARK HEALTH INSURANCE COMPANY
Highmark Health Insurance Company Local CCP
Manager -- Clinical Services Culley Eric
1-412-544-4005
1-412-544-7546
120 Fifth Avenue Place Suite 1812 Pittsburgh PA 15222
West VirginiaHIGHMARK SENIOR RESOURCES INC.
Highmark Senior Resources Inc. PDP
Manager, Clinical Pharmacy Services Culley Eric
1-412-544-4005
1-412-544-4092
120 Fifth Avenue Ste. 1812 Pittsburgh PA 15222
West Virginia
HM HEALTH INSURANCE COMPANY
Highmark Health Insurance Company PFFS
Manager, Clinical Pharmacy Services Culley Eric
1-412-544-4005
1-412-544-4092
120 Fifth Avenue, Ste. 1812 Pittsburgh PA 15222
West VirginiaHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
West VirginiaHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
West VirginiaHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
West Virginia
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
West Virginia
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
West Virginia
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
West Virginia
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
West Virginia
QCC INS CO D/B/A AMERIHEALTH INS CO
AmeriHealth Advantage PDP
Supervisor, Pharmacy DUR/MTM Lawson Mark
1-215-937-5352
200 Stevens Drive 4th Floor Philadelphia PA 19113
West Virginia
QCC INS CO D/B/A AMERIHEALTH INS CO AmeriHealth Rx PDP
Senior Clinical Pharmacist DaCosta Maribel
1-215-241-7928
1901 Market Street 22nd Floor Philadelphia PA 19103
West Virginia RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
2008 MTMP Contacts, Updated 0613/08 120
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
West Virginia
SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. SierraRx PDP
Director, Pharmacy Services Evans, M.D. Steven
1-702-877-8377
2716 N. Tenaya Way Las Vegas NV 89128
West Virginia
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
West Virginia
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
West Virginia
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
West VirginiaTHP INSURANCE COMPANY
Health Plan SecureChoice Local CCP
Director Pharmacy Services Neal Steve
1-740-695-7638
1-740-695-7925
[email protected] The Health Plan
52160 National Road East St. Clairsville OH 43950
West VirginiaTHP INSURANCE COMPANY
Health Plan SecureFreedom PFFS
Director Pharmacy Services Neal Steve
1-740-695-7638
1-740-695-7925
[email protected] The Health Plan
52160 National Road East St. Clairsville OH 43950
West Virginia
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
West Virginia
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
West Virginia
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
West Virginia
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
West Virginia
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
West Virginia
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
West VirginiaUPMC HEALTH BENEFITS, INC UPMC Health Plan PDP
Manager, Medicare Operations Cain John
1-412-454-5539
1-412-454-7711 [email protected]
112 Washington Place Suite 800 Pittsburgh PA 15219
West Virginia
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
West Virginia
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
WisconsinABRI HEALTH PLAN, INC Today's Health Local CCP
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Wisconsin
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Wisconsin
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
2008 MTMP Contacts, Updated 0613/08 121
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
WisconsinANTHEM INSURANCE COMPANIES, INC.
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
WisconsinANTHEM INSURANCE COMPANIES, INC.
Anthem Insurance Companies, Inc. PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
WisconsinANTHEM INSURANCE COMPANIES, INC. Blue MedicareRx PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mailstop OH2104-A844 Mason OH 45040
WisconsinCARE WISCONSIN HEALTH PLAN, INC.
Care Wisconsin Health Plan, Inc. Local CCP Pharmacist Hetzel Jean
1-608-245-3037
1-608-245-3077
2802 InternationalLane Madison WI 53704
WisconsinCARE WISCONSIN HEALTH PLAN, INC.
Care Wisconsin Health Plan, Inc. Local CCP Pharmacist Hetzel Jean
1-608-245-3037
1-608-245-3077
2802 InternationalLane Madison WI 53704
Wisconsin
CHESAPEAKE LIFE INSURANCE COMPANY
HealthMarkets Care Assured PFFS
Director of Pharmacy Schaffer Mike
1-215-988-6835
1-215-557-7437
One Commerce Square, Suite 3110
2005 Market Street Philadelphia PA 19103
WisconsinCOMMUNITY CARE HEALTH PLAN, INC Community Care Local CCP
Clinical Pharmacist Supervisor Mueller Richard J
1-414-902-2397
1-414-274-8490
1555 S. Layton Blvd. Milwaukee WI 53215
WisconsinCOMMUNITY CARE HEALTH PLAN, INC. Community Care Local CCP
Clinical Pharmacist SUpervisor Mueller Richard
1-414-902-2397
1555 S. Layton Blvd Milwaukee WI 53215
Wisconsin
COMPCARE HEALTH SERVICES INSURANCE CORPORATION
Anthem Blue Cross and Blue Shield Local CCP
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Wisconsin
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Wisconsin
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Wisconsin
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
WisconsinDEAN HEALTH INSURANCE, INC.
Dean Health Insurance,Inc. PDP Staresnic Anthony
1-608-827-7513
999 Fourier Drive, Suite 301 Madison WI 53717
Wisconsin
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Wisconsin
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Wisconsin
GUNDERSEN LUTHERAN HEALTH PLAN
Gundersen Lutheran Health Plan, Inc. Local CCP Pharmacy Director Schuth Grant C
1-608-775-8059 58059
1-608-775-8790
1900 South Avenue
Mail Stop NCA2-01 La Crosse WI 54601
Wisconsin
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Wisconsin
HEALTHPARTNERS INSURANCE COMPANY
HealthPartners Liberty Medicare PFFS
Director Pharmacy Services Cooper Susan
1-952-967-5818
8170 33rd Avenue South
PO Box 1309 Minneapolis MN 55440
Wisconsin
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
2008 MTMP Contacts, Updated 0613/08 122
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
WisconsinHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
WisconsinHUMANA INSURANCE COMPANY
Humana Insurance Company Local CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
WisconsinHUMANA INSURANCE COMPANY
Humana Insurance Company Regional CCP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
WisconsinHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
WisconsinINDEPENDENT CARE HEALTH PLAN, INC. iCare Local CCP Tirado Breanne
1-414-231-1087
1-414-231-1075
1555 N Rivercenter Drive Suite 202A Milwaukee WI 53212
Wisconsin
MANAGED HEALTH SERVICES, WISCONSIN
Advantage by Managed Health Services Local CCP
VP Pharmacy Operations Health Plans Pica Mike
1-732-476-1047
1-732-549-5824
499 Thornall Street, 4th floor Edison NJ 8837
Wisconsin
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Wisconsin
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Wisconsin
MEDICA HEALTH PLAN S OF WISCONSIN
Medica Health Plans of Wisconsin PFFS Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
WisconsinMEDICA INSURANCE COMPANY
Medica Insurance Company 1876 Cost Weiss Justin
1-952-992-2469
401 Carlson Parkway Minnetonka MN 55305
Wisconsin
NETWORK HEALTH INSURANCE CORPORATION
Network Platinum Medicare Products Local CCP
Director Pharmaceutical Benefits Rynearson Chuck
1-920-720-1603
1-920-720-1906
1570 Midway Place PO Box 120 Menasha WI 54952
WisconsinPARTNERSHIP HEALTH PLAN, INC.
Community Health Partnership Local CCP Pharmacist Maslonkowski Chris
1-715-858-7008
2240 EastRidge Center Eau Claire WI 54701
Wisconsin
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Wisconsin
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
Wisconsin
PYRAMID LIFE INSURANCE COMPANY Today's Options PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Wisconsin RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Wisconsin
SECURITY HEALTH PLAN OF WISCONSIN, INC
Security Health Plan Of Wisconsin, Inc Local CCP
Clinical Pharmacy Specialist Proudfit Jennifer
1-715-221-9920
1-715-221-9989
1515 Saint Joseph Avenue Marshfield WI 54449
Wisconsin
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Wisconsin
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Wisconsin
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
2008 MTMP Contacts, Updated 0613/08 123
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
WisconsinUCARE WISCONSIN INSURANCE UCare Local CCP Medical Director Christianson Craig
1-612-676-3375
1-612-676-6501
[email protected] PO Box 52 Minneapolis MN 55440
Wisconsin
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Wisconsin
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Wisconsin
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Wisconsin
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Wisconsin
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Wisconsin
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Wisconsin
UNITED HEALTHCARE OF WISCONSIN, INC
SecureHorizons by UnitedHealthcare Local CCP Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
WisconsinUNITEDHEALTHCARE OF WISCONSIN
UnitedHealthcare of WI/Personal Care Plus Local CCP
Pharmacy Manager Cormier Leah
1-713-599-5773
2000 West Loop South, Suite 800 Houston TX 77027
Wisconsin
WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Wisconsin
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
Wisconsin
WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION WPS Health Insurance PDP
Director Pharmacy Benefits Armstrong David
1-608-226-7883
1717 West Broadway
PO Box 8190 Madison WI 53708
Wyoming
AETNA LIFE INSURANCE COMPANY Aetna Medicare PFFS
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Wyoming
AETNA LIFE INSURANCE COMPANY Aetna Medicare PDP
Director, Medicare Clinical Pharmacy Programs Stern Jody L
1-386-963-2543
1-860-754-1481
[email protected] 5350 148th Place Wellborn FL 32094
Wyoming
ALTIUS HEALTH PLANS, INC. (WYOMING) Altius Advantra Local CCP
Director, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Wyoming
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue PPO Regional CCP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross and Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
Wyoming
BLUE CROSS BLUE SHIELD NORTHERN PLAINS ALLIANCE MedicareBlue Rx PDP
Director of Pharmacy Heaton Alan
1-651-662-8758
1-651-662-6009
Blue Cross Blue Shield of Minnesota
3400 Yankee Drive Eagan MN 55122
2008 MTMP Contacts, Updated 0613/08 124
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Wyoming
CONNECTICUT GENERAL LIFE INSURANCE COMPANY CIGNA Medicare Rx PDP Zheng Yi
1-860-226-6731
900 Cottage Grove Road B5PHR Bloomfield CT 6002
Wyoming
COVENTRY HEALTH AND LIFE INSURANCE COMPANY Advantra® Freedom PFFS
Director, Phamacy Operations Williams Roger
1-801-954-3043
Coventry Health Care, Inc.
2650 S Decker Lane Salt Lake City UT 84119
Wyoming
ENVISION INSURANCE COMPANY EnvisionRx Plus PDP
Vice President Pharmacy Peterson Amanda
1-330-405-8080 6320
1-330-405-8081
2181 E Aurora Road Twinsburg OH 44087
Wyoming
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY Coventry AdvantraRx PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
Wyoming
FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY First Health Part D PDP
Dir, Pharmacy Ops Williams Roger L
1-801-954-3043
2650 S Decker Ln Salt Lake City UT 84119
WyomingFOX INSURANCE COMPANY
Fox Insurance Company PDP
Clinical Pharmacist Verma Saurabh
1-646-340-1016
1-866-369-7978
40 West 25th Street 6th Floor New York NY 10010
Wyoming
HEALTH NET LIFE INS CO/HEALTH NET INS OF NY Health Net PDP
Director, Clinical Pharmacy Services
Misquitta, Pharm. D. Cathrine V
1-916-463-9603
1-916-463-9750
10540 White Rock Rd.., Ste. 280
Mail Stop: CA-175-02-02 Rancho Cordova CA 95670
Wyoming
HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC.
HealthSpring Prescription Drug Plan PDP
Director, Government Programs Christopher Kelly
1-615-565-8110
1-615-234-2154
601 Mainstream Drive Nashville TN 37228
WyomingHUMANA INSURANCE COMPANY
Humana Insurance Company PFFS Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
WyomingHUMANA INSURANCE COMPANY
Humana Insurance Company PDP Ewing Joy
1-502-580-3538
500 West Main Street Louisville KY 40202
Wyoming
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Today's Options Powered by CCRx PFFS
Clinical Pharmacist Roper Lisa
1-405-230-8766 [email protected]
4888 Loop Central Suite 800 Houston TX 77042
Wyoming
MEDCO CONTAINMENT LIFE INSURANCE COMPANY
Medco Medicare Prescription Plan PDP
Chief Medical Officer Eisenberg, MD Edward
1-201-269-6717
1-201-269-1008
100 Parsons Pond Drive E2-7 Franklin Lakes NJ 7417
Wyoming
PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO MEMBERHEALTH PDP
VP Clinical Operations Rajan Samuel
1-440-248-8448 135
1-440-248-1729
29100 Aurora Rd., Ste. 301 Solon OH 44139
Wyoming
PENNSYLVANIA LIFE INSURANCE COMPANY
Pennsylvania Life Insurance Company PDP
Medicare Clinical Pharmacist Brown Nancy J
1-401-333-3987 7941
1-800-373-0238
695 George Washington Highway Lincoln RI 2865
WyomingROCKY MOUNTAIN HEALTH PLANS
Rocky Mountain Health Plans 1876 Cost Pharmacy Director Nolan Steve
1-970-244-7760 5182
[email protected] PO Box 10600 Grand Junction CO 81502
Wyoming RXAMERICA, LLC RxAmerica PDP
Director of Medicare Operations Low Jeff
1-801-961-6251
1-801-961-6313
221 N. Charles Lindbergh Dr. SLC UT 84116
Wyoming
SILVERSCRIPT INSURANCE COMPANY
SilverScript Insurance Company PDP Help Desk MTM
1-866-443-0934
9501 E. Shea Blvd Scottsdale AZ 85260
Wyoming
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PFFS
V.P. Compliance & Regulatory Affairs Bodway Craig
1-360-647-9080 29098
1-360-647-8632
2219 Rimland Drive
PO Box 5348 Bellingham WA 98227
Wyoming
STERLING LIFE INSURANCE COMPANY
Sterling Life Insurance Company PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
2008 MTMP Contacts, Updated 0613/08 125
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
Wyoming
UNICARE LIFE AND HEALTH INS. COMPANY
Unicare Life & Health Ins. Company PFFS
Clinical Pharmacist Hettich Lisa
1-765-526-2515
8407 Fallbrook Avenue West Hills CA 91304
Wyoming
UNICARE LIFE AND HEALTH INSURANCE COMPANY UniCare PDP
Pharmacist Clinical Hettich Lisa
1-765-526-2515
[email protected] 8990 Duke Drive
Mail Stop OH2104-A844 Mason OH 45040
Wyoming
UNITED AMERICAN INSURANCE COMPANY
United American Insurance Company PDP
Vice President and Health Actuary Hendee Peter G
1-972-569-3646
1-972-569-3679
3700 S. Stonebridge Drive McKinney TX 75070
Wyoming
UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Wyoming
UNITED HEALTHCARE INSURANCE COMPANY
SecureHorizons MedicareDirect PFFS Solutions RX
1-949-221-9994
1-949-747-4237
[email protected] 2300 Main Street Irvine CA 92614
Wyoming
UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Solutions Rx
1-949-252-4339
1-949-474-4237
[email protected] 2300 Main Street Irvine CA 92614
Wyoming
WELLCARE HEALTH INSURANCE OF ARIZONA, INC. WellCare PFFS
Manager, Medication Therapy Management Rackley Qiana
1-813-290-6200 6620
8735 Henderson Rd Tampa FL 33634
Wyoming
WELLCARE PRESCRIPTION INSURANCE, INC. WellCare PDP
Senior Director, Specialty Pharmacy Lannigan Jeff
1-813-290-6200 5119
8735 Henderson Road Tampa FL 33634
ASOCIACION DE MAESTROS DE PUERTO RICO
Employer/Union Only Direct Contract PFFS Sandoval Alma
1-469-524-5801
1-480-661-2771
750 West John Carpenter Freeway Ste. 500 Irving TX 75039
C AND O EMPLOYEES HOSPITAL ASSOCIATION
Employer/Union Only Direct Contract PDP Marks Iny
1-516-605-6966
1-412-322-2066
600 Waterfront Drive Suite 225 Pittsburgh PA 15222
CARPENTER'S HEALTH AND WELFARE TRUST FUND OF STL
Employer/Union Only Direct Contract PDP
Medicare D Coordinator Sickemier Carol
1-314-644-7226
1-314-644-0200 [email protected]
1419 Hampton Avenue St Louis MO 63139
CDPHP UNIVERSAL BENEFITS, INC. PDP
Academic Intervention Pharmacist Winn Sue
1-518-641-3225
1-518-641-3208
500 Patroon Creek Blvd Albany NY 12206
EXPRESS SCRIPTS INSURANCE CO. PDP Hirsch Jeff
1-314-810-6102
One Express Way St. Louis MO 63121
GROUP HOSPITALIZATION AND MEDICAL SERVICES, INC. PFFS
Director, Pharmacy Management Wong Winston
1-410-528-7897
1501 S. Clinton St 8th Floor Baltimore MD 21224
HAWAII MEDICAL SERVICES ASSOCIATION PDP
Clinical Pharmacist Nishimura Rachel
1-808-948-6808
1-808-948-5510
[email protected] 5 - PBM
818 Keeaumoku St Honolulu HI 96814
HEALTH ALLIANCE MEDICAL PLANS PFFS
Director of Pharmacy Barrington Christina
1-800-851-3379 8078
1-217-255-4598
[email protected] 301 S. Vine St. Urbana IL 61801
HORIZON BLUE CROSS BLUE SHIELD OF NJ PFFS
Director, Clinical Programs Jan Saira
1-973-466-4575
3 Penn Plaza East - PP 13Q Newark NJ 7105
IBT VOLUNTARY EMPLOYEE BENEFITSTRUST
Employer/Union Only Direct Contract PDP Andrews Sheela
1-949-475-3302
1-949-474-4268
[email protected] 2300 Main St
MS CA 134-1000 Irvine CA 92614
2008 MTMP Contacts, Updated 0613/08 126
STATE LEGAL ENTITY NAME ORGANIZATION
NAMEORGANIZATION DESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE
PHONE EXT FAX EMAIL
STREET ADDRESS
STREET ADDRESS
2 CITY STATE ZIP
MO DOT AND MSHP MEDICAL AND LIFE INS PLAN
Employer/Union Only Direct Contract PDP Anderson Brian
1-636-614-1344
1061 Peruque Crossing Ct. Ofallon MO 63366
NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION
Employer/Union Only Direct Contract PDP Moyna Audrey
1-847-559-3999
1-847-559-4733
2211 Sanders Road Northbrook IL 60062
NMHC GROUP SOLUTION INSURANCE, INC. PDP
DIRECTOR, CLINICAL MEDICARE SERVICES MARKS INY R
1-516-605-6966
1-412-322-2066
600 WATERFRONT DR. STE 225 PITTSBURGH PA 15222
OKLAHOMA STATE AND EDUCATION EMP GRP INS BOARD
Employer/Union Only Direct Contract PDP Hamer Marti
1-405-717-8842
1-405-717-8965
3545 NW 58th Street, Suite 110 Oklahoma City OK 73112
PSERS HOP PROGRAM
Employer/Union Only Direct Contract PDP Anderson Brian
1-636-614-1344
1061 Peruque Crossing Ct Ofallon MO 63366
QCC INS CO D/B/A AMERIHEALTH INS CO PDP
Senior Clinical Pharmacist DaCosta Maribel
1-215-241-7928
1901 Market Street 22nd Fl. Philadelphia PA 19103
ROCHESTER AREA HEALTH MAINTENANCE ORGANIZATION PFFS
Clinical Pharmacy Coordinator Colin Wendy
1-585-327-2577
[email protected] 259 Monroe Ave Rochester NY 14607
THE PORT OF AUTHORITY OF NEW YORK AND NEW JERSEY
Employer/Union Only Direct Contract PDP
Senior Account Director Cromer Keith
1-973-503-1039
1-973-560-5610
711 Ridgedale Avenue East Hanover NJ 7936
UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS
Employer/Union Only Direct Contract PDP
Director of Pharmacy Services Johnson Ben R
1-801-595-4364
1-801-595-2064
[email protected] PO Box 161020
1040 North 2200 West Suite 200 Salt Lake City UT 84116
Direct employer contracts and “800-series only” contracts that only offer employer plans may cover retirees in any state. Therefore, this list does not associate a specific state with these organizations and their respective MTMP contact. The state field has been left blank.
2008 MTMP Contacts, Updated 0613/08 127