New Pharmacy Benefit Management Company Starting 2024

Date: 12/18/23

We are pleased to announce effective January 1, 2024, Express Scripts® will begin processing pharmacy claims for our plan members.

Express Scripts is a pharmacy benefit management (PBM) company serving more than 100 million Americans. Express Scripts Pharmacy delivers specialized care that puts patients first through a smarter approach to pharmacy services.

Prior to January 1, 2024, continue to submit claims using the CVS/Caremark platform:

RxBIN: 004336

RxPCN: MCAIDADV

RxGroup: Rx5477

Effective January 1, 2024, pharmacists should plan to use the following processing information to submit claims:

RxBIN: 003858

RxPCN: MA

RxGroup: 2EGA

Members have been notified in advance and will receive a new ID card with updated pharmacy information, so that they are prepared to begin having their prescriptions filled at participating network pharmacies when this change occurs.

Providers can direct members to call the Member Services phone number listed on their ID card should they have questions about
this change.

For questions or concerns, contact your Provider Relations Specialist or call Provider Services at 1-833-404-1061.

Thank you for your partnership in serving Iowa Total Care members.