Please
see the attached communication for Brand over Generic for Gleevec. Below the
following BIN/PCN combinations have the BoG implemented.
|
NAME
|
BIN
|
PCN
|
GRP
|
|
TRANSAMERICA MEDICARE RX (Basic)
|
015574
|
ASPROD1
|
MGI01
|
|
COMMUNITY HEALTH GROUP
|
015574
|
ASPROD1
|
CHG06
|
|
CENTERS PLAN FOR HEALTHY LIVING
|
015574
|
ASPROD1
|
CPL02
|
|
INDEPENDENCE CARE SYSTEM (ICS)
|
015574
|
ASPROD1
|
ICS01
|
|
SANTA CLARA
|
015574
|
ASPROD1
|
SAC06
|
|
VILLAGECARE MAX
|
015574
|
ASPROD1
|
VCM01
|
|
VISITING NURSE SERVICE OF NEW
YORK
|
015574
|
ASPROD1
|
VNS02
|
|
MEDICA HEALTH PLAN
|
015574
|
ASPROD1
|
MHP05
|
|
ATRIO HEALTH PLAN
|
015574
|
ASPROD1
|
ATR01
|
|
INDEPENDENT CARE HEALTH PLAN
|
015574
|
ASPROD1
|
ICW02
|
|
CENTERS PLAN FOR HEALTHY LIVING
|
015574
|
ASPROD1
|
CPL01
|
|
AIDS HEALTHCARE FOUNDATION
|
015574
|
ASPROD1
|
AHF01, AHF02
|
|
PROMINENCE HEALTH
|
015574
|
ASPROD1
|
PRO
|
|
SOUNDPATH HEALTH
|
015574
|
ASPROD1
|
PSH01
|
|
DENVER HEALTH MEDICAL PLAN
|
015574
|
ASPROD1
|
DHM01
|
|
MODA HEALTH PLAN
|
015574
|
ASPROD1
|
ODS16
|
|
STONEBRIDGE LIFE INSURANCE
COMPANY
|
015574
|
ASPROD1
|
MGR01
|
|
HEALTHPLUS OF MICHIGAN
|
015574
|
ASPROD1
|
HMP02
|
|
BRAND NEW DAY
|
015574
|
ASPROD1
|
UNV03
|
|
ACCESS MEDICARE OF NY
|
015574
|
ASPROD1
|
ACM01
|
|
FIRST CAROLINA CARE INSURANCE CO
|
015574
|
ASPROD1
|
CAC04
|
|
SHARP HEALTH PLAN
|
015574
|
ASPROD1
|
SHP05, SHP06
|
|
MEDICA HEALTH PLAN
|
015574
|
ASPROD1
|
MHP04
|
|
VISITING NURSE SERVICE OF NEW
YORK
|
015574
|
ASPROD1
|
VNS01
|
|
MID ROGUE IPA
|
015574
|
ASPROD1
|
MRI03
|
|
SUMMACARE
|
015574
|
ASPROD1
|
SUM03
|
|
CARE1ST
|
015574
|
ASPROD1
|
CARE2, CARE4, CARE5
|
|
MEDICA HEALTH PLAN
|
003585
|
99500
|
n/a
|
MedImpact Healthcare Systems, Inc.
Pharmacy Help Desk: 800-788-2949
