Important Pharmacy Benefit Manager Change, Effective January 1, 2024
Date: 11/10/23
We are pleased to announce that, effective January 1, 2024, Express Scripts® will begin processing pharmacy claims for our plan members for KanCare (Medicaid), Wellcare (Medicare) and Ambetter (Marketplace).
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.
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.
Below are the important changes to the pharmacy processing information that are reflected on the new member ID cards. Please note, member ID numbers will remain the same.
| Plan Name | BIN | PCN | Group | Express Scripts Help Desk |
|---|---|---|---|---|
| Sunflower KanCare | 003858 | MA | 2ELA | 1-877-644-4623 |
| Ambetter | 003858 | A4 | 2CYA | 1-833-750-2290 |
| Wellcare DlAcc Open PPO DSNP | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Wellcare Dual Access HMO D-SNP | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Wellcare Dual Liberty HMO DSNP | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Wellcare Patriot Gb Open PPO | 610014 | MAC | 2FHU | 1-833-750-0202 |
| Ascension Via Christi Access PPO | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Wellcare Assist (HMO) | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Wellcare Giveback HMO | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Wellcare No Premium HMO | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Wellcare No Premium Open PPO | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Ascension Via Christi Secure HMO | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Ascension Via Christi AccPlus PPO | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
| Ascension Via Christi Reward II HMO | 610014 | MEDDPRIME | 2FFA | 1-833-750-0202 |
Providers can direct members to call the Customer Service phone number listed on their ID card should they have questions about this change.
Please view the Transition FAQs or contact your Provider Relations Representative with any additional questions.
Thank you for the care you provide to our members.