Important: New Pharmacy Vendors Effective 10-1-2014
Elixir- Pharmacy Benefit Manager
Main Customer Service Phone Number: 1-844-222-5584
Main Prior Authorization Fax Number: 1-877-503-7231
Website: www.envisionrx.com
Pharmacy Billing Information:
|
Line(s) of Business |
BIN |
PCN |
|
Commercial/Exchange |
009893 |
ROIRX |
|
Medicaid/Healthy MI |
610342 |
ROIRX |
Orchard Pharmaceutical Services – Mail Order Vendor thru Elixir– (Commercial Only)
Main Customer Service Phone Number: 1-866-909-5170
Provider Fax Number: 1-866-909-5171
Website: www.orchardrx.com
Diplomat Specialty Pharmacy – Specialty Medication Provider
Main Customer Service Phone Number: 1-877-977-9118
Provider Fax Number: 1-800-550-6272
Website: www.diplomat.is
J&B Medical Supply – Diabetic Supply Provider
Main Customer Service Phone Number: 1-844-236-7933
Provider Fax Number: 1-800-737-0012
Website: www.jandbmedical.com
