Aetna Better Health of Kansas (CVS- PBM) | N/A | 610591 | ADV | RX8849 |
Other Primary- Medicare Part D | Aetna Better Health of Kansas | 012114 | COBADV | RX8849 |
Other Primary- Commercial Plan | Aetna Better Health of Kansas | 013089 | COMSEGADV | RX8849 |
Sunflower Health Plan (Envolve/CVS - PBM) | N/A | 004336 | N/A | RX5457 |
Other Primary - Medicare Part D | Sunflower Health Plan | 012114 | N/A | RX5457 |
Other Primary - Commercial Plan | Sunflower Health Plan | 013089 | N/A | RX5457 |
United Healthcare of the Midwest (Optum Rx - PBM) | N/A | 610494 | 9999 | ACUKS |
United Healthcare of the Midwest (Optum Rx - PBM) | United Healthcare of the Midwest | 610097 | 9999 | MPDCSKS |
Other Primary - Medicare Part D | United Healthcare of the Midwest | 610494 | 4848 | ACUKS |
Other Primary - Commercial Plan | United Healthcare of the Midwest | 610494 | 9999 | ACUKS |