Aetna Better Health of Kansas (CVS - PBM) | N/A | 610591 | N/A | RX8849 |
Other Primary - Medicare Part D | Aetna Better Health of Kansas | 012114 | N/A | RX8849 |
Other Primary - Commercial Plan | Aetna Better Health of Kansas | 013089 | N/A | 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 Community Plan of Kansas (Optum Rx - PBM) | N/A | 610494 | 9999 | ACUKS |
Other Primary - Medicare Part D | United Healthcare Community Plan of Kansas | 610494 | 4848 | ACUKS |
Other Primary - Commercial Plan | United Healthcare Community Plan of Kansas | 610494 | 9999 | ACUKS |
Other Primary - Dual Complete (H5322-029) | United Healthcare Community Plan of Kansas | 610097 | 9999 | MPDCSKS |