Director, Medicare Clinical Pharmacy Programs Stern Jody L

(1)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Alabama

ADVANCE/WELLCA RE PFFS

INSURANCE, INC. WellCare PFFS

Director Medication

Therapy

Management Delancy Lisa

1-813-290-6200 3768 lisa.delancy@we llcare.com 8735 Henderson Rd Tampa FL 33634 Alabama AETNA LIFE INSURANCE

COMPANY Aetna Medicare PDP

Director, Medicare Clinical

Pharmacy

Programs Stern Jody L

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Alabama AETNA LIFE INSURANCE

COMPANY Aetna Medicare PFFS

Pharmacy

1-386-963-2453 1-386-963-2454 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Alabama BCBS OF ALABAMA AND BCBS OF TENNESSEE

Blue Cross and Blue Shield of Alabama PDP

Clinical

Pharmacy Admin Barry Lesley

1-334-213-6653

lbarry@bcbsal.o rg

450 Riverchase

Parkway East Birmingham AL 35244

Alabama

BLUE CROSS AND BLUE SHIELD OF

ALABAMA

Blue Cross Blue

Shield of Alabama Local CCP

Clinical

Pharmacy Admin Barry Lesley

1-334-213-6653 lbarry@bcbsal.o rg 4465 Park Boulevard Montgomery AL 36116-1626 Alabama CONNECTICUT GENERAL LIFE INSURANCE

COMPANY CIGNATURE Rx PDP Zheng Yi

1-860-226-6731

yi.zheng@cigna. com

900 Cottage

Grove Road S-323 Bloomfield CT 06002

Alabama

COVENTRY HEALTH AND LIFE INSURANCE

COMPANY Advantra® Freedom PFFS Stephens Debbie

1-804-965-7658 dbstephens@fhs c.com Coventry Health Care, Inc 4300 Cox

Road Glen Allen VA 23060

Alabama

COVENTRY HEALTH AND LIFE INSURANCE

COMPANY Coventry AdvantraRx PDP

Director, Quality

Improvement Stephens Debbie

1-804-965-7658

DBStephens@fh

sc.com 4300 Cox Road Glen Allen VA 23060

Alabama

ENVISION INSURANCE

COMPANY EnvisionRx Plus PDP

Pharmacy

Director Peterson Amanda

1-330-405-8080 263 1-330-405-8081 apeterson@rxop tions.net 2181 E Aurora Rd Suite 201 Twinsburg OH 44087 Alabama EXPRESS SCRIPTS

INSURANCE CO. SAMAscript PDP Kleiss John

1-800-332-5455 jkleiss@express-scripts.com 13900 Riverport Drive Maryland Heights MO 63043 Alabama

FIRST HEALTH LIFE AND HEALTH

INSURANCE

COMPANY First Health Part D PDP

Director, Quality

1-804-965-7658

DBStephens@fh

Alabama

HEALTH NET LIFE INS CO/HEALTH

NET INS OF NY Health Net PDP

Senior Vice President, Operations White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-9750 virginia.e.white @healthnet.com 10540 White Rock Rd.., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Alabama HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC. HealthSpring Prescription Drug Plan PDP Project Manager, Government

Programs Christopher Kelly

1-615-291-7000 2718 1-615-291-7011 KellyC@myhealt hspring.com 44 Vantage

Way Suite 300 Nashville TN 37228

Alabama

HEALTHSPRING OF ALABAMA, INC.

Healthspring of

Alabama, Inc. Local CCP

Project Manager, Government

Alabama

HUMANA INSURANCE

COMPANY

Humana Insurance

Company Regional CCP Chavala Susmita

1-212-427-7527

schavala@huma na.com

175 East 96th

Street Apt 16B New York City NY 10128

Alabama

HUMANA INSURANCE

COMPANY

Humana Insurance

Company PFFS Chavala Susmita

1-212-427-7527

175 East 96th

(2)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP Alabama HUMANA INSURANCE COMPANY Humana Insurance

Company PDP Chavala Susmita

1-212-427-7527

175 East 96th

Street, Apt 16B New York City NY 10128

Alabama

MEDCO CONTAINMENT LIFE

INSURANCE

COMPANY Medco YOURx PLAN PDP

Chief Medical Officer Eisenberg, MD Edward 1-201-269-6717 1-201-269-1008 woody_eisenber g@medco.com 100 Parsons

Pond Drive E2-7 Franklin Lakes NJ 07417 Alabama

MEMBERHEALTH,

INC. MEMBERHEALTH PDP

VP Clinical

Operations Rajan Samuel

1-440-248-8448 135 1-440-248-1729 srajan@mhrx.co m 29100 Aurora Rd., Ste. 301 Solon OH 44139 Alabama NMHC GROUP SOLUTION INSURANCE, INC. NMHC Group Solutions PDP Director, Clinical Medicare

Services Reis Andrew

1-516-605-6643 areis@nmhc.co m 26 Harbor Park Dr Port Washington NY 11050 Alabama PACIFICARE LIFE AND HEALTH INSURANCE COMPANY SecureHorizons MedicareDirect PFFS Vice President, Chief Medical

Officer Addiego Joseph

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Alabama PENNSYLVANIA LIFE INSURANCE COMPANY Pennsylvania Life Insurance Company PDP Medicare Clinical

Pharmacist Brown Nancy J 1-401-333-3987 7941 1-800-373-0238 njbrown@pharm acare.com 695 George Washington Highway Lincoln RI 02865

Alabama RXAMERICA, LLC RxAmerica PDP Mastin Lois

1-801-961-6014 lois.mastin@rxa merica.com 221 N. Charles Lindbergh Dr. SLC UT 84116 Alabama SIERRA HEALTH AND LIFE INSURANCE

COMPANY, INC. SierraRx PDP

Clinical Pharmacy

Manager Raymond Timothy

1-702-838-8245

traymond@sierr ahealth.com

2716 N. Tenaya

Way Las Vegas NV 89128

Alabama

SILVERSCRIPT INSURANCE

COMPANY SilverScript PDP Help Desk MTM

1-866-443-0934 MedicareSuppor tServices@care mark.com 9501 E. Shea Blvd Scottsdale AZ 85260 Alabama STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PDP VP Compliance & Regulatory

Affairs Bodway Craig A 1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Alabama

UNICARE LIFE and HEALTH INS.

COMPANY

Unicare Life & Health

Ins. Company PFFS Client Manager Drummond Michelle

1-714-637-1282 1-714-637-1209 michelle.drummo nd@wellpoint.co m 8407 Fallbrook Avenue Mail Stop

CAAF West Hills CA 91304

Alabama

UNICARE LIFE AND HEALTH INSURANCE

COMPANY Unicare PDP Client Manager Drummond Michelle

1-714-637-1282 1-714-637-1209 michelle.drummo nd@wellpoint.co m 8407 Fallbrook Ave Mail Stop

Alabama UNITED AMERICAN INSURANCE COMPANY United American Insurance Company PDP Vice President and Health

Actuary Hendee Peter G 1-972-569-3646 1-972-569-3679 phendee@torch markcorp.com 3700 S. Stonebridge Drive McKinney TX 75070 Alabama UNITED HEALTH CARE INS. CO. AND

UNITED NEW YORK UnitedHealthcare PDP

Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 Joseph.addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626 Alabama UNITED HEALTHCARE INSURANCE

COMPANY SecureHorizons Local CCP

Director - Clinical Programs and

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Alabama UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Alabama UNITED HEALTHCARE OF

ALABAMA, INC. SecureHorizons Local CCP

Director - Clinical Programs &

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343

Alabama VIVA HEALTH, INC. VIVA Medicare Plus Local CCP

Manager of Quality

Improvement Scott Jan P 1-205-930-5520 1-205-930-5597 jpscott@uabmc. edu 1222 14th

(3)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Alabama

WELLCARE PRESCRIPTION

INSURANCE, INC. WellCare PDP

Director Clinical

Pharmacy Delancey Lisa

1-813-290-6200 3768 lisadelancey@w ellcare.com 8735 Henderson

Road, Ren 2 Tampa FL 33634

Alabama

WINDSOR HEALTH

PLAN, INC Windsor Rx PDP

Pharmacy

Director King Sonya

1-615-782-7860 1-615-782-7822 sking@windsorh ealthgroup.com 7100 Commerce

Way, Ste 285 Brentwood TN 37027

Alaska

AETNA LIFE INSURANCE

Pharmacy

1-386-963-2453 1-386-963-2454 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Alaska AETNA LIFE INSURANCE

Pharmacy

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Alaska CONNECTICUT GENERAL LIFE INSURANCE

1-860-226-6731

yi.zheng@cigna. com

900 Cottage

Alaska

ENVISION INSURANCE

Pharmacy

1-330-405-8080 263 1-330-405-8081 apeterson@rxop tions.net 2181 E Aurora Rd Suite 201 Twinsburg OH 44087 Alaska EXPRESS SCRIPTS

1-800-332-5455 jkleiss@express-scripts.com 13900 Riverport Drive Maryland Heights MO 63043 Alaska

FIRST HEALTH LIFE AND HEALTH

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

Alaska

FIRST HEALTH LIFE AND HEALTH

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

Alaska

HEALTH NET LIFE INS CO/HEALTH

Senior Vice President, Operations White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-9750 virginia.e.white @healthnet.com 10540 White Rock Rd.., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Alaska HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC. HealthSpring Prescription Drug Plan PDP Project Manager, Government

Alaska

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Alaska

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Alaska

MEDCO CONTAINMENT LIFE

INSURANCE

Pond Drive E2-7 Franklin Lakes NJ 07417 Alaska

MEMBERHEALTH,

VP Clinical

1-440-248-8448 135 1-440-248-1729 srajan@mhrx.co m 29100 Aurora Rd., Ste. 301 Solon OH 44139 Alaska NMHC GROUP SOLUTION INSURANCE, INC. NMHC Group Solutions PDP Director, Clinical Medicare

1-516-605-6643 areis@nmhc.co m 26 Harbor Park Dr Port Washington NY 11050 Alaska PACIFICARE LIFE AND HEALTH INSURANCE COMPANY SecureHorizons MedicareDirect PFFS Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626

Alaska RXAMERICA, LLC RxAmerica PDP Mastin Lois

1-801-961-6014 lois.mastin@rxa merica.com 221 N. Charles Lindbergh Dr. SLC UT 84116

(4)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Alaska

SILVERSCRIPT INSURANCE

1-866-443-0934 MedicareSuppor tServices@care mark.com 9501 E. Shea Blvd Scottsdale AZ 85260 Alaska STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PDP VP Compliance & Regulatory

Affairs Bodway Craig A 1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Alaska STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PFFS V.P. Compliance & Regulatory

Affairs Bodway Craig

1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Alaska

COMPANY

Alaska

Alaska UNITED AMERICAN INSURANCE COMPANY United American Insurance Company PDP Vice President and Health

Actuary Hendee Peter G 1-972-569-3646 1-972-569-3679 phendee@torch markcorp.com 3700 S. Stonebridge Drive McKinney TX 75070 Alaska UNITED HEALTH CARE INS. CO. AND

1-714-825-3601 1-714-825-3283 Joseph.addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626 Alaska UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Alaska WELLCARE PRESCRIPTION

Director Clinical

American Samoa UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Arizona ABRAZO ADVANTAGE HEALTH PLAN Abrazo Advantage

Health Plan Local CCP

Pharmacy

Director Cruz Patti

1-602-824-3773

1-602-824-3762

pcruz@abrazoh

ealth.com 7878 N. 16th St. Suite 105 Phoenix AZ 85020

Arizona

ADVANCE/WELLCA RE PFFS

INSURANCE, INC. WellCare PFFS

Director Medication

Therapy

1-813-290-6200 3768 lisa.delancy@we llcare.com 8735 Henderson Rd Tampa FL 33634

Arizona AETNA HEALTH INC. Aetna Medicare Local CCP

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Arizona AETNA LIFE INSURANCE

Pharmacy

COMPANY Aetna Medicare Local CCP

Pharmacy

1-386-963-2453 1-386-963-2544 SternJL@Aetna. com 5350 148th Place Wellborn FL 32094-2362

(5)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Arizona

ARCADIAN HEALTH PLAN, INC.

Desert Canyon

Community Care Local CCP

Vice President of Pharmacy

Services Owens Glenda

1-909-971-6816 1-909-971-6866 gowens@arcadi anhp.com 955 Overland Court., Second

Floor San Dimas CA 91773

Arizona

ARIZONA PHYSICIANS IPA,

INC.

APIPA Personal Care

Plus Local CCP

Vice President, Pharmacy

Management Rose Doug

1-703-506-3549

douglas_g_rose @uhc.com

8045 Leesburg

Pike Suite 600 Vienna VA 22182

Arizona CARE1ST HEALTH PLAN OF ARIZONA ONECare by Care1st Health Plan Of Arizona Local CCP Director of

Pharmacy Griffith Jacque

1-602-778-1850 1819 jgriffith@care1st. com 2355 E. Camelback Rd., Ste. 300 Phoenix AZ 85016 Arizona CIGNA HEALTHCARE OF ARIZONA, INC. CIGNA HealthCare

for Seniors Local CCP Chief Pharmacist Zheng Yi

1-860-226-6731

yi.zheng@cigna. com

900 Cottage

Grove Road B-270 Bloomfield CT 06002

Arizona

CONNECTICUT GENERAL LIFE INSURANCE

1-860-226-6731

yi.zheng@cigna. com

900 Cottage

Arizona

COVENTRY HEALTH AND LIFE INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

Arizona

ENVISION INSURANCE

Pharmacy

1-330-405-8080 263 1-330-405-8081 apeterson@rxop tions.net 2181 E Aurora Rd Suite 201 Twinsburg OH 44087 Arizona EXPRESS SCRIPTS

1-800-332-5455 jkleiss@express-scripts.com 13900 Riverport Drive Maryland Heights MO 63043 Arizona

FIRST HEALTH LIFE AND HEALTH

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

Arizona

FOX INSURANCE COMPANY

FOX Insurance

Company PDP Larkin William

1-480-423-8184 5924 1-480-951-4022 bill.larkin@foxsy s.com 6263 North

Scottsdale Road Suite 200 Scottsdale AZ 85250

Arizona HEALTH CHOICE ARIZONA, INC. Health Choice Generations Local CCP Director,

Pharmacy Sartor Lynn

1-480-303-4431 1-480-350-2231 lsartor@iasishea lthcare.com 1600 W. Broadway, Suite 110 Tempe AZ 85282 Arizona

HEALTH NET LIFE INS CO/HEALTH

Senior Vice President, Operations White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-9750 virginia.e.white @healthnet.com 10540 White Rock Rd.., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Arizona

HEALTH NET LIFE INSURANCE

COMPANY Health Net Regional CCP

Senior Vice President, Chief

Clinical Officer White Virginia E 1-916-463-9603 Virginia.E.White @healthnet.com 10540 White Rock Rd., Ste 280 Mail Stop: CA-175-02-02 Rancho Cordove CA 95670 Arizona HEALTH NET OF ARIZONA, INC. Health Net of

Arizona, Inc. Local CCP

Senior Vice

President White Virginia E 1-916-835-8725 Virginia.E.White @healthnet.com 10540 White Rock Rd., Ste. 280 Rancho Cordova CA 95670 Arizona HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC. HealthSpring Prescription Drug Plan PDP Project Manager, Government

Way Suite 300 Nashville TN 37228 Arizona

HUMANA HEALTH PLAN, INC.

Humana Health Plan,

Inc. Local CCP Chavala Susmita

1-212-427-7527

175 East 96th

Arizona

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Arizona

HUMANA INSURANCE

COMPANY

Humana Insurance

Company Local CCP Chavala Susmita

1-212-427-7527

175 East 96th

(6)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP Arizona HUMANA INSURANCE COMPANY Humana Insurance

1-212-427-7527

175 East 96th

Arizona

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Arizona

MEDCO CONTAINMENT LIFE

INSURANCE

Pond Drive E2-7 Franklin Lakes NJ 07417 Arizona

MEMBERHEALTH,

VP Clinical

1-440-248-8448 135 1-440-248-1729 srajan@mhrx.co m 29100 Aurora Rd., Ste. 301 Solon OH 44139 Arizona NMHC GROUP SOLUTION INSURANCE, INC. NMHC Group Solutions PDP Director, Clinical Medicare

1-516-605-6643 areis@nmhc.co m 26 Harbor Park Dr Port Washington NY 11050 Arizona PACIFICARE LIFE AND HEALTH INSURANCE COMPANY SecureHorizons MedicareDirect PFFS Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Arizona PACIFICARE OF ARIZONA, INC Secure Horizons Medicare Advantage Plan Local CCP Vice President, Chief Medical

1-714-825-3601 1-714-226-3283 Joseph.addiego @phs.com 3515 Harbor

Boulevard Costa Mesa CA 92626

Arizona PENNSYLVANIA LIFE INSURANCE COMPANY Pennsylvania Life Insurance Company PDP Medicare Clinical

Pharmacist Brown Nancy J 1-401-333-3987 7941 1-800-373-0238 njbrown@pharm acare.com 695 George Washington Highway Lincoln RI 02865 Arizona PYRAMID LIFE INSURANCE

COMPANY Today's Option PFFS

Pharmacy Director Crognale, R.Ph Louis 1-866-245-5190 1-713-965-0433 lcrognale@hhsi. com 4888 Loop

Central Drive Suite 800 Houston TX 77081

Arizona RXAMERICA, LLC RxAmerica PDP Mastin Lois

1-801-961-6014 lois.mastin@rxa merica.com 221 N. Charles Lindbergh Dr. SLC UT 84116 Arizona

SCAN HEALTH PLAN OF ARIZONA

SCAN Health Plan

Arizona Local CCP

Vice President Pharmacy

Services Edwards Rita

1-562-997-3133 1-562-997-3196 redwards@scan healthplan.com 3800 Kilroy

Airport Way Suite 100 Long Beach CA 90806

Arizona

SIERRA HEALTH AND LIFE INSURANCE

COMPANY, INC. Sierra Spectrum Local CCP

Clinical Pharmacy

1-702-838-8245

2716 N. Tenaya

Arizona

SIERRA HEALTH AND LIFE INSURANCE

Clinical Pharmacy

1-702-838-8245

2716 N. Tenaya

Arizona

SILVERSCRIPT INSURANCE

1-866-443-0934 MedicareSuppor tServices@care mark.com 9501 E. Shea Blvd Scottsdale AZ 85260 Arizona SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION Mercy Care Advantage Local CCP Corporate Director of

Pharmacy Clark Mark

1-602-659-1100 mark.clark@sch alleranderson.co m 4645 E Cotton Center Blvd Building 1, Suite 200 Phoenix AZ 85040 Arizona STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PFFS V.P. Compliance & Regulatory

1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Arizona STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PDP VP Compliance & Regulatory

Affairs Bodway Craig A 1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Arizona SUN HEALTH MEDISUN, INC. Sun Health MediSunONE Local CCP Director of

Pharmacy Nesemann Lydia

1-623-974-7474

1-623-974-7495

Lydia.Nesemann

@sunhealth.org P.O. Box 1489 13632 N. 99th Ave,

Suite B Sun City AZ 85372

Arizona

COMPANY

(7)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Arizona

UNICARE LIFE AND HEALTH INSURANCE

Arizona UNITED AMERICAN INSURANCE COMPANY United American Insurance Company PDP Vice President and Health

Actuary Hendee Peter G 1-972-569-3646 1-972-569-3679 phendee@torch markcorp.com 3700 S. Stonebridge Drive McKinney TX 75070 Arizona UNITED HEALTH CARE INS. CO. AND

1-714-825-3601 1-714-825-3283 Joseph.addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626 Arizona UNITED HEALTHCARE INSURANCE COMPANY United HealthCare

Insurance Company Local CCP

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Arizona UNITED HEALTHCARE INSURANCE COMPANY UNITED HEALTHCARE INSURANCE

COMPANY Demo Anderson Michael

1-952-936-3112 mjanderson@uh c.com 9900 Bren Road East Minnetonka MN 55343 Arizona UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Arizona UNITEDHEALTHCAR

E OF ARIZONA INC SecureHorizons Local CCP

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Arizona UNIVERSAL HEALTH CARE INSURANCE COMPANY Universal Health Care Insurance Company, Inc. PFFS Vice President

Clinical Programs Schoening Shellie K

1-800-546-5677 1110

1-866-632-7946

schoening@pti-nps.com PO Box 407 Boys town NE 68010

Arizona

WELLCARE PRESCRIPTION

Director Clinical

Arkansas

AETNA LIFE INSURANCE

Pharmacy

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Arkansas AETNA LIFE INSURANCE

Pharmacy

1-386-963-2453 1-386-963-2454 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Arkansas ARKANSAS BCBS, A MUTUAL INS CO

Arkansas Blue Cross and Blue Shield PDP

Medicare Clinical

Pharmacist Brown Nancy J 1-401-333-3987 7941 1-800-373-0238 njbrown@pharm acare.com 695 George Washington Highway Lincoln RI 02865 Arkansas ARKANSAS BLUE CROSS AND BLUE SHIELD, A MUTUAL

INS.

Arkansas Blue Cross - Medi-Pak

Advantage PFFS

Medicare Clinical

Pharmacist Brown Nancy J 1-401-333-3987 7941 1-800-373-0238 njbrown@pharm acare.com 695 George Washington Highway Lincoln RI 02865 Arkansas ARKANSAS COMMUNITY CARE Arkansas Community

Care, Inc. Local CCP

Vice President of Pharmacy

Services Owens Glenda

1-909-971-6816 1-909-971-6866 gowens@arcadi anhp.com 955 Overland Court., Second

Floor San Dimas CA 91773

Arkansas CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. Care Improvement Plus Regional CCP Director, Pharmacy

Services Hershey Andrea

1-443-872-3079 ahershey@carei mprovementplus .com 351 West

(8)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Arkansas

CONNECTICUT GENERAL LIFE INSURANCE

1-860-226-6731

yi.zheng@cigna. com

900 Cottage

Arkansas

COVENTRY HEALTH AND LIFE INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

Arkansas

ENVISION INSURANCE

Pharmacy

1-330-405-8080 263 1-330-405-8081 apeterson@rxop tions.net 2181 E Aurora Rd Suite 201 Twinsburg OH 44087 Arkansas EXPRESS SCRIPTS

1-800-332-5455 jkleiss@express-scripts.com 13900 Riverport Drive Maryland Heights MO 63043 Arkansas

FIRST HEALTH LIFE AND HEALTH

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

Arkansas

FOX INSURANCE COMPANY

FOX Insurance

Company PDP Larkin William

1-480-423-8184 5924 1-480-951-4022 bill.larkin@foxsy s.com 6263 North

Scottsdale Road Suite 200 Scottsdale AZ 85250

Arkansas

HEALTH NET LIFE INS CO/HEALTH

Senior Vice President, Operations White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-9750 virginia.e.white @healthnet.com 10540 White Rock Rd.., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Arkansas HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC. HealthSpring Prescription Drug Plan PDP Project Manager, Government

Arkansas

HOMEOWNER'S/WE LLCARE PFFS

INSURANCE INC. WellCare PFFS

Director Medication

Therapy

1-813-290-6200 3768 lisa.delancey@w ellcare.com 8735 Henderson Rd Ren 2 Tampa FL 33634 Arkansas HUMANA INSURANCE COMPANY Humana Insurance

1-212-427-7527

175 East 96th

Arkansas

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Arkansas

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Arkansas

MEDCO CONTAINMENT LIFE

INSURANCE

Pond Drive E2-7 Franklin Lakes NJ 07417 Arkansas

MEMBERHEALTH,

VP Clinical

1-440-248-8448 135 1-440-248-1729 srajan@mhrx.co m 29100 Aurora Rd., Ste. 301 Solon OH 44139 Arkansas NMHC GROUP SOLUTION INSURANCE, INC. NMHC Group Solutions PDP Director, Clinical Medicare

1-516-605-6643 areis@nmhc.co m 26 Harbor Park Dr Port Washington NY 11050 Arkansas PACIFICARE LIFE AND HEALTH INSURANCE COMPANY SecureHorizons MedicareDirect PFFS Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Arkansas PENNSYLVANIA LIFE INSURANCE COMPANY Pennsylvania Life Insurance Company PDP Medicare Clinical

(9)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Arkansas

PYRAMID LIFE INSURANCE

Arkansas RXAMERICA, LLC RxAmerica PDP Mastin Lois

1-801-961-6014 lois.mastin@rxa merica.com 221 N. Charles Lindbergh Dr. SLC UT 84116 Arkansas SIERRA HEALTH AND LIFE INSURANCE

Clinical Pharmacy

1-702-838-8245

2716 N. Tenaya

Arkansas

SILVERSCRIPT INSURANCE

1-866-443-0934 MedicareSuppor tServices@care mark.com 9501 E. Shea Blvd Scottsdale AZ 85260 Arkansas STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PFFS V.P. Compliance & Regulatory

1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Arkansas STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PDP VP Compliance & Regulatory

Affairs Bodway Craig A 1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Arkansas

COMPANY

Arkansas

Arkansas UNITED AMERICAN INSURANCE COMPANY United American Insurance Company PDP Vice President and Health

Actuary Hendee Peter G 1-972-569-3646 1-972-569-3679 phendee@torch markcorp.com 3700 S. Stonebridge Drive McKinney TX 75070 Arkansas UNITED HEALTH CARE INS. CO. AND

1-714-825-3601 1-714-825-3283 Joseph.addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626 Arkansas UNITED HEALTHCARE INSURANCE COMPANY SecureHorizons PFFS Director - Clinical Programs &

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Arkansas UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Arkansas UNITEDHEALTHCAR E OF ARKANSAS,

INC. SecureHorizons Local CCP

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Arkansas WELLCARE PRESCRIPTION

Director Clinical

Arkansas

WINDSOR HEALTH

PLAN, INC Windsor Rx PDP

Pharmacy

Director King Sonya

Arkansas WINDSOR HEALTH PLANS, INC. Windsor Medicare Extra Local CCP Pharmacy

Director King Sonya

California

AETNA HEALTH OF

CALIFORNIA,INC. Aetna Medicare Local CCP

Pharmacy

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362

(10)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

California

AETNA LIFE INSURANCE

Pharmacy

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 California AETNA LIFE INSURANCE

Pharmacy

1-386-963-2453 1-386-963-2454 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 California AIDS HEALTHCARE FOUNDATION POSITIVE HEALTHCARE PARTNERS Local CCP CHIEF OF MANAGED

CARE STIDHAM DONNA

1-323-860-5325 1-323-436-5034 DONNA.STIDHA M@AIDSHEALT H.ORG 1001 N.

MARTEL AVE. LOS ANGELES CA 90046

California

ANTHEM INSURANCE COMPANIES, INC.

Blue Cross of

California PDP Hettich Lisa

1-765-526-2515

lisa.hettich@well point.com

8407 Fallbrook

Avenue West Hills CA 91304

California

ARTA MEDICARE HEALTH PLAN, INC.

Arta Medicare Health

Plan Local CCP

VP Medical

Affairs Weitzman Judy

1-410-785-2121 judy.weitzman@ caremark.com 211 Commerce Street, Suite 800 Nashville TN 37201 California BC LIFE and HEALTH INSURANCE COMPANY

BC LIFE & HEALTH INSURANCE

COMPANY Regional CCP Client Manager Drummond Michelle

California

BLUE CROSS OF CALIFORNIA

Blue Cross Of

California PFFS Client Manager Drummond Michelle

California

BLUE CROSS OF CALIFORNIA

Blue Cross of

California Local CCP Client Manager Drummond Michelle

California

CA PHYSICIANS' SERVICE DBA BLUE

SHIELD OF CA

Blue Shield of

California PDP

Medication Management

Coordinator Becker-Ellison Dawn

1-916-350-6624 1-916-350-6216 dawn.becker-ellison@blueshie ldca.com 4205 Town Center Blvd El Dorado

Hills El Dorado Hills CA 95762

California CALIFORNIA PHYSICIANS' SERVICE Blue Shield of California Local CCP Medication Management

Coordinator Becker-Ellison Dawn

1-916-350-6624 1-916-350-6216 dawn.becker-ellison@blueshie ldca.com 4205 Town

Center Blvd El Dorado Hills CA 95762 California

CARE1ST HEALTH PLAN

Care1st Medicare

Advantage Plan Local CCP Ueoka Jamie

1-626-299-5260

jueoka@care1st. com

1000 S,

Freemont Ave Bldg. A-11 Alhambra CA 91803 California

CARE1ST HEALTH PLAN

Care1st Medicare

Advantage Plan Local CCP Ueoka Jamie

1-626-299-4299

jueoka@care1st. com

1000 S Fremont

Ave Bldg A-11 Alhambra CA 91803 California CAREMORE HEALTH PLAN CareMore Health Plan Local CCP Director of

Pharmacy Rose James

1-562-741-4400

james.rose@car emore.org

12900 Park

Plaza Drive Suite 150 Cerritos CA 90703 California CAREMORE HEALTH PLAN CareMore Health Plan Local CCP Director of

Pharmacy Rose James

1-562-741-4400

james.rose@car emore.org

12900 Park

Plaza Drive Suite 150 Cerritos CA 90703

California

CENTRAL HEALTH PLAN OF CALIFORNIA, INC.

Central Health

Medicare Plan Local CCP Medical Director Chuong, MD Edwin

1-866-314-2427 235 1-626-388-2341 echuong@centr alhealthplan.com 1051 Park View

Drive Suite 120 Covina CA 91724

California

CHINESE COMMUNITY HEALTH PLAN

Chinese Community

Health Plan Local CCP Hill Jerry

1-415-955-8800 3235 1-415-955-8814 Jhill@cchphmo.c om 445 Grant

Avenue, Suite 700 San Francisco CA 94108

California CITIZENS CHOICE HEALTHPLAN Citizens Choice Healthplan Local CCP Director, Health

Care Services Maxon, RN Marcie

1-323-728-7232 1-323-728-8494 mmaxon@mycc hp.com 5400 E. Olympic

Blvd. Suite 130 Los Angeles CA 90022

California

CONNECTICUT GENERAL LIFE INSURANCE

1-860-226-6731

yi.zheng@cigna. com

900 Cottage

California

CONTRA COSTA CO MED SVCS DBA CONTRA COSTA

HEALTH

Contra Costa Health

Plan Local CCP Shepherd Margaret

1-215-863-5123 1-215-937-8722 Margaret.Sheph erd@PerformRx. com 200 Stevens Drive Philadelpha PA 19113

(11)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

California

ELDER HEALTH INSURANCE

COMPANY, INC. Bravo by Elder Health PDP

Vice President,

Pharmacy Yoder David

1-410-864-4583 1-410-864-4467 david.yoder@eld erhealth.com 3601 O'Donnell Street Baltimore MD 21224 California ENVISION INSURANCE

Pharmacy

1-330-405-8080 263 1-330-405-8081 apeterson@rxop tions.net 2181 E Aurora Rd Suite 201 Twinsburg OH 44087 California EXPRESS SCRIPTS

1-800-332-5455 jkleiss@express-scripts.com 13900 Riverport Drive Maryland Heights MO 63043 California

FIRST HEALTH LIFE AND HEALTH

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

California

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

California GEMCARE HEALTH PLAN INC. GEMCARE Health Plan Local CCP Vice President

Clinical Programs Schoening Shellie K

1-800-546-5677 1110

1-866-632-7946

schoening@pti-nps.com P.O. Box 407 Boys Town NE 68010

California

HEALTH NET LIFE INS CO/HEALTH

Senior Vice President, Operations White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-9750 virginia.e.white @healthnet.com 10540 White Rock Rd.., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 California

COMPANY

Health Net Life

Senior Vice President, Chief Clinical Officer White, Pharm. D. Virginia E 1-916-463-9603 Virginia.E.White @healthnet.com 10540 White Rock Rd., Ste. 280 Mail Stop: CA-175-02-02 Rancho cordova CA 95670

California HEALTH NET_OF CA Health Net Of CA Local CCP V.P. Operations

White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-9750 virginia.e.white @healthnet.com 10540 White Rock Rd., Ste 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 California HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC. HealthSpring Prescription Drug Plan PDP Project Manager, Government

California

HOMEOWNER'S/WE LLCARE PFFS

Director Medication

Therapy

1-813-290-6200 3768 lisa.delancey@w ellcare.com 8735 Henderson Rd Ren 2 Tampa FL 33634 California HUMANA INSURANCE COMPANY Humana Insurance

1-212-427-7527

175 East 96th

California

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

California IEHP HEALTH ACCESS IEHP Medicare DualChoice Local CCP Director of Pharmaceutical

Services Chan Chris

1-909-890-2943 1-909-890-2995 chan-c@iehp.org 303 E. Vanderbilt Way,

Suite 100 San Bernardino CA 92408

California

INTER VALLEY HEALTH PLAN, INC.

Inter Valley Health

Plan Local CCP

VP of Health

Services Tenorio Susan

1-800-251-8191 631 1-909-620-8092 cmscasework@i vhp.com PO Box 6002 300 South Park Ave, Suite 300 Pomona CA 91769-6002 California KAISER FOUNDATION HP,

INC. Kaiser Permanente Local CCP

Director, Medicare

Compliance Hall Jason

1-626-405-5333

Jason.Hall@kp.o rg

393 E. Walnut

Street, 5th Floor Pasadena CA 91188

California

MEDCO CONTAINMENT LIFE

INSURANCE

Pond Drive E2-7 Franklin Lakes NJ 07417

California MEDCORE HP Medcore HP Local CCP

Clinical Account

Executive Avgoulas Andrew

1-262-896-0087 1-262-896-0093 avgoulasa@expr ess-scripts.com N27 W22422 Burningwood Lane Waukesha WI 53186 California MEMBERHEALTH, INC. MEMBERHEALTH PDP VP Clinical

1-440-248-8448 135 1-440-248-1729 srajan@mhrx.co m 29100 Aurora Rd., Ste. 301 Solon OH 44139

(12)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP California MOLINA HEALTHCARE OF CALIFORNIA Molina Healthcare of California Local CCP Director,

Pharmacy Schatzman Benjamin

1-562-951-1509 1-562-437-9315 benjamin.schatz man@molinahea lthcare.com One Golden

Shore Drive Long Beach CA 90802

California NMHC GROUP SOLUTION INSURANCE, INC. NMHC Group Solutions PDP Director, Clinical Medicare

1-516-605-6643 areis@nmhc.co m 26 Harbor Park Dr Port Washington NY 11050 California ORANGE COUNTY HEALTH

AUTHORITY OneCare Local CCP

Director of Clinical

Pharmacy Gericke Kristin

1-714-246-8471 1-714-246-8649 kgericke@calopt ima.org 1120 West La

Veta Avenue Orange CA 92868

California PACIFICARE LIFE AND HEALTH INSURANCE COMPANY SecureHorizons MedicareDirect PFFS Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 California PACIFICARE OF CALIFORNIA/SECUR E HORIZONS Secure Horizons Medicare Advantage Plan Local CCP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 Joseph.addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626 California PENNSYLVANIA LIFE INSURANCE COMPANY Pennsylvania Life Insurance Company PDP Medicare Clinical

Pharmacist Brown Nancy J 1-401-333-3987 7941 1-800-373-0238 njbrown@pharm acare.com 695 George Washington Highway Lincoln RI 02865 California PYRAMID LIFE INSURANCE

California RXAMERICA, LLC RxAmerica PDP Mastin Lois

1-801-961-6014 lois.mastin@rxa merica.com 221 N. Charles Lindbergh Dr. SLC UT 84116 California SAN MATEO HEALTH COMMISSION

Health Plan of San

Mateo Local CCP

Pharmacy

Manager Cheung Barrie

1-650-616-2073 CMSPartD@hps m.org 701 Gateway Blvd, Ste 400 South San Francisco CA 94080 California SANTA CLARA COUNTY HEALTH

AUTHORITY Healthy Generations Local CCP Garg Angeli

1-408-874-1818 1-408-874-1961 agarg@scfhp.co m 210 East

Hacienda Ave Campbell CA 95008

California SCAN HEALTH PLAN SCAN Health Plan Demo

California SCAN HEALTH PLAN SCAN Health Plan Local CCP

Aiport Way Suite 100 Long Beach CA 90806

California SCAN HEALTH PLAN VillageHealth Demo

California

SIERRA HEALTH AND LIFE INSURANCE

Clinical Pharmacy

1-702-838-8245

2716 N. Tenaya

California

SILVERSCRIPT INSURANCE

1-866-443-0934 MedicareSuppor tServices@care mark.com 9501 E. Shea Blvd Scottsdale AZ 85260 California SOLANO-NAPA-YOLO COMMISSION ON MEDICAL CARE Partnership HealthPlan of

California Local CCP Medical Director Cammisa Chris

1-707-863-4228 1-707-863-4118 ccammisa@part nershiphp.org 360 Campus

Lane, Suite 100 Fairfield CA 94534

California

UNICARE LIFE AND HEALTH INSURANCE

California UNITED AMERICAN INSURANCE COMPANY United American Insurance Company PDP Vice President and Health

Actuary Hendee Peter G 1-972-569-3646 1-972-569-3679 phendee@torch markcorp.com 3700 S. Stonebridge Drive McKinney TX 75070 California UNITED HEALTH CARE INS. CO. AND

1-714-825-3601 1-714-825-3283 Joseph.addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626

(13)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP California UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626

California UNIVERSAL CARE HMO California Local CCP

Vice President Medicare Operations &

Compliance Snyder Connie

1-562-981-5054 1-562-981-5818 connie_snyder@ universalcare.co m 1600 East Hill

Street Signal Hill CA 90755

California

WELLCARE PRESCRIPTION

Director Clinical

California WESTERN HEALTH ADVANTAGE Western Health Advantage Local CCP Clinical

Pharmacist Fischer Joe

1-916-563-2273 1-916-563-3182 j.fischer@wester nhealth.com 1331 Garden

Hwy., Ste. 100 Sacramento CA 95833

Colorado

AETNA LIFE INSURANCE

Pharmacy

1-386-963-2453 1-386-963-2454 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Colorado AETNA LIFE INSURANCE

Pharmacy

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Colorado ANTHEM BC/BS OF COLORADO

Anthem Blue Cross &

Blue Shield Local CCP Client Manager Drummond Michelle

Colorado

ANTHEM INSURANCE COMPANIES, INC.

Anthem Insurance

Companies, Inc. PFFS Hettich Lisa

1-765-526-2515

8407 Fallbrook

Colorado

Blue Cross Blue

Shield of Colorado PDP Hettich Lisa

1-765-526-2515

8407 Fallbrook

Colorado

COLORADO

ACCESS Colorado Access Local CCP

Director of Pharmacy

Services McDow Chuck

1-720-744-5526 1-720-744-5127 charles.mcdow @coaccess.com 10065 E. Harvard Ave Ste 600 Denver CO 80231 Colorado CONNECTICUT GENERAL LIFE INSURANCE

1-860-226-6731

yi.zheng@cigna. com

900 Cottage

Colorado

COVENTRY HEALTH AND LIFE INSURANCE

Colorado

Director, Quality

1-804-965-7658

DBStephens@fh

Colorado

DENVER HEALTH MEDICAL PLAN, INC.

Denver Health

Medical Plan Local CCP Medical Director Brody, MD David

1-720-956-2361 1-720-956-2303 david.brody@dh ha.org 777 Bannock Street Mail Code 6000 Denver CO 80204 Colorado ENVISION INSURANCE

Pharmacy

1-330-405-8080 263 1-330-405-8081 apeterson@rxop tions.net 2181 E Aurora Rd Suite 201 Twinsburg OH 44087 Colorado EXPRESS SCRIPTS

1-800-332-5455 jkleiss@express-scripts.com 13900 Riverport Drive Maryland Heights MO 63043 Colorado

FIRST HEALTH LIFE AND HEALTH

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

(14)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Colorado

HEALTH NET LIFE INS CO/HEALTH

Senior Vice President, Operations White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-9750 virginia.e.white @healthnet.com 10540 White Rock Rd.., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Colorado HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC. HealthSpring Prescription Drug Plan PDP Project Manager, Government

Colorado

HOMEOWNER'S/WE LLCARE PFFS

Director Medication

Therapy

1-813-290-6200 3768 lisa.delancey@w ellcare.com 8735 Henderson Rd Ren 2 Tampa FL 33634 Colorado HUMANA INSURANCE COMPANY Humana Insurance

Company Local CCP Chavala Susmita

1-212-427-7527

175 East 96th

Colorado

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Colorado

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Colorado

KAISER FOUNDATION HP

OF CO Kaiser Permanente Local CCP

Quality & Clinical Pharmacy

Manager Chester Beth

1-303-326-7612 1-303-739-3574 beth.chester@k p.org 16601 E. Centretech Parkway Aurora CO 80011 Colorado MEDCO CONTAINMENT LIFE INSURANCE

Pond Drive E2-7 Franklin Lakes NJ 07417 Colorado

MEMBERHEALTH,

VP Clinical

1-440-248-8448 135 1-440-248-1729 srajan@mhrx.co m 29100 Aurora Rd., Ste. 301 Solon OH 44139 Colorado NMHC GROUP SOLUTION INSURANCE, INC. NMHC Group Solutions PDP Director, Clinical Medicare

1-516-605-6643 areis@nmhc.co m 26 Harbor Park Dr Port Washington NY 11050 Colorado PACIFICARE LIFE AND HEALTH INSURANCE COMPANY SecureHorizons MedicareDirect PFFS Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Colorado PACIFICARE OF COLORADO, INC Secure Horizons Medicare Advantage Plan Local CCP VP, Chief

Medical Officer Addiego Joseph

1-714-825-3601 1-714-226-3283 Joseph.Addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626 Colorado PENNSYLVANIA LIFE INSURANCE COMPANY Pennsylvania Life Insurance Company PDP Medicare Clinical

Pharmacist Brown Nancy J 1-401-333-3987 7941 1-800-373-0238 njbrown@pharm acare.com 695 George Washington Highway Lincoln RI 02865 Colorado PYRAMID LIFE INSURANCE

Colorado ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION Rocky Mountain Health Plans PDP Director, Pharmacy

Department Nolan Steve

1-970-248-5182

snolan@rmhp.or

g PO Box 10600 Grand Junction CO 81502-5600 Colorado ROCKY MOUNTAIN HEALTH PLANS Rocky Mountain

Health Plans 1876 Cost

Pharmacy

Director Nolan Steve

1-970-244-7760 5182

snolan@rmhp.or

g PO Box 10600 Grand Junction CO 81502

Colorado RXAMERICA, LLC RxAmerica PDP Mastin Lois

1-801-961-6014 lois.mastin@rxa merica.com 221 N. Charles Lindbergh Dr. SLC UT 84116 Colorado SIERRA HEALTH AND LIFE INSURANCE

Clinical Pharmacy

1-702-838-8245

2716 N. Tenaya

Colorado

SILVERSCRIPT INSURANCE

1-866-443-0934 MedicareSuppor tServices@care mark.com 9501 E. Shea Blvd Scottsdale AZ 85260

(15)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP Colorado STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PDP VP Compliance & Regulatory

Affairs Bodway Craig A 1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Colorado STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PFFS V.P. Compliance & Regulatory

1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Colorado

COMPANY

Colorado

Colorado UNITED AMERICAN INSURANCE COMPANY United American Insurance Company PDP Vice President and Health

Actuary Hendee Peter G 1-972-569-3646 1-972-569-3679 phendee@torch markcorp.com 3700 S. Stonebridge Drive McKinney TX 75070 Colorado UNITED HEALTH CARE INS. CO. AND

1-714-825-3601 1-714-825-3283 Joseph.addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626 Colorado UNITED HEALTHCARE INSURANCE COMPANY United Healthcare

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Colorado UNITED HEALTHCARE INSURANCE COMPANY United HealthCare

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Colorado UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Colorado WELLCARE PRESCRIPTION

Director Clinical

Connecticut AETNA HEALTH INC. Aetna Health Inc. Local CCP

Pharmacy

Management Stern Jody L 1-386-963-2543 1-386-963-2544 SternJL@Aetna. com 5350 148th Place Wellborn FL 32094-2362 Connecticut AETNA LIFE INSURANCE

Pharmacy

1-386-963-2453 1-386-963-2454 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Connecticut AETNA LIFE INSURANCE

Pharmacy

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Connecticut AMERICAN PROGRESSIVE

LIFE/HLTH INS. Today's Option PFFS

Connecticut

ANTHEM HEALTH PLANS, INC

Anthem Blue Cross

and Blue Shield Local CCP

Manager, Compliance and

Integration Bunderson Darlene

1-718-312-5261 1-718-312-6037 darlene.bunders on@empireblue. com 15 Metro Tech

Center 2nd Floor Brooklyn NY 11201

Connecticut

Anthem Insurance

Companies, Inc. PFFS Hettich Lisa

1-765-526-2515

8407 Fallbrook

(16)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP Connecticut BLUE MEDICARERX

Anthem Blue Cross

and Blue Shield PDP Hettich Lisa

1-765-526-2515

8407 Fallbrook

Connecticut

CONNECTICUT GENERAL LIFE INSURANCE

1-860-226-6731

yi.zheng@cigna. com

900 Cottage

Connecticut

ENVISION INSURANCE

Pharmacy

1-330-405-8080 263 1-330-405-8081 apeterson@rxop tions.net 2181 E Aurora Rd Suite 201 Twinsburg OH 44087 Connecticut EXPRESS SCRIPTS

1-800-332-5455 jkleiss@express-scripts.com 13900 Riverport Drive Maryland Heights MO 63043 Connecticut

FIRST HEALTH LIFE AND HEALTH

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

Connecticut

INSURANCE

Director, Quality

1-804-965-7658

DBStephens@fh

Connecticut

HEALTH NET LIFE INS CO/HEALTH

Senior Vice President, Operations White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-9750 virginia.e.white @healthnet.com 10540 White Rock Rd.., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Connecticut

COMPANY, INC. Health Net PFFS V.P., Operations

White, Pharm. D. Virginia E 1-916-463-9603 1-916-463-8056 virginia.e.white @healthnet.com 10540 White Rock Rd., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Connecticut HEALTH NET OF CONNECTICUT Health Net of Connecticut Local CCP Senior Vice President, Chief Clinical Officer White, Pharm D. Virginia E 1-916-463-9603 Virginia.E.White @healthent.com 10540 White Rock Rd., Ste. 280 Mail Stop: CA-175-02-02 Rancho Cordova CA 95670 Connecticut HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC. HealthSpring Prescription Drug Plan PDP Project Manager, Government

Connecticut

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Connecticut

HUMANA INSURANCE

COMPANY

Humana Insurance

1-212-427-7527

175 East 96th

Connecticut

MEDCO CONTAINMENT LIFE

INSURANCE

Pond Drive E2-7 Franklin Lakes NJ 07417 Connecticut

MEMBERHEALTH,

VP Clinical

1-440-248-8448 135 1-440-248-1729 srajan@mhrx.co m 29100 Aurora Rd., Ste. 301 Solon OH 44139 Connecticut NMHC GROUP SOLUTION INSURANCE, INC. NMHC Group Solutions PDP Director, Clinical Medicare

1-516-605-6643 areis@nmhc.co m 26 Harbor Park Dr Port Washington NY 11050 Connecticut OXFORD HEALTH

PLANS (CT), INC. SecureHorizons Local CCP

Director-Clinical Programs &

Education

UnitedGroup Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Connecticut PACIFICARE LIFE AND HEALTH INSURANCE COMPANY SecureHorizons MedicareDirect PFFS Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Connecticut PENNSYLVANIA LIFE INSURANCE COMPANY Pennsylvania Life Insurance Company PDP Medicare Clinical

Connecticut RXAMERICA, LLC RxAmerica PDP Mastin Lois

1-801-961-6014 lois.mastin@rxa merica.com 221 N. Charles Lindbergh Dr. SLC UT 84116

(17)

STATE LEGAL ENTITY NAME ORGANIZATIONNAME ORGANIZATIONDESCRIPTION TITLE LAST NAME FIRST NAME MI PHONE PHONEEXT FAX EMAIL ADDRESSSTREET ADDRESS2 CITY STATE ZIP

Connecticut

SENIOR WHOLE HEALTH, LLC

Senior Whole Health

of Connecticut Local CCP

Director of Pharmacy

Services Dichter Gayle

1-617-494-5353 6324 1-617-494-5599 gdichter@senior wholehealth.com 58 Charles Street Cambridge MA 02141 Connecticut SILVERSCRIPT INSURANCE

1-866-443-0934 MedicareSuppor tServices@care mark.com 9501 E. Shea Blvd Scottsdale AZ 85260 Connecticut STERLING LIFE INSURANCE COMPANY Sterling Life Insurance Company PDP VP Compliance & Regulatory

Affairs Bodway Craig A 1-360-647-9080 29098 1-360-647-8632 Craig.Bodway@ sterlingplans.co m 2219 Rimland Drive PO Box 5348 Bellingham WA 98227-5348 Connecticut

COMPANY

Connecticut

Connecticut UNITED AMERICAN INSURANCE COMPANY United American Insurance Company PDP Vice President and Health

Actuary Hendee Peter G 1-972-569-3646 1-972-569-3679 phendee@torch markcorp.com 3700 S. Stonebridge Drive McKinney TX 75070 Connecticut UNITED HEALTH CARE INS. CO. AND

1-714-825-3601 1-714-825-3283 Joseph.addiego @phs.com 3515 Harbor Blvd. Costa Mesa CA 92626 Connecticut UNITED HEALTHCARE INSURANCE COMPANY United HealthCare

Education Anderson Michael J 1-952-936-3112 1-952-936-4933 mjanderson@uh c.com UnitedHealth Group 9900 Bren Road East MN008-T500 Minnetonka MN 55343 Connecticut UNITED HEALTHCARE INSURANCE COMPANY UNITED HEALTHCARE INSURANCE

COMPANY Local CCP Anderson Michael

1-952-936-3112 mjanderson@uh c.com 9900 Bren Road East Minnetonka MN 55343 Connecticut UNITED HEALTHCARE INSURANCE COMPANY UnitedHealthcare PDP Vice President, Chief Medical

1-714-825-3601 1-714-825-3283 joseph.addiego @phs.com 3515 Harbor Blvd Costa Mesa CA 92626 Connecticut WELLCARE OF

CONNECTICUT, INC. WellCare Local CCP

Director, Pharmacy

Operations Hungiville Laura

1-813-290-6200 3917

laura.hungiville

@wellcare.com PO Box 25858 Tampa FL

33622-5858

Connecticut

WELLCARE PRESCRIPTION

Director Clinical

Delaware AETNA HEALTH, INC Aetna Medicare Local CCP

Pharmacy

1-386-963-2543 1-386-963-2544 SternJL@Aetna. com 5350 148th Place Wellborn FL 32094-2362 Delaware AETNA LIFE INSURANCE

Pharmacy

1-386-963-2543 1-386-963-2544 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Delaware AETNA LIFE INSURANCE

Pharmacy

1-386-963-2453 1-386-963-2454 SternJL@aetna. com 5350 148th Place Wellborn FL 32094-2362 Delaware AETNA LIFE INSURANCE

COMPANY Aetna Medicare Regional CCP

Pharmacy

1-386-963-