The Health Plan offers various plan designs that cover generic, brand name, and non-formulary options with various copay options for our members. We have a full staff of registered pharmacists and pharmacy techs to assist our members and you, our providers. Login to our secure provider portal at to access prior authorization forms, formulary exception request forms, and other important pharmacy documents and forms. 

All pharmacy submissions can be made electronically through our pharmacy benefit manager (PBM), Express Scripts. Provided for your convenience is our billing processing information.

Name Bin # Group # PCN
Commercial 610014 3602 None
ASO 610014 3602 None
Medicare 610014 THPMEDI MEDDPrime

Medicaid Administered through Molina Medicaid Solutions - 1.888.483.0801

610154   DRWVPROD

If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 7914 (after-hours: 1.304.639.8591) or email us at You can also directly call Express Scripts Pharmacy Help Desk at 1.800.922.1557 or visit their Pharmacist Resource Center.