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Kevin S. Settlement

new mexico human services department logo

PROVIDERS

The Health Care Authority’s mission is: We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

Pharmacy Benefit Contacts

New Mexico Medicaid 
 Pharmacy Benefit Billing & Contact Information 

FEE-FOR-SERVICE 

Turquoise Care: Conduent 

For Members/Providers 

  • Prior Authorization form 
  • Phone Numbers 
    • Provider: 1-800-299-7304 
    • Members: 1-800-283-4465 

 For Pharmacies 

  • Point of Sale Help Desk: 1-800-365-4944 
  • Prescription Information 
    • PBM Name: Conduent 
    • BIN: 610084 
    • PCN: DRNMPROD 
    • Group: NEWMEXMED

MANAGED CARE 

Blue Cross Blue Shield of New Mexico: Prime Therapeutics 

For Members/Providers 

  • Prior Authorization form 
  • Phone Numbers 
    • Provider: 1-800-693-0663 
    • Members: 1-866-689-1523  

 For Pharmacies 

  • Point of Sale Help Desk: 1-888-840-3044 
  • Prescription Information 
    • PBM Name: Prime Therapeutics 
    • BIN: 011552 
    • PCN: SALUD 
    • Group: N72100-N/A 

Presbyterian Health Plan: Capital Rx 

For Members/Providers 

  • Prior Authorization form  
  • Phone Numbers 
    • Provider: 505-923-5757 or  
    • 1-888-923-5757 
    • Members: 505-923-5200 or  
    • 1-888-977-2333  

 For Pharmacies 

  • Point of Sale Help Desk: 1-866-528-5829, option 2 
  • Prescription Information 
    • PBM Name: Capital RX 
    • BIN: 610744 
    • PCN: CRXMC 
    • Group: PHPCAID 

 

Molina Healthcare of New Mexico: CVS Caremark  

For Members/Providers 

  • Prior Authorization form 
  • Phone Numbers 
    • Provider:1-855-322-4078,  option 0, then option 1, then option 2 
    •   Members: 1-844-862-4543, option 1, then option 3 

  For Pharmacies 

  • Point of Sale Help Desk: 1-833-249-8392   
  • Prescription Information 
    • PBM Name: CVS Caremark 
    • BIN: 004336 
    • PCN: MCAIDDV 
    • Group: RX51EA 

 

United Healthcare Community Plan of New Mexico: Optum Rx  

For Members/Providers 

  • Prior Authorization form 
  • Phone Numbers 
    • Provider: 1-888-702-2202 or  
    • 1-800-970-3887  
    • Members: 1-877-236-0826   

 For Pharmacies 

  • Point of Sale Help Desk: 1-800-970-3887 
  • Prescription Information 
    • PBM Name: Optum Rx 
    • BIN: 610494 
    • PCN: 4941 
    • Group: ACUNM 

 

Contact MADInfo.HCA@hca.nm.us with questions or for more information.