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South Country Health Alliance | Pharmacy Information

Pharmacy Information

Medicaid Pharmacy Forms

Medicare Pharmacy Forms

Pharmacy Help Desk Pharmacy Claims Online Drug Search
PerformRx

Medicaid 1-866-935-8874

Medicare 1-866-935-6681

  • Medicaid BIN # 600428
  • Medicaid PCN 6180000
  • Medicare BIN # 012353
  • Medicare PCN 6190000

Completed UCFs should be mailed to:

    • PerformRx
    • PO Box 516
    • Essington, PA 19029
Medicaid Programs

Medicare Advantage Programs