Web610239 FEPRX B) 2345678 Date 01/01/1998 Independence SAMPLE YXF123456789101 c 1101 cu. 1000 VISION PLAN SPEC PCN 015814 Ob0900UJ (J UnitedHealthcar€ 911-87726-04 ... RX Bin: PCN: 000000 00000000 100% Rx PREVENTIVE CARE Cigna by R.xBIN 017010 FRONT $20.00 $40.00 Member Name Member ID Number … WebCaremark 610239 11/17/2011 D012000063 Caremark 012114 11/17/2011 D012000063 Caremark 013089 11/17/2011 D012000063 Caremark 610468 11/17/2011 D012000063 Caremark 006144 11/17/2011 D012000063 ... *Note: Humana Part D and Humana LI Net was BIN 610649 for 5.1 claims. Author: Mai Xiong Created Date:
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