Instructions for Pharmacy: Prescriptions using this program need to be processed separate from patient’s primary insurance. Set up Customer profile as if you were processing an insurance card. Patient will be auto

enrolled. Max 90-Day Supply, No Refills

BIN:Plan ID:Group ID:Employer:PCN:

012528NWP10371NWP10371CareATCVENTEG

Patient ID:

NWP10371Carrier:

Northwind Pharmaceuticals

For questions, please call Customer Care Team at (877)-867-0943