Pharmacy Claim Submission

Part D

Address
MedImpact Healthcare Systems, Inc.
PO Box 509108
San Diego, CA 92150-9108

Fax
1-858-549-1569

Email
Claims@Medimpact.com

Address
MedImpact Healthcare Systems, Inc.
PO Box 509098
San Diego, CA 92150-9098

Fax
1-858-549-1569

Email
Claims@Medimpact.com

PW_07-18_276
DHS_Approved_07/23/2018
Update_07/27/2018