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Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 1 of 6 (E0654 through H1997)

Category: Your Formulary (Drug List)
Published: Mar, 07 2022 08:03:39


Update 12/24/2022: 2023 BIN and PCN available at Q1News.com/989 -- see first page (E0654 - H2134), second page (H2161 - H3655), third page (H3660 - H5355), fourth page (H5372 - H7220), fifth page (H7245 - H9649), and sixth page (H9662 - S9854).

The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2022 Medicare Part D plan sponsor.  Please note, the data below is Part 1 of 6 (E0654 - H1997) with links to Parts 2 through 6.

In addition, CMS included the following disclaimer in regards to this data:

"DISCLAIMER: The Centers for Medicare & Medicaid Services (CMS) has made a reasonable effort to ensure that the provided data are a true and accurate representation of the data on file at CMS at the time of disclosure. This information reflects data as reported by the Medicare Part D sponsors and has not been validated. CMS is not responsible for data that is misrepresented, misinterpreted or altered in any way."

You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?."

The chart below is the first page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H1997.

Click here for the second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322), fifth page (H7323 - H9686) and sixth page (H9699 - S9701).


2022 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
E0654 TEAMStar Medicare Part D Prescription Drug Program all plans 015574 ASPROD1
E3014 Pennsylvania Public School Employees Retirement Sy all plans 610097 9999
E4744 MISSOURI DEPARTMENT OF TRANSPORTATION all plans 015574 ASPROD1
H0022 Buckeye Health Plan - MyCare Ohio all plans 004336 MEDDMCDOH
H0028 Humana all plans 015581 03200000
H0029 Allwell all plans 004336 MEDDADV
H0034 Hamaspik, Inc. all plans 08080000 018927
H0035   all plans 022188 PSTMEDD
H0062 Wellcare by Allwell all plans 004336 MEDDADV
H0074 Wellcare all plans 004336 MEDDADV
H0088 Wellcare all plans 004336 MEDDADV
H0104 Blue Cross and Blue Shield of Alabama all plans 014897 MBG
H0105 The Methodist Oaks d.b.a. The Oaks PACE all plans 510999 GPP
H0107 Blue Cross and Blue Shield of Montana 802 011552 MAPDILG1
H0107 Blue Cross and Blue Shield of Montana 003, 004, 005, 006 011552 MAPDMT
H0107 Blue Cross and Blue Shield of Montana 801, 805, 806, 807 011552 MAPDMTG
H0111 Wellcare 001, 002, 003, 004, 005 004336 MEDDADV
H0111 Wellcare 006 788257 004336
H0112 Palm Beach PACE all plans 016110 PACE
H0137 Commonwealth Care Alliance Massachusetts all plans 610602 NVTD
H0148 Blue Shield of California Promise Health Plan all plans 004336 77993322
H0154 VIVA Medicare all plans 004336 MEDDADV
H0169 UnitedHealthcare all plans 610097 9999
H0174 Wellcare all plans 004336 MEDDADV
H0192 AmeriHealth Caritas VIP Care Plus all plans 019587 06500000
H0216 Immanuel Pathways Iowa all plans 016110 PACE
H0247 AllCare PACE, LLC all plans 015574 ASPROD1
H0251 UnitedHealthcare all plans 610097 9999
H0270 Wellcare all plans 004336 MEDDADV
H0271 UnitedHealthcare all plans 610097 9999
H0292 Humana all plans 015581 03200000
H0294 UnitedHealthcare all plans 610097 9999
H0302 Blue Cross Blue Shield of Arizona Advantage all plans 015574 ASPR0D1
H0321 UnitedHealthcare all plans 610097 9999
H0332 KelseyCare Advantage all plans 004336 MEDDADV
H0336 Humana all plans 015581 03200000
H0342 CarePartners of Connecticut all plans 004336 MEDDADV
H0351 Wellcare by Allwell all plans 004336 MEDDADV
H0354 Cigna all plans 017010 CIMCARE
H0363 Longevity Health Plan all plans 610602 NVTD
H0390 PACE of Southwest Michigan all plans 022188 PSTMEDD
H0422 UCare all plans 003858 MD
H0423 MetroPlus Health Plan all plans 004336 MEDDADV
H0432 UnitedHealthcare all plans 610097 9999
H0439 Cigna all plans 017010 CIMCARE
H0473 Humana all plans 015581 03200000
H0477 Serenity Care PACE all plans 018091 PRSMEDD
H0480 Meridian Complete all plans 004336 MEDDADV
H0482 Ascension Complete all plans 004336 MEDDADV
H0504 Blue Shield of California all plans 004336 77993322
H0523 Aetna Medicare all plans 610502 MEDDAET
H0524 Kaiser Permanente 002, 003, 015, 029, 034-037, 805, 807, 809, 811 011172 SCCMS
H0524 Kaiser Permanente 008, 010, 013, 030-033, 038-043, 046, 051, 054, 059-067, 806, 808, 810, 812 011842 NCCMS
H0542 AltaMed Health Services Corporation all plans 015284 CRX
H0543 UnitedHealthcare all plans 610097 9999
H0544 Anthem Blue Cross 070 020015 IS
H0544 Anthem Blue Cross 002-005, 007, 008, 010, 013-015, 019, 020, 027, 031, 032, 036, 038, 050, 052-067, 069, 071, 072, 074, 081, 087-091, 093-108, 110, 117-130, 804, 807, 811 020115 IS
H0544 Anthem Blue Cross 802 022188 IS
H0544 Anthem Blue Cross 805, 808 022227 IS
H0545 Inter Valley Health Plan 802 004758 DNPS
H0545 Inter Valley Health Plan 001, 012, 015, 801 610602 NVTD
H0562 Wellcare by Health Net all plans 004336 MEDDADV
H0571 Chinese Community Health Plan all plans 015574 ASPROD1
H0609 UnitedHealthcare all plans 610097 9999
H0613 InnovAge Colorado PACE all plans 022188 PSTMEDD
H0624 UnitedHealthcare all plans 610097 9999
H0628 Aetna Medicare all plans 610502 MEDDAET
H0630 Kaiser Permanente 013-016, 805, 807, 809, 810 011255 COCMS
H0630 Kaiser Permanente 020, 021, 817, 819, 821, 822 011255 COCMSN
H0630 Kaiser Permanente 017, 023, 024, 811, 813, 815, 816 011255 COCMSS
H0672 Cigna all plans 017010 CIMCARE
H0710 UnitedHealthcare all plans 610097 9999
H0712 Wellcare all plans 004336 MEDDADV
H0724 Wellcare by Allwell all plans 004336 MEDDADV
H0755 UnitedHealthcare all plans 610097 9999
H0783 Humana all plans 015581 03200000
H0798 Medica all plans 003858 MD
H0809 Mercy LIFE all plans 022188 PSTMEDD
H0819 Senior LIFE York all plans 013519 N/A
H0826 Innovative Integrated Health Community Plans all plans 022881 PSTMEDD
H0838 Brand New Day all plans 015574 ASPROD1
H0839 Senior CommUnity Care of North Carolina 001 016110 PACE
H0839 Senior CommUnity Care of North Carolina 002 018091 PRSMEDD
H0876 Commonwealth Care Alliance Rhode Island all plans 610602 NVTD
H0885 Braven Health 001, 002 016499 PPOBH
H0885 Braven Health 802, 803, 804 016499 PPOBHG
H0907 Amerigroup Iowa all plans 020115 IS
H0908 Wellcare by Allwell all plans 004336 MEDDADV
H0913 Wellcare all plans 004336 MEDDADV
H0927 Blue Cross Community MMAI all plans 000000 000000
H0934 WelbeHealth Pacific PACE all plans 022188 PSTMEDD
H0969 Wellcare all plans 004336 MEDDADV
H0978 SCAN Health Plan all plans 003858 MD
H0980   all plans 015574 ASPROD1
H0982 Solis Health Plans all plans 610602 NVTD
H1016 AvMed Medicare all plans 004336 MEDDADV
H1019 CarePlus Health Plans, Inc. 120 015581 0320000
H1019 CarePlus Health Plans, Inc. 001, 006, 023, 026, 043, 057, 065, 069, 073, 076, 089, 092, 094, 098, 099, 102-118 015581 03200000
H1032 Wellcare all plans 004336 MEDDADV
H1035 Florida Blue HMO 017-035, 037, 038, 039, 043, 045, 046, 047, 048 012833 MedDPrime
H1035 Florida Blue HMO 801, 802 012833 MedDPrimeG
H1035 Florida Blue HMO 002, 006, 011, 014, 016, 040, 044 610593 SXCFLH
H1036 Humana all plans 015581 03200000
H1043 Florida Pace Centers, Inc. all plans 022188 PSTMEDD
H1045 UnitedHealthcare all plans 610097 9999
H1099 Health First Health Plans, Inc. 802, 804 003858 MD
H1099 Health First Health Plans, Inc. 001, 006, 014, 016 004336 MEDDADV
H1100   all plans 610502 MEDDAET
H1109 Aetna Medicare all plans 610502 MEDDAET
H1111 UnitedHealthcare all plans 610097 9999
H1112 Wellcare all plans 004336 MEDDADV
H1119 Valor Health Plan all plans 012312 PARTD
H1142   all plans 012312 PARTD
H1170 Kaiser Permanente all plans 011222 GACMS
H1189 CHRISTUS Health Plan Generations all plans 003858 MD
H1205 Integra Managed Care all plans 012312 PARTD
H1215 Wellcare all plans 004336 MEDDADV
H1225 Johns Hopkins HealthCare all plans 004336 MEDDADV
H1228 Central Valley PACE all plans 022188 PSTMEDD
H1230 Kaiser Permanente all plans 011214 HICMS
H1234 LIFE St. Francis all plans 022188 PSTMEDD
H1239 InnovAge Virginia PACE- Roanoke Valley all plans 022188 PSTMEDD
H1248 Blue Cross and Blue Shield of Louisiana all plans 003858 MD
H1277 Align Senior Care all plans 610602 NVTD
H1278 UnitedHealthcare all plans 610097 9999
H1280 eternalHealth all plans 610011 CTRXMEDD
H1290 Devoted Health all plans 004336 MEDDADV
H1302 Blue Cross of Idaho all plans 020388 IRXMEDD
H1304 Regence BlueShield Of Idaho 004, 011, 012 610623 2100000
H1304 Regence BlueShield Of Idaho 804, 805, 806 610623 2100001
H1310 Senior Care Partners P.A.C.E. all plans 022188 PSTMEDD
H1350 Blue Cross of Idaho all plans 020388 IRXMEDD
H1352 Blue Medicare Advantage all plans 022576 CTRXMEDD
H1353 Wellcare all plans 004336 MEDDADV
H1357 Carolina SeniorCare all plans 800004 008126
H1360 UnitedHealthcare all plans 610097 9999
H1365 Martin's Point Generations Advantage all plans 004336 MEDDADV
H1372 AgeRight Advantage all plans 610602 NVTD
H1375 UnitedHealthcare all plans 610097 9999
H1393   all plans 012312 PARTD
H1395 Wellcare all plans 004336 MEDDADV
H1415 Cigna all plans 017010 CIMCARE
H1416 Wellcare all plans 004336 MEDDADV
H1423 Amerigroup all plans 020115 IS
H1426 CCA Health California all plans 015574 ASPROD1
H1436 Wellcare by Allwell 002, 004, 005, 801, 803 004336 MEDDADV
H1436 Wellcare by Allwell 007 788257 004336
H1463 Health Alliance Medicare all plans 015789 CTRMEDD
H1468 Humana all plans 015581 03200000
H1500 LIFE St. Joseph of the Pines all plans 022188 PSTMEDD
H1518 Catholic Health LIFE all plans 022188 PSTMEDD
H1533 StayWell Senior Care all plans 022188 PSTMEDD
H1537 UnitedHealthcare all plans 610097 9999
H1587 Tribute Health Plans all plans 012312 PARTD
H1607 Anthem Blue Cross and Blue Shield 012, 014, 015, 017, 810, 814, 818 020115 IS
H1607 Anthem Blue Cross and Blue Shield 809, 813, 817 022227 IS
H1608 Aetna Medicare all plans 610502 MEDDAET
H1609 Aetna Medicare all plans 610502 MEDDAET
H1610 Aetna Better Health of Virginia all plans 610502 MEDDAET
H1622 North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE) all plans 022188 PSTMEDD
H1644 Longevity Health Plan all plans 610602 NVTD
H1659 UnitedHealthcare all plans 610097 9999
H1660   all plans 610011 HPHCMEDD
H1664 Wellcare by Allwell all plans 004336 MEDDADV
H1666 Blue Cross and Blue Shield of NM, TX 001, 002, 003, 004, 005, 006, 008, 010, 801, 803 011552 MAPDTX
H1666 Blue Cross and Blue Shield of NM, TX 807 011552 MAPDTXG
H1692 Aetna Medicare all plans 610502 MEDDAET
H1714 Ascension Living HOPE all plans 022188 PSTMEDD
H1722 Healthfirst Medicare Plan all plans 004336 MEDDADV
H1723 Wellcare Prime by Absolute Total Care all plans 004336 MEDDADV
H1732 Empire BlueCross BlueShield all plans 020115 IS
H1737 Health Alliance Medicare all plans 015789 CTRMEDD
H1748 Sonder Health Plan, Inc. all plans 012312 PartD
H1774 Ascension Complete all plans 004336 MEDDADV
H1777 ArchCare Advantage all plans 004336 MEDDADV
H1787 Great Plains Medicare Advantage all plans 610011 CTRXMEDD
H1799 Passport Advantage all plans 004336 MEDDADV
H1821 UnitedHealthcare all plans 610097 9999
H1822 SCAN Desert Health Plan all plans 003858 MD
H1846 MediGold all plans 004336 MEDDADV
H1848 Wellcare all plans 004336 MEDDADV
H1862 Wellcare all plans 004336 MEDDADV
H1889 UnitedHealthcare all plans 610097 9999
H1894 AMERIGROUP all plans 020115 IS
H1904 Pace Greater New Orleans all plans 022188 PSTMEDD
H1914 Wellcare all plans 004336 MEDDADV
H1944 UnitedHealthcare all plans 610097 9999
H1947 Healthy Blue all plans 020115 IS
H1951 Humana all plans 015581 03200000
H1961 Peoples Health all plans 610097 9999
H1969 Regence BlueShield of Idaho all plans 610623 2100000
H1977 Upper Peninsula Health Plan (UPHP) MI Health Link all plans 012353 06766761
H1993 Astiva Health all plans 012312 PARTD
H1994 SelectHealth all plans 015938 7463
H1997 Regence BlueShield all plans 610623 2100000




The above chart is the first page of the 2022 Medicare Part D pharmacy BIN and PCN list (E0654 - H1997).

Click here for the second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322), fifth page (H7323 - H9686) and sixth page (H9699 - S9701).







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