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Chart of 2024 BIN and PCN values for each Medicare Part D prescription drug plan Part 3 of 6 (H3517 through H5141)

Category: Your Formulary (Drug List)
Published: Jan, 10 2024 05:01:27
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The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor.  Please note, the data below is Part 3 of 6 (H3517 - H5141) with links to Parts 1, 2 and 4 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 third page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3517 through H5141.

Click here for the first page (E3014 - H2001), second page (H2029 - H3499), fourth page (H5163 - H6832), fifth page (H6846 - H8998), and sixth page (H9001 - X0001).


2024 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H3517Redwood Coast PACEall plans610593PRSMEDD
H3522Reid Health PACE Centerall plans022188PSTMEDD
H3528ConnectiCareall plans610014MEDDPRIME
H3533Humanaall plans01558103200000
H3536Anthem Blue Cross and Blue Shield002, 004, 006020115IS
H3536Anthem Blue Cross and Blue Shield801, 803022227IS
H3551eternalHealthall plans610011CTRXMEDD
H3554Arkansas Blue Medicare002, 007, 011, 801, 802, 803, 804004336MEDDADV
H3554Arkansas Blue Medicare004016895PPOAR2
H3557Blue Cross & Blue Shield of Rhode Island001610455BCRIMA
H3557Blue Cross & Blue Shield of Rhode Island801, 802610455BCRIMAG
H3561Wellcare by Health Net801, 803004336MEDDADV
H3561Wellcare by Health Net001, 007, 008, 009610014MEDDPRIME
H3563Gary and Mary West PACEall plans022188PSTMEDD
H3597Aetna Medicareall plans610502MEDDAET
H3613McGregor PACEall plans016110PACE
H3632 all plans003858MD
H3653Paramount Elite Medicare Plansall plans004336MEDDADV
H3655Anthem Blue Cross and Blue Shield033, 034, 038, 041, 042, 044, 045, 047, 048020115IS
H3655Anthem Blue Cross and Blue Shield801, 805022227IS
H3660SummaCare Medicare Advantage Plansall plans015574ASPROD1
H3664PrimeTime Health Planall plans610011CTRXMEDD
H3668MediGoldall plans004336MEDDADV
H3672The Health Planall plans610014MEDDPrime
H3706GlobalHealthall plans004336MEDDADV
H3708American Health Advantage of Oklahomaall plans012312PARTD
H3727Communicare Advantageall plans012312PARTD
H3748Aetna Medicareall plans610502MEDDAET
H3749UnitedHealthcareall plans6100979999
H3755CommunityCare Senior Health Plan (HMO)all plans004336MEDDADV
H3777Experience Health, Inc.all plans020289EHPARTD
H3794UnitedHealthcareall plans6100979999
H3800Provider Partners Health Plansall plans012312PartD
H3805UnitedHealthcareall plans6100979999
H3809Providence ElderPlace Portlandall plans01235308220000
H3810AllCare Advantageall plans015574ASPROD1
H3811Samaritan Advantage Health Plansall plans610011CTRXMEDD
H3813Moda Health Plan, Inc.all plans610602NVTD
H3814ATRIO Health Plansall plans015574ASPROD1
H3815Alignment Health Plan001, 007, 008, 010, 011, 013, 015, 016, 019, 020, 021, 023, 026, 028, 029, 030, 031, 032, 033, 034, 035, 036, 037, 038, 039, 040610455AHPPARTD
H3815Alignment Health Plan801, 802, 805, 806610455AHPPARTDG
H3817Regence BlueCross BlueShield of Oregon008, 009, 0116106232100000
H3817Regence BlueCross BlueShield of Oregon802, 803, 8046106232100001
H3822Blue Cross and Blue Shield of IL, NM001, 007, 008, 012, 013, 014, 015011552MAPDIL
H3822Blue Cross and Blue Shield of IL, NM801, 805011552MAPDILG1
H3822Blue Cross and Blue Shield of IL, NM816, 817, 818011552MAPDILG2
H3822Blue Cross and Blue Shield of IL, NM813, 814011552MAPDMTG1
H3822Blue Cross and Blue Shield of IL, NM002011552MAPDNM
H3822Blue Cross and Blue Shield of IL, NM802, 806011552MAPDNMG
H3828Saint Alphonsus Health Planall plans004336MEDDADV
H3832HMSA Akamai Advantageall plans004336MEDDADV
H3864PacificSource Medicareall plans004336MEDDADV
H3890Johns Hopkins Advantage MDall plans004336MEDDADV
H3907UPMC for Lifeall plans003858MD
H3908Mercy LIFE - West Philadelphiaall plans022188PSTMEDD
H3909Independence Blue Crossall plans610011CTRXMEDD
H3916Highmark Blue Cross Blue Shield or Highmark Blue Shieldall plans610014MEDDPRIME
H3917Community LIFEall plans003858MD
H3918LIFE Pittsburghall plans024756ASCHMEDD
H3919Mercy LIFEall plans022188PSTMEDD
H3923Capital Blue Cross013, 017, 028, 029, 030, 031, 032, 033, 034, 035, 036, 037610455CAPD2
H3923Capital Blue Cross801, 817, 818, 819, 820610455CAPDG2
H3924Geisinger Gold066019587PRX11803
H3924Geisinger Gold059, 062, 065, 804610602NVTD
H3925Senior LIFE Johnstownall plans024748GRNMEDD
H3928Aetna Medicareall plans610502MEDDAET
H3931Aetna Medicareall plans610502MEDDAET
H3942Elderhaus PACEall plans024756ASCHMEDD
H3949Cigna Healthcareall plans017010CIMCARE
H3952Independence Blue Crossall plans610011CTRXMEDD
H3954Geisinger Goldall plans610602NVTD
H3957Highmark Blue Cross Blue Shield or Highmark Blue Shield048, 816, 817, 818160014MEDDPRIME
H3957Highmark Blue Cross Blue Shield or Highmark Blue Shield031, 039, 042, 044, 045, 046, 047, 806, 808, 811, 812, 814, 815610014MEDDPRIME
H3959Aetna Medicareall plans610502MEDDAET
H3962Capital Blue Cross001, 004, 007, 021610455CAPD
H3962Capital Blue Cross801, 813, 817610455CAPDG
H3975Wellcare002610014MAC
H3975Wellcare001, 004610014MEDDPRIME
H3979Blue Cross and Blue Shield of Oklahoma001, 005011552MAPDOK
H3979Blue Cross and Blue Shield of Oklahoma801, 803011552MAPDOKG
H3991Cherry Blossom PACEall plans022188PSTMEDD
H4003Medicare y Mucho Masall plans004336MEDDADV
H4004PMC Medicare Choiceall plans004336MEDDADV
H4005Triple-S Advantageall plans610674abarcaD
H4007Humanaall plans01558103200000
H4036Anthem Blue Cross and Blue Shield008, 017, 020, 023, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 035, 036020115IS
H4036Anthem Blue Cross and Blue Shield801, 805, 806, 815, 817, 819, 821, 823, 825, 827, 829, 831, 833022227IS
H4045Santa Clara Family Health Planall plans015574ASPROD1
H4053Prisma Health SeniorCare PACE-Upstateall plans022188PSTMEDD
H4054Provider Partners Health Plansall plans012312PartD
H4073Wellcareall plans610014MEDDPRIME
H4074Mercy LIFE of Alabamaall plans022188PSTMEDD
H4091Simpra Advantageall plans610602NVTD
H4093Provider Partners Health Plansall plans012312PartD
H4094UnitedHealthcareall plans6100979999
H4105PACE Organization Of Rhode Islandall plans022188PSTMEDD
H4118Huron Valley PACEall plans022188PSTMEDD
H4140Doctors HealthCare Plans, Inc.010015574ASPR0D1
H4140Doctors HealthCare Plans, Inc.001, 002, 004, 005, 009, 011, 012, 013015574ASPROD1
H4141Humanaall plans01558103200000
H4142Cherokee Elder Careall plans000000PACE
H4152Blue Cross & Blue Shield of Rhode Island005, 007, 013, 018, 020, 021610455BCRIMA
H4152Blue Cross & Blue Shield of Rhode Island815, 817610455BCRIMAG
H4161Anthem Blue Cross Partnership Planall plans020115IS
H4172NHC Advantageall plans610602NVTD
H4185Neighborhood Healthcare PACE002022188PSTMEDC
H4185Neighborhood Healthcare PACE001022188PSTMEDD
H4198Integris Health Partners+ (HMO)all plans004336MEDDADV
H4203Prisma Health SeniorCare PACE-Midlandsall plans022188PSTMEDD
H4213Arkansas Blue Medicareall plans004336MEDDADV
H4227VISTA Health Plan Inc.all plans01958706110000
H4232American Health Advantage of Utahall plans012312PARTD
H4235Senior Total Life Care002018091PRSMEDC
H4235Senior Total Life Care001018091PRSMEDD
H4256PACE North002022188PSTMEDC
H4256PACE North001022188PSTMEDD
H4277CommunityCare Options (PPO)all plans004336MEDDADV
H4279UPMC for Life Complete Careall plans003858MD
H4286Leon Health Plansall plans015574ASPROD1
H4304 all plans004336MEDDADV
H4305Total Life Healthcareall plans016110PACE
H4326PACE@Homeall plans022188PSTMEDD
H4343Wellcare by Allwell002, 004, 005, 006004336MEDDADV
H4343Wellcare by Allwell001, 003610014MEDDPRIME
H4346Anthem Blue Cross and Blue Shield001, 005, 006, 008, 009, 010, 012, 014, 017, 019, 024, 025, 026, 029020115IS
H4346Anthem Blue Cross and Blue Shield802022188IS
H4346Anthem Blue Cross and Blue Shield805, 806, 823, 827022227IS
H4393ArchCare Senior Lifeall plans004336MEDDADV
H4402Ascension Living Alexian PACEall plans022188PSTMEDD
H4407Cigna Healthcareall plans017010CIMCARE
H4439Provider Partners Health Plan of North Carolinaall plans012312PartD
H4461Humanaall plans01558103200000
H4471Anthem Blue Cross Partnership Planall plans020115IS
H4490American Health Advantage of Missouriall plans012312PARTD
H4497Medical Mutual of Ohioall plans003858MD
H4506Wellcare806, 810004336MEDDADV
H4506Wellcare003, 029, 801610014MEDDPRIME
H4513Cigna Healthcareall plans017010CIMCARE
H4514UnitedHealthcareall plans6100979999
H4517The Basics at Jan Wernerall plans022188PSTMEDD
H4518Bienvivir Senior Health Servicesall plans000000000000
H4523Aetna Medicareall plans610502MEDDAET
H4527UnitedHealthcareall plans6100979999
H4537Wellcareall plans610014MEDDPRIME
H4538Seen Health San Gabriel Valley, LLCall plans024748GRNMEDD
H4544Peoples Healthall plans6100979999
H4590 all plans6100979999
H4604UnitedHealthcareall plans6100979999
H4605Regence BlueCross BlueShield of Utah002, 004, 007, 008, 0096106232100000
H4605Regence BlueCross BlueShield of Utah802, 803, 8046106232100001
H4620Essence Healthcareall plans015574ASPROD1
H4623Humanaall plans01558103200000
H4624Zing Healthall plans012312PARTD
H4626myPlace PACEall plans024748GRNMEDD
H4661Wellcareall plans610014MEDDPRIME
H4675 001016499HMOBH
H4675 802, 805016499HMOPOSBHG
H4676Troy Medicareall plans019587PRX11802
H4699Wellcare002, 004004336MEDDADV
H4699Wellcare001, 003, 005610014MEDDPRIME
H4704Anthem Blue Cross Life and Health Companyall plans020115IS
H4711Aetna Medicareall plans610502MEDDAET
H4714PACE of the Southern Piedmontall plans022188PSTMEDD
H4733Community Health Groupall plans015574ASPROD1
H4739First Choice VIP Care (HMO-D-SNP)all plans019587PRX01809
H4754PacificSource Medicareall plans004336MEDDADV
H4801Blue Cross and Blue Shield of OK, TX020011552MAOK3
H4801Blue Cross and Blue Shield of OK, TX007, 008, 013, 021, 022011552MAPDOK3
H4801Blue Cross and Blue Shield of OK, TX001, 002, 003, 004, 005, 006, 009, 010, 011, 012, 014, 015, 016, 017, 018, 019011552MAPDTX4
H4808Devoted Healthall plans004336MEDDADV
H4829 all plans6100979999
H4835Aetna Medicareall plans610502MEDDAET
H4847Wellcareall plans610014MEDDPRIME
H4863Farm Bureau Health Plansall plans610011CTRXMEDD
H4868Wellcare003610014MAC
H4868Wellcare004, 014, 016, 019610014MEDDPRIME
H4869Gold Kidney Health Planall plans015574ASPROD1
H4875Priority Health Medicareall plans003858MD
H4882HealthPartnersall plans015574ASPROD1
H4909Anthem Blue Cross and Blue Shield014, 015, 016, 018, 022, 024, 025, 026, 028020115IS
H4909Anthem Blue Cross and Blue Shield804, 810, 811022227IS
H4919InnovAge FloridaPACE - Tampaall plans022188PSTMEEDD
H4922 all plans012312PARTD
H4931Banner Medicare Advantageall plans610014MEDDPRIME
H4937Blue Shield of Californiaall plans00433677993322
H4943Baylor Scott & White Health Planall plans610011CTRXMEDD
H4961Alignment Health Plan001, 003, 006, 007, 008610455AHPPARTD
H4961Alignment Health Plan801, 802, 805, 806610455AHPPARTDG
H4982Aetna Medicareall plans610502MEDDAET
H4999LIFE Northwestern Pennsylvaniaall plans022188PSTMEDD
H5007Providence Health Systemall plans01235308220000
H5008UnitedHealthcareall plans6100979999
H5009Regence BlueShield002, 008, 009, 010, 0116106232100000
H5009Regence BlueShield802, 803, 8046106232100001
H5010Asuris Northwest Healthall plans6106232110000
H5015Texas Independence Health Planall plans012312PartD
H5037Mountain Empire PACEall plans013170CLAIMCR
H5042CDPHP Medicare Advantage009, 011, 801, 802, 804610770CRXMD
H5042CDPHP Medicare Advantage01361077061CRXMD
H5050Kaiser Permanenteall plans610011CTRXMEDD
H5080BoldAge PACE Indianaall plans022188PSTMEDD
H5085Community PACE at Home, Inc,004022188PSTMEDC
H5085Community PACE at Home, Inc,003022188PSTMEDD
H5087Wellcare001, 026, 027, 028, 029004336MEDDADV
H5087Wellcare005, 016, 024, 032, 033610014MEDDPRIME
H5106Highmark Blue Cross Blue Shield031, 032, 810160014MEDDPRIME
H5106Highmark Blue Cross Blue Shield013, 029, 030, 806, 808610014MEDDPRIME
H5117Wellcare by Allwell003, 004, 803004336MEDDADV
H5117Wellcare by Allwell801610014MEDDPRIME
H5124FranciscanSenior Health & Wellnessall plans024756ASCHMEDD
H5140Blue Cross Blue Shield of Arizona (AZ Blue)all plans610011CTRXMEDD
H5141Clover Healthall plans004336MEDDADV




The above chart is the third page of the 2024 Medicare Part D pharmacy BIN and PCN list (H3517 - H5141).

Click here for the first page (E3014 - H2001), second page (H2029 - H3499), fourth page (H5163 - H6832), fifth page (H6846 - H8998), and sixth page (H9001 - X0001).


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