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Chart of 2024 BIN and PCN values for each Medicare Part D prescription drug plan Part 4 of 6 (H5163 through H6832)

Your Formulary (Drug List) · published Jan 10, 2024

UPDATE: The 2025 BIN and PCN numbers are online and include the Medicare Prescription Payment Plan (M3P or MPPP) numbers.

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 4 of 6 (H5163 - H6832) with links to Parts 1 through 3 and 5, 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 fourth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5163 through H6832.

Click here for the first page (E3014 - H2001), second page (H2029 - H3499), third page (H3517 - H5141), 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
H5163Verda Health Plan of Texasall plans015574ASPROD1
H5167Rocky Mountain PACEall plans022188PSTMEDD
H5178Humanaall plans01558103200000
H5190Wellcare by Allwell802004336MEDDADV
H5190Wellcare by Allwell801610014MEDDPRIME
H5199Wellcare015004336MEDDADV
H5199Wellcare008, 010, 012, 014, 016610014MEDDPRIME
H5209My Choice Wisconsin Health Planall plans012312PARTD
H5211Security Health Plan of Wisconsin, Inc.all plans015574ASPROD1
H5212Community Care002022188PSTMEDC
H5212Community Care001022188PSTMEDD
H5213InnovAge New Mexico PACEall plans022188PSTMEDD
H5215Network Health Medicare Advantage Plansall plans003858MD
H5216Humanaall plans01558103200000
H5232Paramount Elite Medicare Plansall plans004336MEDDADV
H5244SCAN Health Plan New Mexicoall plans003858MD
H5253UnitedHealthcareall plans6100979999
H5262Quartz Medicare Advantageall plans610011CTRXMEDD
H5273CarePartners of Connecticutall plans610011CTRXMEDD
H5280Molina Healthcare of Ohioall plans004336MEDDADV
H5294Wellcare by Allwell801, 802004336MEDDADV
H5294Wellcare by Allwell010, 011, 012, 013, 015, 016, 017, 018, 019, 020610014MEDDPRIME
H5296Alignment Health Plan003, 004, 005, 006, 007, 008610455AHPPARTD
H5296Alignment Health Plan801, 802610455AHPPARTDG
H5299Devoted Healthall plans004336MEDDADV
H5302Aetna Medicareall plans610502MEDDAET
H5309Aetna Medicareall plans610502MEDDAET
H5322UnitedHealthcareall plans6100979999
H5325Aetna Medicareall plans610502MEDDAET
H5361AmeriHealthall plans610011CTRXMEDD
H5372all plans015574ASPROD1
H5373Paramount Elite Medicare Plansall plans004336MEDDADV
H5374Longevity Health Planall plans610014MEDDPRIME
H5377Humanaall plans01558103200000
H5386Sharp Health Planall plans004336MEDDADV
H5398Wellcare by Allwellall plans610014MEDDPRIME
H5403On Lok PACEall plans022188PSTMEDD
H5405Center For Elders' Independenceall plans022188PSTMEDD
H5406Sutter SeniorCare PACEall plans022188PSTMEDD
H5410Cigna Healthcareall plans017010CIMCARE
H5420UnitedHealthcareall plans6100979999
H5422Anthem Blue Cross and Blue Shield007, 008, 011, 013, 015, 016, 017, 018, 019020115IS
H5422Anthem Blue Cross and Blue Shield804, 806022227IS
H5425SCAN Health Plan803, 804003858A4
H5425SCAN Health Plan001, 004, 005, 006, 007, 008, 009, 010, 019, 020, 028, 030, 033, 034, 052, 053, 054, 055, 065, 066, 067, 068, 069, 070, 073, 074, 075, 076, 077, 078, 079, 080, 082, 083, 084, 085, 086, 087, 091, 092, 093, 096, 097, 098, 099, 100, 101, 102, 103, 104, 105, 1003858MD
H5427Freedom Health, Inc.all plans020115IS
H5430WellCare807004336MEDDADV
H5430WellCare805610014MEDDPRIME
H5431HealthSun Health Plans, Inc.all plans020115IS
H5433CalOptima Health OneCareall plans015574ASPROD1
H5434Florida Blue002, 023, 024, 025, 026, 030, 031, 032, 033, 034, 035, 036, 039012833MedDPrime
H5434Florida Blue801, 802012833MedDPrimeG
H5435UnitedHealthcareall plans6100979999
H5439Wellcare by Health Net018, 801, 803, 805004336MEDDADV
H5439Wellcare by Health Net010, 011, 015, 017, 019610014MEDDPRIME
H5447Community First Health Plans002610602NVT
H5447Community First Health Plans001610602NVTD
H5454Clear Spring Healthall plans610011CTRXMEDD
H5471Simply Healthcare Plans, Inc.all plans020115IS
H5472Alignment Health Plan001, 002, 003, 004610455AHPPARTD
H5472Alignment Health Plan801, 802610455AHPPARTDG
H5475Wellcareall plans610014MEDDPRIME
H5493Saint Francis LIFEall plans022188PSTMEDD
H5496Imperial Health Plan of California, Inc.all plans015574ASPROD1
H5521Aetna Medicareall plans610502MEDDAET
H5522Aetna Medicareall plans610502MEDDAET
H5525Humanaall plans01558103200000
H5526Highmark Blue Cross Blue Shield or Highmark Blue Shieldall plans610014MEDDPRIME
H5528EmblemHealthall plans0133440020080229
H5533UPMC for Lifeall plans003858MD
H5538Trinity Health PACE of Pensacolaall plans022188PSTMEDD
H5549VNS Health Medicareall plans015574ASPROD1
H5576all plans610602NVTD
H5577MCS Classicareall plans012312PARTD
H5580Mercy Care Advantageall plans610591MEDDADV
H5587BCBSAZ Health Choiceall plans004336MEDDADV
H5590Wellcare by Allwell005, 007004336MEDDADV
H5590Wellcare by Allwell008, 009610014MEDDPRIME
H5591Martin's Point Generations Advantageall plans004336MEDDADV
H5593Aetna Medicareall plans610502MEDDAET
H5594Optimum HealthCare, Inc.all plans020115IS
H5599Wellcare by Fidelis Care802, 803004336MEDDADV
H5599Wellcare by Fidelis Care001, 002, 003, 004, 008610014MEDDPRIME
H5608Elevate Medicare Advantageall plans015574ASPROD1
H5610Care Resourcesall plans022188PSTMEDD
H5619Humanaall plans01558103200000
H5622Care Guide Partnersall plans022188PSTMEDD
H5628Molina Healthcare of Utah & Idahoall plans004336MEDDADV
H5629St. Paul's PACEall plans022188PSTMEDD
H5644Network Health Medicare Advantage Plansall plans003858MD
H5649Central Health Medicare Planall plans610014MEDDPRIME
H5652UnitedHealthcareall plans6100979999
H5703South Country Health Allianceall plans01958706190000
H5746all plans020115IS
H5764all plans020115IS
H5774Triple S Advantageall plans610674abarcaD
H5779Wellcare008004336MEDDADV
H5779Wellcare002, 007, 009610014MEDDPRIME
H5793Aetna Medicareall plans610502MEDDAET
H5810Molina Healthcare of Californiaall plans004336MEDDADV
H5822Midland Care PACEall plans016110PACE
H5823Molina Healthcare of Washington, Inc.all plans004336MEDDADV
H5826Community Health Plan of WA Medicare Advantageall plans003858MD
H5828AMERIGROUP Community Careall plans020115IS
H5843Banner Medicare Advantageall plans610014MEDDPRIME
H5852AHFall plans015574ASPROD1
H5854Anthem Blue Cross and Blue Shield007, 008, 009, 010, 011, 012, 013, 014, 015, 016020115IS
H5854Anthem Blue Cross and Blue Shield801, 806022227IS
H5859CareOregon Advantageall plans610011CORMCARE
H5883Blue Care Networkall plans610011CTRXMEDD
H5900Wellmark Advantage Health Plan001, 002, 003, 004, 005, 801004336MEDDADV
H5900Wellmark Advantage Health Plan802610000FILLER
H5902Senior LIFE Altoona / Ebensburg / Indianaall plans024748GRNMEDD
H5926Molina Healthcare of Michiganall plans004336MEDDADV
H5928Blue Shield of Californiaall plans00433677993322
H5932Highmark Wholecare Medicare Assuredall plans004336MEDDADV
H5934Hope PACEall plans016110PACE
H5937UCareall plans610602CARE
H5938Capital Health Plan001, 006, 008610455MEDDADV
H5938Capital Health Plan802, 804, 805610455MEDDADVG
H5943VillageHealthall plans003858MD
H5945Prominence Health Planall plans015574ASPROD1
H5959Blue Cross and Blue Shield of Minnesota009, 010, 011, 012, 013, 014, 015, 016610455EMNH5959
H5959Blue Cross and Blue Shield of Minnesota801, 808, 809610455EMNH5959G
H5965Wellcareall plans610014MEDDPRIME
H5969AlohaCareall plans020388IRXMEDD
H5970Humanaall plans01558103200000
H5978Senior LIFE Lehigh Valley / Readingall plans024748GRNMEDD
H5989Healthfirst Medicare Planall plans004336MEDDADV
H5991EmblemHealthall plans4000230020050403
H5992Senior Whole Health of New York007, 008003858MD
H5992Senior Whole Health of New York009004336MEDDADV
H5995ATRIO Health Plansall plans015574ASPROD1
H6018Devoted Healthall plans004336MEDDADV
H6019HEALTH PLAN OF SAN MATEOall plans01235306850000
H6059PACE OF THE TRIADall plans022188PSTMEDD
H6062all plans004336MEDDADV
H6067CareFirst BlueCross BlueShield Medicare Advantageall plans004336MEDDADV
H6078Region 6 Rx Corp PPOall plans022227IS
H6079InnovAge California PACEall plans022188PSTMEDD
H6080Meridian Medicare-Medicaid Plan (MMP)all plans610014MEDDPRIME
H6154Medicaall plans003858MD
H6158Arkansas Blue Medicareall plans004336MEDDADV
H6170Champion Heath Planall plans015574ASPROD1
H6188LIFE Armstrongall plans016110PACE
H6193Wellcareall plans610014MEDDPRIME
H6200Essence Healthcareall plans015574ASPROD1
H6202NextBlue of North Dakotaall plans610011CTRXMEDD
H6231PACE Baton Rougeall plans013170CLAIMCR
H6237Regence BlueCross BlueShield of Oregonall plans6106232100000
H6248Community Health Groupall plans015574ASPROD1
H6306FirstMedicare Directall plans015789CTRXMEDD
H6316Healthy Blueall plans020115IS
H6317WelbeHealthall plans022188PSTMEDD
H6322McLaren Medicareall plans015574ASPROD1
H6328Care N' Care Insurance Companyall plans012312PARTD
H6342Baptist Health PACEall plans022188PSTMEDD
H6345PruittHealth Premierall plans610602NVTD
H6348Wellcare by Allwell801, 802, 803004336MEDDADV
H6348Wellcare by Allwell005610014MAC
H6348Wellcare by Allwell002, 006, 007610014MEDDPRIME
H6351Liberty Medicare Advantageall plans610602NVTD
H6371Lutheran Senior LIFEall plans016110PACE
H6378AmeriHealth Caritas VIP Care (HMO-D-SNP)all plans019587PRX01816
H6379Clear Spring Health001, 002610011CTRXMEDD
H6379Clear Spring Health003610014MEDDPRIME
H6396CareSourceall plans610014MEDDPRIME
H6399Aetna Better Health of New Jerseyall plans610502MEDDAET
H6408Trinity Health Plan Of New Englandall plans004336MEDDADV
H6425PACE of the Ozarksall plans016110PACE
H6446Wellcare by Allwell003, 005, 011, 013004336MEDDADV
H6446Wellcare by Allwell001, 010, 014, 016, 017610014MEDDPRIME
H6453Blue Cross and Blue Shield of Louisianaall plans003858MD
H6474Champion Health Planall plans015574ASPROD1
H6502Blue Medicare Advantageall plans022576CTRXMEDD
H6526UnitedHealthcareall plans6100979999
H6528all plans6100979999
H6529MyTruAdvantageall plans004336MEDDADV
H6541Horizon - PACEall plans022188PSTMEDD
H6545Devoted Healthall plans004336MEDDADV
H6550Wellcare by Allwell801, 803004336MEDDADV
H6550Wellcare by Allwell003, 004, 006, 007, 009610014MEDDPRIME
H6551LIFE St. Maryall plans022188PSTMEDD
H6586Devoted Healthall plans004336MEDDADV
H6594Wellcareall plans610014MEDDPRIME
H6595UnitedHealthcareall plans6100979999
H6596Fallon Health Weinbergall plans610011CTRXMEDD
H6605Wellcare by â?~Ohana Health Planall plans610014MEDDPRIME
H6622Humanaall plans01558103200000
H6652American Health Advantage of Floridaall plans012312PARTD
H6672Clear Spring Healthall plans610011CTRXMEDD
H6678Wellcare by Allwell001, 002004336MEDDADV
H6678Wellcare by Allwell003, 004610014MEDDPRIME
H6706UnitedHealthcareall plans6100979999
H6713Wellcareall plans610014MEDDPRIME
H6723Medical Mutual of Ohioall plans003858MD
H6727PHP Medicareall plans610014MedDPrime
H6743ATRIO Health Plansall plans015574ASPROD1
H6750Harvard Pilgrim Health Care of New England, Inc.all plans610011HPHCMEDD
H6759Senior CommUnity Care of Kentucky002022188PSTMEDC
H6759Senior CommUnity Care of Kentucky001022188PSTMEDD
H6765Iowa Health Advantageall plans012312PARTD
H6776RiverSpring Health Plansall plans610014MEDDPRIME
H6787Senior Community Care of Michigan002022188PSTMEDC
H6787Senior Community Care of Michigan001022188PSTMEDD
H6813Devoted Healthall plans004336MEDDADV
H6815Wellcare by Health Net801, 803004336MEDDADV
H6815Wellcare by Health Net037, 038, 039610014MEDDPRIME
H6830Wellcare by Allwell002004336MEDDADV
H6830Wellcare by Allwell001610014MEDDPRIME
H6832Align Senior Careall plans610602NVTD
The above chart is the fourth page of the 2024 Medicare Part D pharmacy BIN and PCN list (H5163 - H6832).

Click here for the first page (E3014 - H2001), second page (H2029 - H3499), third page (H3517 - H5141), fifth page (H6846 - H8998), and sixth page (H9001 - X0001).