The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2025 Medicare Part D plan sponsor. With the introduction of the Medicare Prescription Payment Plan (M3P or MPPP), CMS has released separate BIN and PCN values to be used for purchases made by beneficiaries making use of the M3P payment option.
Please note, the data below is Part 3 of 7 (H3330 - H4694) with links to Parts 1, 2 and 4 through 7.
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?." and The 2025 Medicare Prescription Payment Plan: Like 0% financing for your formulary Part D drug purchases.
The chart below is the third page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3330 through H4694.
Click here for the first page (E3014 - H1862), second page (H1889 - H3329), fourth page (H4699 - H6079), fifth page (H6080 - H8019), sixth page (H8026 - H9986), and seventh page (H9998 - X0001).
| 2025 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers | ||||||
| Contract ID | Contract Name | Plan IDs | BIN | PCN | M3P BIN | M3P PCN |
| H3330 | EmblemHealth | all plans | 400023 | 0020050403 | 400023 | MPPP |
| H3331 | ElderONE an Affiliate of Rochester Regional Health | all plans | 022188 | PSTMEDD | ||
| H3335 | Excellus Health Plan, Inc | 015, 018, 038, 053, 055, 056, 058, 059, 060, 801, 811, 820, 822, 824 | 003858 | MD | 3858 | MPPP |
| H3342 | Anthem Blue Cross and Blue Shield | all plans | 020115 | IS | ||
| H3344 | Independent Health | 804 | ||||
| H3344 | Independent Health | 005, 010 | 012635 | NA | ||
| H3347 | Elderplan | all plans | 004336 | MEDDADV | ||
| H3351 | Excellus Health Plan, Inc | all plans | 003858 | MD | 3858 | MPPP |
| H3359 | Healthfirst Medicare Plan | all plans | 004336 | MEDDADV | 4336 | MPPPOR |
| H3362 | Independent Health | 016, 819, 820 | ||||
| H3362 | Independent Health | 017, 020, 033, 040, 041, 801, 807 | 012635 | NA | 24896 | MPPP65 |
| H3379 | UnitedHealthcare | 001, 002, 022, 039, 040, 041, 043, 045, 050, 051, 052, 053, 054, 056, 802, 804 | 610097 | 9999 | 610097 | MPPP |
| H3384 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | 022 | ||||
| H3384 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | 013, 019, 058, 059, 062, 067, 806, 811, 813 | 610014 | MEDDPRIME | 610014 | MPPP |
| H3387 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H3388 | CDPHP Medicare Advantage | 001 | ||||
| H3388 | CDPHP Medicare Advantage | 013, 018 | 610770 | CRXMD | ||
| H3388 | CDPHP Medicare Advantage | 002, 004, 014, 801, 803 | 610770 | MPPPCRX | ||
| H3404 | Blue Cross and Blue Shield of North Carolina | all plans | 015905 | PPONC | 15905 | MPPPNC |
| H3407 | El Paso Health Medicare Advantage | all plans | 610602 | NVTD | 27100 | MPPP |
| H3416 | HealthPartners UnityPoint Health | all plans | 015574 | ASPROD1 | ||
| H3418 | UnitedHealthcare | 001, 002, 004, 007, 008, 009, 010 | 610097 | 9999 | 610097 | MPPP |
| H3419 | Perennial Advantage | all plans | 610602 | NVTD | 27100 | MPPP |
| H3430 | Suncoast PACE, Inc. | all plans | 013170 | CLAIMCR | ||
| H3443 | Alignment Health Plan | 001, 002, 003, 005, 006 | 610455 | AHPPARTD | 610455 | MPPPPARTD |
| H3443 | Alignment Health Plan | 801, 802 | 610455 | AHPPARTDG | 610455 | MPPPPARTDG |
| H3447 | Anthem HealthKeepers | 001, 003, 004, 005, 010, 011, 013, 018, 020, 024, 025, 026, 028, 030, 033, 037, 038, 039, 042, 043, 044, 045, 046, 047, 048, 049, 050, 051, 052, 053, 054, 055 | 020115 | IS | ||
| H3447 | Anthem HealthKeepers | 804, 806, 811, 813, 818, 820 | 022227 | IS | ||
| H3449 | Blue Cross and Blue Shield of North Carolina | all plans | 015905 | HMONC | 15905 | MPPPNC |
| H3467 | ProCare Advantage | 001, 002, 005 | 610602 | NVTD | 27100 | MPPP |
| H3471 | Health Alliance Northwest | all plans | 015789 | CTRXMEDD | ||
| H3473 | InnovAge Virginia PACE - Blue Ridge | all plans | 022188 | PSTMEDD | ||
| H3493 | Trinity Health LIFE New Jersey | all plans | 022188 | PSTMEDD | ||
| H3499 | Wellcare by Allwell | 002, 008 | 610014 | MEDDPRIME | 610014 | MPPP |
| H3517 | Redwood Coast PACE | all plans | 022188 | PSTMEDD | ||
| H3522 | Reid Health PACE Center | all plans | 022188 | PSTMEDD | ||
| H3528 | ConnectiCare | 805, 807 | ||||
| H3528 | ConnectiCare | 010, 011, 014, 015, 016, 801, 806 | 610014 | MEDDPRIME | 610014 | MPPP |
| H3533 | Humana | 803, 806 | ||||
| H3533 | Humana | 002, 027, 033, 034, 035, 802, 805 | 015581 | 03200000 | 610649 | MPPP7777 |
| H3536 | Anthem Blue Cross and Blue Shield | 002, 004, 006 | 020115 | IS | ||
| H3536 | Anthem Blue Cross and Blue Shield | 801, 803 | 022227 | IS | ||
| H3551 | eternalHealth | all plans | 610011 | CTRXMEDD | 610011 | MPPP |
| H3554 | Arkansas Blue Medicare | 011, 803, 804 | ||||
| H3554 | Arkansas Blue Medicare | 002, 007, 801, 802 | 004336 | MEDDADV | 4336 | MPPPOR |
| H3557 | Blue Cross & Blue Shield of Rhode Island | 001 | 610455 | BCRIMA | ||
| H3557 | Blue Cross & Blue Shield of Rhode Island | 801, 802 | 610455 | BCRIMAG | 610455 | MPPPRI |
| H3561 | Wellcare by Health Net | all plans | 610014 | MEDDPRIME | ||
| H3563 | Gary and Mary West PACE | all plans | 022188 | PSTMEDD | ||
| H3597 | Aetna Medicare | 001, 007, 009, 011, 012, 014, 802 | 610502 | MEDDAET | 610502 | MPPPOR |
| H3613 | McGregor PACE | all plans | 022188 | PSTMEDD | ||
| H3653 | Paramount Elite Medicare Plans | 004, 015, 022, 024, 809 | 004336 | MEDDADV | 4336 | MPPPOR |
| H3655 | Anthem Blue Cross and Blue Shield | 033, 034, 041, 042, 045, 047, 048, 049 | 020115 | IS | ||
| H3655 | Anthem Blue Cross and Blue Shield | 801, 805 | 022227 | IS | ||
| H3660 | SummaCare Medicare Advantage Plans | 028, 029, 050, 053, 056, 801, 805 | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H3664 | PrimeTime Health Plan | 017, 020, 021, 801, 803, 805, 807 | 610011 | CTRXMEDD | 610011 | MPPP |
| H3668 | MediGold | all plans | 004336 | MEDDADV | 4336 | MPPPOR |
| H3672 | The Health Plan | 013, 019, 020, 805 | 610014 | MEDDPrime | 610014 | MPPP |
| H3706 | GlobalHealth | 001, 023, 024, 025, 803 | 004336 | MEDDADV | 4336 | MPPPOR |
| H3708 | American Health Advantage of Oklahoma | all plans | 012312 | PARTD | 12312 | MPPP |
| H3727 | Communicare Advantage | all plans | 012312 | PARTD | ||
| H3748 | Aetna Medicare | 001, 004, 007, 008, 009, 010, 013, 014, 015, 016, 018 | 610502 | MEDDAET | ||
| H3749 | UnitedHealthcare | all plans | 610097 | 9999 | ||
| H3755 | CommunityCare Senior Health Plan (HMO) | all plans | 004336 | MEDDADV | 4336 | MPPPOR |
| H3777 | Experience Health | all plans | 020289 | EHPARTD | 20289 | MPPPEH |
| H3794 | UnitedHealthcare | 002, 004, 006, 007 | 610097 | 9999 | 610097 | MPPP |
| H3800 | Provider Partners Health Plans | all plans | 012312 | PartD | ||
| H3805 | UnitedHealthcare | 001, 015, 017, 032, 033, 034, 037, 039, 040, 041, 043, 044, 045, 803, 804, 806, 807 | 610097 | 9999 | 610097 | MPPP |
| H3809 | Providence ElderPlace Portland | all plans | 012353 | 08220000 | ||
| H3810 | AllCare Advantage | all plans | 015574 | ASPROD1 | ||
| H3811 | Samaritan Advantage Health Plans | all plans | 610011 | CTRXMEDD | ||
| H3813 | Moda Health Plan, Inc. | all plans | 610602 | NVTD | ||
| H3814 | ATRIO Health Plans | all plans | 015574 | ASPROD1 | ||
| H3815 | Alignment Health Plan | 001, 007, 008, 010, 011, 013, 016, 019, 020, 021, 023, 028, 030, 031, 033, 034, 035, 037, 038, 039, 040, 041, 042, 043, 044, 045, 046, 047, 048, 049 | 610455 | AHPPARTD | 610455 | MPPPPARTD |
| H3815 | Alignment Health Plan | 801, 802 | 610455 | AHPPARTDG | 610455 | MPPPPARTDG |
| H3817 | Regence BlueCross BlueShield of Oregon | 008, 009, 011 | 610623 | 2100000 | 610623 | MPPP021000 |
| H3817 | Regence BlueCross BlueShield of Oregon | 802, 803, 804 | 610623 | 2100001 | 610623 | MPPP021000 |
| H3822 | Blue Cross and Blue Shield of IL, NM | 001, 007, 008, 012, 014 | 011552 | MAPDIL | 11552 | MPPPHCSC |
| H3822 | Blue Cross and Blue Shield of IL, NM | 801, 805, 816, 817, 818 | 011552 | MAPDILG1 | 11552 | MPPPHCSC |
| H3822 | Blue Cross and Blue Shield of IL, NM | 813, 814 | 011552 | MAPDMTG1 | 11552 | MPPPHCSC |
| H3822 | Blue Cross and Blue Shield of IL, NM | 002 | 011552 | MAPDNM | 11552 | MPPPHCSC |
| H3822 | Blue Cross and Blue Shield of IL, NM | 802, 806 | 011552 | MAPDNMG | 11552 | MPPPHCSC |
| H3828 | Saint Alphonsus Health Plan | all plans | 004336 | MEDDADV | 4336 | MPPPOR |
| H3832 | HMSA Akamai Advantage | all plans | 004336 | MEDDADV | 4336 | MPPPOR |
| H3864 | PacificSource Medicare | 006, 014, 024, 027, 029, 034, 036, 040, 041, 043, 803, 806 | 004336 | MEDDADV | 4336 | MPPPOR |
| H3890 | Johns Hopkins Advantage MD | 001, 002, 005, 801 | 004336 | MEDDADV | 4336 | MPPPOR |
| H3907 | UPMC for Life | 006, 037, 057, 058, 059, 802, 803 | 003858 | MD | 3858 | MPPP |
| H3908 | Mercy LIFE - West Philadelphia | all plans | 022188 | PSTMEDD | ||
| H3909 | Independence Blue Cross | 007 | ||||
| H3909 | Independence Blue Cross | 001, 009, 015, 016, 017, 018, 802 | 610011 | CTRXMEDD | 610011 | MPPP |
| H3916 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H3917 | Community LIFE | all plans | 003858 | MD | ||
| H3918 | LIFE Pittsburgh | all plans | 022188 | PSTMEDD | ||
| H3919 | Mercy LIFE | all plans | 022188 | PSTMEDD | ||
| H3923 | Capital Blue Cross | 013, 017, 028, 029, 030, 031, 032, 033, 034, 035, 038, 039, 040 | 610455 | CAPD2 | 610455 | MPPPCAP |
| H3923 | Capital Blue Cross | 801, 817, 818, 819, 820 | 610455 | CAPDG2 | 610455 | MPPPCAP |
| H3924 | Geisinger Gold | all plans | 610602 | NVTD | 27100 | MPPP |
| H3925 | Senior LIFE Johnstown | all plans | 024748 | GRNMEDD | ||
| H3928 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H3931 | Aetna Medicare | 004, 064, 091, 092, 094, 095, 097, 099, 100, 101, 102, 107, 108, 109, 126, 129, 143, 146, 147, 148, 151, 152, 153, 154, 157, 158, 159, 160, 162, 166, 169, 175, 176, 177, 178, 179, 185, 804 | 610502 | MEDDAET | 610502 | MPPPOR |
| H3933 | 001 | 022188 | PSTMEDD | 22188 | PSTMEDD | |
| H3942 | Elderhaus PACE | all plans | 024756 | ASCHMEDD | ||
| H3949 | Cigna Healthcare | 051 | ||||
| H3949 | Cigna Healthcare | 009, 024, 030, 031, 032, 035, 045, 046, 047, 048, 049, 050, 052, 053 | 017010 | CIMCARE | 17010 | MPPP |
| H3952 | Independence Blue Cross | 020, 045, 049, 051, 053, 054, 055, 060, 804 | 610011 | CTRXMEDD | 610011 | MPPP |
| H3954 | Geisinger Gold | all plans | 610602 | NVTD | 27100 | MPPP |
| H3957 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | 048, 816, 817, 818 | 160014 | MEDDPRIME | 610014 | MPPP |
| H3957 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | 031, 039, 042, 044, 045, 046, 047, 806, 808, 811, 812, 814, 815 | 610014 | MEDDPRIME | 610014 | MPPP |
| H3959 | Aetna Medicare | 001, 002, 010, 011, 032, 033, 035, 036, 037, 039, 052, 053, 055, 063, 066, 069, 070, 071, 072, 073, 074, 075, 076, 077, 804 | 610502 | MEDDAET | 610502 | MPPPOR |
| H3962 | Capital Blue Cross | 001, 004, 007, 021 | 610455 | CAPD | 610455 | MPPPCAP |
| H3962 | Capital Blue Cross | 801, 813, 817 | 610455 | CAPDG | 610455 | MPPPCAP |
| H3975 | Wellcare | 002 | ||||
| H3975 | Wellcare | 001 | 610014 | MEDDPRIME | 610014 | MPPP |
| H3979 | Blue Cross and Blue Shield of Oklahoma | 001 | 011552 | MAPDOK | 11552 | MPPPHCSC |
| H3979 | Blue Cross and Blue Shield of Oklahoma | 801, 803 | 011552 | MAPDOKG | 11552 | MPPPHCSC |
| H3991 | Cherry Blossom PACE | all plans | 022188 | PSTMEDD | ||
| H4003 | Medicare y Mucho Mas | 009, 017, 019, 034, 055, 058, 806, 807, 820, 821, 822, 823, 824, 825, 826, 827, 828, 829 | 611791 | CARELONRX | 611791 | MPPP |
| H4004 | PMC Medicare Choice | 048, 056, 062, 063, 065, 066, 068, 069, 070, 071, 817, 818, 819, 820, 822, 823, 824, 825, 826, 827, 828, 829 | 611791 | CARELONRX | 611791 | MPPP |
| H4005 | Triple-S Advantage | 004, 804, 807, 808, 809, 810 | 610674 | abarcaD | 610674 | MPPPTSSADV |
| H4007 | Humana | 802, 820, 830 | ||||
| H4007 | Humana | 012, 016, 018, 021, 024, 025, 026, 027, 028, 029, 030, 031, 801, 819, 829, 833, 835, 837, 839, 841, 843, 845, 847 | 015581 | 03200000 | 610649 | MPPP7777 |
| H4036 | Anthem Blue Cross and Blue Shield | 037, 040 | ||||
| H4036 | Anthem Blue Cross and Blue Shield | 008, 017, 020, 025, 026, 028, 029, 030, 031, 032, 033, 034, 035, 036, 038, 039, 041, 042 | 020115 | IS | ||
| H4036 | Anthem Blue Cross and Blue Shield | 801, 805, 806, 819, 821, 823, 825, 827, 829 | 022227 | IS | ||
| H4045 | Santa Clara Family Health Plan | all plans | 015574 | ASPROD1 | ||
| H4053 | Prisma Health SeniorCare PACE-Upstate | all plans | 022188 | PSTMEDD | ||
| H4054 | Provider Partners Health Plans | all plans | 012312 | PartD | ||
| H4073 | Wellcare | 001 | 610014 | MEDDPRIME | 610014 | MPPP |
| H4074 | Mercy LIFE of Alabama | all plans | 022188 | PSTMEDD | ||
| H4091 | Simpra Advantage | all plans | 610602 | NVTD | 27100 | MPPP |
| H4093 | Provider Partners Health Plans | all plans | 012312 | PartD | ||
| H4094 | UnitedHealthcare | all plans | 610097 | 9999 | ||
| H4105 | PACE Organization Of Rhode Island | all plans | 022188 | PSTMEDD | ||
| H4118 | Huron Valley PACE | all plans | 022188 | PSTMEDD | ||
| H4140 | Doctors HealthCare Plans, Inc. | 010 | 015574 | ASPR0D1 | ||
| H4140 | Doctors HealthCare Plans, Inc. | 001, 004, 005, 009, 012, 014 | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H4141 | Humana | 802, 806 | ||||
| H4141 | Humana | 003, 015, 017, 022, 023, 801, 805 | 015581 | 03200000 | 610649 | MPPP7777 |
| H4142 | Cherokee Elder Care | all plans | 024756 | ASCHMEDD | ||
| H4152 | Blue Cross & Blue Shield of Rhode Island | 005, 007, 013, 018, 020, 021, 022 | 610455 | BCRIMA | 610455 | MPPPRI |
| H4152 | Blue Cross & Blue Shield of Rhode Island | 815, 817 | 610455 | BCRIMAG | 610455 | MPPPRI |
| H4161 | Anthem Blue Cross Partnership Plan | all plans | 020115 | IS | ||
| H4172 | NHC Advantage | all plans | 610602 | NVTD | 27100 | MPPP |
| H4185 | Neighborhood Healthcare PACE | 002 | 022188 | PSTMEDC | ||
| H4185 | Neighborhood Healthcare PACE | 001 | 022188 | PSTMEDD | ||
| H4198 | Integris Health Partners+ (HMO) | all plans | 004336 | MEDDADV | ||
| H4203 | Prisma Health SeniorCare PACE-Midlands | all plans | 022188 | PSTMEDD | ||
| H4213 | Arkansas Blue Medicare | 016 | ||||
| H4213 | Arkansas Blue Medicare | 017 | 004336 | MEDDADV | 4336 | MPPPOR |
| H4227 | VISTA Health Plan Inc. | all plans | 019587 | 06110000 | ||
| H4232 | American Health Advantage of Utah | all plans | 012312 | PARTD | 12312 | MPPP |
| H4235 | Senior Total Life Care | all plans | 022188 | PSTMEDD | ||
| H4256 | PACE North | 002 | 022188 | PSTMEDC | ||
| H4256 | PACE North | 001 | 022188 | PSTMEDD | ||
| H4277 | CommunityCare Options (PPO) | all plans | 004336 | MEDDADV | ||
| H4279 | UPMC for Life Complete Care | all plans | 003858 | MD | 3858 | MPPP |
| H4286 | Leon Health, Inc. | all plans | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H4305 | Total Life Healthcare | all plans | 016110 | PACE | ||
| H4326 | PACE@Home | all plans | 022188 | PSTMEDD | ||
| H4343 | Wellcare by Allwell | all plans | 610014 | MEDDPRIME | ||
| H4346 | Anthem Blue Cross and Blue Shield | 001, 005, 006, 009, 010, 012, 014, 017, 019, 025, 026, 029 | 020115 | IS | ||
| H4346 | Anthem Blue Cross and Blue Shield | 805, 806, 823, 827 | 022227 | IS | ||
| H4393 | ArchCare Senior Life | all plans | 004336 | MEDDADV | ||
| H4402 | Ascension Living Alexian PACE | all plans | 022188 | PSTMEDD | ||
| H4407 | Cigna Healthcare | all plans | 017010 | CIMCARE | 17010 | MPPP |
| H4439 | Provider Partners Health Plans | all plans | 012312 | PartD | ||
| H4444 | Provider Partners Health Plan of Indiana | all plans | 012312 | PartD | ||
| H4461 | Humana | 004, 807, 811 | ||||
| H4461 | Humana | 022, 025, 035, 038, 039, 040, 041, 042, 043, 806, 810 | 015581 | 03200000 | 610649 | MPPP7777 |
| H4471 | Anthem Blue Cross | all plans | 020115 | IS | ||
| H4490 | American Health Advantage of Missouri | 001 | 012312 | PARTD | 12312 | MPPP |
| H4497 | Medical Mutual of Ohio | all plans | 003858 | MD | 3858 | MPPP |
| H4499 | Sentara Medicare | all plans | 610014 | CTRXMEDD | 610014 | MPPP |
| H4506 | Wellcare | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H4513 | Cigna Healthcare | 026, 027, 030, 034, 035, 036, 037, 038, 039, 046, 049, 050, 052, 053, 055, 059, 060, 061, 063, 064, 068, 073, 074, 075, 077, 079, 080, 081, 083, 084, 085, 086, 087, 088, 089, 090, 091, 092, 093 | 017010 | CIMCARE | 17010 | MPPP |
| H4514 | UnitedHealthcare | 007, 014, 015, 016, 017, 018, 019, 021, 022, 023, 801, 806 | 610097 | 9999 | 610097 | MPPP |
| H4517 | The Basics at Jan Werner | all plans | 022188 | PSTMEDD | ||
| H4518 | Bienvivir Senior Health Services | all plans | 000000 | 000000 | ||
| H4523 | Aetna Medicare | 001, 015, 020, 021, 024, 027, 028, 029, 030, 031, 802 | 610502 | MEDDAET | 610502 | MPPPOR |
| H4527 | UnitedHealthcare | 001, 002, 003, 005, 013, 015, 037, 039, 040, 041, 042, 045, 048, 051, 052, 053, 054, 801, 803 | 610097 | 9999 | 610097 | MPPP |
| H4537 | Wellcare | 001 | 610014 | MEDDPRIME | 610014 | MPPP |
| H4538 | Seen Health San Gabriel Valley, LLC | 001, 002 | 024748 | GRNMEDD | ||
| H4544 | Peoples Health | all plans | 610097 | 9999 | 610097 | MPPP |
| H4545 | all plans | 024748 | GRNMEDD | |||
| H4604 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H4605 | Regence BlueCross BlueShield of Utah | 002, 004 | 610623 | 2100000 | 610623 | MPPP021000 |
| H4605 | Regence BlueCross BlueShield of Utah | 802, 803, 804 | 610623 | 2100001 | 610623 | MPPP021000 |
| H4618 | Sonder Health Plans, Inc. | all plans | 012312 | PartD | 12312 | MPPP |
| H4620 | Essence Healthcare | 803, 804 | ||||
| H4620 | Essence Healthcare | 001, 801, 802 | 610014 | MEDDPRIME | 610014 | MPPP |
| H4623 | Humana | all plans | 015581 | 03200000 | 610649 | MPPP7777 |
| H4624 | Zing Health | 803, 804 | ||||
| H4624 | Zing Health | 001, 003, 006, 010, 011, 012, 016, 019, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 035, 036, 037, 038, 039, 040, 041, 042, 043, 044 | 004336 | MEDDADV | ||
| H4624 | Zing Health | 801, 802 | 012312 | PARTD | ||
| H4626 | myPlace PACE | all plans | 024748 | GRNMEDD | ||
| H4647 | UCLA Health Medicare Advantage Plan | all plans | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H4661 | Wellcare | 001 | 610014 | MEDDPRIME | 610014 | MPPP |
| H4676 | Troy Medicare | all plans | 019587 | PRX11802 | 19587 | MPPP11802 |
| H4694 | Anthem HealthKeepers | all plans | 020115 | IS | ||
Click here for the first page (E3014 - H1862), second page (H1889 - H3329), fourth page (H4699 - H6079), fifth page (H6080 - H8019), sixth page (H8026 - H9986), and seventh page (H9998 - X0001).