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 4 of 7 (H4699 - H6079) with links to Parts 1, 2, 3 and 5 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 fourth page of the 2025 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H4699 through H6079.
Click here for the first page (E3014 - H1862), second page (H1889 - H3329), third page (H3330 - H4694), 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 |
| H4699 | Wellcare | all plans | 610014 | MEDDPRIME | ||
| H4704 | Anthem Blue Cross Life and Health Insurance Company | all plans | 020115 | IS | ||
| H4711 | Aetna Medicare | 010 | ||||
| H4711 | Aetna Medicare | 001, 002, 005, 008, 011, 012, 013, 802 | 610502 | MEDDAET | 610502 | MPPPOR |
| H4714 | PACE of the Southern Piedmont | all plans | 022188 | PSTMEDD | ||
| H4733 | Community Health Group | all plans | 015574 | ASPROD1 | ||
| H4739 | First Choice VIP Care (HMO-D-SNP) | all plans | 019587 | PRX01809 | ||
| H4754 | PacificSource Medicare | 004, 018, 802 | 004336 | MEDDADV | 4336 | MPPPOR |
| H4801 | Blue Cross and Blue Shield of OK, TX | 019, 020 | ||||
| H4801 | Blue Cross and Blue Shield of OK, TX | 007, 021, 022, 023, 024 | 011552 | MAPDOK3 | 11552 | MPPPHCSC |
| H4801 | Blue Cross and Blue Shield of OK, TX | 002, 011, 015, 016, 018 | 011552 | MAPDTX4 | 11552 | MPPPHCSC |
| H4808 | Devoted Health | all plans | 004336 | MEDDADV | 4336 | MPPPOR |
| H4835 | Aetna Medicare | 001, 002, 004, 005, 802 | 610502 | MEDDAET | 610502 | MPPPOR |
| H4847 | Wellcare | 001, 005 | 610014 | MEDDPRIME | 610014 | MPPP |
| H4863 | Farm Bureau Health Plans | all plans | 610011 | CTRXMEDD | ||
| H4868 | Wellcare | 003 | ||||
| H4868 | Wellcare | 004, 014 | 610014 | MEDDPRIME | ||
| H4869 | Gold Kidney Health Plan | 009 | ||||
| H4869 | Gold Kidney Health Plan | 001, 002, 003, 004, 005, 010, 011, 012, 013 | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H4875 | Priority Health Medicare | 016, 018, 020, 022, 024, 803, 804, 807, 808, 809 | 003858 | MD | 3858 | MPPP |
| H4882 | HealthPartners | 803 | ||||
| H4882 | HealthPartners | 003, 004, 005, 009, 010, 011, 013, 801, 804, 806 | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H4909 | Anthem Blue Cross and Blue Shield | 014, 015, 016, 018, 026 | 020115 | IS | ||
| H4909 | Anthem Blue Cross and Blue Shield | 804, 810, 811 | 022227 | IS | ||
| H4919 | InnovAge FloridaPACE - Tampa | all plans | 022188 | PSTMEEDD | ||
| H4931 | Banner Medicare Advantage | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H4937 | Blue Shield of California | 803, 804 | ||||
| H4937 | Blue Shield of California | 001, 002, 801, 802, 805 | 026696 | 77993322 | 26696 | MPPP3322 |
| H4943 | Baylor Scott & White Health Plan | 002 | ||||
| H4943 | Baylor Scott & White Health Plan | 001 | 610770 | CRXMD | 610770 | MPPPCRX |
| H4961 | Alignment Health Plan | 001, 003, 006 | 610455 | AHPPARTD | 610455 | MPPPPARTD |
| H4961 | Alignment Health Plan | 801, 802 | 610455 | AHPPARTDG | 610455 | MPPPPARTDG |
| H4982 | Aetna Medicare | 001, 002, 003, 004, 007, 008, 009, 010, 016, 017, 018, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 802 | 610502 | MEDDAET | 610502 | MPPPOR |
| H4999 | LIFE Northwestern Pennsylvania | all plans | 022188 | PSTMEDD | ||
| H5007 | Providence Health System | all plans | 012353 | 08220000 | ||
| H5008 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H5009 | Regence BlueShield | 002, 011 | 610623 | 2100000 | 610623 | MPPP021000 |
| H5009 | Regence BlueShield | 802, 803, 804 | 610623 | 2100001 | 610623 | MPPP021000 |
| H5010 | Asuris Northwest Health | 008, 009, 010 | 610623 | 2110000 | ||
| H5015 | Texas Independence Health Plan | all plans | 012312 | PartD | 12312 | MPPP |
| H5037 | Mountain Empire PACE | all plans | 022188 | PSTMEDD | ||
| H5042 | CDPHP Medicare Advantage | 011, 804 | 610770 | CRXMD | ||
| H5042 | CDPHP Medicare Advantage | 009, 014, 801, 802 | 610770 | MPPPCRX | ||
| H5050 | Kaiser Permanente | all plans | 610011 | CTRXMEDD | 610011 | MPPPWA |
| H5080 | BoldAge PACE Indiana | all plans | 022188 | PSTMEDD | ||
| H5085 | Community PACE at Home, Inc, | 004 | 022188 | PSTMEDC | ||
| H5085 | Community PACE at Home, Inc, | 003 | 022188 | PSTMEDD | ||
| H5087 | Wellcare | 005, 016, 024, 032 | 610014 | MEDDPRIME | 610014 | MPPP |
| H5106 | Highmark Blue Cross Blue Shield | 031, 032, 810 | 160014 | MEDDPRIME | 610014 | MPPP |
| H5106 | Highmark Blue Cross Blue Shield | 013, 029, 030, 806, 808 | 610014 | MEDDPRIME | 610014 | MPPP |
| H5117 | Wellcare by Allwell | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H5124 | FranciscanSenior Health & Wellness | all plans | 024748 | GRNMEDD | ||
| H5140 | Blue Cross Blue Shield of Arizona (AZ Blue) | all plans | 610011 | CTRXMEDD | ||
| H5141 | Clover Health | 001, 055, 058, 059 | 004336 | MEDDADV | ||
| H5163 | Verda Health Plan of Texas | all plans | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H5167 | Rocky Mountain PACE | all plans | 022188 | PSTMEDD | ||
| H5178 | Humana | all plans | 015581 | 03200000 | 610649 | MPPP7777 |
| H5190 | Wellcare by Allwell | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H5199 | Wellcare | all plans | 610014 | MEDDPRIME | ||
| H5209 | My Choice Wisconsin | all plans | 004336 | MEDDADV | ||
| H5211 | Security Health Plan of Wisconsin, Inc. | 002, 004, 010, 012 | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H5212 | Community Care | 002 | 022188 | PSTMEDC | ||
| H5212 | Community Care | 001 | 022188 | PSTMEDD | ||
| H5213 | InnovAge New Mexico PACE | all plans | 022188 | PSTMEDD | ||
| H5215 | Network Health Medicare Advantage Plans | all plans | 003858 | MD | 3858 | MPPP |
| H5216 | Humana | 059, 077, 105, 116, 128, 140, 152, 157, 174, 190, 200, 201, 213, 216, 217, 218, 221, 225, 234, 235, 236, 256, 257, 258, 278, 286, 301, 310, 315, 329, 343, 348, 354, 355, 379, 381, 386, 427, 436, 437, 441, 442, 806, 809, 812, 814, 818, 824 | ||||
| H5216 | Humana | 001, 006, 011, 013, 014, 017, 019, 023, 024, 027, 032, 034, 037, 039, 042, 043, 047, 048, 053, 062, 063, 064, 068, 070, 072, 073, 074, 078, 081, 083, 088, 089, 092, 097, 100, 106, 107, 114, 117, 120, 124, 131, 132, 133, 136, 138, 141, 142, 144, 154, 160, 161, 164, 168, 171, 173, 175, 176, 177, 179, 180, 182, 188, 192, 193, 194, 195, 196, 203, 205, 206, 207, 211, 219, 220, 223, 224, 226, 227, 228, 229, 231, 232, 233, 242, 243, 244, 246, 249, 250, 251, 252, 253, 255, 261, 263, 264, 265, 266, 267, 268, 269, 271, 275, 277, 280, 281, 283, 284, 285, 287, 288, 289, 291, 292, 293, 296, 298, 300, 302, 304, 305, 306, 307, 308, 309, 311, 313, 314, 316, 317, 318, 319, 322, 325, 326, 327, 328, 330, 331, 332, 333, 334, 337, 338, 339, 340, 345, 346, 347, 350, 351, 352, 353, 358, 359, 360, 361, 362, 363, 364, 366, 367, 368, 369, 370, 371, 372, 373, 375, 376, 377, 378, 380, 382, 383, 384, 385, 387, 388, 389, 390, 391, 393, 394, 395, 396, 397, 399, 400, 401, 402, 403, 404, 405, 406, 407, 408, 409, 410, 411, 412, 413, 414, 415, 416, 417, 418, 419, 420, 421, 423, 424, 425, 426, 428, 429, 430, 431, 432, 433, 434, 435, 438, 439, 440, 443, 444, 445, 446, 447, 448, 449, 450, 451, 452, 805, 808, 811, 813, 817, 821 | 015581 | 03200000 | 610649 | MPPP7777 |
| H5232 | Paramount Elite Medicare Plans | 002 | ||||
| H5232 | Paramount Elite Medicare Plans | 001 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5244 | SCAN Health Plan New Mexico | 001, 002, 004, 005 | 003858 | MD | 3858 | MPPP |
| H5253 | UnitedHealthcare | 004, 007, 011, 024, 030, 033, 034, 035, 036, 037, 038, 039, 041, 042, 047, 048, 051, 059, 060, 062, 064, 072, 073, 079, 080, 081, 082, 083, 084, 087, 088, 089, 097, 099, 100, 102, 103, 104, 105, 107, 108, 109, 110, 111, 112, 116, 117, 119, 120, 121, 122, 124, 125, 126, 127, 128, 130, 131, 132, 133, 134, 135, 141, 142, 144, 145, 146, 147, 148, 150, 154, 155, 157, 159, 161, 162, 164, 165, 166, 168, 169, 170, 171, 172, 173, 174, 175, 176, 178, 179, 180, 182, 183, 184, 185, 186, 187, 188, 189, 190, 192, 193, 194, 195, 196, 197, 198, 801, 805, 810, 811, 813, 814, 816, 817, 818, 820, 821, 823, 824, 826, 827, 829, 831, 832 | 610097 | 9999 | 610097 | MPPP |
| H5262 | Quartz Medicare Advantage | all plans | 610011 | CTRXMEDD | 610011 | MPPP |
| H5273 | CarePartners of Connecticut | all plans | 610011 | CTRXMEDD | 610011 | MPPP |
| H5280 | Molina Healthcare of Ohio | all plans | 004336 | MEDDADV | ||
| H5294 | Wellcare by Allwell | 010, 012, 015 | 610014 | MEDDPRIME | ||
| H5296 | Alignment Health Plan | 003, 004, 005, 006, 007, 008 | 610455 | AHPPARTD | 610455 | MPPPPARTD |
| H5296 | Alignment Health Plan | 801, 802 | 610455 | AHPPARTDG | 610455 | MPPPPARTDG |
| H5299 | Devoted Health | 001, 002, 006, 009, 012 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5302 | Aetna Medicare | 012, 013, 014, 020, 022, 023, 810 | 610502 | MEDDAET | 610502 | MPPPOR |
| H5309 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H5322 | UnitedHealthcare | 043 | ||||
| H5322 | UnitedHealthcare | 001, 039 | 610097 | 9999 | ||
| H5325 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H5361 | AmeriHealth | all plans | 610011 | CTRXMEDD | 610011 | MPPP |
| H5373 | Paramount Elite Medicare Plans | all plans | 004336 | MEDDADV | ||
| H5374 | Longevity Health Plan | all plans | 610014 | MEDDPRIME | ||
| H5377 | Humana | all plans | 015581 | 03200000 | 610649 | MPPP7777 |
| H5384 | all plans | 024748 | GRNMEDD | |||
| H5386 | Sharp Health Plan | 003, 004, 005, 801 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5398 | Wellcare by Allwell | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H5403 | On Lok PACE | all plans | 022188 | PSTMEDD | ||
| H5405 | Center For Elders' Independence | all plans | 022188 | PSTMEDD | ||
| H5406 | Sutter SeniorCare PACE | all plans | 022188 | PSTMEDD | ||
| H5410 | Cigna Healthcare | 013, 018, 024, 025, 026, 027, 028, 029, 030, 031, 032, 037, 039, 040, 041, 042, 043, 044, 045, 046, 047, 048, 049, 050, 051, 052, 053, 054, 055, 056 | 017010 | CIMCARE | 17010 | MPPP |
| H5420 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H5422 | Anthem Blue Cross and Blue Shield | 007, 011, 013, 015, 016, 018, 019 | 020115 | IS | ||
| H5422 | Anthem Blue Cross and Blue Shield | 804, 806 | 022227 | IS | ||
| H5425 | SCAN Health Plan | 803, 804 | 003858 | A4 | 3858 | MPPP |
| H5425 | SCAN Health Plan | 001, 005, 006, 007, 008, 009, 019, 034, 065, 069, 070, 075, 076, 082, 084, 085, 086, 087, 091, 092, 096, 097, 098, 100, 101, 102, 104, 105, 106, 107, 108, 109, 110, 118, 119, 121, 122, 123 | 003858 | MD | 3858 | MPPP |
| H5427 | Freedom Health, Inc. | all plans | 020115 | IS | ||
| H5430 | WellCare | all plans | 610014 | MEDDPRIME | ||
| H5431 | HealthSun Health Plans, Inc. | all plans | 020115 | IS | ||
| H5433 | CalOptima Health OneCare | 001 | 015574 | ASPROD1 | ||
| H5434 | Florida Blue | 002, 023, 024, 025, 026, 030, 031, 034, 035, 036, 045 | 012833 | MedDPrime | 12833 | MPPPFL |
| H5434 | Florida Blue | 801, 802 | 012833 | MedDPrimeG | 12833 | MPPPFL |
| H5435 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H5439 | Wellcare by Health Net | 010 | ||||
| H5439 | Wellcare by Health Net | 011, 015, 017, 019 | 610014 | MEDDPRIME | 610014 | MPPP |
| H5447 | Community First | 002 | 610602 | NVT | ||
| H5447 | Community First | 001 | 610602 | NVTD | ||
| H5453 | Devoted Health | 003, 009, 012 | ||||
| H5453 | Devoted Health | 001, 002, 004, 005, 010, 011 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5454 | Clear Spring Health | all plans | 610011 | CTRXMEDD | 610011 | MPPP |
| H5471 | Simply Healthcare Plans, Inc. | all plans | 020115 | IS | ||
| H5472 | Alignment Health Plan | 001, 002, 003, 004, 005, 007 | 610455 | AHPPARTD | 610455 | MPPPPARTD |
| H5472 | Alignment Health Plan | 801, 802 | 610455 | AHPPARTDG | 610455 | MPPPPARTDG |
| H5475 | Wellcare | 001, 024, 026, 031, 038, 039 | 610014 | MEDDPRIME | 610014 | MPPP |
| H5493 | Saint Francis LIFE | all plans | 022188 | PSTMEDD | ||
| H5496 | Imperial Health Plan of California, Inc. | all plans | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H5521 | Aetna Medicare | 351, 353, 378, 440, 480, 487, 488, 493, 494 | ||||
| H5521 | Aetna Medicare | 013, 015, 016, 020, 022, 027, 033, 040, 055, 077, 081, 084, 085, 086, 087, 088, 089, 091, 095, 099, 101, 110, 116, 117, 119, 120, 121, 122, 123, 124, 139, 140, 141, 150, 156, 157, 159, 160, 169, 170, 171, 178, 194, 195, 197, 207, 211, 214, 215, 216, 217, 218, 219, 220, 222, 223, 224, 227, 230, 231, 232, 233, 236, 243, 245, 246, 249, 250, 251, 254, 259, 260, 261, 263, 269, 270, 271, 272, 273, 275, 277, 283, 284, 285, 288, 289, 290, 292, 299, 302, 303, 305, 311, 312, 314, 319, 326, 328, 331, 332, 340, 348, 352, 363, 364, 365, 370, 371, 374, 375, 376, 377, 380, 381, 386, 388, 392, 395, 398, 399, 400, 403, 404, 405, 406, 407, 408, 409, 414, 419, 421, 422, 424, 425, 431, 432, 433, 434, 435, 437, 438, 439, 442, 443, 446, 449, 450, 451, 456, 457, 459, 461, 462, 463, 464, 465, 467, 469, 470, 471, 472, 474, 475, 476, 477, 478, 482, 484, 490, 492, 495, 496, 497, 498, 499, 500, 501, 502, 505, 506, 509, 510, 511, 512, 513, 514, 515, 520, 521, 522, 536, 537, 538, 539, 543, 550, 551, 553, 554, 557, 558, 565, 569, 574, 578, 579, 580, 581, 584, 586, 590, 592, 593, 598, 607, 609, 614, 644, 645, 646, 648, 802, 806, 810, 812, 815, 816, 819, 820, 822, 824, 826, 828, 829, 830, 831, 832, 833, 834, 835, 836, 837 | 610502 | MEDDAET | 610502 | MPPPOR |
| H5522 | Aetna Medicare | 808, 810, 813, 815, 817, 820, 823, 825, 827 | ||||
| H5522 | Aetna Medicare | 001, 002, 004, 005, 013, 014, 017, 022, 024, 028, 029, 032, 803, 809, 811, 814, 816, 818, 819, 821, 822, 824, 826, 828, 829, 830, 831, 832, 833, 834, 835, 836 | 610502 | MEDDAET | 610502 | MPPPOR |
| H5525 | Humana | 031, 064, 065, 078, 079, 810, 813, 817, 819, 827, 831 | ||||
| H5525 | Humana | 004, 005, 006, 008, 017, 024, 026, 027, 030, 034, 035, 036, 041, 042, 045, 046, 049, 050, 051, 054, 055, 056, 057, 058, 059, 070, 072, 074, 075, 076, 077, 080, 083, 084, 809, 812, 816, 818, 826, 830 | 015581 | 03200000 | 610649 | MPPP7777 |
| H5526 | Highmark Blue Cross Blue Shield or Highmark Blue Shield | 004, 016, 018, 020, 027, 808, 813 | 610014 | MEDDPRIME | 610014 | MPPP |
| H5528 | EmblemHealth | all plans | 013344 | 0020080229 | 13344 | MPPP |
| H5533 | UPMC for Life | 003, 005, 008, 011, 013, 015, 017, 802, 803 | 003858 | MD | 3858 | MPPP |
| H5538 | Trinity Health PACE of Pensacola | all plans | 022188 | PSTMEDD | ||
| H5549 | VNS Health Medicare | 003, 011 | 015574 | ASPROD1 | ||
| H5577 | MCS Classicare | 002, 017, 029, 046, 054, 055, 058 | 012312 | PARTD | ||
| H5580 | Mercy Care Advantage | 001, 005 | 610591 | MEDDADV | 610591 | MPPPPOR |
| H5587 | BCBSAZ Health Choice | all plans | 004336 | MEDDADV | ||
| H5590 | Wellcare by Allwell | all plans | 610014 | MEDDPRIME | ||
| H5591 | Martin's Point Generations Advantage | 005, 006, 009, 015, 801, 802 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5593 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H5594 | Optimum HealthCare, Inc. | all plans | 020115 | IS | ||
| H5599 | Wellcare by Fidelis Care | 001, 003, 008 | 610014 | MEDDPRIME | ||
| H5608 | Elevate Medicare Advantage | 001 | 015574 | ASPROD1 | ||
| H5610 | Care Resources | all plans | 022188 | PSTMEDD | ||
| H5619 | Humana | 121, 151, 803, 806 | ||||
| H5619 | Humana | 001, 003, 012, 015, 016, 021, 026, 038, 046, 047, 049, 051, 053, 054, 055, 056, 057, 059, 061, 063, 066, 069, 071, 075, 077, 082, 083, 089, 090, 091, 093, 095, 100, 111, 113, 116, 119, 122, 123, 126, 130, 131, 133, 134, 135, 137, 143, 145, 146, 147, 148, 150, 152, 154, 155, 156, 157, 158, 159, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 174, 175, 177, 178, 802, 805 | 015581 | 03200000 | 610649 | MPPP7777 |
| H5622 | Care Guide Partners | all plans | 022188 | PSTMEDD | ||
| H5628 | Molina Healthcare of Utah & Idaho | all plans | 004336 | MEDDADV | ||
| H5629 | St. Paul's PACE | all plans | 022188 | PSTMEDD | ||
| H5644 | Network Health Medicare Advantage Plans | all plans | 003858 | MD | 3858 | MPPP |
| H5649 | Central Health Medicare Plan | 030 | ||||
| H5649 | Central Health Medicare Plan | 001, 006, 008, 018, 019, 022, 023, 025, 027, 028, 029 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5652 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H5703 | South Country Health Alliance | all plans | 019587 | 06190000 | ||
| H5718 | Devoted Health | all plans | 004336 | MEDDADV | 4336 | MPPPOR |
| H5774 | Triple S Advantage | 005, 022, 027, 028, 031, 035, 038, 041, 042, 043, 806, 808, 809, 810, 811, 812, 814, 816, 818, 820, 821, 822, 823, 824, 825 | 610674 | abarcaD | 610674 | MPPPTSSADV |
| H5779 | Wellcare | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H5793 | Aetna Medicare | 001, 010, 014, 015, 017, 018, 019, 020, 802 | 610502 | MEDDAET | 610502 | MPPPOR |
| H5810 | Molina Healthcare of California | 014 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5822 | Midland Care PACE | all plans | 016110 | PACE | ||
| H5823 | Molina Healthcare of Washington, Inc. | all plans | 004336 | MEDDADV | ||
| H5826 | Community Health Plan of WA Medicare Advantage | 008, 016 | 003858 | MD | ||
| H5828 | Wellpoint | all plans | 020115 | IS | ||
| H5843 | Banner Medicare Advantage | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H5852 | AHF | all plans | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H5854 | Anthem Blue Cross and Blue Shield | 008, 009, 010, 011, 012, 013, 014, 017 | 020115 | IS | ||
| H5854 | Anthem Blue Cross and Blue Shield | 801, 806 | 022227 | IS | ||
| H5859 | CareOregon Advantage | all plans | 610011 | CORMCARE | ||
| H5883 | Blue Care Network | all plans | 610011 | CTRXMEDD | 610011 | MPPP |
| H5900 | Wellmark Advantage Health Plan | 802 | ||||
| H5900 | Wellmark Advantage Health Plan | 001, 002, 003, 004, 005, 801 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5902 | Senior LIFE Altoona / Ebensburg / Indiana | all plans | 024748 | GRNMEDD | ||
| H5926 | Molina Healthcare of Michigan | 001, 005 | 004336 | MEDDADV | 4336 | MPPPOR |
| H5928 | Blue Shield of California | all plans | 026696 | 77993322 | 26696 | MPPP3322 |
| H5932 | Highmark Wholecare Medicare Assured | all plans | 004336 | MEDDADV | ||
| H5934 | Hope PACE | all plans | 022188 | PSTMEDD | ||
| H5937 | UCare | all plans | 610602 | CARE | ||
| H5938 | Capital Health Plan | 001, 006, 008 | 610455 | MEDDADV | 610455 | MPPPCHP |
| H5938 | Capital Health Plan | 802, 804, 805 | 610455 | MEDDADVG | 610455 | MPPPCHPG |
| H5943 | VillageHealth | all plans | 003858 | MD | 3858 | MPPP |
| H5945 | Prominence Health Plan | 032 | ||||
| H5945 | Prominence Health Plan | 001, 002, 013, 014, 016, 017, 018, 027, 802, 805 | 015574 | ASPROD1 | 27133 | MPPPPROD1 |
| H5959 | Blue Cross and Blue Shield of Minnesota | 009, 010, 011, 012, 013, 014, 015, 016 | 610455 | EMNH5959 | 610455 | MPPPMN |
| H5959 | Blue Cross and Blue Shield of Minnesota | 801, 808, 809 | 610455 | EMNH5959G | 610455 | MPPPMN |
| H5965 | Wellcare | 003 | ||||
| H5965 | Wellcare | 002, 007 | 610014 | MEDDPRIME | 610014 | MPPP |
| H5969 | AlohaCare | all plans | 020388 | IRXMEDD | ||
| H5970 | Humana | 016, 802, 806, 817, 819, 823, 829 | ||||
| H5970 | Humana | 001, 015, 018, 024, 025, 026, 027 | 015581 | 03200000 | ||
| H5978 | Senior LIFE Lehigh Valley / Reading | all plans | 024748 | GRNMEDD | ||
| H5989 | Healthfirst Medicare Plan | all plans | 004336 | MEDDADV | 4336 | MPPPOR |
| H5991 | EmblemHealth | all plans | 400023 | 0020050403 | 400023 | MPPP |
| H5992 | Senior Whole Health of New York | 007 | 003858 | MD | ||
| H5992 | Senior Whole Health of New York | 009 | 004336 | MEDDADV | ||
| H5993 | all plans | 022188 | PSTMEDD | |||
| H5995 | ATRIO Health Plans | all plans | 015574 | ASPROD1 | ||
| H6018 | Devoted Health | 004, 005 | ||||
| H6018 | Devoted Health | 001, 002, 003, 007, 008, 010, 011 | 004336 | MEDDADV | 4336 | MPPPOR |
| H6019 | HEALTH PLAN OF SAN MATEO | all plans | 012353 | 06850000 | ||
| H6059 | PACE OF THE TRIAD | all plans | 022188 | PSTMEDD | ||
| H6067 | CareFirst BlueCross BlueShield Medicare Advantage | all plans | 004336 | MEDDADV | ||
| H6078 | Region 6 Rx Corp PPO | all plans | 022227 | IS | ||
| H6079 | InnovAge California PACE | all plans | 022188 | PSTMEDD | ||
Click here for the first page (E3014 - H1862), second page (H1889 - H3329), third page (H3330 - H4694), fifth page (H6080 - H8019), sixth page (H8026 - H9986), and seventh page (H9998 - X0001).