Please note, the data below is Part 3 of 7 (H3251 - H4518) 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 Medicare Prescription Payment Plan: Like 0% financing for your formulary Part D drug purchases.
The chart below is the third page of the 2026 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3251 through H4518.
Click here for the first page (E3014 - H1961), second page (H1969 - H3240), fourth page (H4523 - H5937), fifth page (H5938 - H7779), sixth page (H7787 - H9955), and seventh page (H9968 - X0001).
| 2026 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers | ||||||
| Contract ID | Contract Name | Plan IDs | BIN | PCN | M3P BIN | M3P PCN |
| H3251 | Blue Cross and Blue Shield of New Mexico | 002 | 011552 | MAPDNM1 | 011552 | MPPPHCSC |
| H3251 | Blue Cross and Blue Shield of New Mexico | 804 | 011552 | MAPDNMG1 | 011552 | MPPPHCSC |
| H3251 | Blue Cross and Blue Shield of New Mexico | 029 | 011552 | NMSNP2 | 011552 | MPPPHCSC |
| H3256 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H3259 | BlueCare Plus Tennessee | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3274 | Align Senior Care | all plans | 610602 | NVTD | 027100 | MPPP |
| H3276 | ConnectiCare | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3284 | Pacific Northwest PACE Partners | all plans | 022188 | PSTMEDD | ||
| H3288 | Aetna Medicare | 051 | ||||
| H3288 | Aetna Medicare | 001, 002, 003, 004, 005, 006, 007, 008, 009, 011, 016, 017, 018, 019, 020, 021, 027, 031, 042, 046, 047, 048, 053, 802 | 610502 | MEDDAET | 610502 | MPPPOR |
| H3291 | PruittHealth Premier | all plans | 610602 | NVTD | 027100 | MPPP |
| H3305 | MVP HEALTH CARE | all plans | 004336 | MEDDADV | 004336 | MPPOR |
| H3307 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H3312 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H3321 | Independent Living Srvcs Of Central Ny | all plans | 022188 | PSTMEDD | ||
| H3322 | Eddy SeniorCare | all plans | 022188 | PSTMEDD | ||
| H3329 | CenterLight Healthcare PACE | all plans | 015574 | ASPROD1 | ||
| H3330 | EmblemHealth | all plans | 610455 | NY4000 | 610455 | MPPPMAPD |
| H3331 | ElderONE an Affiliate of Rochester Regional Health | all plans | 022188 | PSTMEDD | ||
| H3335 | Excellus Health Plan, Inc | all plans | 003858 | MD | 003858 | MPPP |
| H3342 | Anthem Blue Cross and Blue Shield | all plans | 020115 | IS | 020115 | MPPPOR |
| H3344 | Independent Health | 804 | ||||
| H3344 | Independent Health | 012, 013, 801, 805 | 012635 | NA | 024896 | MPPP65 |
| H3347 | Elderplan | all plans | 004336 | MEDDADV | ||
| H3351 | Excellus Health Plan, Inc | all plans | 003858 | MD | 003858 | MPPP |
| H3359 | Healthfirst Medicare Plan | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3362 | Independent Health | 016, 819, 820 | ||||
| H3362 | Independent Health | 017, 020, 033, 040, 041, 042, 043, 044, 801, 807 | 012635 | NA | 024896 | MPPP65 |
| H3379 | UnitedHealthcare | all plans | 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, 069, 070, 071, 806, 811, 813 | 610014 | MEDDPRIME | 610014 | MPPP |
| H3387 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H3388 | CDPHP Medicare Advantage | 001 | ||||
| H3388 | CDPHP Medicare Advantage | 002, 004, 014, 020, 801, 803 | 610770 | MPPPCRX | ||
| H3396 | all plans | 015581 | 03200000 | 610649 | MPPP7777 | |
| H3404 | Blue Cross and Blue Shield of North Carolina | all plans | 015905 | PPONC | 015905 | MPPPNC |
| H3407 | El Paso Health Medicare Advantage | all plans | 610602 | NVTD | 027100 | MPPP |
| H3418 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H3419 | Perennial Advantage | all plans | 610602 | NVTD | 027100 | MPPP |
| H3430 | Suncoast PACE, Inc. | all plans | 022188 | PSTMEDD | ||
| H3443 | Alignment Health Plan | 001, 002, 003, 005, 006, 007 | 610455 | AHPPARTD | 610455 | MPPPPARTD |
| H3443 | Alignment Health Plan | 801, 802 | 610455 | AHPPARTDG | 610455 | MPPPPARTDG |
| H3447 | Anthem HealthKeepers | 805, 807, 809, 812, 814, 816, 819, 821, 823, 825, 826, 827 | ||||
| H3447 | Anthem HealthKeepers | 013, 018, 020, 024, 025, 028, 033, 037, 038, 039, 042, 043, 046, 047, 048, 049, 050, 051, 052, 053, 054, 055, 056, 804, 806, 811, 813, 818, 820 | 020115 | IS | 020115 | MPPPOR |
| H3449 | Blue Cross and Blue Shield of North Carolina | all plans | 015905 | HMONC | 015905 | MPPPNC |
| H3467 | ProCare Advantage | all plans | 610602 | NVTD | 027100 | MPPP |
| H3473 | InnovAge Virginia PACE - Blue Ridge | all plans | 022188 | PSTMEDD | ||
| H3493 | Trinity Health LIFE New Jersey | all plans | 022188 | PSTMEDD | ||
| H3499 | Wellcare | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H3517 | Redwood Coast PACE | all plans | 022188 | PSTMEDD | ||
| H3522 | Reid Health PACE Center | all plans | 022188 | PSTMEDD | ||
| H3528 | ConnectiCare | 003, 805, 807 | ||||
| H3528 | ConnectiCare | 010, 011, 014, 015, 016 | 004336 | MEDDADV | 004336 | MPPPOR |
| H3528 | ConnectiCare | 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 | 802, 804, 806, 808 | ||||
| H3536 | Anthem Blue Cross and Blue Shield | 002, 004, 006, 007, 008, 801, 803 | 020115 | IS | 020115 | MPPPOR |
| 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 | 004336 | MPPPOR |
| H3557 | Blue Cross & Blue Shield of Rhode Island | all plans | 610455 | BCRIMAG | 610455 | MPPPRI |
| H3561 | Wellcare By Health Net | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H3563 | Gary and Mary West PACE | all plans | 022188 | PSTMEDD | ||
| H3597 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H3613 | McGregor PACE | all plans | 022188 | PSTMEDD | ||
| H3653 | Paramount Elite Medicare Plans | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3655 | Anthem Blue Cross and Blue Shield | 803, 806, 808, 810 | ||||
| H3655 | Anthem Blue Cross and Blue Shield | 033, 034, 041, 045, 047, 048, 049, 801, 805 | 020115 | IS | 020115 | MPPPOR |
| H3660 | SummaCare Medicare Advantage Plans | 028, 029, 050, 053, 056, 057, 801, 805 | 015574 | ASPROD1 | 027133 | MPPPPROD1 |
| H3664 | PrimeTime Health Plan | all plans | 610011 | CTRXMEDD | 610011 | MPPP |
| H3668 | MediGold | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3672 | The Health Plan | 013, 019, 020, 026, 805 | 610014 | MEDDPrime | 610014 | MPPP |
| H3706 | GlobalHealth | all plans | 012312 | PARTD | ||
| H3708 | American Health Advantage of Oklahoma | all plans | 610602 | NVTD | 027100 | MPPP |
| H3727 | Communicare Advantage | all plans | 012312 | PARTD | ||
| H3740 | all plans | 022188 | PSTMEDD | |||
| H3748 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H3755 | CommunityCare Senior Health Plan (HMO) | all plans | 610602 | NVTD | 027100 | MPPP |
| H3777 | Experience Health | all plans | 020289 | EHPARTD | 020289 | MPPPEH |
| H3794 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H3800 | Provider Partners Health Plans | all plans | 012312 | PartD | ||
| H3805 | UnitedHealthcare | all plans | 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 | ||
| H3814 | ATRIO Health Plans | 007, 030 | 015574 | ASPROD1 | 027133 | MPPPPROD1 |
| 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, 050, 051, 052, 053, 054, 055, 056 | 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 | 011552 | MPPPHCSC |
| H3822 | Blue Cross and Blue Shield of IL, NM | 801, 805, 816, 817, 818 | 011552 | MAPDILG1 | 011552 | MPPPHCSC |
| H3822 | Blue Cross and Blue Shield of IL, NM | 813, 814 | 011552 | MAPDMTG1 | 011552 | MPPPHCSC |
| H3822 | Blue Cross and Blue Shield of IL, NM | 002 | 011552 | MAPDNM | 011552 | MPPPHCSC |
| H3822 | Blue Cross and Blue Shield of IL, NM | 802, 806 | 011552 | MAPDNMG | 011552 | MPPPHCSC |
| H3828 | Saint Alphonsus Health Plan | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3832 | HMSA Akamai Advantage | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3864 | PacificSource Medicare | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3868 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H3890 | Johns Hopkins Advantage MD | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H3907 | UPMC for Life | all plans | 003858 | MD | 003858 | 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, 019, 020, 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, 044, 045, 046, 047, 048 | 610455 | CAPD2 | 610455 | MPPPCAP |
| H3923 | Capital Blue Cross | 801, 817, 818, 819, 820 | 610455 | CAPDG2 | 610455 | MPPPCAP |
| H3924 | Geisinger Gold | 805 | ||||
| H3924 | Geisinger Gold | 059, 062, 065, 804, 807, 809, 811 | 610602 | NVTD | 027100 | MPPP |
| H3925 | Senior LIFE Johnstown | all plans | 024748 | GRNMEDD | ||
| H3928 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H3931 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H3933 | 001 | 022188 | PSTMEDD | 022188 | PSTMEDD | |
| H3942 | Elderhaus PACE | all plans | 024756 | ASCHMEDD | 024756 | ASCHMEDD |
| H3949 | Cigna Healthcare | 051 | ||||
| H3949 | Cigna Healthcare | 009, 024, 030, 031, 032, 035, 045, 046, 047, 048, 049, 050, 052, 053, 054 | 017010 | CIMCARE | 017010 | MPPP |
| H3952 | Independence Blue Cross | all plans | 610011 | CTRXMEDD | 610011 | MPPP |
| H3954 | Geisinger Gold | all plans | 610602 | NVTD | 027100 | 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, 049, 050, 806, 808, 811, 812, 814, 815 | 610014 | MEDDPRIME | 610014 | MPPP |
| H3959 | Aetna Medicare | all plans | 610502 | MEDDAET | 610502 | MPPPOR |
| H3962 | Capital Blue Cross | 001, 004, 007, 021, 022 | 610455 | CAPD | 610455 | MPPPCAP |
| H3962 | Capital Blue Cross | 801, 813, 817 | 610455 | CAPDG | 610455 | MPPPCAP |
| H3975 | Wellcare | 002 | ||||
| H3975 | Wellcare | 001, 004 | 610014 | MEDDPRIME | 610014 | MPPP |
| H3979 | Blue Cross and Blue Shield of Oklahoma | 001 | 011552 | MAPDOK | 011552 | MPPPHCSC |
| H3979 | Blue Cross and Blue Shield of Oklahoma | 801, 803 | 011552 | MAPDOKG | 011552 | MPPPHCSC |
| H3991 | Cherry Blossom PACE | all plans | 022188 | PSTMEDD | ||
| H4003 | Medicare y Mucho Mas (MMM) | all plans | 611791 | CARELONRX | 611791 | MPPP |
| H4004 | Medicare y Mucho Mas (MMM) | all plans | 611791 | CARELONRX | 611791 | MPPP |
| H4005 | Triple-S Advantage | 801 | ||||
| H4005 | Triple-S Advantage | 004, 802, 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, 032, 033, 034, 801, 819, 829, 833, 835, 837, 839, 841, 843, 845, 847 | 015581 | 03200000 | 610649 | MPPP7777 |
| H4026 | SCAN Health Plan | all plans | 003858 | MD | 003858 | MPPP |
| H4032 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H4036 | Anthem Blue Cross and Blue Shield | 022, 024, 037, 040, 802, 807, 809, 810, 812, 813, 814, 820, 822, 824, 826, 828, 830 | ||||
| H4036 | Anthem Blue Cross and Blue Shield | 008, 017, 020, 025, 026, 028, 029, 030, 032, 033, 034, 035, 036, 038, 039, 041, 042, 801, 805, 806, 819, 821, 823, 825, 827, 829 | 020115 | IS | 020115 | MPPPOR |
| 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 | ||
| H4057 | Kern Family Health Care Medicare (D-SNP) | all plans | 015574 | ASPROD1 | ||
| H4073 | Wellcare | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H4074 | Mercy LIFE of Alabama | all plans | 022188 | PSTMEDD | ||
| H4091 | Simpra Advantage | all plans | 610602 | NVTD | 027100 | MPPP |
| H4093 | Provider Partners Health Plans | all plans | 012312 | PartD | ||
| 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 | 027133 | MPPPPROD1 |
| H4140 | Doctors HealthCare Plans, Inc. | 001, 002, 004, 005, 009, 012, 013, 014, 015, 016, 017, 018, 019 | 015574 | ASPROD1 | 027133 | MPPPPROD1 |
| H4141 | Humana | 802, 806 | ||||
| H4141 | Humana | 003, 015, 017, 022, 023, 024, 025, 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, 023 | 610455 | BCRIMA | 610455 | MPPPRI |
| H4152 | Blue Cross & Blue Shield of Rhode Island | 815, 817 | 610455 | BCRIMAG | 610455 | MPPPRI |
| H4158 | Wellcare | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H4161 | Anthem Blue Cross Partnership Plan | all plans | 020115 | IS | 020115 | MPPPOR |
| H4172 | NHC Advantage | all plans | 610602 | NVTD | 027100 | MPPP |
| H4185 | Neighborhood Healthcare PACE | 002 | 022188 | PSTMEDC | ||
| H4185 | Neighborhood Healthcare PACE | 001 | 022188 | PSTMEDD | ||
| H4193 | HAP CareSource MI Coordinated Health | all plans | 610014 | MEDDPRIME | 610014 | MPPP |
| H4203 | Prisma Health SeniorCare PACE-Midlands | all plans | 022188 | PSTMEDD | ||
| H4213 | Arkansas Blue Medicare | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H4227 | VISTA Health Plan Inc. | all plans | 019587 | 06110000 | ||
| H4232 | American Health Advantage of Utah | 003 | 012312 | PARTD | 012312 | MPPP |
| H4232 | American Health Advantage of Utah | 001 | 610602 | NVTD | 027100 | MPPP |
| H4235 | Senior Total Life Care | all plans | 022188 | PSTMEDD | ||
| H4256 | PACE North | all plans | 022188 | PSTMEDD | ||
| H4279 | UPMC for Life Complete Care | all plans | 003858 | MD | 003858 | MPPP |
| H4286 | Leon Health, Inc. | all plans | 015574 | ASPROD1 | 027133 | MPPPPROD1 |
| H4305 | Total Life Healthcare | all plans | 022118 | PSTMEDD | 022118 | PSTMEDD |
| H4326 | PACE@Home | all plans | 022188 | PSTMEDD | ||
| H4329 | Humana | all plans | 015581 | 03200000 | 610649 | MPPP7777 |
| H4346 | Anthem Blue Cross and Blue Shield | 809, 810, 812, 821, 824, 826, 828, 830 | ||||
| H4346 | Anthem Blue Cross and Blue Shield | 001, 005, 006, 010, 012, 014, 017, 019, 025, 026, 029, 030, 031, 032, 805, 806, 823, 827 | 020115 | IS | 020115 | MPPPOR |
| H4348 | Devoted Health | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H4371 | Molina Healthcare | all plans | 004336 | MEDDADV | ||
| H4393 | ArchCare Senior Life | all plans | 004336 | MEDDADV | ||
| H4402 | Ascension Living Alexian PACE | all plans | 022188 | PSTMEDD | ||
| H4407 | Cigna Healthcare | all plans | 017010 | CIMCARE | 017010 | MPPP |
| H4439 | Provider Partners Health Plans | all plans | 012312 | PartD | ||
| H4444 | Provider Partners Health Plans | all plans | 012312 | PartD | ||
| H4445 | all plans | 022188 | PSTMEDD | |||
| H4461 | Humana | 004, 807, 811 | ||||
| H4461 | Humana | 022, 025, 035, 038, 039, 040, 041, 042, 043, 044, 045, 046, 047, 048, 049, 050, 051, 052, 053, 054, 055, 056, 057, 058, 059, 060, 061, 062, 063, 064, 065, 066, 067, 068, 069, 070, 071, 072, 073, 074, 076, 077, 078, 079, 806, 810 | 015581 | 03200000 | 610649 | MPPP7777 |
| H4471 | Anthem Blue Cross | all plans | 020115 | IS | 020115 | MPPPOR |
| H4473 | Devoted Health | all plans | 004336 | MEDDADV | 004336 | MPPPOR |
| H4490 | American Health Advantage of Missouri | all plans | 610602 | NVTD | 027100 | MPPP |
| H4497 | Medical Mutual of Ohio | all plans | 003858 | MD | 003858 | 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, 094, 095, 096, 097, 098 | 017010 | CIMCARE | 017010 | MPPP |
| H4514 | UnitedHealthcare | all plans | 610097 | 9999 | 610097 | MPPP |
| H4517 | The Basics at Jan Werner | all plans | 022188 | PSTMEDD | 022188 | PSTMEDD |
| H4518 | Bienvivir Senior Health Services | all plans | 024748 | GRNMEDD | ||
Click here for the first page (E3014 - H1961), second page (H1969 - H3240), fourth page (H4523 - H5937), fifth page (H5938 - H7779), sixth page (H7787 - H9955), and seventh page (H9968 - X0001).