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Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701)

Category: Your Formulary (Drug List)
Published on 2022-03-07 09:39:13


The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2022 Medicare Part D plan sponsor.  Please note, the data below is Part 6 of 6 (H9699 - S9701) with links to Parts 1 through 5.

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."

The chart below is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9699 through S9701.

Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322) and fifth page (H7323 - H9686).

2022 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H9699Health Advantageall plans016895HMOAR
H9706Blue Cross and Blue Shield of Texas001, 003, 005011552MAPDTX3
H9706Blue Cross and Blue Shield of Texas801, 802011552MAPDTXG2
H9706Blue Cross and Blue Shield of Texas002011552TXSNP2
H9712HAP Empowered MI Health Linkall plans610014MEDDPRIME
H9725Cignaall plans017010CIMCARE
H9730Wellcareall plans004336MEDDADV
H9761Wellcareall plans004336MEDDADV
H9763Ochsner Health Planall plans015574ASPROD1
H9808CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINAall plans012312PARTD
H9811Wellcare by Allwellall plans004336MEDDADV
H9826Community Health Choiceall plans610602NVTD
H9827MediGoldall plans004336MEDDADV
H9828ApexHealthall plans015574ASPROD1
H9830InnovAge Pennsylvania LIFEall plans022188PSTMEDD
H9834Quartz Medicare Advantageall plans015574ASPROD1
H9842Saint Joseph PACEall plans022188PSTMEDD
H9861Reliance Medicare Advantageall plans610011CTRXMEDD
H9869Partners Health Planall plans015574ASPROD1
H9870 all plans004336MEDDADV
H9876Commonwealth Care Alliance Rhode Islandall plans610602NVTD
H9877Virginia Premierall plans012312PARTD
H9878 all plans012312PARTD
H9884Devoted Healthall plans004336MEDDADV
H9900Wellcareall plans004336MEDDADV
H9904Mass Advantageall plans01235308350000
H9909American Health Advantage of MSall plans012312PARTD
H9917Align Senior Careall plans610602NVTD
H9942Longevity Health Planall plans610602NVTD
H9952Medicaall plans610014MNDE
H9955Molina Healthcare of Ohioall plans004336MEDDADV
H9976Wellcare by Allwellall plans004336MEDDADV
H9986Florida Complete Careall plans004336MEDDADV
H9998Silver Starall plans013170CLAIMCR
R0110Humanaall plans01558103200000
R0759UnitedHealthcareall plans6100979999
R0802Martin's Point Generations Advantageall plans004336MEDDADV
R0865Humanaall plans01558103200000
R0923Humanaall plans01558103200000
R1390Humanaall plans01558103200000
R1532Humanaall plans01558103200000
R1548UnitedHealthcareall plans6100979999
R2604UnitedHealthcareall plans6100979999
R3175UnitedHealthcareall plans6100979999
R3332Florida Blueall plans012833MedDPrime
R3392Humanaall plans01558103200000
R3444UnitedHealthcareall plans6100979999
R3887Humanaall plans01558103200000
R4182Humanaall plans01558103200000
R4487Anthem Blue Cross and Blue Shieldall plans020115IS
R4845Humanaall plans01558103200000
R5329UnitedHealthcareall plans6100979999
R5342UnitedHealthcareall plans6100979999
R5361Humanaall plans01558103200000
R5495Humanaall plans01558103200000
R5826Humanaall plans01558103200000
R5941Anthem Blue Cross and Blue Shieldall plans020115IS
R6694Aetna Medicareall plans610502MEDDAET
R6801UnitedHealthcareall plans6100979999
R7220Humanaall plans01558103200000
R7315Humanaall plans01558103200000
R7444UnitedHealthcareall plans6100979999
S0586MVP Health Careall plans004336MEDDADV
S0655Tufts Health Planall plans004336MEDDADV
S1030BlueRx (PDP)all plans014897RPD
S1140Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York802610014MEDDPRIME
S1140Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York801610014MEDDRPIME
S1822HealthPartnersall plans015574ASPROD1
S1894 all plans004336MEDDADV
S2465Optima Medicareall plans610011CTRXMEDD
S2468Blue Shield of Californiaall plans00433677993322
S2668Farm Bureau Health Plansall plans610011CTRXMEDD
S2874Humanaall plans01558103200000
S2893Blue MedicareRxall plans004336MEDDADV
S3147Banner Medicare Rx001610014MEDDPRIME
S3147Banner Medicare Rx002, 003610014MEDPRIME
S3285MG Insurance Companyall plans015574ASPROD1
S3375BlueCross BlueShield: Empire, Excellus, WNY & NENYall plans020115IS
S3389UPMC Health Planall plans003858MD
S3521Excellus Health Plan, Incall plans003858MD
S3546 all plans012312PARTD
S3875Granite Allianceall plans02110608053875
S3994HMSAs Medicare Rx Planall plans004336MEDDADV
S4219Health Alliance Medicare Prescription Planall plans015789CTRMEDD
S4501Pharmacy Benefit Dimensions PDPall plans012635NA
S4802Wellcareall plans004336MEDDADV
S5450BlueScriptsall plans610014MEDDPRIME
S5540Blue Cross and Blue Shield of North Carolinaall plans015905PDPNC
S5552Humanaall plans01558103200000
S5584Blue Cross Blue Shield of Michiganall plans610014MEDDPRIME
S5588Paramount Prescription Drug Planall plans004336MEDDADV
S5593Highmark Inc.all plans610014MEDDPRIME
S5596Anthem / Anthem or Blue KC in Missouriall plans020115IS
S5601Aetna Medicareall plans004336MEDDADV
S5609Asuris Northwest Healthall plans6106232110000
S5617Cignaall plans017010CIMCARE
S5660Express Scripts Medicareall plans610014MEDDPRIME
S5715Blue Cross and Blue Shield of IL, NM, OK, TX801, 811, 817, 818, 820, 821, 822011552PDGIL
S5715Blue Cross and Blue Shield of IL, NM, OK, TX813011552PDGNM
S5715Blue Cross and Blue Shield of IL, NM, OK, TX815, 823011552PDGTX
S5715Blue Cross and Blue Shield of IL, NM, OK, TX001, 002, 012, 019011552PDPIL
S5715Blue Cross and Blue Shield of IL, NM, OK, TX819, 824011552PDPILBOG
S5715Blue Cross and Blue Shield of IL, NM, OK, TX003, 004, 013, 802011552PDPNM
S5715Blue Cross and Blue Shield of IL, NM, OK, TX005, 006, 014, 803011552PDPTX
S5715Blue Cross and Blue Shield of IL, NM, OK, TX807, 809610455PDGOK
S5715Blue Cross and Blue Shield of IL, NM, OK, TX010, 015, 018610455PDPOK
S5726Blue Cross and Blue Shield of Kansas or Blue KCall plans020115IS
S5743MedicareBlue Rxall plans004336MEDDADV
S5753WPS Health Insuranceall plans610014MEDDPRIME
S5768 all plans004336MEDDADV
S5795Arkansas Blue Medicare002, 003, 008016895PDPAR
S5795Arkansas Blue Medicare804, 809, 811, 812016895PDPARG
S5805UnitedHealthcareall plans6100979999
S5810 all plans004336MEDDADV
S5820UnitedHealthcareall plans6100979999
S5857Priority Health Medicareall plans003858MD
S5877EMI Healthall plans610014MEDDPRIME
S5884Humanaall plans01558103200000
S5904Florida Blue001, 002012833MedDPrime
S5904Florida Blue801, 802012833MedDPrimeG
S5916Regence BlueShield of Idaho and Regence BC BS Utah802, 804, 80561062302120001
S5916Regence BlueShield of Idaho and Regence BC BS Utah001, 0026106232120000
S5921UnitedHealthcareall plans6100979999
S5953Blue Cross Blue Shield of South Carolinaall plans021692CTRXMEDD
S5960UniCareall plans020115IS
S5966EmblemHealth Medicare PDPall plans003858MD
S5975Moda Health Plan, Inc.all plans610602NVTD
S5983 all plans610014MEDDPRIME
S5993Horizon Blue Cross Blue Shield of New Jersey001, 003, 007016499PDPNJ
S5993Horizon Blue Cross Blue Shield of New Jersey801, 804, 805, 806016499PDPNJG
S6506Blue Cross Blue Shield of Arizonaall plans004336MEDDADV
S6875Independence Blue Crossall plans610011CTRXMEDD
S6946Clear Spring Healthall plans610014MEDDPRIME
S7126Mutual of Omaha Rxall plans610014MEDDPRIME
S7694Elixir Insurance001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808012312PartD
S7694Elixir Insurance803, 804, 805, 806, 807015185CMSPARTD
S8067Avalon Insurance Company001, 003, 005610455CAPPDP
S8067Avalon Insurance Company801, 802, 803, 804, 805, 806, 807, 808610455CAPPDPG
S8182Amerigroupall plans020115IS
S8677Providence Health Assuranceall plans01235303300000
S8841Optum Insurance of Ohio, Inc.all plans610011CTRXMEDD
S9325 all plans012312PARTD
S9701Navitus MedicareRxall plans610602EGWP


The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701).

Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322) and fifth page (H7323 - H9686).






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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.