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Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 3 of 6 (H3660 through H5355)

Category: Your Formulary (Drug List)
Published: Dec, 24 2022 09:12:04


The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2023 Medicare Part D plan sponsor.  Please note, the data below is Part 3 of 6 (H3660 - H5355) with links to Parts 1 and 2 and Parts 4 through 6.

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 third page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3660 through H5355.

Click here for the first page (E0654 - H2134), second page (H2161 - H3655), fourth page (H5372 - H7220), fifth page (H7245 - H9649), and sixth page (H9662 - S9854).


2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H3660 all plans015574ASPROD1
H3664 all plans610011CTRXMEDD
H3668 all plans004336MEDDADV
H3672 all plans610014MEDDPrime
H3706 all plans004336MEDDADV
H3708 all plans012312PARTD
H3727 all plans012312PARTD
H3741 all plans012312PARTD
H3748 all plans610502MEDDAET
H3749 all plans6100979999
H3755 all plans004336MEDDADV
H3777 all plans020289EHPARTD
H3794 all plans6100979999
H3800 all plans012312PartD
H3805 all plans6100979999
H3809 all plans01235308220000
H3810 all plans015574ASPROD1
H3811 all plans610011CTRXMEDD
H3813 all plans610602NVTD
H3814 all plans015574ASPROD1
H3815 001, 006, 007, 008, 009, 010, 011, 013, 015, 016, 018, 019, 020, 021, 023, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 035, 036, 037610455AHPPARTD
H3815 801, 802, 805, 806610455AHPPARTDG
H3817 008, 009, 0116106232100000
H3817 802, 803, 8046106232100001
H3822 001, 007, 008, 012, 013, 014, 015011552MAPDIL
H3822 801, 805011552MAPDILG1
H3822 813, 814011552MAPDMTG1
H3822 002011552MAPDNM
H3822 802, 806011552MAPDNMG
H3828 all plans004336MEDDADV
H3832 all plans004336MEDDADV
H3864 all plans004336MEDDADV
H3890 all plans004336MEDDADV
H3907 all plans003858MD
H3908 all plans022188PSTMEDD
H3909 all plans610011CTRXMEDD
H3916 all plans610014MEDDPRIME
H3917 all plans003858MD
H3918 all plans024756ASCHMEDD
H3919 all plans022188PSTMEDD
H3923 013, 017, 028, 029, 030, 031, 032, 033, 034, 035, 036, 037610455CAPD2
H3923 801, 803, 817, 818, 819, 820, 821, 822, 824, 825, 826, 827, 828, 829, 830, 831610455CAPDG2
H3924 all plans019587PRX11803
H3925 all plans024748GRNMEDD
H3928 all plans610502MEDDAET
H3931 155610502MADDAET
H3931 004, 064, 070, 091, 092, 093, 094, 095, 096, 097, 098, 099, 100, 101, 102, 104, 105, 107, 108, 109, 112, 115, 118, 124, 126, 129, 133, 134, 140, 143, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 804610502MEDDAET
H3942 all plans024756ASCHMEDD
H3949 all plans017010CIMCARE
H3952 all plans610011CTRXMEDD
H3954 all plans019587PRX11803
H3957 048, 816, 817, 818160014MEDDPRIME
H3957 031, 039, 042, 044, 045, 046, 047, 806, 808, 811, 812, 814, 815610014MEDDPRIME
H3959 all plans610502MEDDAET
H3962 001, 004, 007, 021610455CAPD
H3962 801, 803, 813, 814, 815, 816, 817, 818, 820, 821, 822, 823, 824, 825, 826, 827610455CAPDG
H3975 all plans004336MEDDADV
H3979 001, 005, 006011552MAPDOK
H3979 801, 803011552MAPDOKG
H3991 all plans022188PSTMEDD
H4003 all plans004336MEDDADV
H4004 all plans004336MEDDADV
H4005 all plans610674abarcaD
H4007 all plans01558103200000
H4036 008, 009, 017, 020, 023, 025, 026020115IS
H4036 801, 805, 806, 815, 817, 819, 821, 823, 825, 827, 829, 831, 833022227IS
H4045 all plans015574ASPROD1
H4053 all plans022188PSTMEDD
H4054 all plans012312PartD
H4073 all plans004336MEDDADV
H4074 all plans022188PSTMEDD
H4091 all plans610602NVTD
H4093 all plans012312PartD
H4094 all plans6100979999
H4105 all plans022188PSTMEDD
H4118 all plans022188PSTMEDD
H4140 010015574ASPR0D1
H4140 001, 002, 004, 005, 009015574ASPROD1
H4140 006, 007, 01101892707830000
H4141 all plans01558103200000
H4142 all plans000000PACE
H4152 005, 007, 013, 017, 018, 020, 021610455BCRIMA
H4152 815, 817610455BCRIMAG
H4161 all plans020115IS
H4172 all plans610602NVTD
H4185 002022188PSTMEDC
H4185 001022188PSTMEDD
H4198 all plans004336MEDDADV
H4203 all plans022188PSTMEDD
H4213 all plans016895PFFSAR
H4227 all plans01958706110000
H4232 all plans012312PARTD
H4235 002018091PRSMEDC
H4235 001018091PRSMEDD
H4256 002018091PRSMEDC
H4256 001018091PRSMEDD
H4277 all plans004336MEDDADV
H4279 all plans003858MD
H4286 all plans015574ASPROD1
H4304 all plans004336MEDDADV
H4305 all plans016110PACE
H4306 all plans610011CTRXMEDD
H4326 all plans022188PSTMEDD
H4343 all plans004336MEDDADV
H4346 001, 005, 006, 008, 009, 010, 012, 014, 017, 019, 022, 023, 024, 025, 026, 029020115IS
H4346 802022188IS
H4346 805, 806, 823, 827022227IS
H4393 all plans004336MEDDADV
H4402 all plans022188PSTMEDD
H4407 all plans017010CIMCARE
H4461 all plans01558103200000
H4467 all plans610455AHPPARTD
H4490 all plans012312PARTD
H4497 all plans003858MD
H4506 all plans004336MEDDADV
H4513 all plans017010CIMCARE
H4514 all plans6100979999
H4517 all plans022188PSTMEDD
H4518 all plans000000000000
H4523 all plans610502MEDDAET
H4527 all plans6100979999
H4537 all plans004336MEDDADV
H4544 all plans6100979999
H4590 all plans6100979999
H4604 all plans6100979999
H4605 002, 004, 007, 008, 0096106232100000
H4605 802, 803, 8046106232100001
H4620 all plans015574ASPROD1
H4623 all plans01558103200000
H4624 all plans012312PARTD
H4675 001016499HMOBH
H4675 802, 803, 805016499HMOPOSBHG
H4676 all plans019587PRX11802
H4699 all plans004336MEDDADV
H4709 001, 025, 026, 027015574ASPROD1
H4709 011, 029, 031, 032, 033, 035, 036, 037, 039, 040610014MEDDPRIME
H4711 all plans610502MEDDAET
H4714 all plans022188PSTMEDD
H4733 all plans015574ASPROD1
H4739 all plans019587PRX01809
H4754 all plans004336MEDDADV
H4801 020011552MAOK3
H4801 007, 008, 013, 021011552MAPDOK3
H4801 001, 002, 003, 004, 005, 006, 009, 010, 011, 012, 014, 015, 016, 017, 018, 019011552MAPDTX4
H4808 all plans004336MEDDADV
H4829 all plans6100979999
H4835 all plans610502MEDDAET
H4847 all plans004336MEDDADV
H4853 all plans015574ASPROD1
H4863 all plans610011CTRXMEDD
H4868 all plans004336MEDDADV
H4869 all plans015574ASPROD1
H4875 all plans003858MD
H4882 all plans015574ASPROD1
H4895 all plans004336MEDDADV
H4909Anthem Blue Cross and Blue Shield014, 015, 016, 018, 022, 024, 025, 026, 028020115IS
H4909Anthem Blue Cross and Blue Shield804, 810, 811022227IS
H4922AgeWell New Yorkall plans012312PARTD
H4931Banner Medicare Advantage Dualall plans610014MEDDPRIME
H4937Blue Shield of Californiaall plans00433677993322
H4943Baylor Scott & White Health Planall plans610011CTRXMEDD
H4961Alignment Health Plan001, 003, 006, 007, 008610455AHPPARTD
H4961Alignment Health Plan801, 802, 805, 806610455AHPPARTDG
H4982Aetna Medicareall plans610502MEDDAET
H4999LIFE Northwestern Pennsylvaniaall plans016110PACE
H5007Providence Health Systemall plans01235308220000
H5008UnitedHealthcareall plans6100979999
H5009Regence BlueShield002, 008, 009, 0106106232100000
H5009Regence BlueShield802, 803, 8046106232100001
H5010Asuris Northwest Healthall plans6106232110000
H5015Texas Independence Health Planall plans012312PartD
H5037Mountain Empire PACEall plans013170CLAIMCR
H5042CDPHP Medicare Advantageall plans610770CRXMD
H5050Kaiser Permanenteall plans610011CTRXMEDD
H5085Community PACE at Home, Inc,all plans013170000000
H5087Wellcareall plans004336MEDDADV
H5106Highmark Inc.031, 032, 810160014MEDDPRIME
H5106Highmark Inc.013, 029, 030, 806, 808610014MEDDPRIME
H5117Wellcare by Allwellall plans004336MEDDADV
H5124FranciscanSenior Health & Wellnessall plans024756ASCHMEDD
H5126 all plans004336MEDDADV
H5140Blue Cross Blue Shield of Arizonaall plans015574ASPROD1
H5141Clover Healthall plans004336MEDDADV
H5167Rocky Mountain PACEall plans022188PSTMEDD
H5172 all plans015574asprod1
H5178Humanaall plans01558103200000
H5190Wellcare by Allwellall plans004336MEDDADV
H5199Wellcareall plans004336MEDDADV
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
H5253UnitedHealthcareall plans6100979999
H5262Quartz Medicare Advantageall plans015574ASPROD1
H5273CarePartners of Connecticutall plans610011CTRXMEDD
H5280Molina Healthcare of Ohioall plans004336MEDDADV
H5294Wellcare by Allwellall plans004336MEDDADV
H5296Alignment Health Plan001, 003, 004, 005610455AHPPARTD
H5296Alignment Health Plan801, 802610455AHPPARTDG
H5299Devoted Healthall plans004336MEDDADV
H5302Aetna Medicareall plans610502MEDDAET
H5322UnitedHealthcareall plans6100979999
H5325Aetna Medicareall plans610502MEDDAET
H5355 all plans01235304110000




The above chart is the third page of the 2023 Medicare Part D pharmacy BIN and PCN list (H3660 - H5355).

Click here for the first page (E0654 - H2134), second page (H2161 - H3655), fourth page (H5372 - H7220), fifth page (H7245 - H9649), and sixth page (H9662 - S9854).






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