2023 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers | ||||
Contract ID | Contract Name | Plan ID | BIN | PCN |
H9662 | Cigna | all plans | 017010 | CIMCARE |
H9678 | Healthfirst Medicare Plan | all plans | 004336 | MEDDADV |
H9686 | Alignment Health Plan | 001, 003, 004, 005 | 610455 | AHPPARTD |
H9686 | Alignment Health Plan | 801, 802 | 610455 | AHPPARTDG |
H9699 | Health Advantage | all plans | 016895 | HMOAR |
H9706 | Blue Cross and Blue Shield of Texas | 001, 003, 005, 006, 007, 008, 009 | 011552 | MAPDTX3 |
H9706 | Blue Cross and Blue Shield of Texas | 801, 802 | 011552 | MAPDTXG2 |
H9706 | Blue Cross and Blue Shield of Texas | 002 | 011552 | TXSNP2 |
H9712 | HAP Empowered MI Health Link | all plans | 610014 | MEDDPRIME |
H9725 | Cigna | all plans | 017010 | CIMCARE |
H9730 | Wellcare | all plans | 004336 | MEDDADV |
H9761 | Wellcare | all plans | 004336 | MEDDADV |
H9763 | Ochsner Health Plan | all plans | 015574 | ASPROD1 |
H9808 | CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA | all plans | 610315 | RXA099 |
H9811 | Wellcare by Allwell | all plans | 004336 | MEDDADV |
H9826 | Community Health Choice | all plans | 610602 | NVTD |
H9827 | MediGold | all plans | 004336 | MEDDADV |
H9828 | ApexHealth | all plans | 015574 | ASPROD1 |
H9830 | InnovAge Pennsylvania LIFE | all plans | 022188 | PSTMEDD |
H9834 | Quartz Medicare Advantage | all plans | 015574 | ASPROD1 |
H9842 | Saint Joseph PACE | all plans | 022188 | PSTMEDD |
H9861 | CCA Health Michigan | all plans | 610011 | CTRXMEDD |
H9869 | Partners Health Plan | all plans | 015574 | ASPROD1 |
H9876 | CCA Health Rhode Island | all plans | 610602 | NVTD |
H9877 | Virginia Premier | all plans | 012312 | PARTD |
H9884 | Devoted Health | all plans | 004336 | MEDDADV |
H9888 | Devoted Health | all plans | 004336 | MEDDADV |
H9900 | Wellcare | all plans | 004336 | MEDDADV |
H9904 | Mass Advantage | all plans | 012353 | 08350000 |
H9907 | Tufts Health Plan | all plans | 610011 | CTRXMEDD |
H9909 | American Health Advantage of MS | all plans | 012312 | PARTD |
H9917 | Align Senior Care | all plans | 610602 | NVTD |
H9940 | Longevity Health Plan of Massachusetts | all plans | 610014 | MEDDPRIME |
H9942 | Longevity Health Plan | all plans | 610014 | MEDDPRIME |
H9943 | Alignment Health Plan | 001, 002, 003, 004 | 610455 | AHPPARTD |
H9943 | Alignment Health Plan | 801, 802 | 610455 | AHPPARTDG |
H9952 | Medica | all plans | 610014 | MNDE |
H9955 | Molina Healthcare of Ohio | all plans | 004336 | MEDDADV |
H9961 | all plans | 012312 | PARTD | |
H9976 | Wellcare by Allwell | all plans | 004336 | MEDDADV |
H9986 | Florida Complete Care | all plans | 004336 | MEDDADV |
H9998 | Silver Star | all plans | 013170 | CLAIMCR |
R0110 | Humana | all plans | 015581 | 03200000 |
R0759 | UnitedHealthcare | all plans | 610097 | 9999 |
R0802 | all plans | 004336 | MEDDADV | |
R0865 | Humana | all plans | 015581 | 03200000 |
R0923 | Humana | all plans | 015581 | 03200000 |
R1390 | Humana | all plans | 015581 | 03200000 |
R1532 | Humana | all plans | 015581 | 03200000 |
R1548 | all plans | 610097 | 9999 | |
R2604 | UnitedHealthcare | all plans | 610097 | 9999 |
R3175 | UnitedHealthcare | all plans | 610097 | 9999 |
R3332 | Florida Blue | all plans | 012833 | MedDPrime |
R3392 | Humana | all plans | 015581 | 03200000 |
R3444 | UnitedHealthcare | all plans | 610097 | 9999 |
R3887 | Humana | all plans | 015581 | 03200000 |
R4182 | Humana | all plans | 015581 | 03200000 |
R4487 | Anthem Blue Cross and Blue Shield | all plans | 020115 | IS |
R4845 | Humana | all plans | 015581 | 03200000 |
R5329 | UnitedHealthcare | all plans | 610097 | 9999 |
R5342 | UnitedHealthcare | all plans | 610097 | 9999 |
R5361 | Humana | all plans | 015581 | 03200000 |
R5495 | Humana | all plans | 015581 | 03200000 |
R5826 | Humana | all plans | 015581 | 03200000 |
R5941 | Anthem Blue Cross and Blue Shield | all plans | 020115 | IS |
R6694 | Aetna Medicare | all plans | 610502 | MEDDAET |
R6801 | UnitedHealthcare | all plans | 610097 | 9999 |
R7220 | Humana | all plans | 015581 | 03200000 |
R7315 | Humana | all plans | 015581 | 03200000 |
R7444 | UnitedHealthcare | all plans | 610097 | 9999 |
S0156 | NextBlue of North Dakota | all plans | 610011 | CTRXMEDD |
S0586 | MVP Health Care | all plans | 004336 | MEDDADV |
S0655 | Tufts Health Plan | all plans | 610011 | CTRXMEDD |
S1030 | BlueRx (PDP) | all plans | 014897 | RPD |
S1140 | Highmark BCBS of WNY and Highmark BS of NENY | 802 | 610014 | MEDDPRIME |
S1140 | Highmark BCBS of WNY and Highmark BS of NENY | 801 | 610014 | MEDDRPIME |
S1822 | HealthPartners | all plans | 015574 | ASPROD1 |
S2465 | Optima Medicare | all plans | 610011 | CTRXMEDD |
S2468 | Blue Shield of California | all plans | 004336 | 77993322 |
S2668 | Farm Bureau Health Plans | all plans | 610011 | CTRXMEDD |
S2874 | Humana | all plans | 015581 | 03200000 |
S2893 | Blue MedicareRx | all plans | 004336 | MEDDADV |
S3147 | Banner Medicare Rx | 001 | 610014 | MEDDPRIME |
S3147 | Banner Medicare Rx | 002, 003 | 610014 | MEDPRIME |
S3285 | MG Insurance Company | all plans | 015574 | ASPROD1 |
S3375 | BlueCross BlueShield: Empire, Excellus, WNY & NENY | all plans | 020115 | IS |
S3389 | UPMC Health Plan | all plans | 003858 | MD |
S3521 | Excellus Health Plan, Inc | all plans | 003858 | MD |
S3875 | Granite Alliance | all plans | 021106 | 08053875 |
S3994 | HMSAs Medicare Rx Plan | all plans | 004336 | MEDDADV |
S4219 | Health Alliance Medicare Prescription Plan | all plans | 015789 | CTRXMEDD |
S4501 | Pharmacy Benefit Dimensions PDP | all plans | 012635 | NA |
S4802 | Wellcare | all plans | 004336 | MEDDADV |
S5450 | BlueScripts | all plans | 610014 | MEDDPRIME |
S5540 | Blue Cross and Blue Shield of North Carolina | all plans | 015905 | PDPNC |
S5552 | Humana | all plans | 015581 | 03200000 |
S5584 | Blue Cross Blue Shield of Michigan | all plans | 610011 | CTRXMEDD |
S5588 | Paramount Prescription Drug Plan | all plans | 004336 | MEDDADV |
S5593 | Highmark Inc. | 807, 808 | 160014 | MEDDPRIME |
S5593 | Highmark Inc. | 002, 003, 801, 802 | 610014 | MEDDPRIME |
S5596 | Anthem / Anthem or Blue KC in Missouri | all plans | 020115 | IS |
S5601 | Aetna Medicare | all plans | 004336 | MEDDADV |
S5609 | Asuris Northwest Health | all plans | 610623 | 2110000 |
S5617 | Cigna | all plans | 017010 | CIMCARE |
S5660 | Express Scripts Medicare | all plans | 610014 | MEDDPRIME |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 801, 811 | 011552 | PDGIL |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 802, 813 | 011552 | PDGNM |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 803, 815, 817, 818, 820, 821, 822, 823, 824 | 011552 | PDGTX |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 001, 012, 019 | 011552 | PDPIL |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 819 | 011552 | PDPILBOG |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 003, 004, 013, 020 | 011552 | PDPNM |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 005, 006, 014, 021 | 011552 | PDPTX |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 807, 809 | 610455 | PDGOK |
S5715 | Blue Cross and Blue Shield of IL, NM, OK, TX | 010, 015, 018 | 610455 | PDPOK |
S5726 | Blue Cross and Blue Shield of Kansas or Blue KC | all plans | 020115 | IS |
S5743 | MedicareBlue Rx | all plans | 610455 | CSPDP |
S5753 | all plans | 610014 | MEDDPRIME | |
S5795 | Arkansas Blue Medicare | 002, 003, 008 | 016895 | PDPAR |
S5795 | Arkansas Blue Medicare | 804, 809, 811, 812 | 016895 | PDPARG |
S5805 | UnitedHealthcare | all plans | 610097 | 9999 |
S5820 | UnitedHealthcare | all plans | 610097 | 9999 |
S5857 | Priority Health Medicare | all plans | 003858 | MD |
S5877 | EMI Health | all plans | 610014 | MEDDPRIME |
S5884 | Humana | all plans | 015581 | 03200000 |
S5904 | Florida Blue | 001, 002 | 012833 | MedDPrime |
S5904 | Florida Blue | 801, 802 | 012833 | MedDPrimeG |
S5916 | Regence BlueShield of Idaho and Regence BC BS Utah | 802, 804, 805 | 610623 | 02120001 |
S5916 | Regence BlueShield of Idaho and Regence BC BS Utah | 001, 002 | 610623 | 2120000 |
S5921 | UnitedHealthcare | all plans | 610097 | 9999 |
S5953 | Blue Cross Blue Shield of South Carolina | all plans | 021692 | CTRXMEDD |
S5960 | UniCare | all plans | 020115 | IS |
S5966 | EmblemHealth Medicare PDP | all plans | 003858 | MD |
S5975 | Moda Health Plan, Inc. | all plans | 610602 | NVTD |
S5993 | Horizon Blue Cross Blue Shield of New Jersey | 001, 003, 007 | 016499 | PDPNJ |
S5993 | Horizon Blue Cross Blue Shield of New Jersey | 801, 804, 805, 806 | 016499 | PDPNJG |
S6506 | Blue Cross Blue Shield of Arizona | all plans | 004336 | MEDDADV |
S6875 | Independence Blue Cross | all plans | 610011 | CTRXMEDD |
S6946 | Clear Spring Health | all plans | 610014 | MEDDPRIME |
S7126 | Mutual of Omaha Rx | all plans | 610014 | MEDDPRIME |
S7694 | Elixir Insurance | 001, 002, 003, 004, 005, 006, 007, 008, 009, 010, 011, 012, 014, 015, 016, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 070, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 8 | 012312 | PartD |
S7694 | Elixir Insurance | 803, 804, 805, 806, 807 | 015185 | CMSPARTD |
S8067 | Avalon Insurance Company | 001, 003 | 610455 | CAPPDP |
S8067 | Avalon Insurance Company | 801, 802, 803, 804, 805, 806, 807, 808 | 610455 | CAPPDPG |
S8182 | Amerigroup | all plans | 020115 | IS |
S8677 | all plans | 012353 | 03300000 | |
S8841 | Optum Insurance of Ohio, Inc. | all plans | 610011 | CTRXMEDD |
S9409 | Vermont Blue Advantage | all plans | 610011 | CTRXMEDD |
S9701 | Navitus MedicareRx | all plans | 610602 | EGWP |
S9854 | Wellmark Advantage Health Plan | all plans | 004336 | MEDDADV |