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Chart of 2025 BIN and PCN numbers for each Medicare Part D prescription drug plan Part 4 of 7 (H4699 through H6079) includes M3P (MPPP) BIN/PCN numbers

Category: Your Formulary (Drug List)
Published: Jan 26, 2025 02:39:29


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


The above chart is the fourth page of the 2025 Medicare Part D pharmacy BIN and PCN list (H4699 - 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).







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