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Chart of 2024 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9001 through X0001)

Category: Your Formulary (Drug List)
Published: Jan 10, 2024 05:25:28
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The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2024 Medicare Part D plan sponsor.  Please note, the data below is Part 6 of 6 (H9001 - X0001) with links to Parts 1 through 5.

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?."

The chart below is the sixth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9001 through X0001.

Click here for the first page (E3014 - H2001), second page (H2029 - H3499), third page (H3517 - H5141), fourth page (H5163 - H6832), and fifth page (H6846 - H8998).


2024 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H9001Fallon Healthall plans610011CTRXMEDD
H9003Kaiser Permanenteall plans011230NWCMS
H9042MyTruAdvantageall plans004336MEDDADV
H9047Providence Medicare Advantage Plansall plans01235303300000
H9052Sunrise PACEall plans018091PRSMEDD
H9065AMH Healthall plans020115IS
H9066Nascentia Health Plusall plans012312PARTD
H9068ALBRIGHT CARE SERVICESall plans013170 
H9070 all plans01558103200000
H9082 all plans004336MEDDADV
H9096Dean Advantageall plans610602NVTD
H9104SCAN Health Planall plans003858MD
H9147Blue Cross and Blue Shield of North Carolinaall plans015905DSNPNC
H9153West Virginia Senior Advantageall plans012312PARTD
H9179Trinity Health Plan of Michiganall plans004336MEDDADV
H9185Great Lakes PACEall plans022188PSTMEDD
H9191Provider Partners Health Plansall plans012312PARTD
H9207Jefferson Health Plansall plans004336MEDDADV
H9219AMH Healthall plans020115IS
H9231Devoted Healthall plans004336MEDDADV
H9239UnitedHealthcareall plans6100978500
H9252Mount Sinai Eldercareall plans022188PSTMEDD
H9258Wellcareall plans610014MEDDPRIME
H9266Piedmont Health SeniorCareall plans0000000000000000
H9276Allwell807004336MEDDADV
H9276Allwell805610014MEDDPRIME
H9302 all plans004336MEDDADV
H9306Alterwood Advantageall plans012312PARTD
H9317Beacon of Life SCall plans022188PSTMEDD
H9323Beacon of LIFE PACEall plans022188PSTMEDD
H9335Wellcareall plans610014MEDDPRIME
H9357Wellcare by Allwell002, 003, 004004336MEDDADV
H9357Wellcare by Allwell001610014MEDDPRIME
H9364Wellcareall plans610014MEDDPRIME
H9387Wellcare by Allwellall plans610014MEDDPRIME
H9403Clear Spring Healthall plans610011CTRXMEDD
H9412Geisinger Goldall plans019587PRX11803
H9414Commonwealth Care Alliance Massachusettsall plans610602NVTD
H9428Wellcareall plans610014MEDDPRIME
H9431Aetna Medicareall plans610502MEDDAET
H9438Bluestem PACEall plans022188PSTMEDD
H9450 all plans610011CTRXMEDD
H9455 all plans004336MEDDADV
H9460Cigna Healthcareall plans017010CIMCARE
H9469Simply Healthcareall plans020115IS
H9485Mass General Brigham Health Planall plans004336ADV
H9489Vermont Blue Advantageall plans610011CTRXMEDD
H9525Anthem Blue Cross and Blue Shield003, 004, 006, 007, 010, 011, 012, 013, 015, 016, 017020115IS
H9525Anthem Blue Cross and Blue Shield801, 803, 804, 806022227IS
H9545Molina Healthcare of Indianaall plans004336MEDDADV
H9564PACE4DC LLCall plans022188PSTMEDD
H9572Blue Cross Blue Shield of Michiganall plans610011CTRXMEDD
H9576NEIGHBORHOOD HEALTH PLAN OF RHODE ISLANDall plans004336MEDDADV
H9585WellSense Health Planall plans610014MEDDPRIME
H9589Clear Spring Healthall plans610011CTRXMEDD
H9590Longevity Healthall plans610014MEDDPRIME
H9592Innovative Integrated Health Inc.all plans022188PSTMEDD
H9614Alignment Health Plan001610455AHPPARTD
H9614Alignment Health Plan801, 802610455AHPPARTDG
H9615MVP HEALTH CAREall plans004336MEDDADV
H9616San Diego PACEall plans022188PSTMEDD
H9618 all plans012312PARTD
H9630Wellcare by Allwell003, 801, 803004336MEDDADV
H9630Wellcare by Allwell002, 005, 008, 010, 011, 013, 014610014MEDDPRIME
H9649HopeWest PACEall plans016110PACE
H9656Blue Cross of Idahoall plans020388IRXMEDD
H9662Cignaall plans017010CIMCARE
H9678Healthfirst Medicare Planall plans004336MEDDADV
H9686Alignment Health Plan001, 003, 004, 005610455AHPPARTD
H9686Alignment Health Plan801, 802610455AHPPARTDG
H9690American Health Advantage of Indianaall plans012312PARTD
H9699Arkansas Blue Medicare007004336MEDDADV
H9699Arkansas Blue Medicare004, 006016895HMOAR
H9706Blue Cross and Blue Shield of Texas001, 003, 005, 006, 007, 008, 009011552MAPDTX3
H9706Blue Cross and Blue Shield of Texas801, 802011552MAPDTXG2
H9706Blue Cross and Blue Shield of Texas002011552TXSNP2
H9712HAP Empowered MI Health Linkall plans610014MEDDPRIME
H9725Cigna Healthcareall plans017010CIMCARE
H9730Wellcareall plans610014MEDDPRIME
H9761Wellcareall plans610014MEDDPRIME
H9763Ochsner Health Planall plans015574ASPROD1
H9808CARE N'' CARE INSURANCE COMPANY OF NORTH CAROLINAall plans610315RXA099
H9811Wellcare by Allwell001, 006, 008, 009, 803004336MEDDADV
H9811Wellcare by Allwell801610014MEDDPRIME
H9826Community Health Choiceall plans610602NVTD
H9827MediGoldall plans004336MEDDADV
H9828 all plans015574ASPROD1
H9830InnovAge Pennsylvania LIFEall plans022188PSTMEDD
H9834Quartz Medicare Advantageall plans610011CTRXMEDD
H9842Saint Joseph PACEall plans022188PSTMEDD
H9861CCA Health Michiganall plans610011CTRXMEDD
H9869Partners Health Planall plans015574ASPROD1
H9876CCA Health Rhode Islandall plans610602NVTD
H9877 all plans012312PARTD
H9884Devoted Healthall plans004336MEDDADV
H9888Devoted Healthall plans004336MEDDADV
H9900Wellcareall plans610014MEDDPRIME
H9904Mass Advantageall plans01235308410000
H9907Tufts Health Planall plans610011CTRXMEDD
H9909American Health Advantage of MSall plans012312PARTD
H9917Align Senior Careall plans610602NVTD
H9940Longevity Health Plan of Massachusettsall plans610014MEDDPRIME
H9942Longevity Health Planall plans610014MEDDPRIME
H9943Alignment Health Plan001, 002, 003, 004, 005610455AHPPARTD
H9943Alignment Health Plan801, 802610455AHPPARTDG
H9946Shared Health Dual Freedomall plans004336MEDDADV
H9952Medicaall plans610014MNDE
H9955Molina Healthcare of Ohioall plans004336MEDDADV
H9976Wellcare by Allwell001, 004, 005004336MEDDADV
H9976Wellcare by Allwell002610014MEDDPRIME
H9986Florida Complete Careall plans004336MEDDADV
H9998Silver Starall plans013170CLAIMCR
R0110Humanaall plans01558103200000
R0759UnitedHealthcareall plans6100979999
R0865Humanaall plans01558103200000
R0923Humanaall plans01558103200000
R1390Humanaall plans01558103200000
R1532Humanaall plans01558103200000
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
S0156NextBlue of North Dakotaall plans610011CTRXMEDD
S0586MVP Health Careall plans004336MEDDADV
S0655Tufts Health Planall plans610011CTRXMEDD
S1030BlueRx (PDP)all plans014897RPD
S1140Highmark Blue Cross Blue Shield or Highmark Blue Shield802610014MEDDPRIME
S1140Highmark Blue Cross Blue Shield or Highmark Blue Shield801610014MEDDRPIME
S1822HealthPartnersall plans015574ASPROD1
S2135Blue Cross Blue Shield Associationall plans004336MEDDADV
S2465Optima Medicareall plans610011CTRXMEDD
S2468Blue Shield of Californiaall plans00433677993322
S2668Farm Bureau Health Plansall plans610011CTRXMEDD
S2874Humanaall plans01558103200000
S2893Blue MedicareRxall plans004336MEDDADV
S3147 001610014MEDDPRIME
S3147 002, 003610014MEDPRIME
S3285MG Insurance Companyall plans015574ASPROD1
S3375 all plans020115IS
S3389UPMC Health Planall plans003858MD
S3521Excellus Health Plan, Incall plans003858MD
S3875Granite Allianceall plans02110608053875
S3994HMSAs Medicare Rx Planall plans004336MEDDADV
S4219Health Alliance Medicare Prescription Planall plans015789CTRXMEDD
S4501Pharmacy Benefit Dimensions PDPall plans012635NA
S4802Wellcareall plans610014MEDDPRIME
S5450BlueScriptsall plans610014MEDDPRIME
S5540Blue Cross and Blue Shield of North Carolinaall plans015905PDPNC
S5552Humanaall plans01558103200000
S5584Blue Cross Blue Shield of Michiganall plans610011CTRXMEDD
S5588Paramount Prescription Drug Planall plans004336MEDDADV
S5593Highmark Blue Shield807, 808160014MEDDPRIME
S5593Highmark Blue Shield002, 003, 801, 802610014MEDDPRIME
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, 825, 826, 827, 828011552PDGIL
S5715Blue Cross and Blue Shield of IL, NM, OK, TX802, 813011552PDGNM
S5715Blue Cross and Blue Shield of IL, NM, OK, TX803, 815, 817, 818, 820, 821, 822, 823, 824011552PDGTX
S5715Blue Cross and Blue Shield of IL, NM, OK, TX001, 012, 019011552PDPIL
S5715Blue Cross and Blue Shield of IL, NM, OK, TX819011552PDPILBOG
S5715Blue Cross and Blue Shield of IL, NM, OK, TX003, 013, 020011552PDPNM
S5715Blue Cross and Blue Shield of IL, NM, OK, TX005, 014, 021011552PDPTX
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 plans610455CSPDP
S5795Arkansas Blue Medicareall plans004336MEDDADV
S5805UnitedHealthcareall plans6100979999
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
S5966EmblemHealthall plans003858MD
S5975Moda Health Plan, Inc.all plans610602NVTD
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 Arizona (AZ Blue)002610011CTRXMED
S6506Blue Cross Blue Shield of Arizona (AZ Blue)001, 801610011CTRXMEDD
S6875Independence Blue Crossall plans610011CTRXMEDD
S6946Clear Spring Health001, 002, 003, 004, 005, 006, 007, 008, 009, 010, 011, 012, 013, 014, 015, 016, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 059, 060, 061, 062610011CTRXMEDD
S6946Clear Spring Health030, 031, 032, 033, 034, 035, 036, 037, 038, 039, 040, 041, 042, 043, 044, 045, 046, 047, 048, 049, 050, 051, 052, 053, 054, 055, 056, 058, 063, 064, 065, 066610014MEDDPRIME
S7126Mutual of Omaha Rxall plans610014MEDDPRIME
S7694Elixir Insurance001, 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, 8012312PartD
S7694Elixir Insurance803, 804, 805, 806, 807015185CMSPARTD
S8067Avalon Insurance Company001, 003610455CAPPDP
S8067Avalon Insurance Company801, 803, 804, 805, 806, 807, 808610455CAPPDPG
S8182 all plans020115IS
S8841Optum Insurance of Ohio, Inc.all plans610011CTRXMEDD
S9409Vermont Blue Advantageall plans610011CTRXMEDD
S9701Navitus MedicareRxall plans610602EGWP
S9854Wellmark Advantage Health Planall plans004336MEDDADV
X0001Medicare's Limited Income NET Programall plans00544000015599




The above chart is the sixth page of the 2024 Medicare Part D pharmacy BIN and PCN list (H9001 - X0001).

Click here for the first page (E3014 - H2001), second page (H2029 - H3499), third page (H3517 - H5141), fourth page (H5163 - H6832), and fifth page (H6846 - H8998).


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