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Chart of 2020 BIN and PCN values for each Medicare Part D prescription drug plan Part 3 of 5 (H4094 through H6293)

Category: Your Formulary (Drug List)
Published: Jul, 31 2019 03:07:12


The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2020 Medicare Part D plan sponsor. Please note, the data below is Part 3 of 5 (H4094 - H6293) with links to Part 1&2 and Parts 4&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 third page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H4094 through H6293.

Click here for the first page (E0654 - H2334), second page (H2354 - H4093), fourth page (H6306 - H9431) and fifth page (H9438 - S9701).

2020 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H4094 OPTIMUM CHOICE, INC. all plans 610097 9999
H4105 PACE ORGANIZATION OF RHODE ISLAND all plans 000000 PACE
H4118 THE WASHTENAW PACE all plans 018091 PRSMEDD
H4140 DOCTORS HEALTHCARE PLANS, INC. all plans 018927 07830000
H4141 HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. all plans 015581 03200000
H4142 CHEROKEE NATION COMPREHENSIVE CARE AGENCY all plans 000000 PACE
H4152 BLUE CROSS & BLUE SHIELD OF RHODE ISLAND 005, 007, 013, 017, 018, 019, 020 610455 BCRIMA
H4152 BLUE CROSS & BLUE SHIELD OF RHODE ISLAND 815, 817 610455 BCRIMAG
H4172 NHC ADVANTAGE, LLC all plans 610602 NVTD
H4198 COMMUNITYCARE GOVERNMENT PROGRAMS, INC. all plans 015789 CTRXMEDD
H4203 PALMETTO HEALTH ALLIANCE all plans 000000 000000
H4213 USABLE MUTUAL INSURANCE COMPANY all plans 016895 PFFSAR
H4227 VISTA HEALTH PLAN, INC. all plans 012353 06110000
H4235 SENIOR TOTAL LIFE CARE, INC. 002 018091 PRSMEDC
H4235 SENIOR TOTAL LIFE CARE, INC. 001 018091 PRSMEDD
H4236 SPARTAN PLAN PA, INC. all plans 610602 NVTD
H4256   002 018091 PRSMEDC
H4256   001 018091 PRSMEDD
H4279 UPMC FOR YOU, INC all plans 003858 A4
H4305 TOTAL LIFE HEALTHCARE all plans 016110 PACE
H4326 PACE @ HOME, INC. all plans 018091 PRSMEDD
H4346 HMO COLORADO, INC. 802, 804 003858 MD
H4346 HMO COLORADO, INC. 001, 005, 006, 008, 009, 010, 011, 012, 013, 014, 017, 018, 019, 020, 021, 022, 023, 805, 806, 811, 813, 823, 825, 827, 829 020115 IS
H4393 CATHOLIC MANAGED LONG TERM CARE, INC. all plans 004336 MEDDADV
H4402 ALEXIAN BROTHERS COMMUNITY SERVICES all plans 018091 PRSMEDD
H4407 HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY all plans 017010 CIHSCARE
H4461 CARITEN HEALTH PLAN INC. all plans 015581 03200000
H4490 MISSOURI MEDICARE SELECT, LLC all plans 610602 NVTD
H4497 MEDICAL MUTUAL OF OHIO all plans 003858 MD
H4506 SELECTCARE OF TEXAS, INC. all plans 004336 MEDDADV
H4513 HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. all plans 017010 CIHSCARE
H4514 UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C. all plans 610097 9999
H4517 AMARILLO MULTISVC CTR FR THE AGING INC all plans 018091 PRSMEDD
H4518 BIENVIVIR SENIOR HEALTH SERVICES all plans 000000 000000
H4523 AETNA HEALTH INC. (TX) all plans 610502 MEDDAET
H4527 PHYSICIANS HEALTH CHOICE OF TEXAS, LLC all plans 610097 9999
H4590 UNITEDHEALTHCARE BENEFITS OF TEXAS, INC. all plans 610097 9999
H4604 UNITEDHEALTHCARE OF UTAH, INC. all plans 610097 9999
H4605 REGENCE BLUECROSS BLUESHIELD OF UTAH all plans 610623 2100000
H4623 HUMANA REGIONAL HEALTH PLAN, INC. all plans 015581 03200000
H4672 MEDICARE ADVANTAGE INSURANCE COMPANY OF OMAHA all plans 610014 MedDPrime
H4676 TROY HEALTH, INC. all plans 019587 PRX11802
H4709 BRIGHT HEALTH INSURANCE COMPANY OF FLORIDA all plans 012312 PARTD
H4711 COVENTRY HEALTH CARE OF NEBRASKA, INC. all plans 610502 MEDDAET
H4714 PACE OF THE SOUTHERN PIEDMONT, INC. all plans 018091 PRSMEDD
H4754 PACIFICSOURCE COMMUNITY HEALTH PLANS all plans 004336 MEDDADV
H4778 SPARTAN PLAN IL, INC. all plans 610602 NVTD
H4835 AETNA BETTER HEALTH OF OKLAHOMA, INC. all plans 610502 MEDDAET
H4847 WELLCARE OF SOUTH CAROLINA, INC. all plans 004336 MEDDADV
H4853 BRIGHT HEALTH COMPANY OF ARIZONA all plans 012312 PARTD
H4868 WELLCARE OF NEW YORK, INC. all plans 004336 MEDDADV
H4875 PRIORITY HEALTH all plans 003858 MD
H4876 CONSTELLATION HEALTH, LLC. all plans 010868 MPD
H4882 HEALTHPARTNERS, INC. all plans 015574 ASPROD1
H4909 ANTHEM INSURANCE COMPANIES, INC. all plans 020115 IS
H4922 AGEWELL NEW YORK, LLC all plans 012312 PARTD
H4931 BANNER - UNIVERSITY CARE ADVANTAGE all plans 015574 ASPROD1
H4937 CALIFORNIA PHYSICIANS' SERVICE all plans 012353 01920000
H4961 ALIGNMENT HEALTH PLAN all plans 610455 AHPPARTD
H4982 AETNA BETTER HEALTH OF CALIFORNIA INC. all plans 610502 MEDDAET
H4999 THE LUTHERAN HOME FOR THE AGED all plans 016110 PACE
H5007 PROVIDENCE HEALTH SYSTEM all plans 000000 000000
H5008 UNITEDHEALTHCARE INSURANCE COMPANY all plans 610097 9999
H5009 REGENCE BLUESHIELD 008, 009 610623 210000
H5009 REGENCE BLUESHIELD 002, 802, 803, 804 610623 2100000
H5010 ASURIS NORTHWEST HEALTH all plans 610623 2100000
H5015 TEXAS INDEPENDENCE HEALTH PLAN, INC. all plans 012312 PartD
H5037 MOUNTAIN EMPIRE OLDER CITIZENS, INC. all plans 013170 CLAIMCR
H5042 CDPHP UNIVERSAL BENEFITS, INC. all plans 004336 MEDDADV
H5050 KAISER FOUNDATION HEALTH PLAN OF WASHINGTON all plans 610011 CTRXMEDD
H5085   all plans 013170 000000
H5087 WELLCARE OF CALIFORNIA, INC. all plans 004336 MEDDADV
H5106 HIGHMARK SENIOR SOLUTIONS COMPANY all plans 610014 MEDDPRIME
H5117 LOUISIANA HEALTHCARE CONNECTIONS, INC. all plans 004336 MEDDADV
H5124 FRANCISCAN ACO, INC. all plans 000000 000000
H5126 OSCAR INSURANCE COMPANY all plans 004336 MEDDADV
H5140 BLUE CROSS AND BLUE SHIELD OF ARIZONA, INC. all plans 015574 ASPROD1
H5141 CLOVER INSURANCE COMPANY all plans 004336 MEDDADV
H5167 ROCKY MOUNTAIN HEALTH CARE SERVICES all plans 018091 PRSMEDD
H5172 COMMUNITY HEALTH GROUP all plans 015574 ASPROD1
H5178 HUMANA HEALTH PLAN, INC. all plans 015581 03200000
H5190 SUNSHINE STATE HEALTH PLAN, INC. all plans 004336 MEDDADV
H5199 WELLCARE HEALTH INSURANCE OF ARIZONA, INC. all plans 004336 MEDDADV
H5209 CARE WISCONSIN HEALTH PLAN, INC. all plans 012312 PARTD
H5211 SECURITY HEALTH PLAN OF WISCONSIN, INC. all plans 015574 ASPROD1
H5212 COMMUNITY CARE, INC. all plans 018091 PRSMEDD
H5213 TOTAL COMMUNITY CARE, L.L.C. all plans 018091 PRSMEDD
H5215 NETWORK HEALTH INSURANCE CORPORATION all plans 003858 MD
H5216 HUMANA INSURANCE COMPANY 139 0015581 03200000
H5216 HUMANA INSURANCE COMPANY 202 015000 03200000
H5216 HUMANA INSURANCE COMPANY 001, 006, 009, 011, 013, 014, 015, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 032, 033, 036, 037, 039, 040, 041, 042, 043, 044, 045, 047, 048, 050, 051, 052, 053, 054, 055, 057, 058, 060, 061, 062, 063, 064, 065, 066, 067, 068, 070, 071, 072, 073, 074, 075, 076, 078, 080, 081, 083, 085, 088, 089, 091, 092, 093, 094, 095, 096, 097, 098, 099, 100, 103, 104, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 117, 119, 120, 121, 122, 124, 125, 128, 129, 131, 132, 133, 135, 136, 137, 138, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 158, 159, 160, 161, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, 175, 176, 177, 179, 180, 181, 182, 184, 185, 186, 187, 188, 189, 192, 193, 194, 195, 196, 197, 198, 199, 203, 204, 205, 206, 207, 208, 209, 210, 211, 212, 214, 215, 219, 220, 222, 805, 807, 808, 810, 811, 813, 815 015581 03200000
H5216 HUMANA INSURANCE COMPANY 153, 154, 155, 156 03200000 015581
H5216 HUMANA INSURANCE COMPANY 034, 035 55555555 5555555555
H5232 PARAMOUNT CARE, INC. all plans 004336 MEDDADV
H5253 UNITEDHEALTHCARE OF WISCONSIN, INC. 004, 007, 011, 024, 030, 033, 034, 035, 036, 037, 038, 039, 041, 042, 043, 044, 045, 046, 047, 048, 049, 050, 051, 052, 053, 054, 059, 060, 061, 064, 067, 068, 072, 073, 074, 075, 076, 077, 079, 080, 081, 082, 083, 084, 085, 086, 087, 088, 089, 090, 091, 097, 099, 100, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 801, 805, 810, 811, 813, 814, 816, 817, 818, 820, 821, 823 610097 9999
H5253 UNITEDHEALTHCARE OF WISCONSIN, INC. 056, 057, 062, 063 910097 9999
H5262 QUARTZ HEALTH PLAN CORPORATION all plans 015574 ASPROD1
H5273 CAREPARTNERS OF CONNECTICUT, INC. all plans 004336 MEDDADV
H5280 MOLINA HEALTHCARE OF OHIO, INC. all plans 004336 MEDDADV
H5294 SUPERIOR HEALTH PLAN, INC. all plans 004336 MEDDADV
H5302 AETNA HEALTH INC. (GA) all plans 610502 MEDDAET
H5322 CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. all plans 610097 9999
H5325 COVENTRY HEALTH CARE OF KANSAS, INC. all plans 610502 MEDDAET
H5337 AETNA BETTER HEALTH, INC. (OH) all plans 610502 MEDDAET
H5355 IEHP HEALTH ACCESS all plans 012353 04110000
H5377 HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC. all plans 015581 03200000
H5386 SHARP HEALTH PLAN all plans 004336 MEDDADV
H5398 CENTENE VENTURE COMPANY KANSAS all plans 004336 MEDDADV
H5403 ON LOK SENIOR HEALTH SERVICES all plans 013170 000000
H5405 CENTER FOR ELDERS INDEPENDENCE 002 018091 PRSMEDC
H5405 CENTER FOR ELDERS INDEPENDENCE 001 018091 PRSMEDD
H5406 SUTTER HEALTH SACRAMENTO SIERRA REGION all plans 018091 PRSMEDD
H5410 HEALTHSPRING OF FLORIDA all plans 017010 CIHSCARE
H5420 MEDICA HEALTHCARE PLANS, INC. all plans 610097 9999
H5422 BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA all plans 020115 IS
H5425 SCAN HEALTH PLAN 803, 804 003858 A4
H5425 SCAN HEALTH PLAN 001, 004, 005, 006, 007, 008, 009, 010, 019, 020, 028, 029, 030, 031, 033, 034, 040, 045, 052, 053, 054, 055, 061, 064, 065, 066, 067, 068, 069, 070, 071, 072, 073, 074 003858 MD
H5427 FREEDOM HEALTH, INC. all plans 020115 IS
H5430 ONECARE BY CARE1ST HEALTH PLAN ARIZONA INC. all plans 015574 ASPROD1
H5431 HEALTHSUN HEALTH PLANS, INC. all plans 020115 IS
H5433 ORANGE COUNTY HEALTH AUTHORITY all plans 015574 ASPROD1
H5434 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. 002, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 035 012833 MedDPrime
H5434 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. 801, 802 012833 MedDPrimeG
H5435 UNITEDHEALTHCARE INSURANCE COMPANY all plans 610097 9999
H5439 HEALTH NET LIFE INSURANCE COMPANY all plans 004336 MEDDADV
H5441 HEALTHFIRST HEALTH PLAN, INC. all plans 004336 MEDDADV
H5454 CLEAR SPRING HEALTH OF ILLINOIS, INC. all plans 012312 PARTD
H5458   all plans 610014 MEDDPRIME
H5471 SIMPLY HEALTHCARE PLANS, INC. all plans 020115 IS
H5475 MERIDIAN HEALTH PLAN OF MICHIGAN, INC. all plans 610241 HPMMCR
H5493 LIFE AT ST. FRANCIS HEALTHCARE, INC. 002 000000 000000
H5493 LIFE AT ST. FRANCIS HEALTHCARE, INC. 001 018091 PRSMEDD
H5496 IMPERIAL HEALTH PLAN OF CALIFORNIA, INC. all plans 004758 DNPS
H5521 AETNA LIFE INSURANCE COMPANY 152 601502 MEDDAET
H5521 AETNA LIFE INSURANCE COMPANY 283 610502 MEDAET
H5521 AETNA LIFE INSURANCE COMPANY 012, 013, 015, 016, 020, 022, 027, 033, 037, 040, 053, 055, 056, 057, 058, 059, 060, 076, 077, 081, 082, 083, 084, 085, 086, 087, 088, 089, 090, 091, 092, 094, 095, 099, 100, 101, 102, 103, 104, 105, 107, 108, 109, 110, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 130, 131, 134, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 153, 154, 156, 157, 159, 160, 167, 168, 169, 170, 171, 177, 178, 179, 183, 184, 185, 186, 187, 190, 194, 195, 196, 197, 199, 200, 201, 202, 203, 204, 205, 206, 207, 208, 211, 212, 213, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 228, 230, 231, 232, 233, 234, 236, 237, 239, 240, 242, 243, 244, 245, 246, 247, 248, 249, 250, 251, 252, 253, 254, 257, 258, 259, 260, 261, 262, 263, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 280, 281, 282, 284, 285, 288, 289, 802, 806, 810, 811, 812, 813, 815, 816 610502 MEDDAET
H5522 HEALTHASSURANCE PENNSYLVANIA, INC. all plans 610502 MEDDAET
H5525 HUMANA BENEFIT PLAN OF ILLINOIS, INC. all plans 015581 03200000
H5526 HEALTHNOW NEW YORK INC. all plans 610014 MEDDPRIME
H5528 GROUP HEALTH INCORPORATED all plans 013344 0020080229
H5533 UPMC HEALTH NETWORK, INC. all plans 003858 A4
H5549 VNS CHOICE all plans 015574 ASPROD1
H5576 VANTAGE HEALTH PLAN, INC. all plans 610602 NVTD
H5577 MCS ADVANTAGE, INC. all plans 012312 PARTD
H5580 MERCY CARE all plans 610591 MEDDADV
H5587 HEALTH CHOICE ARIZONA, INC. all plans 004336 MEDDADV
H5590 BRIDGEWAY HEALTH SOLUTIONS all plans 004336 MEDDADV
H5591 MARTIN'S POINT GENERATIONS ADVANTAGE, INC. all plans 004336 MEDDADV
H5593 AETNA HEALTH OF IOWA INC. all plans 610502 MEDDAET
H5594 OPTIMUM HEALTHCARE, INC. 001, 002, 016, 017, 019, 022, 026, 028, 029, 030, 032, 034, 035 020115 IS
H5594 OPTIMUM HEALTHCARE, INC. 031 610011 OPH
H5608 DENVER HEALTH MEDICAL PLAN, INC. all plans 015574 ASPROD1
H5610 CARE RESOURCES all plans 013170 CLAIMCR
H5619 ARCADIAN HEALTH PLAN, INC. 109 0015581 03200000
H5619 ARCADIAN HEALTH PLAN, INC. 001, 003, 012, 013, 015, 016, 021, 023, 026, 029, 032, 037, 038, 039, 040, 041, 042, 044, 045, 046, 047, 049, 050, 051, 052, 053, 054, 055, 056, 057, 059, 060, 061, 062, 063, 064, 065, 066, 067, 069, 070, 071, 073, 075, 076, 077, 078, 079, 080, 081, 082, 083, 084, 086, 087, 088, 089, 090, 091, 093, 094, 095, 097, 099, 100, 101, 102, 104, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 123, 124, 125, 126, 128, 129, 802, 805
122 (Jan-Apr)
015581 03200000
H5619 ARCADIAN HEALTH PLAN, INC. 127 015581 3200000
H5619 ARCADIAN HEALTH PLAN, INC. 122 (May-Dec) 015582 04200000
H5628 MOLINA HEALTHCARE OF UTAH, INC. all plans 004336 MEDDADV
H5629 COMMUNITY ELDERCARE OF SAN DIEGO all plans 016110 PACE
H5644 NETWORK HEALTH INSURANCE CORPORATION all plans 003858 MD
H5649 CENTRAL HEALTH PLAN OF CALIFORNIA, INC. all plans 015574 ASPROD1
H5652 SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. all plans 610097 9999
H5656 SELECTCARE HEALTH PLANS, INC. all plans 004336 MEDDADV
H5703 SOUTH COUNTRY HEALTH ALLIANCE all plans 012353 6190000
H5742 SHA, LLC all plans 610602 NVTD
H5746 AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC. all plans 020115 IS
H5774 TRIPLE S ADVANTAGE, INC. all plans 610674 abarcaD
H5779 MERIDIAN HEALTH PLAN OF ILLINOIS, INC. all plans 610241 MHPILSNP
H5793 AETNA HEALTH INC. (CT) all plans 610502 MEDDAET
H5810 MOLINA HEALTHCARE OF CALIFORNIA all plans 004336 MEDDADV
H5822 MIDLAND CARE CONNECTION all plans 000000 000000
H5823 MOLINA HEALTHCARE OF WASHINGTON, INC. all plans 004336 MEDDADV
H5826 COMMUNITY HEALTH PLAN OF WASHINGTON all plans 003858 MD
H5841 BRIGHT HEALTH INSURANCE COMPANY all plans 012312 PARTD
H5852 AIDS HEALTHCARE FOUNDATION all plans 015574 ASPROD1
H5854 ANTHEM HEALTH PLANS, INC. all plans 020115 IS
H5859 HEALTH PLAN OF CAREOREGON, INC. all plans 610011 CORMCARE
H5883 BLUE CARE NETWORK OF MICHIGAN all plans 610014 MEDDPRIME
H5902 SENIOR LIFE ALTOONA, INC. all plans 013519 N/A
H5926 MOLINA HEALTHCARE OF MICHIGAN, INC. all plans 004336 MEDDADV
H5928 BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN all plans 012353 07800000
H5932 GATEWAY HEALTH PLAN, INC. all plans 004336 MEDDADV
H5934 HOPE HOSPICE AND COMMUNITY SERVICES, INC. all plans 016110 PACE
H5937 UCARE MINNESOTA all plans 003858 DE
H5938 CAPITAL HEALTH PLAN 001, 006 610455 MEDDADV
H5938 CAPITAL HEALTH PLAN 802, 804 610455 MEDDADVG
H5943 SCAN HEALTH PLAN all plans 003858 MD
H5945 PROMINENCE HEALTHFIRST all plans 015574 ASPROD1
H5959 BLUE CROSS AND BLUE SHIELD OF MINNESOTA all plans 610455 EMNH5959
H5965 WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON all plans 004336 MEDDADV
H5969 ALOHACARE all plans 610014 MEDDPRIME
H5970 HUMANA INSURANCE COMPANY OF NEW YORK all plans 015581 03200000
H5978 SENIOR LIFE LEHIGH VALLEY, INC. all plans 013519 N/A
H5989 CENTERLIGHT HEALTHCARE, INC. all plans 610602 NVTD
H5991 HEALTH INSURANCE PLAN OF GREATER NEW YORK 006 004336 MEDDADV
H5991 HEALTH INSURANCE PLAN OF GREATER NEW YORK 003, 007, 008 400023 0020050403
H5991 HEALTH INSURANCE PLAN OF GREATER NEW YORK 001, 002 400023 002005043
H5992 SENIOR WHOLE HEALTH OF NEW YORK, INC. all plans 003858 MD
H5995 ATRIO HEALTH PLANS all plans 015574 ASPROD1
H6059 PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC. all plans 016110 000000
H6079 TOTAL LONGTERM CARE, INC. all plans 018091 PRSMEDD
H6080 MERIDIAN HEALTH PLAN OF ILLINOIS, INC. all plans 610241 MHPILCOMP
H6121 BRIGHT HEALTH INSURANCE COMPANY OF ILLINOIS all plans 012312 PARTD
H6154 MEDICA HEALTH PLANS all plans 003858 MD
H6188 VIECARE ARMSTRONG, LLC all plans 016110 PACE
H6229 BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC. all plans 020115 IS
H6231 FRANCISCAN PACE, INC. all plans 013170 CLAIMCR
H6237 REGENCE BLUECROSS BLUESHIELD OF OREGON all plans 610623 2100000
H6281   all plans 610097 9999
H6293   all plans 020115 IS


The above chart is the third page of the 2020 Medicare Part D pharmacy BIN and PCN list (H4094 - H6293).

Click here for the first page (E0654 - H2334), second page (H2354 - H4093), fourth page (H6306 - H9431) and fifth page (H9438 - S9701).






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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.
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  • 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.