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Chart of 2020 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H9438 through S9701)

Category: Your Formulary (Drug List)
Published: Jul, 31 2019 04:07:06


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 5 of 5 (H9438 - S9701) with links to Parts 1 through 4.

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 fifth page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9438 through S9701.

Click here for the first page (E0654 - H2334), second page (H2354 - H4093), third page (H4094 - H6293) and fourth page (H6306 - H9431).


2020 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H9438 BLUESTEM PACE, INC. all plans 018091 PRSMEDD
H9455 HEALTH CHOICE UTAH, INC. all plans 004336 MEDDADV
H9460 CIGNA HEALTHCARE OF ST LOUIS, INC. all plans 017010 CIHSCARE
H9487 MICHIGAN COMPLETE HEALTH, INC. all plans 004336 MEDDADV
H9516 BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK all plans 012312 PARTD
H9525 COMPCARE HEALTH SERVICES INSURANCE CORPORATION all plans 020115 IS
H9572 BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY all plans 610014 MEDDPRIME
H9576 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND all plans 004336 MEDDADV
H9585 BOSTON MEDICAL CENTER HEALTH PLAN, INC. all plans 012312 PARTD
H9589 EON HEALTH, INC. (GA) all plans 610011 CTRXMEDD
H9590 LONGEVITY HEALTH PLAN OF ILLINOIS, INC. all plans 610602 NVTD
H9592 CENTRAL VALLEY MEDICAL SERVICES CORPORATION all plans 018091 PRSMEDD
H9615 MVP HEALTH PLAN, INC. all plans 004336 MEDDADV
H9616 CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO all plans 018091 PRSMEDD
H9630 ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC all plans 004336 MEDDADV
H9699 HMO PARTNERS, INC. all plans 016895 HMOAR
H9706 HCSC INSURANCE SERVICES COMPANY 001, 003 011552 MAPDTX3
H9706 HCSC INSURANCE SERVICES COMPANY 801 011552 MAPDTXG3
H9706 HCSC INSURANCE SERVICES COMPANY 802 011552 PARTBG3
H9706 HCSC INSURANCE SERVICES COMPANY 002 011552 TXSNP2
H9712 HAP MIDWEST HEALTH PLAN, INC. all plans 610014 MEDDPRIME
H9725 CIGNA HEALTHCARE OF NORTH CAROLINA, INC. all plans 017010 CIHSCARE
H9730 WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC all plans 004336 MEDDADV
H9808 CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA all plans 012312 PARTD
H9811 MAGNOLIA HEALTH PLAN, INC. all plans 004336 MEDDADV
H9826 COMMUNITY HEALTH CHOICE TEXAS, INC. all plans 610602 NVTD
H9830 NEWCOURTLAND LIFE PROGRAM all plans 018091 PRSMEDD
H9834 QUARTZ HEALTH PLAN MN CORPORATION all plans 015574 ASPROD1
H9842 SAINT JOSEPH PACE all plans 018091 PRSMEDD
H9861 RELIANCE HMO, INC. all plans 610011 CTRXMEDD
H9869 PARTNERS HEALTH PLAN, INC. all plans 019587 06480000
H9870 UNIVERSITY HEALTH CARE, INC. all plans 004336 MEDDADV
H9877 VIRGINIA PREMIER HEALTH PLAN, INC. all plans 012312 PARTD
H9878 BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC. all plans 012312 PARTD
H9909 AMERICAN HEALTH PLAN OF MS, INC. all plans 012312 PARTD
H9942 LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP all plans 610602 NVTD
H9952 MEDICA HEALTH PLANS all plans 610014 MNDE
H9998 LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION all plans 013170 CLAIMCR
R0110 HUMANA INSURANCE COMPANY all plans 015581 03200000
R0759 UNITEDHEALTHCARE INSURANCE COMPANY all plans 610097 9999
R0802 MARTIN'S POINT GENERATIONS ADVANTAGE, INC. all plans 004336 MEDDADV
R0865 HUMANA INSURANCE COMPANY all plans 015581 03200000
R0923 HUMANA INSURANCE COMPANY all plans 015581 03200000
R1390 HUMANA INSURANCE COMPANY all plans 015581 03200000
R1532 HUMANA INSURANCE COMPANY all plans 015581 03200000
R1548 UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEY all plans 610097 9999
R2604 UNITEDHEALTHCARE INSURANCE COMPANY all plans 610097 9999
R3175 UNITEDHEALTHCARE INSURANCE COMPANY all plans 610097 9999
R3332 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. all plans 012833 MedDPrime
R3392 HUMANA INSURANCE COMPANY all plans 015581 03200000
R3444 CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. all plans 610097 9999
R3887 HUMANA INSURANCE COMPANY all plans 015581 03200000
R4182 HUMANA INSURANCE COMPANY all plans 015581 03200000
R4487 ANTHEM INSURANCE COMPANIES, INC. all plans 020115 IS
R4845 HUMANA INSURANCE COMPANY all plans 015581 03200000
R5329 SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. all plans 610097 9999
R5342 UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK all plans 610097 9999
R5361 HUMANA INSURANCE COMPANY all plans 015581 03200000
R5495 HUMANA INSURANCE COMPANY all plans 015581 03200000
R5826 HUMANA INSURANCE COMPANY all plans 015581 03200000
R5941 ANTHEM INSURANCE COMPANIES, INC. all plans 020115 IS
R6592   all plans 015574 ASPROD1
R6694 AETNA LIFE INSURANCE COMPANY all plans 610502 MEDDAET
R6801 CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY all plans 610097 9999
R7220 HUMANA INSURANCE COMPANY all plans 015581 03200000
R7315 HUMANA INSURANCE COMPANY all plans 015581 03200000
R7444 UNITEDHEALTHCARE INSURANCE COMPANY all plans 610097 9999
S0586 MVP HEALTH PLAN, INC. all plans 004336 MEDDADV
S0655 TUFTS INSURANCE COMPANY all plans 004336 MEDDADV
S1030 BCBS OF ALABAMA & UTIC INSURANCE COMPANY 001, 006, 010 014897 RPD
S1030 BCBS OF ALABAMA & UTIC INSURANCE COMPANY 801, 802, 803, 804, 805 014897 RPDG
S1140 HEALTHNOW NEW YORK INC. all plans 610014 MEDDPRIME
S1822 HEALTHPARTNERS, INC. all plans 015574 ASPROD1
S1894 COMMUNITYCARE GOVERNMENT PROGRAMS, INC. all plans 015789 CTRXMEDD
S2468 CALIFORNIA PHYSICIANS' SERVICE all plans 012353 03510000
S2668 MEMBERS HEALTH INSURANCE COMPANY all plans 610011 CTRXMEDD
S2874 HUMANA INSURANCE OF PUERTO RICO, INC. all plans 015581 03200000
S2893 ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT all plans 004336 MEDDADV
S3285   all plans 015574 ASPROD1
S3389 UPMC HEALTH BENEFITS, INC. all plans 003858 A4
S3521 EXCELLUS HEALTH PLAN, INC. all plans 003858 MD
S3875 GRANITE ALLIANCE INSURANCE COMPANY all plans 021106 08053875
S3994 HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) all plans 004336 MEDDADV
S4219 HEALTH ALLIANCE MEDICAL PLANS all plans 015789 CTRXMEDD
S4501 INDEPENDENT HEALTH BENEFITS CORPORATION all plans 012635 9999
S4607 MERIT HEALTH INSURANCE COMPANY all plans 018117 MRXMED
S4802 WELLCARE PRESCRIPTION INSURANCE, INC. all plans 004336 MEDDADV
S5450 SECURITYCARE OF TENNESSEE, INC. all plans 610014 MEDDPRIME
S5540 BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA all plans 015905 PDPNC
S5552 HUMANA INSURANCE COMPANY OF NEW YORK all plans 015581 03200000
S5584 BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY all plans 610014 MEDDPRIME
S5588 PARAMOUNT INSURANCE COMPANY all plans 004336 MEDDADV
S5593 HM HEALTH INSURANCE COMPANY all plans 610014 MEDDPRIME
S5596 ANTHEM INSURANCE COMPANIES, INC. all plans 020115 IS
S5601 SILVERSCRIPT INSURANCE COMPANY all plans 004336 MEDDADV
S5609 ASURIS NORTHWEST HEALTH all plans 610623 2110000
S5617 CIGNA HEALTH AND LIFE INSURANCE COMPANY all plans 017010 CIHSCARE
S5660 MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY all plans 610014 MEDDPRIME
S5715 HCSC INSURANCE SERVICES COMPANY 801, 811 011552 PDGIL
S5715 HCSC INSURANCE SERVICES COMPANY 802, 813 011552 PDGNM
S5715 HCSC INSURANCE SERVICES COMPANY 803, 817, 818, 819 011552 PDGTX
S5715 HCSC INSURANCE SERVICES COMPANY 001, 002, 012 011552 PDPIL
S5715 HCSC INSURANCE SERVICES COMPANY 003, 004, 013 011552 PDPNM
S5715 HCSC INSURANCE SERVICES COMPANY 005, 006, 014 011552 PDPTX
S5715 HCSC INSURANCE SERVICES COMPANY 807, 809 610455 PDGOK
S5715 HCSC INSURANCE SERVICES COMPANY 815 610455 PDGTX
S5715 HCSC INSURANCE SERVICES COMPANY 010, 011, 015 610455 PDPOK
S5726 BLUE CROSS AND BLUE SHIELD OF KANSAS all plans 020115 IS
S5743 WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WY all plans 004336 MEDDADV
S5753 WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION all plans 610014 MEDDPRIME
S5768 WELLCARE PRESCRIPTION INSURANCE, INC. all plans 004336 MEDDADV
S5795 USABLE MUTUAL INSURANCE COMPANY all plans 004336 ADV
S5805 UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK all plans 610097 9999
S5810 WELLCARE PRESCRIPTION INSURANCE, INC. all plans 004336 MEDDADV
S5820 UNITEDHEALTHCARE INSURANCE COMPANY all plans 610097 9999
S5857 PRIORITY HEALTH INSURANCE COMPANY all plans 003858 MD
S5877 EDUCATORS MUTUAL INSURANCE ASSOCIATION all plans 610014 MEDDPRIME
S5884 HUMANA INSURANCE COMPANY all plans 015581 03200000
S5904 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. 001, 002, 006, 007 012833 MedDPrime
S5904 BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. 801, 802 012833 MedDPrimeG
S5916 REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH all plans 610623 2120000
S5921 UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY all plans 610097 9999
S5953 BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA all plans 004336 MEDDADV
S5960 UNICARE LIFE & HEALTH INSURANCE COMPANY all plans 020115 IS
S5966 GROUP HEALTH INCORPORATED all plans 003858 MD
S5975 MODA HEALTH PLAN, INC. 801 015574 ASPROD1
S5975 MODA HEALTH PLAN, INC. 806 015774 ASPROD1
S5983 MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK all plans 610014 MEDDPRIME
S5993 HORIZON INSURANCE COMPANY 001, 003, 006 016499 PDPNJ
S5993 HORIZON INSURANCE COMPANY 801, 804, 805 016499 PDPNJG
S6506 BLUE CROSS AND BLUE SHIELD ARIZONA, INC. all plans 004336 MEDDADV
S6875 QCC INSURANCE COMPANY all plans 610011 CTRXMEDD
S6946 CLEAR SPRING HEALTH INSURANCE COMPANY all plans 012312 PARTD
S6986 MII LIFE INSURANCE, INCORPORATED all plans 004336 MEDDADV
S7126 OMAHA HEALTH INSURANCE COMPANY all plans 610014 MEDDPRIME
S7694 ENVISION INSURANCE COMPANY 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, 105, 106, 121, 122, 123, 801, 802, 808 012312 PARTD
S7694 ENVISION INSURANCE COMPANY 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 INSURANCE COMPANY all plans 020115 IS
S8677   all plans 012353 03300000
S8841 OPTUM INSURANCE OF OHIO, INC. all plans 610011 CTRXMEDD
S9701 DEAN HEALTH INSURANCE, INC. all plans 610602 EGWP


The above chart is the fifth page of the 2020 Medicare Part D pharmacy BIN and PCN list (H9438 - S9701).

Click here for the first page (E0654 - H2334), second page (H2354 - H4093), third page (H4094 - H6293) and fourth page (H6306 - H9431).






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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.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • 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.