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Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 3 of 6 (H3572 through H5325)

Category: Your Formulary (Drug List)
Published: Mar, 07 2022 08:03:39


The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2022 Medicare Part D plan sponsor.  Please note, the data below is Part 3 of 6 (H3572 - H5325) with links to Parts 1 and 2 and Parts 4 through 6.

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 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3572 through H5325.

Click here for the first page (E0654 - H1997), second page (H2001 - H3563), fourth page (H5337 - H7322), fifth page (H7323 - H9686) and sixth page (H9699 - S9701).

2022 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H3572 all plans015574ASPROD1
H3597Aetna Medicareall plans610502MEDDAET
H3613McGregor PACEall plans016110PACE
H3632Medicaall plans003858MD
H3653Paramount Elite Medicare Plansall plans004336MEDDADV
H3655Anthem Blue Cross and Blue Shield032, 033, 034, 038, 040, 041, 042, 043, 044, 045, 807, 809020115IS
H3655Anthem Blue Cross and Blue Shield801, 805022227IS
H3660SummaCare Medicare Advantage Plansall plans015574ASPROD1
H3664PrimeTime Health Planall plans610011CTRXMEDD
H3668MediGoldall plans004336MEDDADV
H3672The Health Planall plans610014MEDDPrime
H3706GlobalHealthall plans004336MEDDADV
H3708American Health Advantage of Oklahomaall plans012312PARTD
H3725 all plans012312PARTD
H3727Communicare Advantageall plans012312PARTD
H3748Aetna Medicareall plans610502MEDDAET
H3749UnitedHealthcareall plans6100979999
H3755CommunityCare Senior Health Plan (HMO)all plans004336MEDDADV
H3777Experience Health, Inc.all plans020289EHPARTD
H3794UnitedHealthcareall plans6100979999
H3800Provider Partners Health Plansall plans012312PartD
H3805UnitedHealthcareall plans6100979999
H3809Providence ElderPlace Portlandall plans000000PACE
H3810AllCare Advantageall plans015574ASPROD1
H3811Samaritan Advantage Health Planall plans610011CTRXMEDD
H3813Moda Health Plan, Inc.all plans610602NVTD
H3814ATRIO Health Plansall plans015574ASPROD1
H3815Alignment Health Plan001, 006-011, 013, 015, 016, 018-032, 033, 034610455AHPPARTD
H3815Alignment Health Plan801, 802, 805, 806610455AHPPARTDG
H3817Regence BlueCross BlueShield of Oregon008, 009, 0116106232100000
H3817Regence BlueCross BlueShield of Oregon802, 803, 8046106232100001
H3822Blue Cross and Blue Shield of IL, NM016000000000000
H3822Blue Cross and Blue Shield of IL, NM001, 007, 008, 012, 015011552MAPDIL
H3822Blue Cross and Blue Shield of IL, NM013, 014011552MAPDIL1
H3822Blue Cross and Blue Shield of IL, NM801, 805011552MAPDILG
H3822Blue Cross and Blue Shield of IL, NM813, 814011552MAPDMTG1
H3822Blue Cross and Blue Shield of IL, NM002011552MAPDNM
H3822Blue Cross and Blue Shield of IL, NM802, 806011552MAPDNMG
H3832HMSA Akamai Advantageall plans004336MEDDADV
H3864PacificSource Medicareall plans004336MEDDADV
H3890Johns Hopkins HealthCareall plans004336MEDDADV
H3907UPMC for Lifeall plans003858MD
H3908Mercy LIFE - West Philadelphiaall plans022188PSTMEDD
H3909Independence Blue Crossall plans610011CTRXMEDD
H3916Highmark Inc.all plans610014MEDDPRIME
H3917Community LIFEall plans003858MD
H3918LIFE Pittsburghall plans01958707740000
H3919Mercy LIFEall plans022188PSTMEDD
H3923Capital Blue Cross028, 029004336MEDDADV
H3923Capital Blue Cross013, 017, 030610455CAPD2
H3923Capital Blue Cross801, 803, 817-822, 824-831610455CAPDG2
H3924Geisinger Goldall plans019587PRX11803
H3925Senior LIFE Johnstownall plans013519N/A
H3928Aetna Medicareall plans610502MEDDAET
H3931Aetna Medicareall plans610502MEDDAET
H3942Elderhaus PACEall plans018091PRSMEDD
H3949Cignaall plans017010CIMCARE
H3952Independence Blue Crossall plans610011CTRXMEDD
H3954Geisinger Goldall plans019587PRX11803
H3957Highmark Inc.all plans610014MEDDPRIME
H3959Aetna Medicareall plans610502MEDDAET
H3962Capital Blue Cross001, 004, 007, 021610455CAPD
H3962Capital Blue Cross801, 803, 813-818, 820-827610455CAPDG
H3975Wellcareall plans004336MEDDADV
H3979Blue Cross and Blue Shield of Oklahoma001011552MAPDOK
H3979Blue Cross and Blue Shield of Oklahoma801, 803011552MAPDOKG
H3991Cherry Blossom PACEall plans022188PSTMEDD
H4003Medicare y Mucho Masall plans004336MEDDADV
H4004PMC Medicare Choiceall plans004336MEDDADV
H4005Triple-S Advantageall plans610674abarcaD
H4007Humanaall plans01558103200000
H4036Anthem Blue Cross and Blue Shield008, 009, 010, 017, 020, 023, 025, 803, 808, 811020115IS
H4036Anthem Blue Cross and Blue Shield801, 805, 806, 815, 817, 819, 821022227IS
H4053Prisma Health SeniorCare PACE-Upstateall plans013170None
H4054Provider Partners Health Plansall plans012312PartD
H4073Wellcareall plans004336MEDDADV
H4074Mercy LIFE of Alabamaall plans022188PSTMEDD
H4091Simpra Advantageall plans610602NVTD
H4093Provider Partners Health Plansall plans012312PartD
H4094UnitedHealthcareall plans6100979999
H4105PACE Organization Of Rhode Islandall plans022188PSTMEDD
H4118Huron Valley PACEall plans022188PSTMEDD
H4140Doctors HealthCare Plans, Inc.all plans01892707830000
H4141Humanaall plans01558103200000
H4142Cherokee Elder Careall plans000000PACE
H4152Blue Cross & Blue Shield of Rhode Island005, 007, 013, 017, 018, 020, 021610455BCRIMA
H4152Blue Cross & Blue Shield of Rhode Island815, 817610455BCRIMAG
H4172NHC Advantageall plans610602NVTD
H4185Neighborhood Healthcare PACE002022188PSTMEDC
H4185Neighborhood Healthcare PACE001022188PSTMEDD
H4198Integris Health Partners+ (HMO)all plans004336MEDDADV
H4203Prisma Health SeniorCare PACE-Midlandsall plans000000000000
H4213Arkansas Blue Medicareall plans016895PFFSAR
H4227VISTA Health Plan Inc.all plans01958706110000
H4232American Health Advantage of Utahall plans012312PARTD
H4235Senior Total Life Care002018091PRSMEDC
H4235Senior Total Life Care001018091PRSMEDD
H4256PACE North002018091PRSMEDC
H4256PACE North001018091PRSMEDD
H4279UPMC for Life Complete Careall plans003858MD
H4286Leon Health Plansall plans015574ASPROD1
H4304Advantage Uall plans004336MEDDADV
H4305Total Life Healthcareall plans016110PACE
H4326PACE@Homeall plans022188PSTMEDD
H4343Ascension Completeall plans004336MEDDADV
H4346Anthem Blue Cross and Blue Shield001, 005, 006, 008, 009, 010, 011-014, 017, 018, 019, 022-029, 811, 813, 825, 829020115IS
H4346Anthem Blue Cross and Blue Shield802022188IS
H4346Anthem Blue Cross and Blue Shield805, 806, 823, 827022227IS
H4393ArchCare Senior Lifeall plans004336MEDDADV
H4402Alexian Brothers Community Servicesall plans022188PSTMEDD
H4407Cignaall plans017010CIMCARE
H4461Humanaall plans01558103200000
H4490American Health Advantage of Missouriall plans012312PARTD
H4497Medical Mutual of Ohioall plans003858MD
H4506Wellcareall plans004336MEDDADV
H4513Cignaall plans017010CIMCARE
H4514UnitedHealthcareall plans6100979999
H4517The Basics at Jan Werner002018091PRSMEDD
H4517The Basics at Jan Werner001022188PSTMEDD
H4518Bienvivir Senior Health Servicesall plans000000000000
H4523Aetna Medicareall plans610502MEDDAET
H4527UnitedHealthcareall plans6100979999
H4537Wellcareall plans004336MEDDADV
H4540 all plans012312PARTD
H4544Peoples Healthall plans6100979999
H4590UnitedHealthcareall plans6100979999
H4604UnitedHealthcareall plans6100979999
H4605Regence BlueCross BlueShield of Utah002, 004, 007, 008, 0096106232100000
H4605Regence BlueCross BlueShield of Utah802, 803, 8046106232100001
H4623Humanaall plans01558103200000
H4624Zing Healthall plans610602NVTD
H4675Braven Health001016499HMOBH
H4675Braven Health802, 803016499HMOPOSBHG
H4676Troy Medicareall plans019587PRX11802
H4699Wellcareall plans004336MEDDADV
H4709Bright Health003, 024, 028, 034, 038012312PARTD
H4709Bright Health001, 011, 025, 026, 027, 029-033, 035-037, 039, 040015574ASPROD1
H4711Aetna Medicareall plans610502MEDDAET
H4714PACE of the Southern Piedmontall plans022188PSTMEDD
H4739First Choice VIP Careall plans019587PRX01809
H4754PacificSource Medicareall plans004336MEDDADV
H4801Blue Cross and Blue Shield of OK, TX007, 008, 013011552MAPDOK3
H4801Blue Cross and Blue Shield of OK, TX001, 002, 003, 004, 005, 006, 009, 010, 011, 012, 014011552MAPDTX4
H4829UnitedHealthcareall plans6100979999
H4835Aetna Medicareall plans610502MEDDAET
H4847Wellcareall plans004336MEDDADV
H4853Bright Health014, 015, 019012312PARTD
H4853Bright Health001, 002, 016, 017, 018, 020015574ASPROD1
H4868Wellcareall plans004336MEDDADV
H4875Priority Health Medicareall plans003858MD
H4882HealthPartnersall plans015574ASPROD1
H4909Anthem Blue Cross and Blue Shield014, 015, 016, 018, 022, 024, 025, 026, 027, 806, 813, 816020115IS
H4909Anthem Blue Cross and Blue Shield804, 810, 811022227IS
H4922AgeWell New Yorkall plans012312PARTD
H4931Banner Medicare Advantage Dualall plans610014MEDDPRIME
H4937Blue Shield of Californiaall plans00433677993322
H4961Alignment Health Plan001, 002, 003, 004, 006, 007, 008610455AHPPARTD
H4961Alignment Health Plan801, 802, 805, 806610455AHPPARTDG
H4982Aetna Medicareall plans610502MEDDAET
H4999LIFE Northwestern Pennsylvaniaall plans016110PACE
H5007Providence Health Systemall plans000000PACE
H5008UnitedHealthcareall plans6100979999
H5009Regence BlueShield002, 008, 009, 0106106232100000
H5009Regence BlueShield802, 803, 8046106232100001
H5010Asuris Northwest Healthall plans6106232110000
H5015Texas Independence Health Planall plans012312PartD
H5037Mountain Empire PACEall plans013170CLAIMCR
H5042CDPHP Medicare Advantageall plans004336MEDDADV
H5050Kaiser Permanenteall plans610011CTRXMEDD
H5085Community PACE at Home, Inc,all plans013170000000
H5087Wellcareall plans004336MEDDADV
H5106Highmark Inc.all plans610014MEDDPRIME
H5117Wellcare by Allwellall plans004336MEDDADV
H5124Franciscan Senior Health & Wellnessall plans000000PACE
H5126Oscarall plans004336MEDDADV
H5140Blue Cross Blue Shield of Arizonaall plans015574ASPROD1
H5141Clover Healthall plans004336MEDDADV
H5167Rocky Mountain PACEall plans022188PSTMEDD
H5172Community Health Groupall plans015574asprod1
H5178Humanaall plans01558103200000
H5190Wellcare by Allwellall plans004336MEDDADV
H5199Wellcareall plans004336MEDDADV
H5209My Choice Wisconsin Health Planall plans012312PARTD
H5211Security Health Plan of Wisconsin, Inc.all plans015574ASPROD1
H5212Community Care002022188PSTMEDC
H5212Community Care001022188PSTMEDD
H5213InnovAge New Mexico PACEall plans022188PSTMEDD
H5215Network Health Medicare Advantage Plansall plans003858MD
H5216Humanaall plans01558103200000
H5232Paramount Elite Medicare Plansall plans004336MEDDADV
H5253UnitedHealthcareall plans6100979999
H5262Quartz Medicare Advantageall plans015574ASPROD1
H5273CarePartners of Connecticutall plans004336MEDDADV
H5280Molina Healthcare of Ohioall plans004336MEDDADV
H5294Wellcare by Allwellall plans004336MEDDADV
H5296Alignment Health Plan001, 002, 003, 004610455AHPPARTD
H5296Alignment Health Plan801, 802610455AHPPARTDG
H5302Aetna Medicareall plans610502MEDDAET
H5322UnitedHealthcareall plans6100979999
H5325Aetna Medicareall plans610502MEDDAET


The above chart is the third page of the 2022 Medicare Part D pharmacy BIN and PCN list (H3572 - H5325).

Click here for the first page (E0654 - H1997), second page (H2001 - H3563), fourth page (H5337 - H7322), fifth page (H7323 - H9686) and sixth page (H9699 - 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.
  • 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.