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