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Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701)

Your Formulary (Drug List) · published Aug 1, 2020

The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor.  Please note, the data below is Part 5 of 5 (H8634 - 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 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H8634 through S9701.

Click here for the first page (E0654 - H2235), second page (H2237 - H3959), third page (H3962 - H5928) and fourth page (H5928 - H8634).
2021 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H8634HEALTH CARE SERVICE CORPORATION813, 815011552MAPDILG1
H8634HEALTH CARE SERVICE CORPORATION002011552NMPARTD1
H8634HEALTH CARE SERVICE CORPORATION801, 803011552NMPARTDG
H8634HEALTH CARE SERVICE CORPORATION807, 809011552OKMAPDG
H8649AETNA HEALTH OF UTAH, INCall plans610502MEDDAET
H8655RIVERSIDE RETIREMENT SERVICES, INC.all plans022188PSTMEDD
H8677MOLINA HEALTHCARE OF CALIFORNIAall plans004336MEDDADV
H8711all plans004336MEDDADV
H8748UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
H8764ASPIRE HEALTH PLANall plans004758DNPS
H8768UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEYall plans6100979999
H8769GENESYS REGIONAL MEDICAL CENTER, INC.all plans022188PSTMEDD
H8777COMPLETE SENIOR CARE, INC.all plans018091PRSMEDD
H8783UCARE HEALTH, INC.all plans003858MD
H8786AMERIGROUP TEXAS, INC.all plans020115IS
H8797all plans610602NVTD
H8800TOTAL SENIOR CARE, INC.all plans022188PSTMEDD
H8845MAGELLAN COMPLETE CARE OF ARIZONA, INCall plans01892708070000
H8849all plans020115IS
H8854UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.all plans004336MEDDADV
H8889MEDICA HEALTH PLANS001, 002, 003, 004, 801003858MD
H8889MEDICA HEALTH PLANS005, 006999999TBD
H8908HUMANA MEDICAL PLAN OF MICHIGAN, INC.all plans01558103200000
H8916BEST CARE PARTNERS, INC.all plans004336MEDDADV
H8923all plans004336MEDDADV
H8961all plans004336MEDDADV
H8967GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLCall plans610602NVTD
H9001FALLON COMMUNITY HEALTH PLANall plans004336MEDDADV
H9003KAISER FOUNDATION HP OF THE N Wall plans011230NWCMS
H9042all plans004336MEDDADV
H9047PROVIDENCE HEALTH ASSURANCEall plans03300000012353
H9065AMH HEALTH, LLCall plans020115IS
H9066VISITING NURSE ASSOCIATION OF CENTRAL NEW YORKall plans012312PARTD
H9068ALBRIGHT CARE SERVICESall plans013170
H9070COMPBENEFITS INSURANCE COMPANYall plans01558103200000
H9082MOLINA HEALTHCARE OF NEW MEXICO, INC.all plans004336MEDDADV
H9095LONGEVITY HEALTH PLAN OF OKLAHOMA, INCall plans610602NVTD
H9096DEAN HEALTH PLAN, INC.all plans610602NVTD
H9104SCAN HEALTH PLANall plans003858MD
H9147all plans015905HMONC
H9153WEST VIRGINIA SENIOR ADVANTAGE, INC.all plans610602NVTD
H9185A&D CHARITABLE FOUNDATION, INC.all plans022188000000
H9191all plans012312PARTD
H9207HEALTH PARTNERS PLANS, INC.all plans004336MEDDADV
H9219all plans020115IS
H9258all plans004336MEDDADV
H9266PIEDMONT HEALTH SERVICES, INC.all plans0000000000000000
H9276SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC.all plans004336MEDDADV
H9287HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC.all plans004336MEDDADV
H9302PREMERA BLUE CROSSall plans004336MEDDADV
H9323BEACON HEALTH & SOCIAL SERVICE, INCall plans000000000000
H9335all plans004336MEDDADV
H9364WELLCARE OF MAINE, INC.all plans004336MEDDADV
H9387all plans004336MEDDADV
H9403EON HEALTH, INC. (SC)all plans610011CTRXMEDD
H9408VIBRA HEALTH PLAN, INC.001, 005, 006004336MEDDADV
H9408VIBRA HEALTH PLAN, INC.801, 802, 805, 806, 807, 808, 809, 810610455PPOVB
H9412GEISINGER QUALITY OPTIONS, INC.all plans019587PRX11803
H9428WELLCARE HEALTH INSURANCE OF TENNESSEE, INC.all plans004336MEDDADV
H9431FIRST HEALTH LIFE & HEALTH INSURANCE COMPANYall plans610502MEDDAET
H9438BLUESTEM PACE, INC.all plans018091PRSMEDD
H9455HEALTH CHOICE UTAH, INC.all plans004336MEDDADV
H9460CIGNA HEALTHCARE OF ST LOUIS, INC.all plans017010CIMCARE
H9487MICHIGAN COMPLETE HEALTH, INC.all plans004336MEDDADV
H9489all plans610014MEDDPRIME
H9516BRIGHT HEALTH INSURANCE COMPANY OF NEW YORKall plans012312PARTD
H9525COMPCARE HEALTH SERVICES INSURANCE CORPORATIONall plans020115IS
H9572BCBS OF MICHIGAN MUTUAL INSURANCE COMPANYall plans610014MEDDPRIME
H9576NEIGHBORHOOD HEALTH PLAN OF RHODE ISLANDall plans004336MEDDADV
H9585BOSTON MEDICAL CENTER HEALTH PLAN, INC.all plans012312PARTD
H9589EON HEALTH, INC. (GA)all plans610011CTRXMEDD
H9590LONGEVITY HEALTH PLAN OF ILLINOIS, INC.all plans610602NVTD
H9592CENTRAL VALLEY MEDICAL SERVICES CORPORATIONall plans022188PSTMEDD
H9615MVP HEALTH PLAN, INC.all plans004336MEDDADV
H9616CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDROall plans022188PSTMEDD
H9630ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INCall plans004336MEDDADV
H9646all plans004336MEDDADV
H9662all plans017010CIHSCARE
H9686all plans610445AHPPARTD
H9699HMO PARTNERS, INC.all plans016895HMOAR
H9706HCSC INSURANCE SERVICES COMPANY001, 003, 004011552MAPDTX3
H9706HCSC INSURANCE SERVICES COMPANY801, 802011552MAPDTXG2
H9706HCSC INSURANCE SERVICES COMPANY002011552TXSNP2
H9712HAP MIDWEST HEALTH PLAN, INC.all plans610014MEDDPRIME
H9725CIGNA HEALTHCARE OF NORTH CAROLINA, INC.all plans017010CIMCARE
H9730WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INCall plans004336MEDDADV
H9808CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINAall plans012312PARTD
H9811MAGNOLIA HEALTH PLAN, INC.all plans004336MEDDADV
H9826COMMUNITY HEALTH CHOICE TEXAS, INC.all plans610602NVTD
H9830NEWCOURTLAND LIFE PROGRAMall plans022188PSTMEDD
H9834QUARTZ HEALTH PLAN MN CORPORATIONall plans015574ASPROD1
H9842SAINT JOSEPH PACEall plans022188PSTMEDD
H9861RELIANCE HMO, INC.all plans610011CTRXMEDD
H9869PARTNERS HEALTH PLAN, INC.all plans01958706480000
H9870UNIVERSITY HEALTH CARE, INC.all plans004336MEDDADV
H9877VIRGINIA PREMIER HEALTH PLAN, INC.all plans012312PARTD
H9878BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC.008, 009004336MEDDADV
H9878BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC.001, 002, 003, 006012312PARTD
H9909AMERICAN HEALTH PLAN OF MS, INC.all plans012312PARTD
H9917all plans610602NVTD
H9942LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMPall plans610602NVTD
H9952MEDICA HEALTH PLANSall plans610014MNDE
H9955all plans004336MEDDADV
H9998LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATIONall plans013170CLAIMCR
R0110HUMANA INSURANCE COMPANYall plans01558103200000
R0759UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
R0802MARTIN'S POINT GENERATIONS ADVANTAGE, INC.all plans004336MEDDADV
R0865HUMANA INSURANCE COMPANYall plans01558103200000
R0923HUMANA INSURANCE COMPANYall plans01558103200000
R1390HUMANA INSURANCE COMPANYall plans01558103200000
R1532HUMANA INSURANCE COMPANYall plans01558103200000
R1548UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEYall plans6100979999
R2604UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
R3175UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
R3332BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.all plans012833MedDPrime
R3392HUMANA INSURANCE COMPANYall plans01558103200000
R3444CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.all plans6100979999
R3887HUMANA INSURANCE COMPANYall plans01558103200000
R4182HUMANA INSURANCE COMPANYall plans01558103200000
R4487ANTHEM INSURANCE COMPANIES, INC.all plans020115IS
R4845HUMANA INSURANCE COMPANYall plans01558103200000
R5329SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.all plans6100979999
R5342UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORKall plans6100979999
R5361HUMANA INSURANCE COMPANYall plans01558103200000
R5495HUMANA INSURANCE COMPANYall plans01558103200000
R5826HUMANA INSURANCE COMPANYall plans01558103200000
R5941ANTHEM INSURANCE COMPANIES, INC.all plans020115IS
R6694AETNA LIFE INSURANCE COMPANYall plans610502MEDDAET
R6801CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANYall plans6100979999
R7220HUMANA INSURANCE COMPANYall plans01558103200000
R7315HUMANA INSURANCE COMPANYall plans01558103200000
R7444UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
S0586MVP HEALTH PLAN, INC.all plans004336MEDDADV
S0655TUFTS INSURANCE COMPANYall plans004336MEDDADV
S1030BCBS OF ALABAMA & UTIC INSURANCE COMPANYall plans014897RPD
S1140HEALTHNOW NEW YORK INC.802610014MEDDPRIME
S1140HEALTHNOW NEW YORK INC.801610014MEDDRPIME
S1822HEALTHPARTNERS, INC.all plans015574ASPROD1
S1894COMMUNITYCARE GOVERNMENT PROGRAMS, INC.all plans015789CTRXMEDD
S2465all plans610011CTRXMED0
S2468CALIFORNIA PHYSICIANS' SERVICEall plans01235303510000
S2668MEMBERS HEALTH INSURANCE COMPANYall plans610011CTRXMEDD
S2874HUMANA INSURANCE OF PUERTO RICO, INC.all plans01558103200000
S2893ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT802004336MADDADV
S2893ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT001, 003, 017, 801004336MEDDADV
S3285all plans015574ASPROD1
S3375all plans020115IS
S3389UPMC HEALTH BENEFITS, INC.all plans003858A4
S3521EXCELLUS HEALTH PLAN, INC.all plans003858MD
S3535all plans015574ASPROD1
S3875GRANITE ALLIANCE INSURANCE COMPANYall plans02110608053875
S3994HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)all plans004336MEDDADV
S4219HEALTH ALLIANCE MEDICAL PLANSall plans015789CTRMEDD
S4501INDEPENDENT HEALTH BENEFITS CORPORATIONall plans012635NA
S4607MERIT HEALTH INSURANCE COMPANYall plans018117MRXMED
S4802WELLCARE PRESCRIPTION INSURANCE, INC.all plans004336MEDDADV
S5450SECURITYCARE OF TENNESSEE, INC.all plans610014MEDDPRIME
S5540BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINAall plans015905PDPNC
S5552HUMANA INSURANCE COMPANY OF NEW YORKall plans01558103200000
S5584BCBS OF MICHIGAN MUTUAL INSURANCE COMPANYall plans610014MEDDPRIME
S5588PARAMOUNT INSURANCE COMPANYall plans004336MEDDADV
S5593HM HEALTH INSURANCE COMPANYall plans610014MEDDPRIME
S5596ANTHEM INSURANCE COMPANIES, INC.all plans020115IS
S5601SILVERSCRIPT INSURANCE COMPANYall plans004336MEDDADV
S5609ASURIS NORTHWEST HEALTHall plans6106232110000
S5617CIGNA HEALTH AND LIFE INSURANCE COMPANY314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347017010CIHSCARE
S5617CIGNA HEALTH AND LIFE INSURANCE COMPANY003, 008, 013, 018, 053, 068, 088, 103, 108, 113, 118, 123, 128, 133, 138, 143, 148, 153, 158, 163, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 246, 247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 801, 802, 805, 806017010CIMCARE
S5660MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NYall plans610014MEDDPRIME
S5715HCSC INSURANCE SERVICES COMPANY801, 811, 817, 818, 819, 820, 821, 822011552PDGIL
S5715HCSC INSURANCE SERVICES COMPANY813011552PDGNM
S5715HCSC INSURANCE SERVICES COMPANY807, 809011552PDGOK
S5715HCSC INSURANCE SERVICES COMPANY815011552PDGTX
S5715HCSC INSURANCE SERVICES COMPANY001, 002, 012011552PDPIL
S5715HCSC INSURANCE SERVICES COMPANY003, 004, 013, 802011552PDPNM
S5715HCSC INSURANCE SERVICES COMPANY005, 006, 014, 803011552PDPTX
S5715HCSC INSURANCE SERVICES COMPANY011, 016, 01712341234123412
S5715HCSC INSURANCE SERVICES COMPANY010, 015, 018610455PDPOK
S5726BLUE CROSS AND BLUE SHIELD OF KANSASall plans020115IS
S5743WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WYall plans004336MEDDADV
S5753WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATIONall plans610014MEDDPRIME
S5768WELLCARE PRESCRIPTION INSURANCE, INC.all plans004336MEDDADV
S5795USABLE MUTUAL INSURANCE COMPANY002, 003, 008016895PDPAR
S5795USABLE MUTUAL INSURANCE COMPANY804, 809, 811, 812016895PDPARG
S5805UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORKall plans6100979999
S5810WELLCARE PRESCRIPTION INSURANCE, INC.all plans004336MEDDADV
S5820UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
S5857PRIORITY HEALTH INSURANCE COMPANYall plans003858MD
S5877EDUCATORS MUTUAL INSURANCE ASSOCIATIONall plans610014MEDDPRIME
S5884HUMANA INSURANCE COMPANYall plans01558103200000
S5904BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.001, 002012833MedDPrime
S5904BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.801, 802012833MedDPrimeG
S5916REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH802, 804, 80561062302120001
S5916REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH001, 002, 0036106232120000
S5921UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NYall plans6100979999
S5953BLUECROSS AND BLUESHIELD OF SOUTH CAROLINAall plans021692CTRXMEDD
S5960UNICARE LIFE & HEALTH INSURANCE COMPANYall plans020115IS
S5966GROUP HEALTH INCORPORATEDall plans003858MD
S5975MODA HEALTH PLAN, INC.all plans610602NVTD
S5983MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORKall plans610014MEDDPRIME
S5993HORIZON INSURANCE COMPANY001, 003, 007016499PDPNJ
S5993HORIZON INSURANCE COMPANY801, 804, 805016499PDPNJG
S6506BLUE CROSS AND BLUE SHIELD ARIZONA, INC.all plans004336MEDDADV
S6875QCC INSURANCE COMPANYall plans610011CTRXMEDD
S6946CLEAR SPRING HEALTH INSURANCE COMPANYall plans012312PARTD
S7126OMAHA HEALTH INSURANCE COMPANYall plans610014MEDDPRIME
S7694ENVISION INSURANCE COMPANY001, 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, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 801, 802, 808012312PartD
S7694ENVISION INSURANCE COMPANY803, 804, 805, 806, 807015185CMSPARTD
S8067AVALON INSURANCE COMPANY001, 003610455CAPPDP
S8067AVALON INSURANCE COMPANY801, 802, 803, 804, 805, 806, 807, 808610455CAPPDPG
S8182AMERIGROUP INSURANCE COMPANYall plans020115IS
S8677all plans01235303300000
S8841OPTUM INSURANCE OF OHIO, INC.all plans610011CTRXMEDD
S9325all plans012312PARTD
S9701DEAN HEALTH INSURANCE, INC.all plans610602EGWP
The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701).

Click here for the first page (E0654 - H2235), second page (H2237 - H3959), third page (H3962 - H5928) and fourth page (H5928 - H8634).