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Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 2 of 5 (H2237 through H3959)

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 2 of 5 (H2237 - H3959) with links to Part 1 and Parts 2 through 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 second page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2237 through H3959.

Click here for the first page (E0654 - H2235), third page (H3962 - H5928), fourth page (H5928 - H8634) and fifth page (H8634 - S9701).
2021 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H2237INDEPENDENT CARE HEALTH PLAN, INC.all plans015574ASPROD1
H2241GOLDEN STATE MEDICARE HEALTH PLANall plans6100979999
H2247UNITEDHEALTHCARE COMMUNITY PLAN, INC.all plans6100979999
H2256TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATIONall plans004336MEDDADV
H2261BCBS OF MASSACHUSETTS HMO BLUE, INC.all plans003858MD
H2288BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK009, 010004336MEDDADV
H2288BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK001, 002, 003, 005012312PARTD
H2292OXFORD HEALTH INSURANCE, INC.all plans6100979999
H2318PACE SOUTHEAST MICHIGANall plans022188PSTMEDD
H2320PRIORITY HEALTHall plans003858MD
H2322ALLIANCE HEALTH AND LIFE INSURANCE COMPANYall plans610014MEDDPRIME
H2334EON HEALTH, INC. (SC)all plans610011CTRXMEDD
H2354HEALTH ALLIANCE PLAN OF MICHIGANall plans610014MEDDPRIME
H2368all plans022188PSTMEDD
H2386APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC.all plans013170
H2392KANSAS SUPERIOR SELECT, INC.all plans012312PARTD
H2400SIGNATURE ADVANTAGE, LLCall plans610602NVTD
H2406UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
H2416PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVEall plans015574PWPROD1
H2417ITASCA MEDICAL CAREall plans004336MEDDMCDMN
H2419SOUTH COUNTRY HEALTH ALLIANCEall plans0123536190000
H2422HEALTHPARTNERS, INC.all plans015574MNPROD1
H2425BLUE PLUSall plans610455SBPARTD
H2450MEDICA INSURANCE COMPANY001, 002, 007, 016, 017, 022, 035, 037, 039, 041, 049, 801003858MD
H2450MEDICA INSURANCE COMPANY044004336MEDDADV
H2456UCARE MINNESOTAall plans003858DE
H2458MEDICA HEALTH PLANSall plans610014MNDE
H2459UCARE MINNESOTAall plans003858MD
H2461BLUE CROSS AND BLUE SHIELD OF MINNESOTAall plans610455HMPBD
H2462GROUP HEALTH PLAN, INC. (MN)all plans015574ASPROD1
H2463HUMANA HEALTH PLAN OF TEXAS, INC.all plans01558103200000
H2486HUMANA MEDICAL PLAN OF UTAH, INC.all plans01558103200000
H2491WELLCARE HEALTH INSURANCE OF ARIZONA, INC.all plans004336MEDDADV
H2506AETNA BETTER HEALTH, INC. (IL)all plans610591MEDDADV
H2531UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.all plans6100978500
H2533MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.all plans004336MEDDADV
H2537SPIRITTRUST LUTHERAN LIFEall plans000000000000
H2563OPTIMA HEALTH PLANall plans610011CTRXMED0
H2577CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANYall plans6100979999
H2582ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATIONall plans6100979999
H2591HEALTH ALLIANCE - MIDWEST, INC.all plans015789CTRMEDD
H2593AMERIGROUP TEXAS, INC.031003858MD
H2593AMERIGROUP TEXAS, INC.001, 003, 005, 006, 013, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 032, 033, 034, 035, 036, 037, 038, 039, 040, 041, 042, 802020115IS
H2610ESSENCE HEALTHCARE, INC.all plans015574ASPROD1
H2624CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINAall plans012312PARTD
H2663COVENTRY HEALTH CARE OF MISSOURI, INCall plans610502MEDDAET
H2678MA DELIVERY INNOVATIONS, INC.all plans123456ABCDEFG
H2697all plans004336MEDDADV
H2722VANTAGE HEALTH PLAN OF ARKANSAS, INC.all plans610602NVTD
H2765all plans610602NVTD
H2775AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NYall plans004336MEDDADV
H2782all plans01235308220000
H2793IMPERIAL INSURANCE COMPANY OF TEXAS, INC.all plans012312PARTD
H2802UNITEDHEALTHCARE OF THE MIDLANDS, INC.all plans6100979999
H2815VOANS SENIOR COMMUNITY CARE OF COLORADO, INCall plans016110PACE
H2816AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NYall plans004336MEDDADV
H2825MARY WASHINGTON HEALTH PLANall plans610014MedDPrime
H2829INNOVATION HEALTH PLAN, INC.all plans610502MEDDAET
H2835THE CASCADE PACE, INC.all plans022188PSTMEDD
H2836ANTHEM HEALTH PLANS, INC.all plans020115IS
H2853all plans004336MEDDADV
H2879MOLINA HEALTHCARE OF WISCONSIN, INC.all plans004336MEDDADV
H2882all plans018091PRSMEDD
H2883all plans004336MEDDADV
H2915PENNSYLVANIA HEALTH & WELLNESS, INC.all plans004336MEDDADV
H2926PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVEall plans015574PWPROD1
H2936LIFECIRCLESall plans022188PTSMEDD
H2937SENIOR LIFE GREENSBURG, INC.all plans013519N/A
H2941SENTARA LIFE CARE CORPORATION, INC001018091PRSMEDD
H2941SENTARA LIFE CARE CORPORATION, INC002022188PSTMEDC
H2944HUMANA INSURANCE COMPANYall plans01558103200000
H2960HOMETOWN HEALTH PLAN, INC.all plans015574ASPROD1
H2962ULTIMATE HEALTH PLANS, INC.all plans004758DNPS
H2982all plans020115IS
H2986STANFORD HEALTHCARE ADVANTAGEall plans015574ASPROD1
H2992SENIORLIFE WASHINGTON, INC.all plans013519N/A
H3015all plans610014MEDDPRIME
H3047all plans004336MEDDADV
H3060VIECARE BUTLER, LLCall plans016110PACE
H3071COMMUNITY CARE ALLIANCE OF ILLINOIS, NFPall plans004336MEDDADV
H3084all plans018091PRSMEDD
H3113OXFORD HEALTH PLANS (NJ), INC.0056100978500
H3113OXFORD HEALTH PLANS (NJ), INC.001, 008, 009, 010, 0116100979999
H3132AHF MCO OF FLORIDA, INC.all plans015574ASPROD1
H3146AETNA BETTER HEALTH INC. (GA)all plans610502MEDDAET
H3152AETNA HEALTH INC. (NJ)all plans610502MEDDAET
H3154HORIZON INSURANCE COMPANY029, 030, 031, 032, 033016499HMOPOSNJ
H3154HORIZON INSURANCE COMPANY004, 022016499HMOPOSNJá
H3154HORIZON INSURANCE COMPANY802, 812016499HMOPOSNJG
H3170SAPPHIRE EDGE, INC.all plans610455ENEH3170
H3192AETNA HEALTH OF MICHIGAN INC.all plans610502MEDDAET
H3204PRESBYTERIAN HEALTH PLANall plans610593PHPMEDD
H3206PRESBYTERIAN INSURANCE COMPANY, INC.all plans610593PHPMEDD
H3213all plans610014MEDDPRIME
H3219ALLINA HEALTH AND AETNA INSURANCE COMPANYall plans610502MEDDAET
H3227KALOS HEALTH, INC.all plans012312PartD
H3237HEALTH NET COMMUNITY SOLUTIONS, INC.all plans004336MEDDADV
H3239AETNA BETTER HEALTH, INC. (LA)all plans610502MEDDAET
H3240AMERIGROUP NEW JERSEY, INC.all plans020115IS
H3251HEALTH CARE SERVICE CORPORATION002011552MAPDNM1
H3251HEALTH CARE SERVICE CORPORATION804011552MAPDNMG1
H3251HEALTH CARE SERVICE CORPORATION029011552NMSNP2
H3256all plans6100979999
H3259VOLUNTEER STATE HEALTH PLANall plans610014MEDDPRIME
H3276CONNECTICARE INSURANCE COMPANY, INC.all plans610014MEDDPRIME
H3281BRIGHT HEALTH INSURANCE COMPANY OF FLORIDA007, 008, 009, 010, 011004336MEDDADV
H3281BRIGHT HEALTH INSURANCE COMPANY OF FLORIDA001, 003, 005012312PARTD
H3288AETNA HEALTH AND LIFE INSURANCE COMPANYall plans610502MEDDAET
H3291PRUITTHEALTH PREMIER, INC.all plans610602NVTD
H3293MMM OF FLORIDA, INC.all plans004336MEDDADV
H3305MVP HEALTH PLAN, INC.all plans004336MEDDADV
H3307OXFORD HEALTH PLANS (NY), INC.all plans6100979999
H3312AETNA HEALTH INC. (NY)all plans610502MEDDAET
H3321003018091PRSMEDC
H3321001018091PRSMEDD
H3322SENIOR CARE CONNECTION, INC.all plans022188PSTMEDD
H3328THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC.all plans004336MEDDADV
H3329CENTERLIGHT HEALTHCARE, INC.all plans610602nvtd
H3330HEALTH INSURANCE PLAN OF GREATER NEW YORK819, 8204000230020050403
H3330HEALTH INSURANCE PLAN OF GREATER NEW YORK021, 032, 036, 038, 039, 040, 041, 042, 814400023002005043
H3331INDEPENDENT LIVING FOR SENIORS, INC.002022188PSTMEDC
H3331INDEPENDENT LIVING FOR SENIORS, INC.001022188PSTMEDD
H3335EXCELLUS HEALTH PLAN, INC.all plans003858MD
H3342EMPIRE HEALTHCHOICE ASSURANCE, INC.all plans020115IS
H3344INDEPENDENT HEALTH BENEFITS CORPORATIONall plans012635NA
H3347ELDERPLAN, INC.all plans004336MEDDADV
H3351EXCELLUS HEALTH PLAN, INC.all plans003858MD
H3359HEALTHFIRST HEALTH PLAN, INC.all plans004336MEDDADV
H3362INDEPENDENT HEALTH ASSOCIATION, INC.all plans012635NA
H3379UNITEDHEALTHCARE OF NEW YORK, INC.all plans6100979999
H3384HEALTHNOW NEW YORK INC.all plans610014MEDDPRIME
H3387UNITEDHEALTHCARE OF NEW YORK, INC.all plans6100979999
H3388CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.all plans004336MEDDADV
H3404BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINAall plans015905PPONC
H3407EL PASO FIRST HEALTH PLANS, INC.all plans610602NVTD
H3416HEALTHPARTNERS UNITYPOINT HEALTH, INC.all plans015574ASPROD1
H3418UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORKall plans6100979999
H3419all plans610602NVTD
H3430SUNCOAST PACE, INC.all plans013170CLAIMCR
H3442UNITEDHEALTHCARE INSURANCE COMPANY OF ILLINOISall plans6100979999
H3447HEALTHKEEPERS, INC.all plans020115IS
H3449BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINAall plans015905HMONC
H3464UNITEDHEALTHCARE OF ARKANSAS, INC.all plans6100979999
H3467PROCARE ADVANTAGE, LLCall plans610602NVTD
H3471HEALTH ALLIANCE NORTHWEST HEALTH PLANall plans015789CTRMEDD
H3473CHARLOTTESVILLE AREA RETIREMENT SERVICES, INC.all plans022188PSTMEDD
H3493LIFE AT LOURDES, INC.all plans022188PSTMEDD
H3499COORDINATED CARE CORPORATIONall plans004336MEDDADV
H3517HUMBOLDT SENIOR RESOURCE CENTER, INC.all plans610593PRSMEDD
H3528CONNECTICARE, INC.all plans610014MEDDPRIME
H3533HUMANA HEALTH COMPANY OF NEW YORK, INC.all plans01558103200000
H3536MATTHEW THORNTON HEALTH PLAN, INC.all plans020115IS
H3554all plans016895PPOAR2
H3557BLUE CROSS & BLUE SHIELD OF RHODE ISLAND001610455BCRIMA
H3557BLUE CROSS & BLUE SHIELD OF RHODE ISLAND801610455BCRIMAG
H3561HEALTH NET COMMUNITY SOLUTIONS, INC.all plans004336MEDDADV
H3563all plans016110PACE
H3572AHF MCO OF GEORGIA, INC.all plans015574ASPROD1
H3597AETNA HEALTH INC. (ME)all plans610502MEDDAET
H3613MCGREGOR PACEall plans016110PACE
H3632MEDICA COMMUNITY HEALTH PLANall plans003858MD
H3653PARAMOUNT CARE, INC.all plans004336MEDDADV
H3655COMMUNITY INSURANCE COMPANYall plans020115IS
H3660SUMMACARE INC.all plans015574ASPROD1
H3664all plans610011CTRXMEDD
H3668MOUNT CARMEL HEALTH PLAN, INC.all plans004336MEDDADV
H3672THE HEALTH PLAN OF WEST VIRGINIA, INC.all plans610014MEDDPrime
H3706GLOBALHEALTH, INC.all plans004336MEDDADV
H3708OKLAHOMA SUPERIOR SELECT, INC.all plans012312PARTD
H3725BRIGHT HEALTH INSURANCE COMPANY OF ILLINOISall plans004336MEDDADV
H3727all plans012312PARTD
H3748AETNA BETTER HEALTH OF WASHINGTON, INC.all plans610502MEDDAET
H3749UNITEDHEALTHCARE OF OKLAHOMA, INC.all plans6100979999
H3755COMMUNITY CARE HMO, INCall plans015789CCOKMD
H3777EXPERIENCE HEALTH, INC.all plans020289EHPARTD
H3794CARE IMPROVEMENT PLUS WISCONSIN INSURANCE COMPANYall plans6100979999
H3800PROVIDER PARTNERS HEALTH PLAN OF ILLINOISall plans012312PartD
H3805UNITEDHEALTHCARE OF OREGON, INC.all plans6100979999
H3809PROVIDENCE HEALTH & SERVICES - OREGONall plans000000000000
H3810ALLCARE HEALTH PLAN, INC.all plans015574ASPROD1
H3811SAMARITAN HEALTH PLANS, INC.all plans610011CTRXMEDD
H3813MODA HEALTH PLAN, INC.007015774ASPROD1
H3813MODA HEALTH PLAN, INC.006, 009, 010, 011, 012, 013, 014, 804610602NVTD
H3814ATRIO HEALTH PLANSall plans015574ASPROD1
H3815ALIGNMENT HEALTH PLAN026, 027, 028, 029, 030, 031, 032, 802610445AHPPARTD
H3815ALIGNMENT HEALTH PLAN001, 006, 007, 008, 009, 010, 011, 013, 015, 016, 018, 019, 020, 021, 022, 023, 024, 025, 801610455AHPPARTD
H3817REGENCE BLUECROSS BLUESHIELD OF OREGON008, 009, 0116106232100000
H3817REGENCE BLUECROSS BLUESHIELD OF OREGON802, 803, 8046106232100001
H3822HEALTH CARE SERVICE CORPORATION001, 007, 008, 012011552MAPDIL
H3822HEALTH CARE SERVICE CORPORATION801, 805011552MAPDILG
H3822HEALTH CARE SERVICE CORPORATION813, 814011552MAPDMTG1
H3822HEALTH CARE SERVICE CORPORATION002011552MAPDNM
H3822HEALTH CARE SERVICE CORPORATION802, 806011552MAPDNMG
H3822HEALTH CARE SERVICE CORPORATION006011552NMSNP
H3832HAWAII MEDICAL SERVICE ASSOCIATIONall plans004336MEDDADV
H3864PACIFICSOURCE COMMUNITY HEALTH PLANSall plans004336MEDDADV
H3890HOPKINS HEALTH ADVANTAGE, INC.all plans004336MEDDADV
H3907UPMC HEALTH PLAN, INC.all plans003858A4
H3908TRINITY HEALTH LIFE PENNSYLVANIA, INC.all plans022188PSTMEDD
H3909QCC INSURANCE COMPANYall plans610011CTRXMEDD
H3916HIGHMARK SENIOR HEALTH COMPANYall plans610014MEDDPRIME
H3917PITTSBURGH CARE PARTNERSHIP, INC.all plans003858MD
H3918LIVING INDEPENDENCE FOR THE ELDERLYall plans01958707740000
H3919ST. AGNES CONTINUING CARE CENTERall plans022188PSTMEDD
H3923CAPITAL ADVANTAGE INSURANCE COMPANY028004336MEDDADV
H3923CAPITAL ADVANTAGE INSURANCE COMPANY013, 017610455CAPD2
H3923CAPITAL ADVANTAGE INSURANCE COMPANY801, 803, 817, 818, 819, 820, 821, 822610455CAPDG2
H3924GEISINGER INDEMNITY INSURANCE COMPANYall plans019587PRX11803
H3925PENNSYLVANIA PACE, INC.all plans013519N/A
H3928AETNA HEALTH, INC. (LA)all plans610502MEDDAET
H3931AETNA HEALTH INC. (PA)807610502MEDAET
H3931AETNA HEALTH INC. (PA)004, 064, 070, 081, 091, 092, 093, 094, 095, 096, 097, 098, 099, 100, 101, 102, 104, 105, 106, 107, 108, 109, 112, 115, 118, 124, 126, 129, 130, 131, 133, 134, 140, 141, 142, 804610502MEDDAET
H3942ELDERHAUS INC.all plans018091PRSMEDD
H3949BRAVO HEALTH PENNSYLVANIA, INC.034, 035, 036017010CIHSCARE
H3949BRAVO HEALTH PENNSYLVANIA, INC.009, 013, 016, 024, 030, 031, 032, 033, 804017010CIMCARE
H3952KEYSTONE HEALTH PLAN EAST, INC.all plans610011CTRXMEDD
H3954GEISINGER HEALTH PLANall plans019587PRX11803
H3957HIGHMARK CHOICE COMPANYall plans610014MEDDPRIME
H3959AETNA HEALTH INC. (PA)all plans610502MEDDAET
The above chart is the second page of the 2021 Medicare Part D pharmacy BIN and PCN list (H2237 - H3959).

Click here for the first page (E0654 - H2235), third page (H3962 - H5928), fourth page (H5928 - H8634) and fifth page (H8634 - S9701).