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Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 4 of 5 (H5928 through H8634)

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 4 of 5 (H5928 - H8634) with links to Parts  1 through 3 and Part 5.

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 fourth page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H5928 through H8634.

Click here for the first page (E0654 - H2235), second page (H2237 - H3959), third page (H3962 - H5928) and fifth page (H8634 - S9701).
2021 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H5928BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN05401235307800000
H5932GATEWAY HEALTH PLAN, INC.all plans004336MEDDADV
H5934HOPE HOSPICE AND COMMUNITY SERVICES, INC.all plans016110PACE
H5937UCARE MINNESOTAall plans003858DE
H5938CAPITAL HEALTH PLANall plans610455MEDDADV
H5943SCAN HEALTH PLANall plans003858MD
H5945PROMINENCE HEALTHFIRSTall plans015574ASPROD1
H5959BLUE CROSS AND BLUE SHIELD OF MINNESOTA009, 010, 011, 012, 013, 014610455EMNH5959
H5959BLUE CROSS AND BLUE SHIELD OF MINNESOTA801610455EMNH5959G
H5965WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTONall plans004336MEDDADV
H5969ALOHACAREall plans610014MEDDPRIME
H5970HUMANA INSURANCE COMPANY OF NEW YORKall plans01558103200000
H5978SENIOR LIFE LEHIGH VALLEY, INC.all plans013519N/A
H5989CENTERLIGHT HEALTHCARE, INC.011004336MEDDADV
H5989CENTERLIGHT HEALTHCARE, INC.002610602NVTD
H5991HEALTH INSURANCE PLAN OF GREATER NEW YORKall plans4000230020050403
H5992SENIOR WHOLE HEALTH OF NEW YORK, INC.all plans003858MD
H5995ATRIO HEALTH PLANSall plans015574ASPROD1
H6059PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC.all plans022188PSTMEDD
H6067all plans004336MEDDADV
H6078001003858MD
H6078801, 803, 805020115IS
H6079TOTAL LONGTERM CARE, INC.all plans022188PSTMEDD
H6080MERIDIAN HEALTH PLAN OF ILLINOIS, INC.all plans610241MHPILCOMP
H6121BRIGHT HEALTH INSURANCE COMPANY OF ILLINOISall plans004336MEDDADV
H6154MEDICA HEALTH PLANSall plans003858MD
H6158all plans016895HMOAR2
H6188VIECARE ARMSTRONG, LLCall plans016110PACE
H6202all plans610014MEDDPRIME
H6229BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.all plans020115IS
H6231FRANCISCAN PACE, INC.all plans013170CLAIMCR
H6237REGENCE BLUECROSS BLUESHIELD OF OREGONall plans6106232100000
H6294all plans015574ASPROD1
H6299all plans020115IS
H6306FIRSTCAROLINACARE INSURANCE COMPANYall plans015574ASPROD1
H6316MISSOURI CARE, INCORPORATEDall plans020115IS
H6328CARE N' CARE INSURANCE COMPANY, INC.all plans012312PARTD
H6342COMPLETE HEALTH WITH PACEall plans016110PACE
H6345PRUITTHEALTH PREMIER NORTH CAROLINA, LLCall plans610602NVTD
H6348COORDINATED CARE CORPORATIONall plans004336MEDDADV
H6351LIBERTY ADVANTAGE, LLCall plans610602NVTD
H6371LUTHERAN SENIOR HEALTHCARE, INC.all plans000000000000
H6379CLEAR SPRING HEALTH (CO), INC.all plans012312PARTD
H6396CARESOURCEall plans610014MEDDPRIME
H6399all plans610502MEDDAET
H6425all plans016110PACE
H6439WELLCARE HEALTH PLANS OF ARIZONA, INC.all plans004336MEDDADV
H6446SILVERSUMMIT HEALTHPLAN, INC.all plans004336MEDDADV
H6453HMO LOUISIANA, INC.all plans003858MD
H6502MISSOURI VALLEY LIFE AND HEALTH INSURANCE COMPANYall plans022576CTRXMEDD
H6526UNITEDHEALTHCARE OF NEW MEXICO, INC.all plans6100979999
H6528CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.all plans6100979999
H6529all plans004336MEDDADV
H6550SUNFLOWER STATE HEALTH PLAN, INC.all plans004336MEDDADV
H6551LIFE ST. MARYall plans022188PSTMEDD
H6594all plans004336MEDDADV
H6595UNITEDHEALTHCARE OF KENTUCKY, LTD.all plans6100979999
H6596FALLON HEALTH WEINBERG, INC.all plans004336MEDDADV
H6622HUMANA WI HEALTH ORGANIZATION INSURANCE CORPall plans01558103200000
H6652all plans012312PARTD
H6672EON HEALTH, INC. (GA)all plans610011CTRXMEDD
H6706all plans6100979999
H6713all plans004336MEDDAV
H6723MEDICAL MUTUAL OF OHIOall plans003858MD
H6743ATRIO HEALTH PLANSall plans015574ASPROD1
H6750HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC.all plans610011HPHCMEDD
H6760all plans610011CTRXMEDD
H6776ELDERSERVE HEALTH, INC.all plans610241RSNY
H6786ANTHEM HEALTH PLANS OF MAINE, INC.all plans020115IS
H6787VOANS SENIOR COMMUNITY CARE OF MICHIGAN, INC.all plans018091PRSMEDD
H6809all plans6100979999
H6815HEALTH NET HEALTH PLAN OF OREGONall plans004336MEDDADV
H6830all plans004336MEDDADV
H6832ALIGN SENIOR CARE MI, LLCall plans610602NVTD
H6846COMMUNITY CAREPARTNERS, INC.all plans022188PSTMEDD
H6870SUPERIOR HEALTH PLAN, INC.all plans004336MEDDADV
H6874002, 003003858MAC
H6874001003858MD
H6887INSPIRA HEALTH NETWORK LIFE, INCall plans018091PRSMEDD
H6891all plans012312PARTD
H6898all plans610014MEDDPRIME
H6910MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.all plans004336MEDDADV
H6936BLUE CROSS & BLUE SHIELD OF ARIZONA, INC.all plans015574ASPROD1
H6941LIFE PACEall plans016110PACE
H6959ISNP VENTURES, LLCall plans610602NVTD
H6975WELLCARE OF ALABAMA, INC.all plans004336MEDDADV
H6988CENTERS PLAN FOR HEALTHY LIVING, LLCall plans015574ASPROD1
H7003PACE NEBRASKAall plans000000PACE
H7006ATRIO HEALTH PLANSall plans015574ASPROD1
H7020CIGNA HEALTHCARE OF SOUTH CAROLINA, INC.008017010CIHSCARE
H7020CIGNA HEALTHCARE OF SOUTH CAROLINA, INC.004, 006, 007, 801017010CIMCARE
H7063BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.001, 002, 006, 007610455KSPARTD
H7063BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.801, 802610455KSPARTDG
H7076all plans610014MEDDPRIME
H7114VALIR PACE FOUNDATIONall plans000000000000
H7115MEMORIAL HERMANN HEALTH PLANall plans012312PARTD
H7119PROVIDER PARTNERS HEALTH PLAN OF OHIOall plans012312PartD
H7123UPMC HEALTH COVERAGE, INC.all plans003858A4
H7149AETNA HEALTH INC. (PA)all plans610502MEDDAET
H7163all plans610602NVTD
H7165BLUECROSS AND BLUESHIELD OF SOUTH CAROLINAall plans021692CTRXMEDD
H7172AETNA BETTER HEALTH, INC. (OH)all plans610591MEDDADV
H7173PEACH STATE HEALTH PLAN, INC.all plans004336MEDDADV
H7175WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.all plans004336MEDDADV
H7195NORTHLAND PACE PROGRAMall plans022188PSTMEDD
H7220INDIANA UNIVERSITY HEALTH PLANS NFP, INC.all plans004336MEDDADV
H7245PREMERA BLUE CROSSall plans004336MEDDADV
H7262all plans016110PACE
H7273all plans015574ASPROD1
H7284HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.all plans01558103200000
H7301COVENTRY HEALTH CARE OF ILLINOIS, INC.all plans610502MEDDAET
H7317HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)all plans004336MEDDADV
H7322OSCAR HEALTH PLAN OF NEW YORK, INC.all plans004336MEDDADV
H7323WELLCARE NATIONAL HEALTH INSURANCE COMPANYall plans004336MEDDADV
H7326WELLCARE OF SOUTH CAROLINA, INC.all plans004336MEDDADV
H7330ZING HEALTH, INC.all plans610602NVTD
H7399CENTENE VENTURE COMPANY ILLINOISall plans004336MEDDADV
H7404PACIFICARE LIFE ASSURANCE COMPANYall plans6100979999
H7409BRIGHT HEALTH COMPANY OF SOUTH CAROLINA, INC.006, 007004336MEDDADV
H7409BRIGHT HEALTH COMPANY OF SOUTH CAROLINA, INC.001012312PARTD
H7419TUFTS HEALTH PUBLIC PLANS, INC.all plans004336MEDDADV
H7445UNITEDHEALTHCARE OF ILLINOIS, INC.all plans6100979999
H7464UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.all plans6100979999
H7469all plans018091PRSMEDD
H7501ORANGE COUNTY HEALTH AUTHORITYall plans015574ASPROD1
H7511GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.all plans610602NVTD
H7518WELLCARE OF MISSOURI HEALTH INSURANCE COMPANYall plans004336MEDDADV
H7522MMM HEALTHCARE, LLCall plans004336MEDDADV
H7557all plans610602NVTD
H7559MAGELLAN COMPLETE CARE OF VIRGINIA, LLCall plans01892708070000
H7594002, 003, 004112233441122334455
H7594001610014MEDDPRIME
H7598all plans022188PSTMEDD
H7607002, 003015574ASPROD1
H7607001, 004, 005, 006123456123456
H7617EMPHESYS INSURANCE COMPANYall plans01558103200000
H7619all plans018091PRSMEDD
H7621HUMANA HEALTH PLAN OF CALIFORNIA, INC.all plans01558103200000
H7646PHP MEDICAREall plans610014MedDPrime
H7660VIECARE BEAVER, LLCall plans016110PACE
H7678MOLINA HEALTHCARE OF TEXAS, INC.all plans004336MEDDADV
H7680PROMINENCE HEALTHFIRST OF TEXASall plans015574ASPROD1
H7728ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC.009020115ID
H7728ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC.002, 004, 005, 006, 801, 803, 804, 806, 807, 810020115IS
H7779AMERICAN HEALTH PLAN, INC.all plans012312PARTD
H7787HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.all plans017010CIMCARE
H7802SPARTAN PLAN VA, INC.001, 005123456PCNsample
H7802SPARTAN PLAN VA, INC.002, 003, 006610602NVTD
H7833UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.all plans6100978500
H7844MOLINA HEALTHCARE OF MICHIGAN, INC.all plans004336MEDDADV
H7849CIGNA HEALTH AND LIFE INSURANCE COMPANY014, 015, 016, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 035, 036, 037, 038, 039, 040, 041, 042, 043, 819, 821, 823017010CIHSCARE
H7849CIGNA HEALTH AND LIFE INSURANCE COMPANY001, 002, 003, 006, 007, 008, 009, 010, 011, 012, 013, 801, 803, 805, 807, 809, 811, 813, 815, 817017010CIMCARE
H7853BRIGHT HEALTH INSURANCE COMPANYall plans012312PARTD
H7855BRANDMAN CENTERS FOR SENIOR CARE, INC.all plans016110000000
H7885SAN MATEO HEALTH COMMISSIONall plans01235306850000
H7890SANTA CLARA COUNTY HEALTH AUTHORITYall plans015574ASPROD1
H7909all plans004336MEDDADV
H7917BLUECROSS BLUESHIELD OF TENNESSEE, INC.all plans610014MEDDPRIME
H7925all plans004336MEDDADV
H7971HORIZON INSURANCE COMPANYall plans016499PPONJG
H7993DEVOTED HEALTH PLAN OF TEXASall plans004336MEDDADV
H8003BLUECROSS AND BLUESHIELD OF SOUTH CAROLINAall plans021692CTRXMEDD
H8010CLOVER HMO OF NEW JERSEY, INC.all plans004336MEDDADV
H8016ORANGE COUNTY HEALTH AUTHORITYall plans015574ASPROD1
H8019all plans610602NVTD
H8026AETNA BETTER HEALTH OF MICHIGAN INC.all plans610591MEDDADV
H8046MOLINA HEALTHCARE OF ILLINOIS, INC.all plans004336MEDDADV
H8064FIRSTCAROLINACARE INSURANCE COMPANYall plans015574ASPROD1
H8067PROVIDER PARTNERS HEALTH PLAN, INC.all plans012312PartD
H8087HUMANADENTAL INSURANCE COMPANYall plans01558103200000
H8093GEORGIA ASSURANCE, INC.all plans012312PARTD
H8096CENTRA HEALTH, INC.all plans022188PSTMEDD
H8125SYMPHONIX HEALTH INSURANCE, INC.all plans6100979999
H8130MOLINA HEALTHCARE OF FLORIDA, INC.all plans004336MEDDADV
H8133GHS INSURANCE COMPANY007000000000000
H8133GHS INSURANCE COMPANY001, 003, 005011552MAPDTX1
H8133GHS INSURANCE COMPANY801, 803011552MAPDTXG1
H8142SCOTT AND WHITE HEALTH PLANall plans610011CTRXMEDD
H8145HUMANA INSURANCE COMPANY004, 006, 008, 011, 021, 032, 051, 052, 061, 063, 069, 075, 084, 087, 089, 091, 122, 12301558103200000
H8145HUMANA INSURANCE COMPANY12501588103200000
H8170AMERICA'S 1ST CHOICE OF SOUTH CAROLINA, INC.all plans020115IS
H8173all plans004336MEDDADV
H8176MOLINA HEALTHCARE OF SOUTH CAROLINA,INC.all plans004336MEDDADV
H8181SAPPHIRE EDGE, INC.001610455ENEH8181
H8181SAPPHIRE EDGE, INC.801, 803, 804610455ENEH8181G
H8189MANAGED HEALTH SERVICES, WISCONSINall plans004336MEDDADV
H8197MOLINA HEALTHCARE OF TEXAS, INC.all plans004336MEDDADV
H8211MAMSI LIFE AND HEALTH INSURANCE COMPANYall plans6100979999
H8213SELECT HEALTH OF SOUTH CAROLINA, INC.all plans01235306510000
H8225CENTENE VENTURE COMPANY FLORIDAall plans004336MEDDADV
H8258LOCAL INITIATIVE HEALTH AUTHORITY FOR L.A. COUNTYall plans610602NVTD
H8280BRIGHT HEALTH INSURANCE COMPANY OF ALABAMA, INC.all plans012312PARTD
H8293CLEAR SPRING HEALTH (VA), INC.all plans012312PARTD
H8298HORIZON HEALTHCARE OF NEW JERSEY, INC.all plans016499SNPPRI
H8332all plans610502MEDDAET
H8343all plans020115IS
H8364BRIGHT HEALTH INSURANCE COMPANY OF ALABAMA, INC.all plans012312PARTD
H8379PRIORITY HEALTH CHOICE, INC.all plans003858MD
H8390all plans610014MEDDPRIME
H8423HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.all plans017010CIMCARE
H8424SIOUXLAND PACE, INC.all plans0000000000000000
H8432EMPIRE HEALTHCHOICE HMO, INC.all plans020115IS
H8452CARESOURCEall plans610014MEDDPRIME
H8457LONGEVITY HEALTH PLAN OF NEW YORK, INC.all plans123456123456
H8492DIGNITY CARE CORPORATIONall plans012312012312
H8547all plans011552MAPDIL2
H8552ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANYall plans020115IS
H8553all plans004336MEDDADV
H8554GHS INSURANCE COMPANYall plans011552MAPDTX2
H8578HEALTH NEW ENGLAND, INC.all plans610593HNEMEDD
H8597AETNA BETTER HEALTH OF TEXAS INC.all plans610502MEDDAET
H8604THP INSURANCE COMPANYall plans610014MEDDPrime
H8634HEALTH CARE SERVICE CORPORATION003, 004, 007, 008011552MAPDIL1
The above chart is the fourth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H5928 - H8634).

Click here for the first page (E0654 - H2235), second page (H2237 - H3959), third page (H3962 - H5928) and fifth page (H8634 - S9701).