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Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701)

Your Formulary (Drug List) · published Mar 7, 2022

Update 12/24/2022: 2023 BIN and PCN available at on this site -- see first page (E0654 - H2134), second page (H2161 - H3655), third page (H3660 - H5355), fourth page (H5372 - H7220), fifth page (H7245 - H9649), and sixth page (H9662 - S9854).

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 6 of 6 (H9699 - S9701) with links to Parts 1 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 sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9699 through S9701.

Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322) and fifth page (H7323 - H9686).
2022 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H9699Health Advantageall plans016895HMOAR
H9706Blue Cross and Blue Shield of Texas001, 003, 005011552MAPDTX3
H9706Blue Cross and Blue Shield of Texas801, 802011552MAPDTXG2
H9706Blue Cross and Blue Shield of Texas002011552TXSNP2
H9712HAP Empowered MI Health Linkall plans610014MEDDPRIME
H9725Cignaall plans017010CIMCARE
H9730Wellcareall plans004336MEDDADV
H9761Wellcareall plans004336MEDDADV
H9763Ochsner Health Planall plans015574ASPROD1
H9808CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINAall plans012312PARTD
H9811Wellcare by Allwellall plans004336MEDDADV
H9826Community Health Choiceall plans610602NVTD
H9827MediGoldall plans004336MEDDADV
H9828ApexHealthall plans015574ASPROD1
H9830InnovAge Pennsylvania LIFEall plans022188PSTMEDD
H9834Quartz Medicare Advantageall plans015574ASPROD1
H9842Saint Joseph PACEall plans022188PSTMEDD
H9861Reliance Medicare Advantageall plans610011CTRXMEDD
H9869Partners Health Planall plans015574ASPROD1
H9870all plans004336MEDDADV
H9876Commonwealth Care Alliance Rhode Islandall plans610602NVTD
H9877Virginia Premierall plans012312PARTD
H9878all plans012312PARTD
H9884Devoted Healthall plans004336MEDDADV
H9900Wellcareall plans004336MEDDADV
H9904Mass Advantageall plans01235308350000
H9909American Health Advantage of MSall plans012312PARTD
H9917Align Senior Careall plans610602NVTD
H9942Longevity Health Planall plans610602NVTD
H9952Medicaall plans610014MNDE
H9955Molina Healthcare of Ohioall plans004336MEDDADV
H9976Wellcare by Allwellall plans004336MEDDADV
H9986Florida Complete Careall plans004336MEDDADV
H9998Silver Starall plans013170CLAIMCR
R0110Humanaall plans01558103200000
R0759UnitedHealthcareall plans6100979999
R0802Martin's Point Generations Advantageall plans004336MEDDADV
R0865Humanaall plans01558103200000
R0923Humanaall plans01558103200000
R1390Humanaall plans01558103200000
R1532Humanaall plans01558103200000
R1548UnitedHealthcareall plans6100979999
R2604UnitedHealthcareall plans6100979999
R3175UnitedHealthcareall plans6100979999
R3332Florida Blueall plans012833MedDPrime
R3392Humanaall plans01558103200000
R3444UnitedHealthcareall plans6100979999
R3887Humanaall plans01558103200000
R4182Humanaall plans01558103200000
R4487Anthem Blue Cross and Blue Shieldall plans020115IS
R4845Humanaall plans01558103200000
R5329UnitedHealthcareall plans6100979999
R5342UnitedHealthcareall plans6100979999
R5361Humanaall plans01558103200000
R5495Humanaall plans01558103200000
R5826Humanaall plans01558103200000
R5941Anthem Blue Cross and Blue Shieldall plans020115IS
R6694Aetna Medicareall plans610502MEDDAET
R6801UnitedHealthcareall plans6100979999
R7220Humanaall plans01558103200000
R7315Humanaall plans01558103200000
R7444UnitedHealthcareall plans6100979999
S0586MVP Health Careall plans004336MEDDADV
S0655Tufts Health Planall plans004336MEDDADV
S1030BlueRx (PDP)all plans014897RPD
S1140Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York802610014MEDDPRIME
S1140Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York801610014MEDDRPIME
S1822HealthPartnersall plans015574ASPROD1
S1894all plans004336MEDDADV
S2465Optima Medicareall plans610011CTRXMEDD
S2468Blue Shield of Californiaall plans00433677993322
S2668Farm Bureau Health Plansall plans610011CTRXMEDD
S2874Humanaall plans01558103200000
S2893Blue MedicareRxall plans004336MEDDADV
S3147Banner Medicare Rx001610014MEDDPRIME
S3147Banner Medicare Rx002, 003610014MEDPRIME
S3285MG Insurance Companyall plans015574ASPROD1
S3375BlueCross BlueShield: Empire, Excellus, WNY & NENYall plans020115IS
S3389UPMC Health Planall plans003858MD
S3521Excellus Health Plan, Incall plans003858MD
S3546all plans012312PARTD
S3875Granite Allianceall plans02110608053875
S3994HMSAs Medicare Rx Planall plans004336MEDDADV
S4219Health Alliance Medicare Prescription Planall plans015789CTRMEDD
S4501Pharmacy Benefit Dimensions PDPall plans012635NA
S4802Wellcareall plans004336MEDDADV
S5450BlueScriptsall plans610014MEDDPRIME
S5540Blue Cross and Blue Shield of North Carolinaall plans015905PDPNC
S5552Humanaall plans01558103200000
S5584Blue Cross Blue Shield of Michiganall plans610014MEDDPRIME
S5588Paramount Prescription Drug Planall plans004336MEDDADV
S5593Highmark Inc.all plans610014MEDDPRIME
S5596Anthem / Anthem or Blue KC in Missouriall plans020115IS
S5601Aetna Medicareall plans004336MEDDADV
S5609Asuris Northwest Healthall plans6106232110000
S5617Cignaall plans017010CIMCARE
S5660Express Scripts Medicareall plans610014MEDDPRIME
S5715Blue Cross and Blue Shield of IL, NM, OK, TX801, 811, 817, 818, 820, 821, 822011552PDGIL
S5715Blue Cross and Blue Shield of IL, NM, OK, TX813011552PDGNM
S5715Blue Cross and Blue Shield of IL, NM, OK, TX815, 823011552PDGTX
S5715Blue Cross and Blue Shield of IL, NM, OK, TX001, 002, 012, 019011552PDPIL
S5715Blue Cross and Blue Shield of IL, NM, OK, TX819, 824011552PDPILBOG
S5715Blue Cross and Blue Shield of IL, NM, OK, TX003, 004, 013, 802011552PDPNM
S5715Blue Cross and Blue Shield of IL, NM, OK, TX005, 006, 014, 803011552PDPTX
S5715Blue Cross and Blue Shield of IL, NM, OK, TX807, 809610455PDGOK
S5715Blue Cross and Blue Shield of IL, NM, OK, TX010, 015, 018610455PDPOK
S5726Blue Cross and Blue Shield of Kansas or Blue KCall plans020115IS
S5743MedicareBlue Rxall plans004336MEDDADV
S5753WPS Health Insuranceall plans610014MEDDPRIME
S5768all plans004336MEDDADV
S5795Arkansas Blue Medicare002, 003, 008016895PDPAR
S5795Arkansas Blue Medicare804, 809, 811, 812016895PDPARG
S5805UnitedHealthcareall plans6100979999
S5810all plans004336MEDDADV
S5820UnitedHealthcareall plans6100979999
S5857Priority Health Medicareall plans003858MD
S5877EMI Healthall plans610014MEDDPRIME
S5884Humanaall plans01558103200000
S5904Florida Blue001, 002012833MedDPrime
S5904Florida Blue801, 802012833MedDPrimeG
S5916Regence BlueShield of Idaho and Regence BC BS Utah802, 804, 80561062302120001
S5916Regence BlueShield of Idaho and Regence BC BS Utah001, 0026106232120000
S5921UnitedHealthcareall plans6100979999
S5953Blue Cross Blue Shield of South Carolinaall plans021692CTRXMEDD
S5960UniCareall plans020115IS
S5966EmblemHealth Medicare PDPall plans003858MD
S5975Moda Health Plan, Inc.all plans610602NVTD
S5983all plans610014MEDDPRIME
S5993Horizon Blue Cross Blue Shield of New Jersey001, 003, 007016499PDPNJ
S5993Horizon Blue Cross Blue Shield of New Jersey801, 804, 805, 806016499PDPNJG
S6506Blue Cross Blue Shield of Arizonaall plans004336MEDDADV
S6875Independence Blue Crossall plans610011CTRXMEDD
S6946Clear Spring Healthall plans610014MEDDPRIME
S7126Mutual of Omaha Rxall plans610014MEDDPRIME
S7694Elixir Insurance001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808012312PartD
S7694Elixir Insurance803, 804, 805, 806, 807015185CMSPARTD
S8067Avalon Insurance Company001, 003, 005610455CAPPDP
S8067Avalon Insurance Company801, 802, 803, 804, 805, 806, 807, 808610455CAPPDPG
S8182Amerigroupall plans020115IS
S8677Providence Health Assuranceall plans01235303300000
S8841Optum Insurance of Ohio, Inc.all plans610011CTRXMEDD
S9325all plans012312PARTD
S9701Navitus MedicareRxall plans610602EGWP
The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701).

Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322) and fifth page (H7323 - H9686).