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Chart of 2017 BIN and PCN values for each Medicare Part D prescription drug plan (part 1 of 3)


Article 4 of 12 in this Category
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Chart of 2017 BIN and PCN values for each Medicare Part D prescription drug plan (part 1 of 3)
Published on 2017-01-24 12:31:56
Category: Your Formulary (Drug List)


The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2017 Medicare Part D plan sponsor.  Please note, the data below is Part 1 of 3, with links below to Part 2 of 3 and Part 3 of 3 below. You may notice that the data is incomplete (some BIN/PCN values are empty).

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 following is the first page of the list (part 1 of 3). Click here for the second page (2 of 3) and third page (3 of 3).

Contract ID Contract Name BIN PCN
E0654IBT VOLUNTARY EMPLOYEE BENEFITS TRUST6100979999
E2630C AND O EMPLOYEES' HOSPITAL ASSOCIATION610602NVTD
E4744MODOT/MSHP MEDICAL AND LIFE INSURANCE PLAN015574ASPROD1
E7316UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS610011UE7316
H0022BUCKEYE COMMUNITY HEALTH PLAN, INC.01235306243601
H0028CHA HMO, INC.01558103200000
H0062SUPERIOR HEALTHPLAN COMMUNITY SOLUTIONS, INC.004336MEDDADV
H0104BLUE CROSS AND BLUE SHIELD OF ALABAMA014897MBGG
H0105THE METHODIST OAKS510999GPP
H0107HEALTH CARE SERVICE CORPORATION011552MAPDMT
H0137COMMONWEALTH CARE ALLIANCE, INC.610602NVTD
H0141MCLAREN HEALTH PLAN, INC.01235306706701
H0147HEALTHKEEPERS, INC.003858MD
H0148CARE1ST HEALTH PLAN015574ASPROD1
H0150HEALTHSPRING OF ALABAMA, INC.017010CIHSCARE
H0154VIVA HEALTH, INC.004336MEDDADV
H0192AMERIHEALTH MICHIGAN, INC.01235306500000
H0251UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.6100979999
H0281ILLINICARE HEALTH PLAN01235306241400
H0302MEDISUN, INC.015574ASPR0D1
H0321ARIZONA PHYSICIANS IPA, INC.6100979999
H0332KS PLAN ADMINISTRATORS, LLC01578905900000
H0336HUMANA HEALTH PLAN, INC.01558103200000
H0351HEALTH NET OF ARIZONA, INC.004336MEDDADV
H0354CIGNA HEALTHCARE OF ARIZONA, INC.017010CIHSCARE
H0423METROPLUS HEALTH PLAN, INC.004336MEDDADV
H0439CIGNA HEALTHCARE OF GEORGIA, INC.017010CIHSCARE
H0480MERIDIAN HEALTH PLAN OF MICHIGAN, INC.610241MHPMICOMP
H0490MOLINA HEALTHCARE OF OHIO, INC.004336MEDDADV
H0504CALIFORNIA PHYSICIANS' SERVICE0123530192000
H0523AETNA HEALTH OF CALIFORNIA INC.610502MEDDAET
H0524KAISER FOUNDATION HP, INC.011172SCCMS
H0542ALTAMED HEALTH SERVICES CORPORATION015284CRX
H0543UHC OF CALIFORNIA6100979999
H0544CAREMORE HEALTH PLAN004758DNPS
H0562HEALTH NET OF CALIFORNIA,INC.004336MEDDADV
H0564BLUE CROSS OF CALIFORNIA003858MD
H0571CHINESE COMMUNITY HEALTH PLAN610602NVTD
H0602ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION015574ASPROD1
H0609PACIFICARE OF COLORADO, INC6100979999
H0630KAISER FOUNDATION HP OF CO011255COCMS
H0710UNITEDHEALTHCARE INSURANCE COMPANY6100979999
H0712WELLCARE OF CONNECTICUT, INC.004336MEDDADV
H0809MERCY LIFE, INC.000000PACE
H0811GUILDNET, INC.400023020030720
H0819SENIOR LIFE YORK, INC.013519N/A
H0838UNIVERSAL CARE, INC.015574ASPROD1
H0839VOANS SENIOR COMMUNITY CARE OF NORTH CAROLINA, INC018091PRSMEDD
H0908BUCKEYE COMMUNITY HEALTH PLAN, INC.01235306243600
H0913WELLCARE HEALTH PLANS OF NEW JERSEY, INC.004336MEDDADV
H0927HEALTH CARE SERVICE CORPORATION011552ILDEMD
H1016AVMED, INC.004336MEDDADV
H1019CAREPLUS HEALTH PLANS, INC.01558103200000
H1026HEALTH OPTIONS, INC.012833MedDPrime
H1032WELLCARE OF FLORIDA, INC.004336MEDDADV
H1035FLORIDA HEALTH CARE PLAN, INC.610593SXCFLH
H1036HUMANA MEDICAL PLAN, INC.  
H1043FLORIDA PACE CENTERS, INC.000000PACE
H1045PREFERRED CARE PARTNERS, INC.  
H1111UNITEDHEALTHCARE OF GEORGIA, INC.6100979999
H1112WELLCARE OF GEORGIA, INC.  
H1170KAISER FOUNDATION HP OF GA, INC.011222GACMS
H1181NETWORK HEALTH INSURANCE CORPORATION  
H1189CHRISTUS HEALTH PLAN003858MD
H1230KAISER FOUNDATION HP, INC.011214HICMS
H1234LIFE ST. FRANCIS018091PRSMEDD
H1239KISSITO PACE OF ROANOKE, INC.0000000
H1264WELLCARE OF TEXAS, INC.004336MEDDADV
H1286UNITEDHEALTHCARE INSURANCE COMPANY6100979999
H1302BLUE CROSS OF IDAHO CARE PLUS, INC.  
H1304REGENCE BLUE SHIELD OF IDAHO  
H1310COMPREHENSIVE SENIOR CARE CORPORATION013170CLAIMCR
H1343FRESENIUS HEALTH PLANS OF TEXAS, INC.012353072900000
H1350BLUE CROSS OF IDAHO CARE PLUS, INC.  
H1352BLUE-ADVANTAGE PLUS OF KANSAS CITY, INC.015574ASPROD1
H1357CAROLINA SENIORCARE004410SCI
H1365MARTIN'S POINT GENERATIONS ADVANTAGE, INC.004336MEDDADV
H1372MARQUIS ADVANTAGE, INC.610602NVTD
H1394HMO COLORADO, INC.003858MD
H1406HUMANA HEALTH PLAN, INC.  
H1415HEALTHSPRING OF TENNESSEE, INC.017010CIHSCARE
H1416HARMONY HEALTH PLAN,INC. (IL)004336MEDDADV
H1463HEALTH ALLIANCE CONNECT, INC.015789CTRXMEDD
H1468HUMANA BENEFIT PLAN OF ILLINOIS, INC.  
H1493CARESOURCE KENTUCKY CO.004336MEDDADV
H1500LIFE ST. JOSEPH OF THE PINES, INC.018091PRSMEDD
H1510HUMANA INSURANCE COMPANY01558103200000
H1517ANTHEM INSURANCE COMPANIES, INC.  
H1518CATHOLIC HEALTH SYSTEM BUFFALO PACE018091PRSMEDD
H1533STAYWELL SENIOR CARE, INC.018091PRSMEDD
H1537UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK6100979999
H1607ANTHEM INSURANCE COMPANIES, INC.003858MD
H1608COVENTRY HEALTH AND LIFE INSURANCE COMPANY610502MEDDAET
H1651MEDICAL ASSOCIATES HEALTH PLAN, INC.  
H1659PIEDMONT COMMUNITY HEALTHCARE, INC.004336MEDDADV
H1660HARVARD PILGRIM HEALTH CARE INC.015574ASPROD1
H1692COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.610502MEDDAET
H1714VIA CHRISTI HEALTHCARE OUTREACH FOR ELDERS, INC.018091PRSMEDD
H1716HUMANA INSURANCE COMPANY01558103200000
H1723ABSOLUTE TOTAL CARE, INC.01235306244200
H1737HEALTH ALLIANCE - MIDWEST, INC.015789CTRXMEDD
H1777CATHOLIC SPECIAL NEEDS PLAN, LLC004336MEDDADV
H1846MOUNT CARMEL HEALTH INSURANCE COMPANY004336MEDDADV
H1849ANTHEM HEALTH PLANS OF KENTUCKY, INC.  
H1894AMERIGROUP WASHINGTON, INC.003858MD
H1904PACE GREATER NEW ORLEANS0000000
H1916THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC.004336MEDDADV
H1944UNITEDHEALTHCARE OF NEW ENGLAND, INC.6100979999
H1951HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.01558103200000
H1961PEOPLES HEALTH, INC.004336MEDDADV
H1969REGENCE BLUE SHIELD OF IDAHO6106232100000
H1977UPPER PENINSULA HEALTH PLAN, LLC01235306766761
H1994SELECTHEALTH, INC.0159387463
H1997REGENCE BLUESHIELD6106232100000
H2001SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.6100979999
H2012HUMANA HEALTH PLAN, INC.01558103200000
H2029HUMANA INSURANCE OF PUERTO RICO, INC.  
H2034COMMUNITY CARE HEALTH PLAN, INC.018091PRSMEDD
H2064GEISINGER COMMUNITY HEALTH SERVICES015574ASPROD1
H2108BRAVO HEALTH MID-ATLANTIC, INC.017010CIHSCARE
H2109THE JOHNS HOPKINS HEALTH SYSTEM CORPORATION004336MEDDADV
H2150KAISER FNDN HP OF THE MID-ATLANTIC STS011859MACMS
H2165HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.017010CIHSCARE
H2168VILLAGE SENIOR SERVICES CORPORATION015574ASPROD1
H2171CARE N' CARE INSURANCE COMPANY, INC.012312PARTD
H2174TRILLIUM COMMUNITY HEALTH PLAN610011TCHPMCARE
H2185LIFEWORKS ADVANTAGE, LLC610602NVTD
H2218HARBOR HEALTH SERVICES, INC.9999999999999999
H2219FALLON COMMUNITY HEALTH PLAN004336MEDDADV
H2220UPHAMS CORNER HEALTH COMMITTEE, INC.0000000
H2221CAMBRIDGE PUBLIC HEALTH COMMISSION018091018091
H2222ELEMENT CARE, INC.0000000
H2223ELDER SVC PLN/E BOSTON HEALTH CENTER0000000
H2224SENIOR WHOLE HEALTH, LLC003858MD
H2225COMMONWEALTH CARE ALLIANCE, INC.610602NVTD
H2226UNITEDHEALTHCARE INSURANCE COMPANY6100978500
H2228UNITEDHEALTHCARE INSURANCE COMPANY610097999
H2230BCBSOF MASSACHUSETTS HMO BLUE, INC.003858MD
H2237INDEPENDENT CARE HEALTH PLAN, INC.015574ASPROD1
H2241GOLDEN STATE MEDICARE HEALTH PLAN6100979999
H2256TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION004336MEDDADV
H2261BCBSOF MASSACHUSETTS HMO BLUE, INC.  
H2318PACE SOUTHEAST MICHIGAN018091PRSMEDD
H2320PRIORITY HEALTH003858MD
H2322ALLIANCE HEALTH AND LIFE INSURANCE COMPANY610011HAPMEDD
H2334EON HEALTH, INC. (SC)610011CTRXMEDD
H2354HEALTH ALLIANCE PLAN OF MICHIGAN  
H2386APPALACHIAN AGENCY FOR SENIOR CITIZENS, INC.0000000
H2400SIGNATURE ADVANTAGE, LLC610602NVTD
H2406SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.6100979999
H2411FALLON COMMUNITY HEALTH PLAN004336MEDDADV
H2416PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE015574PWPROD1
H2417ITASCA MEDICAL CARE004336MEDDMCDMN
H2419SOUTH COUNTRY HEALTH ALLIANCE0123536190000
H2422HEALTHPARTNERS, INC.015574ASPROD1
H2425BLUE PLUS610455MPDBP
H2450MEDICA INSURANCE COMPANY004336MEDDADV
H2456UCARE MINNESOTA003858DE
H2458MEDICA HEALTH PLANS004336MEDDMCDMN
H2459UCARE MINNESOTA  
H2461BLUE CROSS AND BLUE SHIELD OF MINNESOTA  
H2462GROUP HEALTH PLAN, INC. (MN)  
H2470FALLON HEALTH WEINBERG, INC.004336MEDDADV
H2486HUMANA MEDICAL PLAN OF UTAH, INC.01558103200000
H2491WELLCARE HEALTH INSURANCE OF ARIZONA, INC.004336MEDDADV
H2506AETNA BETTER HEALTH, INC. (IL)610591MEDDADV
H2531UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.6100978500
H2533MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.004336MEDDADV
H2537SPIRITTRUST LUTHERAN LIFE0000000
H2563OPTIMA HEALTH PLAN610011ctrxmedd
H2591HEALTH ALLIANCE - MIDWEST, INC.  
H2593CAREMORE HEALTH PLAN OF ARIZONA, INC.004758DNPS
H2610ESSENCE HEALTHCARE, INC.015574ASPROD1
H2649HUMANA HEALTH PLAN, INC.  
H2663COVENTRY HEALTH CARE OF MISSOURI, INC610502MEDDAET
H2758BEHEALTHY FLORIDA, INC.012833MedDPrime
H2773QUALITY HEALTH PLANS OF NEW YORK, INC.014848MEDD
H2775AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY004336MEDDADV
H2802UNITEDHEALTHCARE OF THE MIDLANDS, INC.  
H2815VOANS SENIOR COMMUNITY CARE OF COLORADO, INC000000PACE
H2816AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY  
H2835THE CASCADE PACE, INC.013170ClaimCR
H2836ANTHEM HEALTH PLANS, INC.  
H2879MOLINA HEALTHCARE OF WISCONSIN004336MEDDADV
H2906HOMETOWN HEALTH PLAN, INC.015574ASPROD1
H2931HEALTH PLAN OF NEVADA, INC.6100979999
H2936LIFECIRCLES013170N/A
H2937SENIOR LIFE GREENSBURG, INC.013519N/A
H2941SENTARA LIFE CARE CORPORATION, INC018091PRSMEDD
H2944HUMANA INSURANCE COMPANY01558103200000
H2949HUMANA HEALTH PLAN, INC.01558103200000
H2960HOMETOWN HEALTH PLAN, INC.015574ASPROD1
H2962ULTIMATE HEALTH PLANS, INC.01235307547541
H2968MEMORIAL HERMANN HEALTH INSURANCECOMPANY012312PARTD
H2986STANFORD HEALTHCARE ADVANTAGE015574ASPROD1
H2992SENIORLIFE WASHINGTON, INC.013519N/A
H3018CENTERS PLAN FOR HEALTHY LIVING, LLC015574ASPROD1
H3054CONSTELLATION HEALTH, LLC.010868MPD
H3060VIECARE BUTLER, LLC0000000
H3067VIRGINIA PREMIER HEALTH PLAN, INC.012312PARTD
H3071COMMUNITY CARE ALLIANCE OF ILLINOIS, NFP004336MEDDADV
H3113OXFORD HEALTH PLANS (NJ), INC.6100979999
H3129NORTH SHORE-LIJ HEALTH PLAN, INC.004336MEDDADV
H3132AHF MCO OF FLORIDA, INC.015574ASPROD1
H3152AETNA HEALTH INC. (NJ)610502MEDDAET
H3154HORIZON INSURANCE COMPANY  
H3170SAPPHIRE EDGE, INC.610455ENEH3170
H3204PRESBYTERIAN HEALTH PLAN610593PHPMEDD
H3206PRESBYTERIAN INSURANCE COMPANY, INC.610593PHPMEDD
H3233PREMIER HEALTH INSURING CORPORATION003858MD
H3237HEALTH NET COMMUNITY SOLUTIONS, INC.004336MEDDADV
H3240AMERIGROUP NEW JERSEY, INC.003858MD
H3251HEALTH CARE SERVICE CORPORATION011552NMPARTG1
H3259VOLUNTEER STATE HEALTH PLAN610014MEDDPRIME
H3262FRESENIUS HEALTH PLANS OF NEW YORK, INC.012353072900000
H3291PRUITTHEALTH PREMIER, INC.610602NVTD
H3305MVP HEALTH PLAN, INC.  
H3307OXFORD HEALTH PLANS (NY), INC.  
H3312AETNA HEALTH INC. (NY)  
H3321LORETTO INDEPENDENT LIVING SERVICES, INC.0000000
H3322SENIOR CARE CONNECTION, INC.018091PRSMEDD
H3328THE NEW YORK STATE CATHOLIC HEALTH PLAN, INC.  
H3329CENTERLIGHT HEALTHCARE, INC.610602nvtd
H3330HEALTH INSURANCE PLAN OF GREATER NEW YORK400023002005043
H3331INDEPENDENT LIVING FOR SENIORS, INC.0000000
H3335EXCELLUS HEALTH PLAN, INC.003858MD
H3337LIBERTY HEALTH ADVANTAGE, INC.004758DNPS
H3342EMPIRE HEALTHCHOICE ASSURANCE, INC.003858MD
H3344INDEPENDENT HEALTH BENEFITS CORPORATION0126359999
H3347ELDERPLAN, INC.004336MEDDADV
H3351EXCELLUS HEALTH PLAN, INC.  
H3359HEALTHFIRST HEALTH PLAN, INC.004336MEDDADV
H3361WELLCARE OF NEW YORK, INC.004336MEDDADV


The above chart is the first page of the list (1 of 3). Click here for the second page (2 of 3) and third page (3 of 3).


Article 4 of 12 in this Category
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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
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  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.