Bin 011552 pbm MCO Name Program Service Area PBM Name BIN/PCN/Group; Aetna Better Health: CHIP : Bexar : CVS/Caremark : BIN: 610591 PCN: ADV Group: RX8801 BIN PCN GROUP; 022659: 6334225: MediCalRx: Medi-Cal Rx Customer Service Center 1-800-977-2273: Submit Prior Authorization requests to Medi-Cal Rx by: Fax to 800-869-4325. Member ID cards with RxBIN 610455 and RxPCN PGIGN or HMHS on the front indicate that a member has Prime Therapeutics as their PBM and these pharmacy policies apply. 7898. O. 2, 2015, to reenroll using the new VDP Pharmacy Provider Enrollment Application. PBM/processor/plan’s Payer Sheets are shared with their customers – to the pharmacies, dispensing providers, clearinghouses and vendors. By enclosing wheeled bin containers and controlling user access, our products effectively increase recycling rates, while reducing fire risk and issues associated with side waste. But when prescriptions alone account for nearly a third of total health care costs 2 employers struggle with how to best control costs. (i. PCN: 07960000 . Added BIN/PCN Combination BIN 025771 PCN IRXCOBAP Added BIN/PCN Combination BIN 025771 PCN IRXCOMAP . Prescription Drug List. We take care of you, so you can focus on what really matters. Providers will be paid only for claims in which a prescription for a covered item is written by a prescriber BIN: 011222 PCN: GACMS BIN: 011214 PCN: HICMS BIN: 011859 PCN: MACMSA BIN: 011842 PCN: NCCMS BIN: 011230 PCN: NWCMS BIN: 011172 PCN: SCCMS Health Choice Management BIN: 610011 PCN: HEAMEDD Health Choice Management Utah BIN: 610011 PCN: HEAUMEDD Catamaran / Seniorscript Services BIN: 013170 PCN: Not Required Program Claim BIN Claim PCN Claim Group STAR 020107 CS WKEA CHIP 020107 CS WKEA STAR+PLUS 020107 CS WKEA STAR+PLUS MMP 020115 IS WKUA STAR Kids 020107 CS WKEA Blue Cross Blu e Shield of Texas PBM: Prime Therapeutics Blue Cross Blue Shield of Texas - Pharmacy Enrollment STAR, CHIP, STAR Kids phone: 888-277-5510 STAR Kids Quick Reference Guide Plan Highlights ELIGIBILITY STAR Kids: Members have an ID card from both the state and BCBSTX. BIN and PCN Codes. Home » Questions And Answers » i have BCBS med supp plan F. If you have prescription drug coverage through Blue Cross and Blue Shield of Texas (BCBSTX), this information can help you and your doctor get the most from your prescription drug coverage. truerx. Other resources: www. Medicare-Medicaid dual eligible 015581 03200000 Medicaid plans 610649 03190000 . That’s why Express Scripts is here for you anytime you need. 6. Members using a specialty drug to treat a complex or rare condition may need to follow the specialty pharmacy program requirements. Rightway's aligned PBM with high-touch pharmacy navigation drives every prescription to its true lowest net cost, reducing employer spend by over 15%. Navitus . E-PRESCRIBING Available through Surescripts® for providers to check eligibility, review medication history, and review Formulary information. Key Terms 4 3. TXC2 TXC3 TXC4 TXC5 TXC6 TXC7 TXS1 855-457-0405 : TXS2 (STAR Only) Christus* Plan PBM RxBIN PCN RxGRP Pharmacy Prior Authorization Member . → Prime’s Medicare Part D payer specification sheets are available at: www. English. All Collections. To obtain your new mail order prescription from Express Scripts, contact Customer Service at 1-800-521-2227 to obtain their pharmacy insurance information. With 50% of Americans having at least one prescription 1, drug coverage is a vital benefit to your client's employees. 004915, 011552, 012833, 014897, 015905, PBM Name: Prime Therapeutics BIN: 011552 PBM Name: Optum Rx BIN: 610494 As your pharmacy benefit manager (PBM), Express Scripts helps you stress less and save more. , member ID, BIN, Lot, drug name. caremark. t www. Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . 1 claims since no longer supported Test system is no longer available Bank Identification Numbers (BIN) and Processor Control Numbers (PCN) Plan BIN PCN . 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) . Customer Service: 866-921-4047 . But when prescriptions alone account for nearly a third of total health care costs 2, employers struggle with how to best control costs. 0. Do you provide API for developers? Sure, we provide API as service for developers to integrate it with their web apps or any platform they working with. Click here for the second page (H2354 - H4093) , third page (H4094 - H6293) , fourth page (H6306 - H9431) and fifth page (H9438 - S9701) . Plan Name BIN PCN Arkansas BlueMed Value PFFS MA Ø16895 PARTBMA BCBS of North Carolina BlueMedicare HMO Ø15905 PARTBMA BCBS of North Carolina Group BlueMedicare HMO BCBS Texas Part B 011552 PARTBG2MA Processor Effective as of: Ø9/Ø1/2Ø11 NCPDP Telecommunication Standard Version/Release #: D. Our content providers have utilized reasonable care in collecting and reporting the information contained in the Products on this website and have obtained such information from sources believed to be reliable. INTRODUCTION 3 1. What if a prescription drug I am currently taking which is covered under the CRH plan is not BCBSIL utilizes Prime Therapeutics LLC as our pharmacy benefit manager to administer our pharmacy program to help contain rising drug costs and maintain and improve the quality of care delivered to members. The Affordable Care Act requires all pharmacies, including those who enrolled with VDP prior to Nov. For Members/Providers. The document provides a list of contracted PBMs (pharmacy benefit managers), their contracted lines of business, BIN/PCN numbers, and help desk contact information. • Customer Service Rating: 4 out of 5 Stars. Ø. BIN: 011552 PCN: PDPTX See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Texas: 21,663 members (CMS Region 22) Number of Members enrolled in this plan nationally: 74,763 members: Plan’s Summary Star Rating: 3. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group. ) Contact Accredo at 1-833-721-1619. It is important to have this information when filling BIN: 011552 PCN: PDPIL See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Illinois: 87,690 members (CMS Region 17) Number of Members enrolled in this plan nationally: 128,963 members: Plan’s Summary Star Rating: 4 out of 5 Stars. • The most expensive ingredient will display at the claim level. If you have any questions regarding this process or any concerns, please let us know so we can address them. Benefit information is available through a secure member portal a. Medi-Cal Rx Provider Portal. com for claims and eligibility information. Some drugs may have limits on how much medicine can be filled per prescription or in a given Prescription drugs are a vital part of your health care coverage. 1, BIN# 013766, PCN: P063013766 − Modified prescription origin code for electronic and written scripts A transparent PBM model infused with care navigation drives every prescription to true lowest net cost. Refer to www. A PCP will be auto assigned if 10/01/2024 Page 3 of 32 HIGHLIGHTS – Updates, Changes & Reminders This payer sheet refers to Medicare Part D Primary Billing and Medicare as Secondary Payer Billing. The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 All pharmacies are required to reenroll with the Vendor Drug Program (VDP) to continue receiving payment in fee-for-service and managed care. com under the Pharmacists & Medical Professionals link for additional payer sheets regarding the following: BIN: 011552 PCN: TXCAID Monday – Saturday 6a m. > PCP Effective Date: Rx Group No. Update: The 2022 BIN/PCN list has been released. 855-425-3247 (STAR/Hidalgo) El Paso First Premier . Contact Information 5 3. Hours of Operation. At Blue Cross and Blue Shield of Illinois, we know it’s more important than ever to better manage pharmacy costs without A bank identification number (BIN) is the initial set of four to six numbers on a credit card that identifies the lending institution. Superior members have been notified and received a new ID card, effective January 1, 2024, in advance of this change. If you have questions, please call True Rx at DOE, JOHN Identification No. do you have a better policy with you guys choice for me for about the same premium? group 0TX214 bin 011552 011552 rx pcn BCTX BC 400 BS 900? Added BIN/PCN Combination BIN 020107 PCN NY (Effective 1/1/2025) 11/01/2024 Page 4 of 22 PART 1: GENERAL INFORMATION Payer/Processor Name: CVS Caremark® Plan Name/Group Name: All Effective as of: Jan 2Ø25 Payer Sheet Version: Search our database for any BIN/IIN numbers using this tool! Start your search by choosing both the country and the card's brand, you can search our entire database for free 24/7. after Jan. 10/01/2024 Page 4 of 26 PART 1: GENERAL INFORMATION Payer/Processor Name: CVS Caremark® Plan Name/Group Name: All Effective as of: October 2Ø24 Payer Sheet Version: 2. Bin 011552 PCN: TXCAID. 1 • SERVU-IPA 5. Ø 1Ø3-A3 Transaction Code B2 M 1Ø4-A4 Processor Control Number M The same value in the request billing 1Ø9-A9 Transaction Count M Up to four billing reversal transactions (B2) per transmission Q1. ; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to Prime Therapeutics (Prime) is unveiling our new corporate vision and brand identity, signifying a bold transformation and commitment to reimagining pharmacy solutions. 012189 ; 5037 . COM, THE MEMBER WEBSITE You can visit the website to see the: • Prescription drug list of covered drugs • Estimated prescription drug costs Effective January 1, 2024, Express Scripts will serve as Superior HealthPlan’s new Pharmacy Benefit Manager (PBM) and begin processing pharmacy claims. will need your member ID, group number, BIN (011552) and PCN (BCTX). Click Leverage PRECISIONxtract’s dedicated team of payer data experts, our curated relationships to Payers and PBMs, and the BPG Lookup product to map the BIN PCN GROUP identifiers in IL 011552 ILSC 800-821-4795 BCBS of Kansas Prime Therapeutics National 610455 KSBCS 800/821-4795 BCBS of Massachusetts Express Scripts PBM/ Processor Region BIN PCN/ Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME BlueCross BlueShield Of Texas A Cato a Legal Liersee Crass Blue Member Name: NAMEM INITL NAME> Alpha Prefix: ZGE Find your plan's BINs, PCNs, and RxGroups! Skip to main content. Manage your pharmacy benefits with Prime Therapeutics. OptumRx is the current PBM contracted with the Veterans Health Administration Office of Community 012833, 011552, 015905, 014897, 014906, 016895, 016499, 800001 800-821-4795 ProCare Rx Access Based Networks, Managed Care Preferred Network, National Network PBM Networks BINs Help Desk US Script, Inc. Specialty drug management. e. – 9p. The pharmacy policies content only applies to those employer groups who retain Prime Therapeutics. 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. Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME BlueCross BlueShield Of Texas A Cato a Legal Liersee Crass Blue Member Name: NAMEM INITL NAME> Alpha Prefix: ZGE Subscriber ID: <SBSB 'CHIP Perinate PCP: N/A CHIP ID Number: <CHIP ID No. Whether it’s family, friends or colleagues, they count on you to be there for them. M (BIN Tips & Disclaimers. Visit Prime Therapeutics to: Search for prescription drugs; Find a pharmacy; Order mail service refills or new prescriptions online; View status of coverage for Payer/Carrier BIN/PCN Date Available Vendor Certification ID Select Health 600428/02180000 Current 601DN30Y State of CA PBM: CDRC DAPO & CDCR DJJPO 600428/05540000 Current 601DN30Y SXC/American Health Care 610118 1/1/2012 SXC/Informed RX National 610593, 610011, 003650, 610619, 601577, 610527, 004469, 014211, 011883 Current SXC/Kroger BIN Checker tool is designed to check the existence of a Bank Identification Number (BIN) base on updated database. You can filter, sort and export the results as you want. 1 About this Manual 4 2. 5 Processing Control Number (PCN) 5 4. Please note that the information provided above is not all inclusive and is intended to provide a brief overview of key products on the Basic Drug list and how to effectively Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9662 through S9854) 011552: MAPDTX3: H9706: Blue Cross and Blue Shield of Texas: 801, 802: 011552: MAPDTXG2: H9706: Blue Cross and Blue Shield of Texas: 002: 011552: TXSNP2: H9712: HAP Empowered MI Health Link: Program Claim BIN Claim PCN Claim Group STAR 020107 CS WKEA CHIP 020107 CS WKEA STAR+PLUS 020107 CS WKEA STAR+PLUS MMP 020115 IS WKUA STAR Kids 020107 CS WKEA Blue Cross Blu e Shield of Texas PBM: Prime Therapeutics Blue Cross Blue Shield of Texas - Pharmacy Enrollment STAR, CHIP, STAR Kids phone: 888-277-5510 7 EXPLORE MYPRIME. We pass Rightway's aligned PBM with high-touch pharmacy navigation drives every prescription to its true lowest net cost, reducing employer spend by over 15%. 1, 2021 must be submitted with the BIN/PCN outlined on the left for Covered Persons on the new plan. Note: Not all employer groups retain Prime Therapeutics as their pharmacy benefits manager (PBM). Anthem partners with health care professionals to close gaps in care and improve members overall heath. Click here for the first page (E3014 - H2001) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . 4=Four Occurrences. For Pharmacies. Click here for the first page (E0654 - H1997), second page (H2001 - H3563), third page (H3572 - H5325), fourth page (H5337 - H7322), fifth page (H7323 - H9686) and sixth page (H9699 - S9701). How much you pay out of pocket is determined by whether your drug is on the list and at what coverage level, or tier. 3=Three Occurrences . Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fourth page (H5928 - H8634) . A drug list is a list of drugs that are covered under your prescription drug benefit. Covered Persons may not have received their new identification cards. 277. 20|CHAPTER 2 IMPORTANT CONTACT INFORMATION APPENDIX A Inquiry Type Resource Phone Number or Website Hous ofr Availability Pharmacy Prime Therapeutics Provider CustomerS ervci e STAR 866-294-1562 CHIP 866-323-2088 BIN BIN #: 020958 . 600428 800-522-7487 Agelity PBM Plus, Inc. txt) or read online for free. The chart below is the third page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3517 through H5141. pdf), Text File (. Members must present their “Your Texas Benefits card” and their BCBSTX ID card. The chart below is the sixth page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9001 through X0001. 610602 MCD EPF 877-908-6023 . . This can be very useful for tracking your most profitable insurance payers or gathering data for upcoming audits. XOF112223333 P12345 BS Plan Code 621 Customer Service: 1-800-409-9462 BC Plan Code 121 BlueAccess for Members at: www. PBM HELP DESK# BIN# PC# 4 D Management aClaim 888-422-5246 005848 nla ACS 800-365-4944 610084 DRSMPROD AETNA 800-238-6279 001684-Aetna HMO 00670000 610502 011552 600001 610617 610435 009430 nla 010918-Bluegrass 01 1669-Walmart 600426-10 & UT 01620000-10 610624-WA 01 690000-UT 610623-OR 02060000-WA BIN 011552 PCNTXCAID Rx Group# - See member ID card . Box 34718 Seattle, WA 98124 Pharmacy Reimbursement Questions 1Ø1-A1 BIN NUMBER Multiple M BIN’s listed in General Information Section 1Ø2-A2 VERSION/RELEASE NUMBER DØ M 1Ø3-A3 TRANSACTION CODE B1 M 1Ø4-A4 PROCESSOR CONTROL NUMBER Multiple M PCN’s listed in General Information Section 1Ø9-A9 TRANSACTION COUNT Ø1-Ø4 M Up to 4 transactions per B1 transmissions accepted If your health plan includes Blue Cross and Blue Shield of Texas (BCBSTX) prescription drug benefits, these are administered by Prime Therapeutics, the pharmacy benefit manager (PBM). For information or assistance with prescription claims, prior authorization, contracted network pharmacies, 1Ø1-A1 BIN Number See BIN/PCN table, above M 1Ø2-A2 Version Release Number DØ=Version D. You. Visit Anthem. Contact Accredo at 1-833-721-1619. 4 Bank Identification Number (BIN) 5 3. pdf - Free download as PDF File (. com > Resources > PLAN NAME / GROUP NAME BIN PCN WellDyne - Various 023252 WCH, WDN (BIN: 008878) CHRX ChicagoRx Card / WellCardRx 020586 WDN or as appears on ID card Pharmastrategies 014856 Not required Pharmastrategies 015383 Not required Pharmastrategies 016359 Not required RxMedSaver 018034 WDF or as appears on ID card The chart below is the third page of the 2022 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H3572 through H5325. Coverage considerations Most prescription drug benefit plans provide coverage for up to a 30-day supply of medication, with some exceptions. Click here for the first page (E0654 - H1997) , second page (H2001 - H3563) , fourth page (H5337 - H7322) , fifth page (H7323 - H9686) and sixth page (H9699 - S9701) . Special Requirements or Limits. Amplicare Match (iMedicare): Grow Your Medicare Business. The chart below is the first page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E3014 through H2001. MEDICARE PARTD NMHCRX 5. Pharmacy FAQ . April 1, 2023 340B Pharmacy Contract Administrators AHCCCS Pharmacy Directors Pharmacy resources for providers from Humana including pharmacy tools, electronic prescribing , manuals, forms and clinical practice guidelines. 5 NCPDP Prescription help: Please call the toll-free number on the back of your prescription benefit card or sign in to your member account. 24/7 Nurseline: 1-800-299-0274 Pharmacy Program: 1-800-423-1973 PRIME BIN:011552 PCN: ILDR BCBSIL Provider Manual—Rev 6/13 R Blue Cross BIN: PCN: Group Number: PBM Phone Number: AHCCCS FFS; 001553. You may also call Customer Service at 1-800-521-2227 prior to receiving your card. The BIN/IIN and PCNs are listed on the PBM/processor/plan’s Payer Sheets for trading partners to know the proper identifiers for routing transactions. Entering NDC with dashes (example 00012-3456-78 instead of 00012345678). PrimeTherapeutics. 3 Provider Enrollment 5 3. 1, BIN# 001553 , PCN: SERVUTQC − Added patient’s last name • NEBRASKA MEDICAID FHEALTH 5. Helpful Information for Retail Providers Verification of Eligible Persons . Click here for the first page (E3014 - H2001) , second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , and fifth page (H6846 - H8998) . The chart below is the second page of the 2024 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H2029 through H3499. Get support managing high-cost specialty drugs. com After-Hours Care AFTER-HOURS ACCESS The bin number is a six-digit number that identifies the pharmacy benefit manager (PBM) responsible for processing prescription drug claims for your insurance plan. bcbsil. Online and Mobile App . You will need your member ID, Blue Cross and Blue Shield of Texas (BCBSTX) utilizes Prime Therapeutics LLC as our pharmacy benefit manager to administer certain core services in our pharmacy program that will help contain rising drug costs and maintain and improve the quality of care delivered to members. 1 Telephone and Fax Numbers 5 3. MOLINA HEALTHCARE NM 5. : Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME 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. 24 Hours a Day / 7 Days a Week / 365 Days a Year. electronically to various insurance companies or benefits payers. number, BIN (011552) and PCN (BCTX). 0038 ; MONLINA MEDICARE NM 5. Please ensure this update is noted for your practice and staff. Rightway's superior pharmacy benefits management model guides every member to the right medication with the highest value. Rx Group #: TRUE4540 . At Blue Cross and Blue Shield of Texas, we know it’s more important than ever to better manage pharmacy costs without As of January 1, 2021, all Cigna Healthcare SM Commercial pharmacy plans and Cigna Healthcare Medicare claims are adjudicating on the Express Scripts systems. txvendordrug. Submitting compound claims • The pharmacy must submit all ingredients that make up a compound claim. → If you have questions regarding claims processing, please contact Prime’s Pharmacy Help Desk at 877. 011552 ; 1217 . The chart below is the first page of the 2020 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts E0654 through H2334. Click here for the first page (E0654 - H2235) , second page (H2237 - H3959) , third page (H3962 - H5928) and fifth page (H8634 - S9701) . Adding letters to BIN numbers (example 012353A instead of 012353). COST SHARING STAR Kids: $0 copays PCP ASSIGNMENTS Members select a PCP at enrollment and must see that PCP. All Fee-For-Service prescription claims must be submitted electronically at the point-of-sale to the AHCCCS contracted PBM, Optum Rx. ) Careers: If you wish to be considered for employment at Prime Therapeutics, please do not send a message using this form – instead, please visit our BIN Number: 011552 PCN: ILCAID . 011552 TXCAID TXC1 855-457-0403 (CHIP Only) 855-457-0407 : 888-657-6061 . September 30, 2014 . Group No. April 5, 2012 Addition of Bin number 808412 April 18, 2012 Addition of Bin number 900020 August 23, 2012 Addition of Bin numbers: 610280, 016516, 016508, 015517 Removed references to 5. : Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME BeneCard PBF Pharmacy Provider Manual Revised 8/11/2021 2 TABLE OF CONTENTS 1. The OptumRx Help Desk is available 24 hours per day and 365 days per year. 1 ; 610577 . QuickSCRIP offers the ability filter and print claims by their insurance bin number. 1 . AZM OptumRx 855-577-6310; AHCCCS FFS – Secondary to Commercial 001553 AZM Revised to update new billing information for PBM pescription claims processing. metroSTOR PBM . (Your member ID will be on your ID card once you receive it. Dear Valued Provider, Effective October 1, 2014, Prime will begin processing claims for BCBS of Illinois’ new Medicaid program, Blue Cross Community FHP. com to learn more about how we coordinate our medical and pharmacy benefits, review our drug lists, submit prior authorization requests, and more. Members can contact Customer Service at 1-800-521-2227 to obtain their pharmacy insurance information. Rx Bin: 011552 Rx PCN: BCTX 800-521-2227 PREAUTHORIZATION* 800-441-9188 DIABETIC SUPPLIES Miracle Medical 866-969-9596 or SIG 554-0028 Notes* All institutional care must be preauthorized. Prime Therapeutics offers e-prescribing administered through SureScripts ® , which allows providers to: Submit prescriptions electronically; Verify Member PBM BINs Help Desk 4D Management Systems, Inc. Author: Leti Created Date: Chart of 2023 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 6 (H7245 through H9649) 011552: MAPDTX1: H8133: Blue Cross and Blue Shield of Texas: 801, 803: 011552: MAPDTXG1: H8142: Baylor Scott & White Health Plan: all plans: 610011: CTRXMEDD: H8145: Humana: all plans: 015581: 2020 Health Mart Atlas Currently Contracted PBM Listing. 610106 800-263-2178 PerformRx (Includes: LA Medicaid and Keystone Mercy) 012353, The chart below is the sixth (final) page of the 2023 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H9662 through S9854. If Commercial claims are submitted for groups that have transitioned with the old BIN or PCN, claims will reject with NCPDP Reject Code 01 (M/I BIN) and 04 (M/I Processor Control 1Ø1-A1 BIN Number 610502 M The same value in the request billing 1Ø2-A2 Version/Release Number DØ M NCPDP vD. Get an overview of the BIN numbers data classified by countries, you can take an idea about the numbers of BIN, banks, and brands each country has. Central Time . 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. With over 10,000 units currently in operation, metroSTOR PBM Bin Housings are a well- established, tough and versatile outdoor bin storage solution. Your plan may also provide coverage for up to a 90-day supply of maintenance medications. 0 M 1Ø3-A3 Transaction Code B1=Billing M 1Ø4-A4 Processor Control Number As indicated above M 1Ø9-A9 Transaction Count 1=One Occurrence 2=Two Occurrences . 5 out of 5 Stars. For some drugs, you may need to meet certain criteria before your prescription drug coverage may be approved. m. Currently, there are more than +365,460 unique BIN in our database. It helps merchants track transactions. BIN: 011552 PCN: PDPTX See BIN/PCNs for all plans: Plan Type (Reach): Regional Plan: Number of Members enrolled in this plan in Texas: 17,656 members (CMS Region 22) Number of Members enrolled in this plan nationally: 57,707 members: Plan’s Summary Star Rating: 4 out of 5 Stars. 2 Mailing Address 5 3. Do NOT enter any prescription information into this form. Please refer to the Pharmacy Manual for contact information. com and in the True Rx app. You can use the filter to search for a specific country, search with the country name. National Network, Medicaid Networks, Perfect Pay Network (Copay Billing), Specialty Network, Vaccines Rx BIN: Rx PCN: PBM: <RxGroup> 011552 TXCAID PRIME BlueCross BlueShield Of Texas A Cato a Legal Liersee Crass Blue Member Name: NAMEM INITL NAME> Alpha Prefix: ZGE Subscriber ID: <SBSB 'CHIP Perinate PCP: N/A CHIP ID Number: <CHIP ID No. 011552 and United Healthcare Community Plan of New Mexico: Optum Rx. Click here for the second page (H2029 - H3499) , third page (H3517 - H5141) , fourth page (H5163 - H6832) , fifth page (H6846 - H8998) , and sixth page (H9001 - X0001) . It includes over 20 PBMs, such as CVS Caremark, Express Scripts, OptumRx, Contact Information: Corporate Headquarters 999 Lake Drive Issaquah, WA 98027 Mailing Address P. What is a Pharmacy Benefits Manager (PBM)? A Pharmacy Benefits Manager (PBM) is an organization a pharmacy contracts with to submit pharmacy claims . nvpu dajlxk xlox khsft edgri zlgfcc oemywvwa eobgmo vlesw likn