Pharmacy reference

RX BIN directory

Search source-linked pharmacy routes by BIN, PCN, payer, plan, or program, with the complete published source beside each result.

On a smaller screen, scroll the table to see the processor, RxGroup, and published source columns.

RX BINPublished PCN examplesProcessor or programRxGroupPublished source
CVS Caremark
004336ADV, RXSADV, DCADV, WALLegacy ADV commercial routesCard; requiredCommercial v2.0.8
004336MEDDADV, 77993322Medicare Part D routesCard or E1 responseMedicare v2.0.7, Jan. 2026
020099AC, CH, WG, FC, WK, WP, IS, CSCommercial client routesCard; requiredCommercial v2.0.8
020123IRXCOMMCommercial client routesCard; requiredCommercial v2.0.8
021338ADV, RXSADV, DCADVCommercial client routesCard; requiredCommercial v2.0.8
025201MOHMKPMolina client routeCard; requiredCommercial v2.0.8
026150SSRX50ScriptServ client routeCard; requiredCommercial v2.0.8
027547SSRX42Named health-system routeCard; requiredCommercial v2.0.8
027555SSRX42Named health-system routeCard; requiredCommercial v2.0.8
027570SSRX42Named health-system routeCard; requiredCommercial v2.0.8
028406OSCAROscar client routeCard; requiredCommercial v2.0.8
028512SSRX42Named health-system routeCard; requiredCommercial v2.0.8
610239FEPRXFederal Employee Program65006500Commercial v2.0.8
610415PCS, ADVLegacy PCS routesCard; requiredCommercial v2.0.8
61050200670000, AETCRXCAetna commercial routesCard; requiredCommercial v2.0.8
610502MEDDAET, PARTBAETAetna Medicare Part D and Part BCard or E1 responseMedicare v2.0.7, Jan. 2026
610591MEDDADVMedicare Part D routesCard or E1 responseMedicare v2.0.7, Jan. 2026
020388IRXMEDD, IRXMAON, IRXPARTBCaremark Medicare Part D and Part B routesCard or E1 responseMedicare v2.0.7, Jan. 2026
028272MOHMCARE, MOHPARTBMolina Medicare Part D and Part B routesCard or E1 responseMedicare v2.0.7, Jan. 2026
OptumRx
001553TNM, CKDSTennCare client routesSee sourceCommercial and Medicaid 2026
011172SCCMSKaiser Southern California MedicareCard or E1 responseCMS July 2026 extract
011214Regional PCN in sourceKaiser Medicare regional routeCard; requiredMedicare 2026
011222Regional PCN in sourceKaiser Medicare regional routeCard; requiredMedicare 2026
011230NWCMSKaiser Northwest MedicareCard or E1 responseCMS July 2026 extract
011255COCMSKaiser Colorado MedicareCard or E1 responseCMS July 2026 extract
011842NCCMSKaiser Northern California MedicareCard or E1 responseCMS July 2026 extract
011859MACMSAKaiser Mid-Atlantic MedicareCard or E1 responseCMS July 2026 extract
011933IAPOPIowa Medicaid client routeSee sourceCommercial and Medicaid 2026
013170Not requiredSeniorscript Medicare routeCardMedicare 2026
014293WYOPOPWyoming Medicaid client routeSee sourceCommercial and Medicaid 2026
015789CTRXMEDD and named client PCNsMedicare client routesCard; requiredMedicare 2026
015855UTPOPUtah Medicaid client routeSee sourceCommercial and Medicaid 2026
016580Not publishedMedalistRx client routeCardCommercial and Medicaid 2026
017522ACAscella client routeCard; requiredCommercial and Medicaid 2026
019827HTMedlessRx client routeCard; requiredCommercial and Medicaid 2026
021692CTRXMEDDBlueCross BlueShield of South Carolina MedicareCard; requiredMedicare 2026
022485STLCerpassRx client routeCard; requiredCommercial and Medicaid 2026
023153HTSavaScript client routeCard; requiredCommercial and Medicaid 2026
025771RX42ASBlueCross BlueShield of South Carolina routeCard; requiredCommercial and Medicaid 2026
025796Varies by clientCareCard routesCard; requiredCommercial and Medicaid 2026
220026EMRXMABCBS Michigan Emergient Medicare routeCard; requiredMedicare 2026
262400RXBCMABCBS Michigan SHS Medicare routeCard; requiredMedicare 2026
610011Varies by named clientCommercial and Medicare client routesCard; requiredMedicare 2026
6100979999, 7777Part D and MAPD routesCard; requiredMedicare 2026
6100978888, 8500Part D wrap routesCard; requiredMedicare 2026
61012704000001, 04000002, and other wrap PCNsCommercial coordination-of-benefits routesCard; requiredCOB payer sheet 2026
6102799999, CONTRAC, 7777UHC employer, contraceptive-only, and exchange routesCard; requiredUHC 610279 sheet 2026
6104949999, 2417, and state client PCNsCommercial and Medicaid routesCard; requiredCommercial and Medicaid 2026
6104942222UnitedHealthcare government programsCard; requiredMedicare 2026
610593HNEMEDD, SXCFLHMedicare client routesCard; requiredMedicare 2026
6106132417Community Health client routeCard; requiredCommercial and Medicaid 2026
610652Varies by planAARP client routesCard; requiredCommercial and Medicaid 2026
Prime Therapeutics
004915Not required, WRI, CPALBCBS Alabama and named commercial routesCard; requiredCommercial sheet, Dec. 2025
610455KSBCS, BCBSKS, LGHIBRX, SEIBRX, NY1000Kansas and EmblemHealth commercial routesCard; requiredCommercial sheet, Dec. 2025
610455NY4000, NY4020EmblemHealth Medicare and prescription carveout routesCard; requiredPrime Perspective, Dec. 2025
Additional PBMs and processors
610602From card; NVTD, MCD, and NVT examplesNavitus commercial, Medicare, and Medicaid client routesCard or program instructionNavitus manual v202601
012312PARTDMedImpact-administered route used by multiple current Part D sponsorsCard or E1 responseCMS July 2026 extract
015574ASPROD1MedImpact Part D route in current CMS plan recordsCard; requiredCMS 2026 BIN/PCN file
020040Multiple client PCNsMedImpact route for legacy Archimedes clientsCard; requiredLegacy Elixir sheet, Apr. 2025
020594Multiple client PCNsMedImpact route for legacy Archimedes clientsCard; requiredLegacy Elixir sheet, Apr. 2025
023491Multiple client PCNsMedImpact route for legacy Archimedes clientsCard; requiredLegacy Elixir sheet, Apr. 2025
610852CHM or client-specificJudi Rx, formerly Capital Rx, commercial routesCard; requiredJudi Rx pharmacist resources
610770CAPLRX or client-specificJudi Rx commercial routesCard; requiredJudi Rx pharmacist resources
610770CRXMDJudi Rx Medicare route in current CMS plan recordsCard; requiredCMS 2026 BIN/PCN file
610674Client-specific; abarcaD Medicare exampleAbarca commercial, Medicaid, and Medicare routesCard; requiredAbarca provider manual
Current independent PBM payer sheets
015433SSNLiviniti commercial pharmacy claimsCurrent cardLiviniti pharmacy manual, Mar. 2026
021882201907SmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
0190258001002, 5289SmithRx routesCurrent cardSmithRx payer sheet, Oct. 2025
0243683207, 3208, 3210, 3211, 3212, or plan-specificSmithRx routesCurrent cardSmithRx payer sheet, Oct. 2025
023211WMHRXSmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
024789WMHRXSmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
0280174001SmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
0280254002SmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
0283634003SmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
0283714004SmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
0283894005SmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
0283974006SmithRx routeCurrent cardSmithRx payer sheet, Oct. 2025
008878WDRX, NETCARD, TCN, UFCW, or card-specificWellDyne commercial routesCurrent cardWellDyne payer sheet, Oct. 2025
015723TRIADCRWellDyne Triad CareCurrent cardWellDyne payer sheet, Oct. 2025
019173Not requiredWellDyne Eagle Pharmacy / Knipper HealthCurrent cardWellDyne payer sheet, Oct. 2025
015962PDCWellDyne Palliative Drug Care RxCurrent cardWellDyne payer sheet, Oct. 2025
024433Card-specificWellDyne PDCRxMX / Medalist RxCurrent cardWellDyne payer sheet, Oct. 2025
024441Card-specificWellDyne PDCRxCurrent cardWellDyne payer sheet, Oct. 2025
025036ORX26WellDyne OrchestraRxCurrent cardWellDyne payer sheet, Oct. 2025
025219WDBRxWellDyne BESTRxCurrent cardWellDyne payer sheet, Oct. 2025
025359SELECTWellDyne SelectCurrent cardWellDyne payer sheet, Oct. 2025
025961SRXLB, SELECTRXWellDyne SelectRx limited-benefit routesCurrent cardWellDyne payer sheet, Oct. 2025
026142SSRX42WellDyne Children’s Nebraska / ScriptServCurrent cardWellDyne payer sheet, Oct. 2025
Medicare and federal program routes
6100979999OptumRx Part D and Medicare Advantage prescription drug recordsCard or E1 responseCMS 2026 extract
01558103200000Broadly reused Part D route; group and member ID remain plan-specificCard or E1 responseCMS 2026 extract
610502MEDDAETAetna Medicare processing through CVS CaremarkCard or E1 responseCMS 2026 extract
004336MEDDADVCVS Caremark Medicare Part D recordsCard or E1 responseCMS 2026 extract
610014MEDDPRIMEExpress Scripts-administered route reused by Wellcare, Express Scripts Medicare, Highmark, and other sponsorsCard or E1 responseCMS 2026 extract
020115ISCVS Caremark Medicare route used by multiple sponsorsCard or E1 responseCMS 2026 extract
017010CIMCARECigna Medicare prescription drug recordsCard or E1 responseCMS 2026 extract
003858MDExpress Scripts-administered route used by multiple Medicare sponsorsCard or E1 responseCMS 2026 extract
610011CTRXMEDDOptumRx Medicare client recordsCard or E1 responseCMS 2026 extract
610602NVTDNavitus-administered route used by Geisinger, Moda, and other sponsorsCard or E1 responseCMS 2026 extract
610455AHPPARTDAlignment Health Plan Medicare route processed by Prime TherapeuticsCard or E1 responseCMS 2026 extract
611791CARELONRXCarelonRx Part D recordsCard or E1 responseCMS 2026 extract
610674abarcaDAbarca Medicare recordsCard or E1 responseCMS 2026 extract
01558103200008CarePlus Medicare plans; do not substitute for the more widely reused 03200000 routeCard or E1 responseCMS 2026 extract
02669677993322Blue Shield of California Medicare plansCard or E1 responseCMS 2026 extract
012635NAIndependent Health and Pharmacy Benefit Dimensions Medicare plansCard or E1 responseCMS 2026 extract
610674PHPMEDDRXProminence Health Plan Medicare recordsCard or E1 responseCMS 2026 extract
012833MedDPrimeFlorida Blue and BlueMedicare records; preserve the PCN casing returned by the card or E1 responseCard or E1 responseCMS 2026 extract
0159387463Select Health Medicare recordsCard or E1 responseCMS 2026 extract
610455SOMAPDSolis Health Plans Medicare recordsCard or E1 responseCMS 2026 extract
020388IRXMEDDCVS Caremark-administered Medicare Part D route used by multiple sponsorsCard or E1 responseCMS 2026 extract
610455NY4000EmblemHealth Medicare recordsCard or E1 responseCMS 2026 extract
014897MBGBlue Cross and Blue Shield of Alabama Blue Advantage recordsCard or E1 responseCMS 2026 extract
610455EMNH5959Blue Cross and Blue Shield of Minnesota Medicare Advantage recordsCard or E1 responseCMS 2026 extract
015905HMONCBlue Cross and Blue Shield of North Carolina Blue Medicare HMO recordsCard or E1 responseCMS 2026 extract
610602EGWPNavitus MedicareRx employer group recordsCard or E1 responseCMS 2026 extract
610455KSPDPBlue Cross and Blue Shield of Kansas Blue MedicareRx PDP recordsCard or E1 responseCMS 2026 extract
004336ADVLegacy ADV Part B routeCard or payer instructionCaremark Medicare v2.0.7
004336PARTBADVLegacy ADV Part B routeCard or payer instructionCaremark Medicare v2.0.7
610502PARTBAETAetna Part B routeCard or payer instructionCaremark Medicare v2.0.7
020115NSCaremark-published Part B routeCard or payer instructionCaremark Medicare v2.0.7
020388IRXMAONCaremark-published Part B routeCard or payer instructionCaremark Medicare v2.0.7
020388IRXPARTBCaremark-published Part B routeCard or payer instructionCaremark Medicare v2.0.7
028272MOHPARTBMolina Part B route effective January 1, 2026Card or payer instructionCaremark Medicare v2.0.7
00433677993355Caremark-published Part B routeCard or payer instructionCaremark Medicare v2.0.7
0022188PSTMEDDPACE records across many organizations; this is a seven-character processor ID or IINCurrent PACE card or E1 responseCMS July 2026 extract
024748GRNMEDDPACE records across multiple organizationsCurrent PACE card or E1 responseCMS July 2026 extract
016110PACEPACE records across multiple organizationsCurrent PACE card or E1 responseCMS July 2026 extract
610097MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610649MPPP7777Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610502MPPPORMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
004336MPPPORMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610014MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
020115MPPPORMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
017010MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
003858MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610011MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
027133MPPPPROD1Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
011552MPPPHCSCMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
027100MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPPARTDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
012312MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
611791MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610674MPPPTSSADVMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPCAPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610649MPPP8888Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
011842MPPPNCMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
012833MPPPFLMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
024896MPPP65Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
026696MPPP3322Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610674MPPPPROD1Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
011859MPPPMAMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610623MPPP021000Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610770MPPPCRXMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
027357MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPSOMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
004336MPPORMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
011255MPPPCOMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
011172MPPPSCMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
0022188PSTMEDDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
020388MPPPORMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610011MPPPWAMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPPARTDGMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
016499MPPPNJMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
600428MPPP0299Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
015905MPPPNCMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPRIMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
021692MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPMNMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
004336MEDDADVMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
011214MPPPHIMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
011222MPPPGAMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPKSMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPMAPDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610953MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPNEMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
011230MPPPNWMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
024748GRNMEDDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPHCSCMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
014897MPPPMBGMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
024756ASCHMEDDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPCHPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPCSMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610623MPPP021100Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
014897MPPPPLXMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
027133MPPPPROD01Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPCHPGMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPPBMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610593MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610623MPPP021200Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
014897MPPPRDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
015574MPPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
019439MPPP3000Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
019439MPPP3841Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
019587MPPP0619Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
019587MPPP11802Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
020289MPPPEHMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
022118PSTMEDDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610011CTRXMEDDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPPDPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610591MPPPPORMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
0022188PSTNEDDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
012312MPPPE1Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
015905MPPPNCSMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
017010MPPMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
019587MPPP11819Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
019587MPPP11820Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
027133MPPPPRODMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
027174MPPPRXAMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
600428MPPP0333Medicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPGCMAPDMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610455MPPPSBMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
610591MPPPORMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
611139MPPPORMedicare Prescription Payment Plan COB routePaid primary response supplies the routeCMS July 2026 extract
003858A4TRICARE pharmacy programDODATRICARE FAQ, Oct. 2024
01559905440000Medicare LI NETMay be blankCMS LI NET resources
028918MEDDGLP1BRMedicare GLP-1 Bridge, effective July 2026Program-specificCMS pharmacy instructions, July 2026
State Medicaid fee-for-service and managed-care routes
004146Not usedAlabama Medicaid FFSNot usedAlabama NCPDP companion guide, May 2026
Not publishedNot publishedAlaska MedicaidNot publishedAlaska Medicaid pharmacy resources
001553AZMArizona AHCCCS FFSBlank2026 AHCCCS route table
017606P027017606Arkansas Medicaid FFSARMEDICAIDArkansas pharmacy document library
0226596334225California Medi-Cal RxSee program field rulesMay 2026 payer specification
018902P303018902Colorado Medicaid FFSCOMEDICAIDColorado Medicaid payer sheet, effective April 2026
No BINNo PCNConnecticut HUSKY HealthNot applicableHUSKY Health FAQ
Plan-specificPlan-specificDelaware Medicaid managed carePlan-specificState plan table, revised December 21, 2023
018407DCMC018407District of Columbia FFS and AllianceAlliance ICPD.C. Transmittal 25-22
013352P035013352Florida Medicaid FFSFLMEDICAIDFlorida NCPDP payer specification
001553GAMGeorgia Medicaid FFSNot requiredGeorgia FFS payer sheet
610084DRHIPRODHawaii Med-QUEST FFSHAWAII1000; HAWAII2000 for OYSHawaii Medicaid payer sheet
014864P043014864Idaho Medicaid FFSIDMEDICAIDIdaho claims manual
017804ILPOPIllinois Medicaid FFS, ILPOPBlankIllinois payer sheet
001553INMIndiana Medicaid FFSNot publishedIndiana pharmacy services
610517BlankKansas Medicaid FFSBlankKansas FFS and MCO billing page
026309KYPROD1Kentucky Medicaid FFSKYF01Kentucky route table
610514LOUIPRODLouisiana Medicaid FFSBlankLouisiana Informational Bulletin 25-27
005526MEPOPMaineCare FFSBlankApril 2026 MaineCare provider newsletter
610084DRMDPRODMaryland Medicaid FFSMDMEDICAIDMaryland state route notice
009555MASSPRODMassHealth FFS and PCCMassHealthMassHealth Pharmacy Facts 264
009737P008009737Michigan Medicaid FFSMIMEDICAIDMichigan pharmacy benefit page
0267875309662024Minnesota state-administered pharmacyBlankMinnesota payer specification
025151DRMSPRODMississippi MedicaidBlankMississippi Medicaid pharmacy
00404743-1754897MO HealthNet FFSBlankMO HealthNet payer sheets
610084DRMTPRODMontana Medicaid FFS1509040; 0064206420 for MHSPMontana payer sheet
013766P063013766Nebraska Medicaid FFSNEBMEDICAIDNebraska payer specification
024888683377Nevada Medicaid FFSNVMEDICAIDNevada pharmacy provider FAQ
009513P002002286New Hampshire Medicaid FFSALLNew Hampshire provider notice
610515SUPP NJNew Jersey Medicaid FFSNot usedNew Jersey pharmacy training Q&A
028165DRNMPRODNew Mexico Medicaid FFSSee payer sheetNew Mexico FFS payer sheet
004740Pharmacy-specific ETIN/PINNew York Medicaid NYRxNot usedNYRx provider guidance
610242781640064North Carolina Medicaid DirectBlankNorth Carolina pharmacy services
601364DRNDPRODNorth Dakota Medicaid FFSNDMEDIFFSNorth Dakota payer sheet
024251OHRXPFFSOhio Medicaid FFSBlankOhio SPBM FFS vendor specification v4.1, June 2026
010579OKA01Oklahoma SoonerCarePharmacy's 10-digit pay-to NPIOklahoma NCPDP payer sheet
014203ORDHSFFSOregon Health Authority open cardBlankOregon pharmacy quick reference
600760Not applicablePennsylvania Medicaid FFSNot applicablePennsylvania pharmacy guidance
610471MCAID1293Rhode Island Medicaid FFSNot publishedRhode Island provider update
009745P006009745South Carolina Medicaid FFSSCMedicaid or SOC01South Carolina pharmacy provider portal
601574BlankSouth Dakota Medicaid FFSBlankSouth Dakota payer sheet
001553TNMTennessee TennCareNot applicableTennCare pharmacy provider portal
610084DRTXPRODTexas Medicaid non-managed careMEDICAIDSample Your Texas Benefits card
017795VTPOPVermont MedicaidSee program rulesVermont pharmacy provider manual
0109008263342243Virginia Medicaid FFSVAMEDICAIDVirginia NCPDP payer sheet
024822DRWAPRODWashington Apple Health FFSCAIDWashington plan billing information
610164DRWVPRODWest Virginia MedicaidBlankWest Virginia pharmacy services
610499Program-specific or blankWisconsin Medicaid and BadgerCare PlusTXIXForwardHealth pharmacy claim specification
6104944100Arizona · UnitedHealthcare Community Plan (Acute, CRS, DD and LTC)ACUAZAHCCCS route table
003858MAArizona · Care1st2DVAAHCCCS route table
610591ADVArizona · Mercy Care DCS CHP, ACC, DD and LTCRX8805AHCCCS route table
001553AZMDDDArizona · Division of Developmental Disabilities FFSBlankAHCCCS route table
004336MCAIDADVArizona · BCBAZ Health Choice ArizonaRX3898AHCCCS route table
003858MAArizona · Arizona Complete Health2DZAAHCCCS route table
004336MCAIDADVArizona · Molina HealthcareRX21EJAHCCCS route table
004336MCAIDADVArizona · Molina KidsCareRX21BEAHCCCS route table
004336MCAIDADVArizona · Molina Dual Eligible PlanRX51BIAHCCCS route table
610014MAArizona · Banner University Family CareBANBUHPAHCCCS route table
003858MAArizona · Banner University Family Care (alternate published BIN)BANBUHPAHCCCS route table
610591ADVArizona · Mercy Care RBHARX8822AHCCCS route table
020107INIndiana · AnthemWKXAIndiana pharmacy services
003858MAIndiana · CareSourceRXINN01Indiana pharmacy services
61064903191506Indiana · Humana PathWays28968Indiana pharmacy services
003858MAIndiana · MHS2EKAIndiana pharmacy services
6104944841Indiana · UnitedHealthcareACUINIndiana pharmacy services
020107IRXKSKansas · Healthy Blue KansasRX8481KanCare billing codes
003858MAKansas · Sunflower Health Plan2ELAKanCare billing codes
6104949999Kansas · UnitedHealthcare Community PlanACUKSKanCare billing codes
610591MCAIDADVLouisiana · Aetna Better HealthRX881JLouisiana pharmacy billing table
01959506030000Louisiana · AmeriHealth CaritasBlankLouisiana pharmacy billing table
020107LALouisiana · Healthy BlueRX8482Louisiana pharmacy billing table
61064903191502Louisiana · Humana Healthy HorizonsLAM01Louisiana pharmacy billing table
003858MALouisiana · Louisiana Healthcare Connections2ENALouisiana pharmacy billing table
610011IRXMassachusetts · Fallon Health–Atrius, Berkshire Fallon, and Fallon 365 CareFCHPMCDMassHealth Pharmacy Facts 264
610593MHPMassachusetts · Be Healthy Partnership Plan (HNE)HNEMHMassHealth Pharmacy Facts 264
610011ORXMassachusetts · Mass General Brigham Health Plan with Mass General Brigham ACORX1653MassHealth Pharmacy Facts 264
610011IRXMassachusetts · Tufts Health Together with CHA and UMass Memorial HealthRXMCDMAMassHealth Pharmacy Facts 264
003858MAMassachusetts · WellSense ACO partnerships and Essential MCOMAHLTHMassHealth Pharmacy Facts 264
610591ADVMichigan · Aetna Better HealthRX8826Michigan health-plan route table
019595PRX00621Michigan · Blue Cross CompleteBlankMichigan health-plan route table
003858MAMichigan · HAP CareSourceCSHAPMIMichigan health-plan route table
017142ASPROD1Michigan · McLaren Health PlanML108; ML110; ML284; ML329Michigan health-plan route table
003858MAMichigan · Meridian Health Plan2EPAMichigan health-plan route table
004336MCAIDADVMichigan · Molina HealthcareRX0506Michigan health-plan route table
003858MAMichigan · Priority Health ChoicePHMEDCDMichigan health-plan route table
6104944242Michigan · UnitedHealthcare Community PlanACUMIMichigan health-plan route table
003858MAMichigan · Upper Peninsula Health PlanUPHPMDCMichigan health-plan route table
019595PRX00801North Carolina · AmeriHealth CaritasBlankNorth Carolina pharmacy services
020107NCNorth Carolina · Healthy Blue and Healthy Blue Care Together8473North Carolina pharmacy services
003858MANorth Carolina · Carolina Complete Health2ERANorth Carolina pharmacy services
6104944949North Carolina · UnitedHealthcareACUNCNorth Carolina pharmacy services
610602MCDNorth Carolina · Alliance tailored planTPMCNorth Carolina pharmacy services
025052MCAIDADVNorth Carolina · Partners tailored planRX22ACNorth Carolina pharmacy services
019595PRX10811North Carolina · Trillium tailored planBlankNorth Carolina pharmacy services
610602MCDNorth Carolina · Vaya tailored planVAYARXNorth Carolina pharmacy services
024251OHRXPRODOhio · AmeriHealth, Anthem, Buckeye, CareSource, Humana, Molina and UnitedHealthcareBlankOhio managed-care route guide
00358538900Oregon · Advanced HealthBlankOregon pharmacy quick reference
00358538060Oregon · AllCareBlankOregon pharmacy quick reference
00358538960Oregon · Cascade Health AllianceBlankOregon pharmacy quick reference
610011IRXOregon · Columbia Pacific, Health Share–CareOregon and Jackson Care ConnectCORMCAIDOregon pharmacy quick reference
610602MCDOregon · Eastern Oregon CCO10009552Oregon pharmacy quick reference
00358570000Oregon · Health Share–Kaiser PermanenteKP007Oregon pharmacy quick reference
004336ADVOregon · Health Share–Legacy/PacificSource and PacificSource Community SolutionsRX6156Oregon pharmacy quick reference
017142ASPROD1Oregon · Health Share–OHSU HealthOHU01Oregon pharmacy quick reference
60042807870000Oregon · Health Share–Providence100598Oregon pharmacy quick reference
610011IRXOregon · InterCommunity Health NetworkSAMCAIDOregon pharmacy quick reference
610602NVTOregon · Moda Health OHP Dental (COFA and Veteran Dental)COFAVOregon pharmacy quick reference
003858MAOregon · Trillium Lane and Tri-County2EZAOregon pharmacy quick reference
00358538920Oregon · Umpqua Health Alliance38920Oregon pharmacy quick reference
60042807870000Oregon · Yamhill Community CareYCCOPHTKOregon pharmacy quick reference
01959501940000Pennsylvania · AmeriHealth Caritas Pennsylvania and Keystone FirstBlankPennsylvania FFS/MCO table
01959507630000Pennsylvania · AmeriHealth and Keystone First Community HealthChoicesBlankPennsylvania FFS/MCO table
026010MCDGPennsylvania · Geisinger Health PlanBlankPennsylvania FFS/MCO table
004336MCAIDADVPennsylvania · Health Partners of PhiladelphiaRX3892Pennsylvania FFS/MCO table
004336MCAIDADVPennsylvania · Highmark Wholecare (Medicaid primary)RX2338Pennsylvania FFS/MCO table
003858MAPennsylvania · Pennsylvania Health & Wellness2FBAPennsylvania FFS/MCO table
6104944200Pennsylvania · UnitedHealthcare Community PlanACUPAPennsylvania FFS/MCO table
610591ADVVirginia · AetnaRX8837Virginia health-plan route table
020107FMVirginia · AnthemWQVVAVirginia health-plan route table
61064903191507Virginia · HumanaVAM01Virginia health-plan route table
003858MAVirginia · SentaraOHPMDCD; VPMMDCD; SHPMDCDVirginia health-plan route table
6104944900Virginia · UnitedHealthcareACUVAVirginia health-plan route table
003858MAWashington · Coordinated Care2FEAApple Health billing table
003858APHEWashington · Coordinated Care, Apple Health ExpansionAP2FEAApple Health billing table
004336MCAIDADVWashington · Molina Apple Health Integrated Managed CareRX0540; RX0542; RX0543; RX0828; RX0574Apple Health billing table
004336MCAIDWAWashington · Molina Apple Health ExpansionRX51BPApple Health billing table
6104944600Washington · UnitedHealthcare Apple Health Integrated Managed CareACUWAApple Health billing table
6104944600Washington · UnitedHealthcare Apple Health ExpansionACUWAAPLApple Health billing table
020107CMWashington · WellpointWKHAApple Health billing table
020107IRXCOBOPPRKansas · Healthy Blue secondary to Medicare Part DRX8481KanCare billing codes
020107IRXCOBOPAPKansas · Healthy Blue secondary to commercial coverageRX8481KanCare billing codes
003858KSMEDDKansas · Sunflower secondary to Medicare Part D2ELAKanCare billing codes
6104944848Kansas · UnitedHealthcare secondary to Medicare Part DACUKSKanCare billing codes
6100979999Kansas · UnitedHealthcare Dual Complete H0169-004MPDCSPKanCare billing codes
6100979999Kansas · UnitedHealthcare Dual Complete H5322-029MPDCSKSKanCare billing codes
610517MEDDKansas · FFS Medicare Part D copay assistance, COB scenario 2BlankKanCare billing codes
012114MCAIDADVPennsylvania · Highmark Wholecare secondary to MedicareRX2338Pennsylvania FFS/MCO table
013089MCAIDADVPennsylvania · Highmark Wholecare secondary to commercial insuranceRX2338Pennsylvania FFS/MCO table
012114COBADVWashington · Molina secondary to Medicare Part DRX0540; RX0542; RX0543; RX0828; RX0574Apple Health billing table
013089COMADVWashington · Molina secondary to commercial coverageRX0540; RX0542; RX0543; RX0828; RX0574Apple Health billing table
Workers' compensation and first-fill routes
610566BlankWashington L&I State FundNot usedWashington L&I payer sheet
014658WSINorth Dakota WSI, LucyRx8001North Dakota WSI pharmacy services
024004NVTWCOregon SAIF, NavitusSAIFSAIF medication instructions
610235WRKNew York State Insurance Fund, CVS CaremarkNYSIFNYSIF claimant guide and temporary form
610084DRWDPRODU.S. DOL DCMWC and DEEOIC, ConduentAuthorization-specificDOL OWCP pharmacy portal
004261CALOptum Tmesys, direct routeClient-specificOptumRx pharmacy provider manual
002538CALOptum Tmesys, Envoy routeClient-specificOptumRx pharmacy provider manual
004261CALTexas Mutual, Optum TmesysTXSMFFTexas Mutual first-fill form
003858WCCalifornia State Fund, myMatrixxCSCIFCalifornia State Fund temporary card
003858WCMontana State Fund, myMatrixxK9JACurrent Montana State Fund first-fill page
019082MPSKEMI, ScriptAdvisorMPS001591TCKEMI first-fill form
023377MPSCNA, ScriptAdvisor001731TCCNA first-fill form
003858WCChesapeake Employers or IWIF, myMatrixxIWIFChesapeake first-fill page
003858WCWorkers' Compensation Trust, myMatrixxESR3050WC Trust first-fill page
003858WCUniversal Risk Services, myMatrixx77NAUniversal Risk first-fill page
003858WCThird Coast Underwriters, myMatrixxKQTAAF Group first-fill form
004336ADVCorVel, MEMIC named 2026 formRXFFWC8757788MEMIC CorVel first-fill form
Prescription discount-card examples
019520NMedsNeedyMeds standard cardDRUGCARDCurrent NeedyMeds card
006053MSCScriptSave WellRx8602Current WellRx coupon example
0193637283Inside Rx, peopleSVECARDInside Rx card data
0193637283Inside Rx, petsSVECD99Inside Rx card data
00358591200America's PharmacyARX0302America's Pharmacy card
003585ASPROD1Sam's Club Rx Savings, powered by America's PharmacyALLMBRSam's Club card pass
028257RXCORX.co2001RX.co discount card
023252WCH, WDN, CHRXWellDyne discount-card routesCurrent cardWellDyne, Oct. 2025
008878WDN, WTZHWellDyne and Waltz Health discount routesCurrent cardWellDyne, Oct. 2025
020586WDN or card-specificChicagoRx Card and WellCardRx discount routesCurrent cardWellDyne, Oct. 2025
014856Not requiredRXDC discount routeCurrent cardWellDyne, Oct. 2025
018042Card-specificRXDC discount routeCurrent cardWellDyne, Oct. 2025
020578Card-specificRXDC discount routeCurrent cardWellDyne, Oct. 2025
017564Card-specificRXDC discount routeCurrent cardWellDyne, Oct. 2025
017571Card-specificRXDC discount routeCurrent cardWellDyne, Oct. 2025
018034WDF or card-specificRxMedSaver discount routeCurrent cardWellDyne, Oct. 2025
018794Not requiredConnect Health Solutions discount routeCurrent cardWellDyne, Oct. 2025
018506Not requiredConnect Health Solutions discount routeCurrent cardWellDyne, Oct. 2025
022287WDN, 8969, or card-specificCoastalRx discount routesCurrent cardWellDyne, Oct. 2025
022725WDNDiscount Rx Savings routeCurrent cardWellDyne, Oct. 2025
021429FMCFinancial Marketing Concepts discount routeCurrent cardWellDyne, Oct. 2025
023070BRX or card-specificBetter Rx discount routeCurrent cardWellDyne, Oct. 2025
023534PRX or card-specificPirateRx discount routeCurrent cardWellDyne, Oct. 2025
024334WDINT or card-specificAffordableMeds discount routeCurrent cardWellDyne, Oct. 2025
024301WDN or card-specificRxNxt discount routeCurrent cardWellDyne, Oct. 2025
024319WDN or card-specificCrumdale Partners discount routeCurrent cardWellDyne, Oct. 2025
025367WDN or card-specificSavascript Value Services discount routeCurrent cardWellDyne, Oct. 2025
022501WDN or card-specificSavascript Value Services discount routeCurrent cardWellDyne, Oct. 2025
639858Named cash-card PCNs in sourceWaltz Health Cash Card discount routesCurrent cardWellDyne, Oct. 2025

When the directory and card disagree

NCPDP explains that it assigns processor BINs but does not track each number's later history. Processors publish current combinations through payer sheets, while plans communicate client-specific routes through cards and eligibility systems.

  • The processor may have retired an older BIN or PCN after a directory source was published.
  • The plan may use a client-specific PCN or group that is absent from a processor's public summary.
  • The patient's profile may still contain a prior-year route after a plan change.

When the directory and a current payer response conflict, use the current response and document where the replacement route came from. For field behavior and routing rejects, use the RX BIN, PCN, and group guide. For the returned code itself, use the pharmacy claim reject-code reference.

Sources23 linked sources
Reference status96 linked sources
Sources checked

Every route is backed by a linked public payer or program document, directly or through its focused guide. This is a working reference, not a national master registry. The patient card, eligibility response, current coupon, or latest payer instruction governs a live claim.

FAQ

Questions worth asking.

What payer uses RX BIN 004336?

CVS Caremark's commercial payer sheet effective January 2026 identifies 004336 as its Legacy ADV system BIN. Published commercial PCNs include ADV, RXSADV, DCADV, and WAL. CVS Caremark also publishes 004336 routes for Medicare Part D, dual Medicare and Medicaid, and Medicare Part B claims.

What payer uses RX BIN 003858?

003858 is published for several Express Scripts routes. Current examples include PCN MA for WellSense Essential in MassHealth's 2026 list and PCN A4 with group DODA for TRICARE. Match the PCN and group because the BIN is shared.

What payer uses RX BIN 610097?

OptumRx's Medicare payer sheet effective January 2026 lists 610097 for Part D and Medicare Advantage prescription plans with PCNs 9999 and 7777. It also lists 610097 for Part D wrap plans with PCNs 8888 and 8500. The member's card supplies the applicable group.

What payer uses RX BIN 610502?

CVS Caremark publishes 610502 for Aetna processing. Its commercial sheet lists PCNs 00670000 and AETCRXC, while its Medicare sheet lists MEDDAET for Medicare Part D and PARTBAET for Part B. Use the current card to choose the route.

What payer uses RX BIN 610852?

Judi Rx, formerly Capital Rx, publishes 610852 for commercial processing. Its provider material shows PCN CHM as one example, while client-specific routes can differ. Use the complete current card.

Is there an official master list of every RX BIN?

No public national master directory tracks every current BIN, PCN, and group combination. This directory is complete for its stated, dated public-source set, not for every client-specific route in use. NCPDP assigns processor identifiers but says it does not track the later history of each number.

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