Workers' compensation RX BIN directory

Stable state-fund and public-program routes

Start here when the current claim names one of these programs. These are published routes, but the claimant identifier, eligibility, network, and authorization still have to match the injury claim.

Find a workers' compensation route in this guide

Search the public-program, processor-family, and first-fill tables in this guide. Match the route to the current claim, carrier, authorization, and claimant instructions.

Program	RX BIN	PCN	RxGroup	When this row applies	Claim or member field	Source
Washington L&I State Fund	610566	Blank	Not used	Current state-fund point-of-sale billing	Seven-digit claim ID	Washington L&I payer sheet
North Dakota WSI, LucyRx	014658	WSI	8001	Current state-fund pharmacy route	WSI claim number or the identifier permitted by the program	North Dakota WSI pharmacy services
Oregon SAIF, Navitus	024004	NVTWC	SAIF	Current state-fund pharmacy route	SAIF claim number; person code 00	SAIF medication instructions
New York State Insurance Fund, CVS Caremark	610235	WRK	NYSIF	Temporary prescription service for an initial prescription	Use the secure claimant identifier and enrollment steps on the NYSIF form	NYSIF claimant guide and temporary form
U.S. DOL DCMWC and DEEOIC, Conduent	610084	DRWDPROD	Authorization-specific	Current public portal names Conduent as the pharmacy processor; use the claimant's current MBIC	Current OWCP claimant card and authorization	DOL OWCP pharmacy portal

Processor route families

A processor route is not a complete claim. Optum Tmesys, myMatrixx, and ScriptAdvisor reuse parts of a route while the client group and claimant field identify the actual program. Match the named carrier or state fund before submitting.

Temporary first-fill routes

These combinations are useful for recognizing a named first-fill instruction. They are not permanent cards. Check the stated window from the date of injury, the supply or dollar limit, and whether continuing coverage has already replaced the temporary route.

MEMIC route scope: myMatrixx also publishes a MEMIC-labeled first-fill page with a different combination. Do not treat either route as a replacement for the other. Use the processor and fields on the current instruction for the specific claim.

Programs that require a current card or portal

A missing static row does not mean a program lacks pharmacy coverage. These programs publish a claim-specific workflow rather than one reusable combination.

What this directory can and cannot cover

Workers' compensation billing is decentralized. State funds and federal programs may publish stable instructions. Private carriers and third-party administrators often issue route details only after a claim is opened. PBMs can reuse one BIN and PCN with a different group for each carrier or employer. This directory covers current public routes and representative route families; it is not a national registry of every private claim.

The current DOL OWCP pharmacy portal identifies Conduent as the processor for DCMWC and DEEOIC and says claimants should have their current Medical Benefit Identification Card. It does not support the previously announced September 2026 Optum transition language, so that future-dated route has been removed.

First fill and continuing coverage are different

1. Confirm the employer, carrier, administrator, state fund, or federal program named on the instruction.
2. Enter the BIN, PCN, and group from that same instruction. A client group from another first-fill card is not reusable.
3. Use the claimant identifier only in the secure field designated by the program.
4. Check the first-fill time window, drug restrictions, days supply, quantity, network, and authorization.
5. Before a refill, ask whether the claim has moved to a permanent route.

Sensitive identifier warning: some workers' compensation instructions use a Social Security number to construct a claimant field. Use it only when the current program explicitly requires it, only in the designated secure claim field, and only through the pharmacy's approved workflow. Do not copy it into shared notes, logs, screenshots, or reference tools.

When a published route rejects

The claim reject-code reference explains the standard code. The program message, claim status, and effective date determine the operational next step.