Pharmacy :: The Health Plan 0000012588 00000 n The plan deposits 0000010872 00000 n Healthcare coverage wherever you go. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. <<0F6188EC756C624CBAA438B0D92726A7>]>> Contact the plan provider for additional information. AHCCCS FFS 001553 AZM OptumRx 855-577-6310 . International Organization for Standardization / International Electrotechnical Commission, (ISO/IEC) Joint Technical Committee (JTC) 1, Contact NCPDP Provider Services Department at 480.734.2870 or. Not all entities use the PCN to differentiate plans. Pharmacist Resource Center PDF 2020 Medicare Advantage Guide - EmblemHealth PCN GROUP : Type Network: Location Help Desk Number: ARGUS 1.1.2015 HealthCare Corp of America /Prescription Corp of America HCA-PCA 340 Basics 600428 06730000 Medicaid: National 1-800-309-1603: ARGUS 1.1.2015 Health Network Dscnt Card 600428: 1HEALTH Commercial: National 1-866-921-7286: ARGUS 1.1.2015 Health Options 600428: 07130000 Commercial . Plan Name/Group Name: MI01/MIMEDICAID BIN:009737 PCN: P008009737 Processor: Processor/Fiscal Intermediary Effective as of: 01/01/2012 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 10/2017 NCPDP External Code List Version Date: 10/2017 All existing six-digit IINs were converted into a block of one hundred eight-digit IINs. The PCN, like the BIN/IIN appears on the pharmacy ID card, in accordance with the rules defined in theNCPDP Pharmacy ID and Combination Card Implementation Guide. NCPDP - NCPDP Processor ID (BIN) Please renew your membership to login. Existing six-digit IINs were converted into a block of one hundred eight-digit IINs. 2019 Payer Sheet NCPDP Version D - meridianrx.com (function() { 0000011029 00000 n 0000006248 00000 n The new third party function where you can input the bin and pcn directly from the patient's profile is WAY helpful tho! PDF Medco Version D.0 Medicare Part D Payer Sheet - BCBSM Joined Feb 3, 2010 Messages 2 . Please contact the plan for further details. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), NCPDP provides a service to those health plans that do not use magnetic stripe cards. 74 0 obj <> endobj 2389 38 Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4. BIN# 610014 BCBS 430 Date Printed 12/22/2014. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see General information is available in Resource Topic-Guidance Documentsunder the "Pharmacy and Healthcare Identification Cards" banner. Rx BIN#: 400023 Rx PCN#: 0020050403 Issuer#: (80840) CMS#:H3330-037-000 Plan Name Network: VIP Prime Comprehensive Dental X327934200116X 3 2 7 9 3 4 2 0 0 1 1 6 MEMBERS AND PROVIDERS: Network providers must provide or arrange nonemergency care. Some entities may use the Group ID; still others may not need this level of differentiation. CDPHP (800) 388-2994. 11-A1 BIN Number See BIN/PCN table, above M 12-A2 Version Release Number D=Version D.0 M 13-A3 Transaction Code B1=Billing M 14-A4 Processor Control Number As indicated above M 19-A9 Transaction Count 1=One Occurrence 2=Two Occurrences . 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. C. CPhT1969 New Member. Read latest notifications, file pricing appeals and search Express Scripts claims and patient coverage for your Pharmacy customers. gcse.src = (document.location.protocol == 'https:' ? BIN Number 610014 610014 003858 600428 PCN Number Per card, cannot be 0s 06330000Per card, cannot be 0s A4 . 0000000016 00000 n 0000001081 00000 n 0000010641 00000 n 45 0 obj << /Linearized 1 /O 47 /H [ 1020 449 ] /L 172513 /E 107663 /N 8 /T 171495 >> endobj xref 45 29 0000000016 00000 n 109-A9 Transaction count 1 to 4 M Up to 4 Become a Member, PRIVACY POLICY UPDATE Effective February 11, 2021 0000001602 00000 n What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan? 0000002289 00000 n Medicare evaluates plans based on a 5-Star rating system. ?rXWK k(`8dB=k&y(~{p{V@ [ Hz)"oz ) PDF ATTACHMENT 2 PLAN CONTACT AND BILLING INFORMATION - New York State a listing of the legal entities The BIN/IIN field will either be filled with the ISO/IEC 7812 IIN or the NCPDP Processor BIN, depending on which one the health plan has obtained. MCAIDADV RX5443. 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. 0000001020 00000 n 0000012195 00000 n 0000038251 00000 n 0000009323 00000 n %PDF-1.6 % 0000000016 00000 n 01 M/I BIN 101-A1 04 M/I PCN 104 -A4 06 M/I GROUP NUMBER 301 -C1 07 M/I CARDHOLDER ID 301 -C2 Additional messaging will provide the correct BIN and PCN to use. The application and registration procedures are identified in ISO/IEC 7812-2. 0000002034 00000 n We do not sell leads or share your personal information. Systems for register-based monitoring of vaccine effectiveness (VE) against laboratory-confirmed influenza (LCI) in real time were set up in Stockholm County, Sweden, and Finland, before start of the 2016/17 influenza season, using population-based cohort studies. 0000007028 00000 n 0000006589 00000 n To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). 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 800-922-1557 Mercy Care LTC 610591 ADV RX8805 CVS- Caremark 855-548-5646 Arizona Complete Health (formerly Health Net & Cenpatico) 004336. PDF Commercial Plan List The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Because of this, every member must create a new account regardless of whether they are renewing or not. Share your form with others Send it via email, link, or fax. 20200903T55 Sh: 0 Bin 2 J008 Env [1] CSets 1 of 2. Og%$pB1 o:er1?P_ojKuK3L 9H(! Author: Kelly Wilson Created Date: PDF PBM BINs Help Desk - PBA Health You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The application and registration procedures are identified in ISO/IEC 7812-2. The BIN/IIN is a field in the Telecommunication Standard that is used for the routing and identification in pharmacy claims. 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). 0000001717 00000 n The PCN is defined by the PBM/processor as this identifier is unique to their business needs. 0000016714 00000 n Bank identification number (BIN): 600428: Processor control number (PCN): 06210000: Pharmacy directory: Click on : Participating pharmacy: or go to : mibluecrosscomplete.com . 0000006324 00000 n PDF Ohio Medicaid - Pharmacy Billing Reference Guide For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. PDF EFFECTIVE 07.27.2015 Subject to Change BIN Type Network - RxHope Your medical benefits allow you 0000004526 00000 n 0000002463 00000 n 0000007555 00000 n For more information contact the plan. How to bill retail rx to Tricare? : r/pharmacy - reddit 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. Members are instructed to show both ID cards before receiving health care services. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. 7914 (after-hours: 1.304.639.8591) or email us at pharmacyservices@healthplan.org. 0000006077 00000 n 0000019138 00000 n 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). We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. In certain situations, you can. Group number: Make sure the group number is populated on page 4 in RPMS Patient . In order to develop the most comprehensive beneficial standards for the healthcare industry we gather input, expertise, advocacy & leadership from our NCPDP members. When a patient requests a prescription to be filled at the pharmacy, the pharmacy collects pertinent information on their prescription benefit program. 0000001623 00000 n Our Privacy Policy is now easier to read and better organized. 0000004060 00000 n The Privacy Policy has also been updated to better clarify what information we collect and how we use it. Providers who do not contract with the plan are not required to see you except in an emergency. Below are some tips to help you get the most out of your benefits and save money. The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701). PDF Michigan NCPDP D.0 Payer Specifications - Magellan Rx Management Members may enroll in a Medicare Advantage plan only during specific times of the year. 0000002830 00000 n Use the Drawing Tools tab to change the formatting of the pull quote text box.] The NCPDP Processor BIN is a six-digit sequential number we assign that begins with "0" as in "000010". 0000001647 00000 n {hBIsS6U6,Q{O|+x`o~{>+W Od^.+mB:rNlHi} *"d\Q*\ZMW% Ffa3Y!G'[71c4)0 PDF Meet your family's health partner - Premera Blue Cross Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, 2023 Medicare Advantage Plan Benefit Details, Find a 2023 Medicare Advantage Plan by Drug Costs, Sign-up for our Medicare Part D Newsletter, Have a question? Visit our Cigna Pharmacy Resourcespage to be connected to Express Scriptsresources. 610014 800-824-0898 Integrated Prescription Management (IPM) 014658 877-860-8846 LDI Integrated Pharmacy Services 800010 800-652-9550 Magellan Health Services (Includes: Kentucky Passport) 015053, 016523 800-790-1631 McKesson Specialty 610524 800-657-7613 *Independently Contracted. BIN and PCN Codes 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 Number). Please renew your membership to login. 0000029834 00000 n })(); Chart of 2022 BIN and PCN values for each Medicare Part D prescription drug plan Part 6 of 6 (H9699 through S9701). endstream endobj 2426 0 obj<>/W[1 1 1]/Type/XRef/Index[124 2265]>>stream 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. gcse.type = 'text/javascript'; during the calendar year will owe a portion of the account deposit back to the plan. Western NY (877) 327-1395; Express Scripts (866) 544-7948 610014; Group: HNRXS. Both in Stockholm and Finland, an e ;;_XKkMUsZWPTdyRWp :{j dac{U|U|Y1~x^_$^4M}]Y>qP7CuH2xzR7bX" w-@yt 1;|hq=Z2C:n{g` Managed care pharmacy identification. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Updated Privacy Policy, Documents | Guides and Templates | Informational. 0000003144 00000 n Please enter the information that appears on the 0000007450 00000 n 0000014626 00000 n Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, 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. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 0000007679 00000 n However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000021562 00000 n XLS Home - Centers for Medicare & Medicaid Services | CMS trailer 0000070373 00000 n }|a3M3J=/`zy[X >]!/c 5'{ Xri endstream endobj 73 0 obj 336 endobj 47 0 obj << /Type /Page /Parent 42 0 R /Resources 48 0 R /Contents 56 0 R /MediaBox [ 0 0 612 792 ] /CropBox [ 0 0 612 792 ] /Rotate 0 >> endobj 48 0 obj << /ProcSet [ /PDF /Text /ImageC ] /Font << /TT2 53 0 R /TT4 52 0 R /TT6 51 0 R /TT8 57 0 R /TT10 60 0 R /TT12 61 0 R >> /XObject << /Im1 63 0 R >> /ExtGState << /GS1 66 0 R >> /ColorSpace << /Cs6 55 0 R >> >> endobj 49 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -568 -307 2000 1007 ] /FontName /FHGHLD+TimesNewRoman /ItalicAngle 0 /StemV 0 /FontFile2 67 0 R >> endobj 50 0 obj << /Type /FontDescriptor /Ascent 891 /CapHeight 0 /Descent -216 /Flags 34 /FontBBox [ -558 -307 2000 1026 ] /FontName /FHGHND+TimesNewRoman,Bold /ItalicAngle 0 /StemV 133 /FontFile2 68 0 R >> endobj 51 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 32 /Widths [ 250 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHND+TimesNewRoman,Bold /FontDescriptor 50 0 R >> endobj 52 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 49 /Widths [ 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHLD+TimesNewRoman /FontDescriptor 49 0 R >> endobj 53 0 obj << /Type /Font /Subtype /TrueType /FirstChar 32 /LastChar 119 /Widths [ 352 0 0 0 0 0 0 0 0 0 0 0 364 0 364 454 636 636 0 0 636 0 0 636 0 0 0 0 0 0 0 0 0 0 0 0 771 0 575 0 751 421 455 0 557 843 748 0 603 0 0 684 0 0 0 0 0 0 0 0 0 0 0 0 0 601 0 521 623 596 0 0 633 274 0 592 274 973 633 607 623 0 427 521 394 633 592 818 ] /Encoding /WinAnsiEncoding /BaseFont /FHGHKH+Verdana /FontDescriptor 54 0 R >> endobj 54 0 obj << /Type /FontDescriptor /Ascent 1005 /CapHeight 0 /Descent -209 /Flags 32 /FontBBox [ -50 -207 1447 1000 ] /FontName /FHGHKH+Verdana /ItalicAngle 0 /StemV 96 /FontFile2 65 0 R >> endobj 55 0 obj [ /ICCBased 64 0 R ] endobj 56 0 obj << /Length 1929 /Filter /FlateDecode >> stream The IIN structure is defined within the international standard ISO/IEC 7812-1,Identification cards - Identification of issuers - Part 1: Numbering system. 0000005387 00000 n 2389 0 obj<> endobj The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Emblem Health (800) 447-8255. 0000002170 00000 n 0000001868 00000 n 0000023131 00000 n Verify member eligibility and the MCO enrollment . Walgreens' Insurance Codes!!! | Student Doctor Network TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. PDF Commercial Payer Sheet - BCBSM You can position the text box anywhere in the document. 0000016616 00000 n <<5F4BCB39515F55479546A7F5DAE5B678>]>> PDF Rx BIN Number PCN gcse.async = true; Instructions for setting up RPMS POS for Blue Cross/Blue Shield Federal 0000004910 00000 n Medicare evaluates plans based on a 5-Star rating system. Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The above chart is the sixth (final) page of the 2022 Medicare Part D pharmacy BIN and PCN list (H9699 - S9701). 0000003632 00000 n BIN 610239 PCN: FEPRX RxGrp: 65006500 3. A PBM/processor/plan may choose to differentiate different plans/benefit packages with the use of unique PCNs. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. 0000028726 00000 n 0000003547 00000 n contains Blue Cross Complete's BIN (600428), PCN (06210000), member : services number, field definitions and other helpful information for pharmacy claim billing and . Contact the Medicare plan for more information. 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. xref 0000002073 00000 n The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying members of the enhanced Details. 4U;i^7.,HCa?dm3Yv qS,)@ 0"Jw4Utt0w Tt4VE2$ c4C)iG/Y88. Have them call the phone number on the back of their Cigna ID card. 0000019287 00000 n 0000002215 00000 n xref 0000014560 00000 n SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC. HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC. WELLCARE HEALTH INSURANCE OF TENNESSEE, INC. FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY, BRIGHT HEALTH INSURANCE COMPANY OF NEW YORK, COMPCARE HEALTH SERVICES INSURANCE CORPORATION, BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY, CENTRAL VALLEY MEDICAL SERVICES CORPORATION, CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INC, WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA. 0000001711 00000 n RX Bin: 610014 . 0000029756 00000 n 0000029111 00000 n P6mh7 quSOARI 4:,i}2Bzd93$g]Mc#. 0000013525 00000 n PBM/processor/plans Payer Sheets are shared with their customers to the pharmacies, dispensing providers, clearinghouses and vendors. 01. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 0000011550 00000 n PDF SAS Benefit Vendor Contact Information 02. 3440 0 obj <>/Filter/FlateDecode/ID[<83A1511E809EEA4884A369FF9F7C8102>]/Index[3424 33]/Info 3423 0 R/Length 84/Prev 249481/Root 3425 0 R/Size 3457/Type/XRef/W[1 2 1]>>stream Those that use magnetic stripe cards apply through ANSI for an IIN. This includes accounts for Grandfathered members. var gcse = document.createElement('script'); Express Scripts resources for pharmacists. 0000032580 00000 n If you have questions or concerns processing claims, you can call 1.800.624.6961, ext. 0000001040 00000 n 0000033180 00000 n The Rx BIN # 610014 The PCN is MEDDPRIME The Rx Group number as listed below The member's ID number (format listed below) Note: Medco anticipates members will have their newly issued ID cards, but to assist members and pharmacy in the event that not every member has the new ID card, Medco is supplying 8289 0 obj <>stream Plans that use cards with a magnetic stripe should use the recommended ISO/IEC 7812 Issuer Identifier Number (IIN) for processing electronic pharmacy claims. 0000007096 00000 n 0000100252 00000 n Chart of 2021 BIN and PCN values for each Medicare Part D prescription %PDF-1.3 % 0000006462 00000 n Once new versions of the standards are adopted, truncation will no longer be necessary. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The plan deposits 106 0 obj <>stream Administrator, BIN, PCN, Group, and telephone number Specialty Pharmacy name and telephone number Website address for pharmacy information Buckeye Health Plan RxAdvance . If you forget if you need a group number or not, use the third party inquiry. 0000005086 00000 n PDF UMP Plus (SEBB) 2021 Quick Start Guide - hca.wa.gov Update on Premera Individual Medical and LifeWise Individual Medical Hb```?@(AEs,Pp IG1~D&t We are not compensated for Medicare plan enrollments. BCBS of MI BIN: 610011 PCN: Varies - Never "IRX" AARP BIN: 610652 PCN: Varies - refer to ID card OptumRx BIN: 610127 PCN: 02330000 01960000 01990000 02330088 COSF GASF MASF PCN: NCCSI NCSF NWSF SCCSI SCSF OHSF 04000013 LDI / CastiaRx BIN: 020321 BIN: 800010 PCN: COM PCN: LDI SavaScript Value . Call 1-866-447-9717 Customer Service: 1-877-344-7364 (TTY/TDD: 711) Emblem Behavioral Health Services . When applicable, the Pharmacy Providers should update impacted members profiles with the new processing information. What is a Take-Home Drug? 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 Number). hbbd``b`AR 6H da@D`m@\Y6 $Ma}d100RN2@ 8 What is BIN/PCN and Group number needed to submit a BC/BS FEP prescription drug claim? 0000001415 00000 n BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan - Massachusetts Rx PCN: N/A The TIN for Optimum Choice HMO is: 52-1518174 Group ID Number: 717578 . Honestly, whenever I see BIN 610014 I know it's PAID. 0000033095 00000 n BIN: 610014 PCN: MEDDPRIME Plan Name/Group Name BIN: PCN: Plan Name/Group Name: BIN: PCN: Plan Name/Group Name: BIN: PCN: Processor: TelePAID System Effective as of: 12/08/2011 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: 07/01/2007 NCPDP External Code List Version Date: 10/01/2009 Click here to let us know, CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA, Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York, BlueCross BlueShield: Empire, Excellus, WNY & NENY, Health Alliance Medicare Prescription Plan, Blue Cross and Blue Shield of North Carolina, Blue Cross and Blue Shield of IL, NM, OK, TX, Blue Cross and Blue Shield of Kansas or Blue KC, Regence BlueShield of Idaho and Regence BC BS Utah, Horizon Blue Cross Blue Shield of New Jersey, 001-012, 014-034, 070, 105, 106, 121-137, 801, 802, 808. Star Ratings are calculated each year and may change from one year to the next. Sign-up for our Medicare Part D Newsletter, Have a question? startxref The NCPDP Processor BIN, while NCPDP assigns it, is only a number inside the pharmacy industry. 0000002715 00000 n 0 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). Limitations, copayments, and restrictions may apply. 'https:' : 'http:') + Medicare MSA Plans do not cover prescription drugs. 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. PDF Pharmacy Providers - West Virginia PDF IMPORTANT PROVIDER NOTICE Medicare Part D Information - PBA Health