NEWSROOM

When health insurance consumers enroll in coverage for the first time, change health plans (at any time), or change insurance carriers, they can sometimes experience a delay in accessing pharmacy benefits. This is because of the brief administration period the health plan needs to process such changes.
 
When this occurs, while waiting to receive their new health plan ID Cards, members may use their plan’s Rx BIN and PCN numbers to access pharmacy benefits.
 
The Rx BIN number is a six-digit number health plans use to process electronic pharmacy claims. The PCN (Processor Control Number) identifies each health plan’s drug benefit processor or Pharmacy Benefit Manager (PBM).
 
Rx BIN Numbers and PCNs for California Small Group health plans are shown by carrier in the table below. Your clients may be able to use this information, if necessary, to obtain prescriptions during this short transition period.
 

	Rx BIN Number	PCN
Aetna	Rx BIN: 610502 Rx Group: Aetna	PCN: 00670000
Anthem Blue Cross	Rx BIN: 020099	PCN: IS
Blue Shield of California	Rx BIN: 004336	PCN: 77993333
Chinese Community Health Plan	Rx BIN: 003585	Rx PCN: ASPROD1
Cigna + Oscar	Rx BIN: 003858	PCN: A4
Health Net	Rx BIN: 004336	PCN: HNET
Kaiser Permanente -  Northern CA	HMO Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 COB Address P.O. Box 7012 Downey, CA 90242	Rx PCN for MMA: NCCMS Rx PCN for HDHP: NCHDP Rx PCN for HMO: 70000
Kaiser Permanente -  Southern CA	HMO   Rx BIN: 3585 Rx Group: Not Required Tax ID: 94-1340523 Medicare Part D Rx BIN: 11172 Rx Group: SC Tax ID: 94-1340523 COB Address P.O. Box 7012 Downey, CA 90242	Rx PCN for MMA: SCCMS Rx PCN for HDHP: SCHP Rx PCN for HMO: 70000
MediExcel Health Plan	MediExcel Health Plan is a cross-border health plan. Members must obtain prescriptions at contracted pharmacies in Mexico. MediExcel Health Plan does not contract with any pharmacy in the U.S. MediExcel Health Plan will reimburse members for prescriptions obtained as direct result of an Emergency or Urgent Care Service in the U.S. minus their copay amount.
Nippon Life	Rx BIN: 004336	PCN: ADV
Sharp Health Plan	Rx BIN: 004336	PCN: ADV
Sutter Health Plus	Rx BIN: 004336 Rx Group: Rx21CQ	PCN: ADV
Total Benefit Solutions (Aetna International)	610502 (Aetna)	PCN: 00670000
United Healthcare HMO	Rx Vendor: OPTUMRx Rx BIN: 610279 Rx PCN: 9999 Rx Grp: UHCNICE Service Number: 800-788-7871
United Healthcare PPO	Rx Vendor: OPTUMRx Rx Bin: 610279 Rx PCN: 9999 Rx Grp: UHC Service Number: 800-788-7871
United Healthcare PPO (Large Group)	Rx Vendor: OPTUMRx Rx Bin: 610279 Rx PCN: 9999 Key Accounts Rx Grp: UHEALTH Service Number: 800-788-7871
Western Health Advantage	Rx Vendor: OptumRx Rx BIN 610011	PCN: IRX