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
	Rx BIN: 610502 Rx Group: Aetna	PCN: 00670000
	Rx BIN: 020099 (all systems)	PCN for ISG: IS PCN for WGS: WG PCN for Facets: FC
	Rx BIN: 026696	PCN: 77993333
	Rx BIN: 004336	PCN: HNET
Northern California	Rx BIN: 11842 Rx Group: NC Tax ID: 94-1340523 P.O. Box 7012, Downey, CA 90242	Rx PCN: NCCMS
Southern California	Rx BIN: 11172 Rx Group: SC Tax ID: 94-1340523 P.O. Box 7012, Downey, CA 90242	Rx PCN: SCCMS
	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.
	Rx BIN: 004336	PCN: ADV
	Rx BIN Number and PCN are not applicable to cross-border health plans. Pharmacy benefits must be filled within SIMNSA’s network in Mexico.
	Rx BIN: 004336 Rx Group: Rx21CQ	PCN: ADV
HMO	Rx Vendor: OPTUMRx Rx BIN: 610279 Rx Grp: UHCNICE Service Numbers: 800-788-7871(Pharmacist only) 800-797-9791 (Pharmacy Help Desk for Providers & Pharmacists) 800-562-6223 (Member Services)	Rx PCN: 9999
PPO	Rx Vendor: OPTUMRx Rx BIN: 610279 Key Accounts Rx Grp: UHEALTH Service Numbers: 800-788-7871(Pharmacist only) 800-797-9791 (Pharmacy Help Desk for Providers & Pharmacists) 800-562-6223 (Member Services)	Rx PCN: 9999 Rx Grp: UHC Service Number: 800-788-7871
	Rx Vendor: OptumRx Rx BIN: 610011 Rx Group: WHA	PCN: IRX