Pharmacy Management and Credentialing
All the information you need to properly process prescription claims with Cigna Healthcare.
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 do not turn the customer away if you receive a rejected claim. Have them call the phone number on the back of their ID card. When applicable, the Pharmacy Providers should update impacted members’ profiles with the new processing information.
| Name | BIN | New PCN (Transitioned Group) |
|---|---|---|
| Cigna Pharmacy Services (Commercial) | Ø17Ø1Ø | 0215COMM |
| Cigna International | Ø17Ø1Ø | 0216INTL |
| GWH Cigna Commercial | Ø17Ø1Ø | 0518GWH |
| Cigna Payer Solutions | Ø17Ø1Ø | 0519PAYR |
| Name | BIN | PCN | RxGroup # |
|---|---|---|---|
| Cigna Medicare Prescription Drug Plans (PDP) | Ø17Ø1Ø | CIMCARE | CIGPDPRX |
| Cigna Medicare Advantage Plan (MAPD) | Ø17Ø1Ø | CIMCARE | CGMAPDRX |
| Cigna Medicare Employer Group Waiver Plan (EGWP) | Ø17Ø1Ø | CIMCARE | Please see Member ID Card |
| Leon Cares HMO® (MAPD) | Ø17Ø1Ø | CIMCARE | CGLEONRX |
| Cigna Arizona HMO (MAPD) | Ø17Ø1Ø | CIMCARE | CIGNAZRX |
| Cigna Texas Medicare-Medicaid Plan (TXMMP) | Ø17Ø1Ø | CIMCARE | CGMAPDRX |
| Cigna Medicaid | Ø17Ø1Ø | CIMCAID | ZR3A |
