Pharmacy Management and Credentialing

Pharmacy Management and Credentialing

All the information you need to properly process prescription claims with Cigna.

As of January 1, 2021, all Cigna Commercial pharmacy plans and Cigna Medicare claims are adjudicating on the Express Scripts systems.

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 Cigna 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

Visit our Cigna Pharmacy Resources page to be connected to Express Scripts® resources.