Home Providers Pharmacy Pharmacy Management and Credentialing

Pharmacy Management and Credentialing

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

As of January 1, 2021, all Cigna HealthcareSM Commercial pharmacy plans and Cigna Healthcare 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 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 Healthcare Pharmacy Resources page to be connected to Express Scripts® resources.

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