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​Information for 340B Covered Entities

The following Medical Assistance (MA) Bulletin applies to 340B covered entities that bill the MA Fee-for-Service (FFS) program and/or a MA Program managed care organization (MCO) for drugs purchased under the 340B Drug Pricing Program and dispensed to MA program beneficiaries:

The following MA Bulletins apply to 340B covered entities that bill the MA FFS program for 340B purchased drugs:

 

Pennsylvania Medical Assistance BIN/PCN/Group Numbers

FFS/MCO​BIN​PCN​Group Number
Fee-for-Service600760N/AN/A
Aetna Better Health610591ADVRx8813
AmeriHealth Caritas Pennsylvania01959501940000N/A
AmeriHealth Northeast01959501940000N/A
AmeriHealth Community Health Choices01959507630000N/A
Gateway Health Plan (Medicaid Primary)004336ADVRX2338
Gateway Health Plan (Medicaid Secondary to Medicare)012114COBSEGADVRX2338
Gateway Health Plan (Medicaid Secondary to Commercial Insurance)013089COMSEGADVRX2338
Geisinger Health Plan019595PRX11804N/A
Health Partners of Philadelphia004336MCAIDADVRX3892
Keystone First Community Health Choices01959507630000N/A
Keystone First01959501940000N/A
Pennsylvania Health & Wellness020545RXA373RXGMCPA01
United Healthcare Community Plan6104944200ACUPA
UPMC for You003858A4PMDM
Last updated January 1, 2021 ​ ​ ​