| 004336 | ADV, RXSADV, DCADV, WAL | Legacy ADV commercial routes | Card; required | Commercial v2.0.8 |
| 004336 | MEDDADV, 77993322 | Medicare Part D routes | Card or E1 response | Medicare v2.0.7, Jan. 2026 |
| 020099 | AC, CH, WG, FC, WK, WP, IS, CS | Commercial client routes | Card; required | Commercial v2.0.8 |
| 020123 | IRXCOMM | Commercial client routes | Card; required | Commercial v2.0.8 |
| 021338 | ADV, RXSADV, DCADV | Commercial client routes | Card; required | Commercial v2.0.8 |
| 025201 | MOHMKP | Molina client route | Card; required | Commercial v2.0.8 |
| 026150 | SSRX50 | ScriptServ client route | Card; required | Commercial v2.0.8 |
| 027547 | SSRX42 | Named health-system route | Card; required | Commercial v2.0.8 |
| 027555 | SSRX42 | Named health-system route | Card; required | Commercial v2.0.8 |
| 027570 | SSRX42 | Named health-system route | Card; required | Commercial v2.0.8 |
| 028406 | OSCAR | Oscar client route | Card; required | Commercial v2.0.8 |
| 028512 | SSRX42 | Named health-system route | Card; required | Commercial v2.0.8 |
| 610239 | FEPRX | Federal Employee Program | 65006500 | Commercial v2.0.8 |
| 610415 | PCS, ADV | Legacy PCS routes | Card; required | Commercial v2.0.8 |
| 610502 | 00670000, AETCRXC | Aetna commercial routes | Card; required | Commercial v2.0.8 |
| 610502 | MEDDAET, PARTBAET | Aetna Medicare Part D and Part B | Card or E1 response | Medicare v2.0.7, Jan. 2026 |
| 610591 | MEDDADV | Medicare Part D routes | Card or E1 response | Medicare v2.0.7, Jan. 2026 |
| 020388 | IRXMEDD, IRXMAON, IRXPARTB | Caremark Medicare Part D and Part B routes | Card or E1 response | Medicare v2.0.7, Jan. 2026 |
| 028272 | MOHMCARE, MOHPARTB | Molina Medicare Part D and Part B routes | Card or E1 response | Medicare v2.0.7, Jan. 2026 |
| OptumRx |
| 001553 | TNM, CKDS | TennCare client routes | See source | Commercial and Medicaid 2026 |
| 011172 | SCCMS | Kaiser Southern California Medicare | Card or E1 response | CMS July 2026 extract |
| 011214 | Regional PCN in source | Kaiser Medicare regional route | Card; required | Medicare 2026 |
| 011222 | Regional PCN in source | Kaiser Medicare regional route | Card; required | Medicare 2026 |
| 011230 | NWCMS | Kaiser Northwest Medicare | Card or E1 response | CMS July 2026 extract |
| 011255 | COCMS | Kaiser Colorado Medicare | Card or E1 response | CMS July 2026 extract |
| 011842 | NCCMS | Kaiser Northern California Medicare | Card or E1 response | CMS July 2026 extract |
| 011859 | MACMSA | Kaiser Mid-Atlantic Medicare | Card or E1 response | CMS July 2026 extract |
| 011933 | IAPOP | Iowa Medicaid client route | See source | Commercial and Medicaid 2026 |
| 013170 | Not required | Seniorscript Medicare route | Card | Medicare 2026 |
| 014293 | WYOPOP | Wyoming Medicaid client route | See source | Commercial and Medicaid 2026 |
| 015789 | CTRXMEDD and named client PCNs | Medicare client routes | Card; required | Medicare 2026 |
| 015855 | UTPOP | Utah Medicaid client route | See source | Commercial and Medicaid 2026 |
| 016580 | Not published | MedalistRx client route | Card | Commercial and Medicaid 2026 |
| 017522 | AC | Ascella client route | Card; required | Commercial and Medicaid 2026 |
| 019827 | HT | MedlessRx client route | Card; required | Commercial and Medicaid 2026 |
| 021692 | CTRXMEDD | BlueCross BlueShield of South Carolina Medicare | Card; required | Medicare 2026 |
| 022485 | STL | CerpassRx client route | Card; required | Commercial and Medicaid 2026 |
| 023153 | HT | SavaScript client route | Card; required | Commercial and Medicaid 2026 |
| 025771 | RX42AS | BlueCross BlueShield of South Carolina route | Card; required | Commercial and Medicaid 2026 |
| 025796 | Varies by client | CareCard routes | Card; required | Commercial and Medicaid 2026 |
| 220026 | EMRXMA | BCBS Michigan Emergient Medicare route | Card; required | Medicare 2026 |
| 262400 | RXBCMA | BCBS Michigan SHS Medicare route | Card; required | Medicare 2026 |
| 610011 | Varies by named client | Commercial and Medicare client routes | Card; required | Medicare 2026 |
| 610097 | 9999, 7777 | Part D and MAPD routes | Card; required | Medicare 2026 |
| 610097 | 8888, 8500 | Part D wrap routes | Card; required | Medicare 2026 |
| 610127 | 04000001, 04000002, and other wrap PCNs | Commercial coordination-of-benefits routes | Card; required | COB payer sheet 2026 |
| 610279 | 9999, CONTRAC, 7777 | UHC employer, contraceptive-only, and exchange routes | Card; required | UHC 610279 sheet 2026 |
| 610494 | 9999, 2417, and state client PCNs | Commercial and Medicaid routes | Card; required | Commercial and Medicaid 2026 |
| 610494 | 2222 | UnitedHealthcare government programs | Card; required | Medicare 2026 |
| 610593 | HNEMEDD, SXCFLH | Medicare client routes | Card; required | Medicare 2026 |
| 610613 | 2417 | Community Health client route | Card; required | Commercial and Medicaid 2026 |
| 610652 | Varies by plan | AARP client routes | Card; required | Commercial and Medicaid 2026 |
| Prime Therapeutics |
| 004915 | Not required, WRI, CPAL | BCBS Alabama and named commercial routes | Card; required | Commercial sheet, Dec. 2025 |
| 610455 | KSBCS, BCBSKS, LGHIBRX, SEIBRX, NY1000 | Kansas and EmblemHealth commercial routes | Card; required | Commercial sheet, Dec. 2025 |
| 610455 | NY4000, NY4020 | EmblemHealth Medicare and prescription carveout routes | Card; required | Prime Perspective, Dec. 2025 |
| Additional PBMs and processors |
| 610602 | From card; NVTD, MCD, and NVT examples | Navitus commercial, Medicare, and Medicaid client routes | Card or program instruction | Navitus manual v202601 |
| 012312 | PARTD | MedImpact-administered route used by multiple current Part D sponsors | Card or E1 response | CMS July 2026 extract |
| 015574 | ASPROD1 | MedImpact Part D route in current CMS plan records | Card; required | CMS 2026 BIN/PCN file |
| 020040 | Multiple client PCNs | MedImpact route for legacy Archimedes clients | Card; required | Legacy Elixir sheet, Apr. 2025 |
| 020594 | Multiple client PCNs | MedImpact route for legacy Archimedes clients | Card; required | Legacy Elixir sheet, Apr. 2025 |
| 023491 | Multiple client PCNs | MedImpact route for legacy Archimedes clients | Card; required | Legacy Elixir sheet, Apr. 2025 |
| 610852 | CHM or client-specific | Judi Rx, formerly Capital Rx, commercial routes | Card; required | Judi Rx pharmacist resources |
| 610770 | CAPLRX or client-specific | Judi Rx commercial routes | Card; required | Judi Rx pharmacist resources |
| 610770 | CRXMD | Judi Rx Medicare route in current CMS plan records | Card; required | CMS 2026 BIN/PCN file |
| 610674 | Client-specific; abarcaD Medicare example | Abarca commercial, Medicaid, and Medicare routes | Card; required | Abarca provider manual |
| Current independent PBM payer sheets |
| 015433 | SSN | Liviniti commercial pharmacy claims | Current card | Liviniti pharmacy manual, Mar. 2026 |
| 021882 | 201907 | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 019025 | 8001002, 5289 | SmithRx routes | Current card | SmithRx payer sheet, Oct. 2025 |
| 024368 | 3207, 3208, 3210, 3211, 3212, or plan-specific | SmithRx routes | Current card | SmithRx payer sheet, Oct. 2025 |
| 023211 | WMHRX | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 024789 | WMHRX | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 028017 | 4001 | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 028025 | 4002 | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 028363 | 4003 | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 028371 | 4004 | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 028389 | 4005 | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 028397 | 4006 | SmithRx route | Current card | SmithRx payer sheet, Oct. 2025 |
| 008878 | WDRX, NETCARD, TCN, UFCW, or card-specific | WellDyne commercial routes | Current card | WellDyne payer sheet, Oct. 2025 |
| 015723 | TRIADCR | WellDyne Triad Care | Current card | WellDyne payer sheet, Oct. 2025 |
| 019173 | Not required | WellDyne Eagle Pharmacy / Knipper Health | Current card | WellDyne payer sheet, Oct. 2025 |
| 015962 | PDC | WellDyne Palliative Drug Care Rx | Current card | WellDyne payer sheet, Oct. 2025 |
| 024433 | Card-specific | WellDyne PDCRxMX / Medalist Rx | Current card | WellDyne payer sheet, Oct. 2025 |
| 024441 | Card-specific | WellDyne PDCRx | Current card | WellDyne payer sheet, Oct. 2025 |
| 025036 | ORX26 | WellDyne OrchestraRx | Current card | WellDyne payer sheet, Oct. 2025 |
| 025219 | WDBRx | WellDyne BESTRx | Current card | WellDyne payer sheet, Oct. 2025 |
| 025359 | SELECT | WellDyne Select | Current card | WellDyne payer sheet, Oct. 2025 |
| 025961 | SRXLB, SELECTRX | WellDyne SelectRx limited-benefit routes | Current card | WellDyne payer sheet, Oct. 2025 |
| 026142 | SSRX42 | WellDyne Children’s Nebraska / ScriptServ | Current card | WellDyne payer sheet, Oct. 2025 |
| Medicare and federal program routes |
| 610097 | 9999 | OptumRx Part D and Medicare Advantage prescription drug records | Card or E1 response | CMS 2026 extract |
| 015581 | 03200000 | Broadly reused Part D route; group and member ID remain plan-specific | Card or E1 response | CMS 2026 extract |
| 610502 | MEDDAET | Aetna Medicare processing through CVS Caremark | Card or E1 response | CMS 2026 extract |
| 004336 | MEDDADV | CVS Caremark Medicare Part D records | Card or E1 response | CMS 2026 extract |
| 610014 | MEDDPRIME | Express Scripts-administered route reused by Wellcare, Express Scripts Medicare, Highmark, and other sponsors | Card or E1 response | CMS 2026 extract |
| 020115 | IS | CVS Caremark Medicare route used by multiple sponsors | Card or E1 response | CMS 2026 extract |
| 017010 | CIMCARE | Cigna Medicare prescription drug records | Card or E1 response | CMS 2026 extract |
| 003858 | MD | Express Scripts-administered route used by multiple Medicare sponsors | Card or E1 response | CMS 2026 extract |
| 610011 | CTRXMEDD | OptumRx Medicare client records | Card or E1 response | CMS 2026 extract |
| 610602 | NVTD | Navitus-administered route used by Geisinger, Moda, and other sponsors | Card or E1 response | CMS 2026 extract |
| 610455 | AHPPARTD | Alignment Health Plan Medicare route processed by Prime Therapeutics | Card or E1 response | CMS 2026 extract |
| 611791 | CARELONRX | CarelonRx Part D records | Card or E1 response | CMS 2026 extract |
| 610674 | abarcaD | Abarca Medicare records | Card or E1 response | CMS 2026 extract |
| 015581 | 03200008 | CarePlus Medicare plans; do not substitute for the more widely reused 03200000 route | Card or E1 response | CMS 2026 extract |
| 026696 | 77993322 | Blue Shield of California Medicare plans | Card or E1 response | CMS 2026 extract |
| 012635 | NA | Independent Health and Pharmacy Benefit Dimensions Medicare plans | Card or E1 response | CMS 2026 extract |
| 610674 | PHPMEDDRX | Prominence Health Plan Medicare records | Card or E1 response | CMS 2026 extract |
| 012833 | MedDPrime | Florida Blue and BlueMedicare records; preserve the PCN casing returned by the card or E1 response | Card or E1 response | CMS 2026 extract |
| 015938 | 7463 | Select Health Medicare records | Card or E1 response | CMS 2026 extract |
| 610455 | SOMAPD | Solis Health Plans Medicare records | Card or E1 response | CMS 2026 extract |
| 020388 | IRXMEDD | CVS Caremark-administered Medicare Part D route used by multiple sponsors | Card or E1 response | CMS 2026 extract |
| 610455 | NY4000 | EmblemHealth Medicare records | Card or E1 response | CMS 2026 extract |
| 014897 | MBG | Blue Cross and Blue Shield of Alabama Blue Advantage records | Card or E1 response | CMS 2026 extract |
| 610455 | EMNH5959 | Blue Cross and Blue Shield of Minnesota Medicare Advantage records | Card or E1 response | CMS 2026 extract |
| 015905 | HMONC | Blue Cross and Blue Shield of North Carolina Blue Medicare HMO records | Card or E1 response | CMS 2026 extract |
| 610602 | EGWP | Navitus MedicareRx employer group records | Card or E1 response | CMS 2026 extract |
| 610455 | KSPDP | Blue Cross and Blue Shield of Kansas Blue MedicareRx PDP records | Card or E1 response | CMS 2026 extract |
| 004336 | ADV | Legacy ADV Part B route | Card or payer instruction | Caremark Medicare v2.0.7 |
| 004336 | PARTBADV | Legacy ADV Part B route | Card or payer instruction | Caremark Medicare v2.0.7 |
| 610502 | PARTBAET | Aetna Part B route | Card or payer instruction | Caremark Medicare v2.0.7 |
| 020115 | NS | Caremark-published Part B route | Card or payer instruction | Caremark Medicare v2.0.7 |
| 020388 | IRXMAON | Caremark-published Part B route | Card or payer instruction | Caremark Medicare v2.0.7 |
| 020388 | IRXPARTB | Caremark-published Part B route | Card or payer instruction | Caremark Medicare v2.0.7 |
| 028272 | MOHPARTB | Molina Part B route effective January 1, 2026 | Card or payer instruction | Caremark Medicare v2.0.7 |
| 004336 | 77993355 | Caremark-published Part B route | Card or payer instruction | Caremark Medicare v2.0.7 |
| 0022188 | PSTMEDD | PACE records across many organizations; this is a seven-character processor ID or IIN | Current PACE card or E1 response | CMS July 2026 extract |
| 024748 | GRNMEDD | PACE records across multiple organizations | Current PACE card or E1 response | CMS July 2026 extract |
| 016110 | PACE | PACE records across multiple organizations | Current PACE card or E1 response | CMS July 2026 extract |
| 610097 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610649 | MPPP7777 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610502 | MPPPOR | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 004336 | MPPPOR | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610014 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 020115 | MPPPOR | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 017010 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 003858 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610011 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 027133 | MPPPPROD1 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 011552 | MPPPHCSC | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 027100 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPPARTD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 012312 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 611791 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610674 | MPPPTSSADV | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPCAP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610649 | MPPP8888 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 011842 | MPPPNC | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 012833 | MPPPFL | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 024896 | MPPP65 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 026696 | MPPP3322 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610674 | MPPPPROD1 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 011859 | MPPPMA | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610623 | MPPP021000 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610770 | MPPPCRX | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 027357 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPSO | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 004336 | MPPOR | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 011255 | MPPPCO | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 011172 | MPPPSC | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 0022188 | PSTMEDD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 020388 | MPPPOR | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610011 | MPPPWA | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPPARTDG | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 016499 | MPPPNJ | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 600428 | MPPP0299 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 015905 | MPPPNC | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPRI | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 021692 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPMN | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 004336 | MEDDADV | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 011214 | MPPPHI | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 011222 | MPPPGA | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPKS | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPMAPD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610953 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPNE | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 011230 | MPPPNW | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 024748 | GRNMEDD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPHCSC | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 014897 | MPPPMBG | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 024756 | ASCHMEDD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPCHP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPCS | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610623 | MPPP021100 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 014897 | MPPPPLX | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 027133 | MPPPPROD01 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPCHPG | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPPB | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610593 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610623 | MPPP021200 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 014897 | MPPPRD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 015574 | MPPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 019439 | MPPP3000 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 019439 | MPPP3841 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 019587 | MPPP0619 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 019587 | MPPP11802 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 020289 | MPPPEH | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 022118 | PSTMEDD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610011 | CTRXMEDD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPPDP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610591 | MPPPPOR | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 0022188 | PSTNEDD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 012312 | MPPPE1 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 015905 | MPPPNCS | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 017010 | MPP | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 019587 | MPPP11819 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 019587 | MPPP11820 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 027133 | MPPPPROD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 027174 | MPPPRXA | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 600428 | MPPP0333 | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPGCMAPD | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610455 | MPPPSB | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 610591 | MPPPOR | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 611139 | MPPPOR | Medicare Prescription Payment Plan COB route | Paid primary response supplies the route | CMS July 2026 extract |
| 003858 | A4 | TRICARE pharmacy program | DODA | TRICARE FAQ, Oct. 2024 |
| 015599 | 05440000 | Medicare LI NET | May be blank | CMS LI NET resources |
| 028918 | MEDDGLP1BR | Medicare GLP-1 Bridge, effective July 2026 | Program-specific | CMS pharmacy instructions, July 2026 |
| State Medicaid fee-for-service and managed-care routes |
| 004146 | Not used | Alabama Medicaid FFS | Not used | Alabama NCPDP companion guide, May 2026 |
| Not published | Not published | Alaska Medicaid | Not published | Alaska Medicaid pharmacy resources |
| 001553 | AZM | Arizona AHCCCS FFS | Blank | 2026 AHCCCS route table |
| 017606 | P027017606 | Arkansas Medicaid FFS | ARMEDICAID | Arkansas pharmacy document library |
| 022659 | 6334225 | California Medi-Cal Rx | See program field rules | May 2026 payer specification |
| 018902 | P303018902 | Colorado Medicaid FFS | COMEDICAID | Colorado Medicaid payer sheet, effective April 2026 |
| No BIN | No PCN | Connecticut HUSKY Health | Not applicable | HUSKY Health FAQ |
| Plan-specific | Plan-specific | Delaware Medicaid managed care | Plan-specific | State plan table, revised December 21, 2023 |
| 018407 | DCMC018407 | District of Columbia FFS and Alliance | Alliance ICP | D.C. Transmittal 25-22 |
| 013352 | P035013352 | Florida Medicaid FFS | FLMEDICAID | Florida NCPDP payer specification |
| 001553 | GAM | Georgia Medicaid FFS | Not required | Georgia FFS payer sheet |
| 610084 | DRHIPROD | Hawaii Med-QUEST FFS | HAWAII1000; HAWAII2000 for OYS | Hawaii Medicaid payer sheet |
| 014864 | P043014864 | Idaho Medicaid FFS | IDMEDICAID | Idaho claims manual |
| 017804 | ILPOP | Illinois Medicaid FFS, ILPOP | Blank | Illinois payer sheet |
| 001553 | INM | Indiana Medicaid FFS | Not published | Indiana pharmacy services |
| 610517 | Blank | Kansas Medicaid FFS | Blank | Kansas FFS and MCO billing page |
| 026309 | KYPROD1 | Kentucky Medicaid FFS | KYF01 | Kentucky route table |
| 610514 | LOUIPROD | Louisiana Medicaid FFS | Blank | Louisiana Informational Bulletin 25-27 |
| 005526 | MEPOP | MaineCare FFS | Blank | April 2026 MaineCare provider newsletter |
| 610084 | DRMDPROD | Maryland Medicaid FFS | MDMEDICAID | Maryland state route notice |
| 009555 | MASSPROD | MassHealth FFS and PCC | MassHealth | MassHealth Pharmacy Facts 264 |
| 009737 | P008009737 | Michigan Medicaid FFS | MIMEDICAID | Michigan pharmacy benefit page |
| 026787 | 5309662024 | Minnesota state-administered pharmacy | Blank | Minnesota payer specification |
| 025151 | DRMSPROD | Mississippi Medicaid | Blank | Mississippi Medicaid pharmacy |
| 004047 | 43-1754897 | MO HealthNet FFS | Blank | MO HealthNet payer sheets |
| 610084 | DRMTPROD | Montana Medicaid FFS | 1509040; 0064206420 for MHSP | Montana payer sheet |
| 013766 | P063013766 | Nebraska Medicaid FFS | NEBMEDICAID | Nebraska payer specification |
| 024888 | 683377 | Nevada Medicaid FFS | NVMEDICAID | Nevada pharmacy provider FAQ |
| 009513 | P002002286 | New Hampshire Medicaid FFS | ALL | New Hampshire provider notice |
| 610515 | SUPP NJ | New Jersey Medicaid FFS | Not used | New Jersey pharmacy training Q&A |
| 028165 | DRNMPROD | New Mexico Medicaid FFS | See payer sheet | New Mexico FFS payer sheet |
| 004740 | Pharmacy-specific ETIN/PIN | New York Medicaid NYRx | Not used | NYRx provider guidance |
| 610242 | 781640064 | North Carolina Medicaid Direct | Blank | North Carolina pharmacy services |
| 601364 | DRNDPROD | North Dakota Medicaid FFS | NDMEDIFFS | North Dakota payer sheet |
| 024251 | OHRXPFFS | Ohio Medicaid FFS | Blank | Ohio SPBM FFS vendor specification v4.1, June 2026 |
| 010579 | OKA01 | Oklahoma SoonerCare | Pharmacy's 10-digit pay-to NPI | Oklahoma NCPDP payer sheet |
| 014203 | ORDHSFFS | Oregon Health Authority open card | Blank | Oregon pharmacy quick reference |
| 600760 | Not applicable | Pennsylvania Medicaid FFS | Not applicable | Pennsylvania pharmacy guidance |
| 610471 | MCAID1293 | Rhode Island Medicaid FFS | Not published | Rhode Island provider update |
| 009745 | P006009745 | South Carolina Medicaid FFS | SCMedicaid or SOC01 | South Carolina pharmacy provider portal |
| 601574 | Blank | South Dakota Medicaid FFS | Blank | South Dakota payer sheet |
| 001553 | TNM | Tennessee TennCare | Not applicable | TennCare pharmacy provider portal |
| 610084 | DRTXPROD | Texas Medicaid non-managed care | MEDICAID | Sample Your Texas Benefits card |
| 017795 | VTPOP | Vermont Medicaid | See program rules | Vermont pharmacy provider manual |
| 010900 | 8263342243 | Virginia Medicaid FFS | VAMEDICAID | Virginia NCPDP payer sheet |
| 024822 | DRWAPROD | Washington Apple Health FFS | CAID | Washington plan billing information |
| 610164 | DRWVPROD | West Virginia Medicaid | Blank | West Virginia pharmacy services |
| 610499 | Program-specific or blank | Wisconsin Medicaid and BadgerCare Plus | TXIX | ForwardHealth pharmacy claim specification |
| 610494 | 4100 | Arizona · UnitedHealthcare Community Plan (Acute, CRS, DD and LTC) | ACUAZ | AHCCCS route table |
| 003858 | MA | Arizona · Care1st | 2DVA | AHCCCS route table |
| 610591 | ADV | Arizona · Mercy Care DCS CHP, ACC, DD and LTC | RX8805 | AHCCCS route table |
| 001553 | AZMDDD | Arizona · Division of Developmental Disabilities FFS | Blank | AHCCCS route table |
| 004336 | MCAIDADV | Arizona · BCBAZ Health Choice Arizona | RX3898 | AHCCCS route table |
| 003858 | MA | Arizona · Arizona Complete Health | 2DZA | AHCCCS route table |
| 004336 | MCAIDADV | Arizona · Molina Healthcare | RX21EJ | AHCCCS route table |
| 004336 | MCAIDADV | Arizona · Molina KidsCare | RX21BE | AHCCCS route table |
| 004336 | MCAIDADV | Arizona · Molina Dual Eligible Plan | RX51BI | AHCCCS route table |
| 610014 | MA | Arizona · Banner University Family Care | BANBUHP | AHCCCS route table |
| 003858 | MA | Arizona · Banner University Family Care (alternate published BIN) | BANBUHP | AHCCCS route table |
| 610591 | ADV | Arizona · Mercy Care RBHA | RX8822 | AHCCCS route table |
| 020107 | IN | Indiana · Anthem | WKXA | Indiana pharmacy services |
| 003858 | MA | Indiana · CareSource | RXINN01 | Indiana pharmacy services |
| 610649 | 03191506 | Indiana · Humana PathWays | 28968 | Indiana pharmacy services |
| 003858 | MA | Indiana · MHS | 2EKA | Indiana pharmacy services |
| 610494 | 4841 | Indiana · UnitedHealthcare | ACUIN | Indiana pharmacy services |
| 020107 | IRXKS | Kansas · Healthy Blue Kansas | RX8481 | KanCare billing codes |
| 003858 | MA | Kansas · Sunflower Health Plan | 2ELA | KanCare billing codes |
| 610494 | 9999 | Kansas · UnitedHealthcare Community Plan | ACUKS | KanCare billing codes |
| 610591 | MCAIDADV | Louisiana · Aetna Better Health | RX881J | Louisiana pharmacy billing table |
| 019595 | 06030000 | Louisiana · AmeriHealth Caritas | Blank | Louisiana pharmacy billing table |
| 020107 | LA | Louisiana · Healthy Blue | RX8482 | Louisiana pharmacy billing table |
| 610649 | 03191502 | Louisiana · Humana Healthy Horizons | LAM01 | Louisiana pharmacy billing table |
| 003858 | MA | Louisiana · Louisiana Healthcare Connections | 2ENA | Louisiana pharmacy billing table |
| 610011 | IRX | Massachusetts · Fallon Health–Atrius, Berkshire Fallon, and Fallon 365 Care | FCHPMCD | MassHealth Pharmacy Facts 264 |
| 610593 | MHP | Massachusetts · Be Healthy Partnership Plan (HNE) | HNEMH | MassHealth Pharmacy Facts 264 |
| 610011 | ORX | Massachusetts · Mass General Brigham Health Plan with Mass General Brigham ACO | RX1653 | MassHealth Pharmacy Facts 264 |
| 610011 | IRX | Massachusetts · Tufts Health Together with CHA and UMass Memorial Health | RXMCDMA | MassHealth Pharmacy Facts 264 |
| 003858 | MA | Massachusetts · WellSense ACO partnerships and Essential MCO | MAHLTH | MassHealth Pharmacy Facts 264 |
| 610591 | ADV | Michigan · Aetna Better Health | RX8826 | Michigan health-plan route table |
| 019595 | PRX00621 | Michigan · Blue Cross Complete | Blank | Michigan health-plan route table |
| 003858 | MA | Michigan · HAP CareSource | CSHAPMI | Michigan health-plan route table |
| 017142 | ASPROD1 | Michigan · McLaren Health Plan | ML108; ML110; ML284; ML329 | Michigan health-plan route table |
| 003858 | MA | Michigan · Meridian Health Plan | 2EPA | Michigan health-plan route table |
| 004336 | MCAIDADV | Michigan · Molina Healthcare | RX0506 | Michigan health-plan route table |
| 003858 | MA | Michigan · Priority Health Choice | PHMEDCD | Michigan health-plan route table |
| 610494 | 4242 | Michigan · UnitedHealthcare Community Plan | ACUMI | Michigan health-plan route table |
| 003858 | MA | Michigan · Upper Peninsula Health Plan | UPHPMDC | Michigan health-plan route table |
| 019595 | PRX00801 | North Carolina · AmeriHealth Caritas | Blank | North Carolina pharmacy services |
| 020107 | NC | North Carolina · Healthy Blue and Healthy Blue Care Together | 8473 | North Carolina pharmacy services |
| 003858 | MA | North Carolina · Carolina Complete Health | 2ERA | North Carolina pharmacy services |
| 610494 | 4949 | North Carolina · UnitedHealthcare | ACUNC | North Carolina pharmacy services |
| 610602 | MCD | North Carolina · Alliance tailored plan | TPMC | North Carolina pharmacy services |
| 025052 | MCAIDADV | North Carolina · Partners tailored plan | RX22AC | North Carolina pharmacy services |
| 019595 | PRX10811 | North Carolina · Trillium tailored plan | Blank | North Carolina pharmacy services |
| 610602 | MCD | North Carolina · Vaya tailored plan | VAYARX | North Carolina pharmacy services |
| 024251 | OHRXPROD | Ohio · AmeriHealth, Anthem, Buckeye, CareSource, Humana, Molina and UnitedHealthcare | Blank | Ohio managed-care route guide |
| 003585 | 38900 | Oregon · Advanced Health | Blank | Oregon pharmacy quick reference |
| 003585 | 38060 | Oregon · AllCare | Blank | Oregon pharmacy quick reference |
| 003585 | 38960 | Oregon · Cascade Health Alliance | Blank | Oregon pharmacy quick reference |
| 610011 | IRX | Oregon · Columbia Pacific, Health Share–CareOregon and Jackson Care Connect | CORMCAID | Oregon pharmacy quick reference |
| 610602 | MCD | Oregon · Eastern Oregon CCO | 10009552 | Oregon pharmacy quick reference |
| 003585 | 70000 | Oregon · Health Share–Kaiser Permanente | KP007 | Oregon pharmacy quick reference |
| 004336 | ADV | Oregon · Health Share–Legacy/PacificSource and PacificSource Community Solutions | RX6156 | Oregon pharmacy quick reference |
| 017142 | ASPROD1 | Oregon · Health Share–OHSU Health | OHU01 | Oregon pharmacy quick reference |
| 600428 | 07870000 | Oregon · Health Share–Providence | 100598 | Oregon pharmacy quick reference |
| 610011 | IRX | Oregon · InterCommunity Health Network | SAMCAID | Oregon pharmacy quick reference |
| 610602 | NVT | Oregon · Moda Health OHP Dental (COFA and Veteran Dental) | COFAV | Oregon pharmacy quick reference |
| 003858 | MA | Oregon · Trillium Lane and Tri-County | 2EZA | Oregon pharmacy quick reference |
| 003585 | 38920 | Oregon · Umpqua Health Alliance | 38920 | Oregon pharmacy quick reference |
| 600428 | 07870000 | Oregon · Yamhill Community Care | YCCOPHTK | Oregon pharmacy quick reference |
| 019595 | 01940000 | Pennsylvania · AmeriHealth Caritas Pennsylvania and Keystone First | Blank | Pennsylvania FFS/MCO table |
| 019595 | 07630000 | Pennsylvania · AmeriHealth and Keystone First Community HealthChoices | Blank | Pennsylvania FFS/MCO table |
| 026010 | MCDG | Pennsylvania · Geisinger Health Plan | Blank | Pennsylvania FFS/MCO table |
| 004336 | MCAIDADV | Pennsylvania · Health Partners of Philadelphia | RX3892 | Pennsylvania FFS/MCO table |
| 004336 | MCAIDADV | Pennsylvania · Highmark Wholecare (Medicaid primary) | RX2338 | Pennsylvania FFS/MCO table |
| 003858 | MA | Pennsylvania · Pennsylvania Health & Wellness | 2FBA | Pennsylvania FFS/MCO table |
| 610494 | 4200 | Pennsylvania · UnitedHealthcare Community Plan | ACUPA | Pennsylvania FFS/MCO table |
| 610591 | ADV | Virginia · Aetna | RX8837 | Virginia health-plan route table |
| 020107 | FM | Virginia · Anthem | WQVVA | Virginia health-plan route table |
| 610649 | 03191507 | Virginia · Humana | VAM01 | Virginia health-plan route table |
| 003858 | MA | Virginia · Sentara | OHPMDCD; VPMMDCD; SHPMDCD | Virginia health-plan route table |
| 610494 | 4900 | Virginia · UnitedHealthcare | ACUVA | Virginia health-plan route table |
| 003858 | MA | Washington · Coordinated Care | 2FEA | Apple Health billing table |
| 003858 | APHE | Washington · Coordinated Care, Apple Health Expansion | AP2FEA | Apple Health billing table |
| 004336 | MCAIDADV | Washington · Molina Apple Health Integrated Managed Care | RX0540; RX0542; RX0543; RX0828; RX0574 | Apple Health billing table |
| 004336 | MCAIDWA | Washington · Molina Apple Health Expansion | RX51BP | Apple Health billing table |
| 610494 | 4600 | Washington · UnitedHealthcare Apple Health Integrated Managed Care | ACUWA | Apple Health billing table |
| 610494 | 4600 | Washington · UnitedHealthcare Apple Health Expansion | ACUWAAPL | Apple Health billing table |
| 020107 | CM | Washington · Wellpoint | WKHA | Apple Health billing table |
| 020107 | IRXCOBOPPR | Kansas · Healthy Blue secondary to Medicare Part D | RX8481 | KanCare billing codes |
| 020107 | IRXCOBOPAP | Kansas · Healthy Blue secondary to commercial coverage | RX8481 | KanCare billing codes |
| 003858 | KSMEDD | Kansas · Sunflower secondary to Medicare Part D | 2ELA | KanCare billing codes |
| 610494 | 4848 | Kansas · UnitedHealthcare secondary to Medicare Part D | ACUKS | KanCare billing codes |
| 610097 | 9999 | Kansas · UnitedHealthcare Dual Complete H0169-004 | MPDCSP | KanCare billing codes |
| 610097 | 9999 | Kansas · UnitedHealthcare Dual Complete H5322-029 | MPDCSKS | KanCare billing codes |
| 610517 | MEDD | Kansas · FFS Medicare Part D copay assistance, COB scenario 2 | Blank | KanCare billing codes |
| 012114 | MCAIDADV | Pennsylvania · Highmark Wholecare secondary to Medicare | RX2338 | Pennsylvania FFS/MCO table |
| 013089 | MCAIDADV | Pennsylvania · Highmark Wholecare secondary to commercial insurance | RX2338 | Pennsylvania FFS/MCO table |
| 012114 | COBADV | Washington · Molina secondary to Medicare Part D | RX0540; RX0542; RX0543; RX0828; RX0574 | Apple Health billing table |
| 013089 | COMADV | Washington · Molina secondary to commercial coverage | RX0540; RX0542; RX0543; RX0828; RX0574 | Apple Health billing table |
| Workers' compensation and first-fill routes |
| 610566 | Blank | Washington L&I State Fund | Not used | Washington L&I payer sheet |
| 014658 | WSI | North Dakota WSI, LucyRx | 8001 | North Dakota WSI pharmacy services |
| 024004 | NVTWC | Oregon SAIF, Navitus | SAIF | SAIF medication instructions |
| 610235 | WRK | New York State Insurance Fund, CVS Caremark | NYSIF | NYSIF claimant guide and temporary form |
| 610084 | DRWDPROD | U.S. DOL DCMWC and DEEOIC, Conduent | Authorization-specific | DOL OWCP pharmacy portal |
| 004261 | CAL | Optum Tmesys, direct route | Client-specific | OptumRx pharmacy provider manual |
| 002538 | CAL | Optum Tmesys, Envoy route | Client-specific | OptumRx pharmacy provider manual |
| 004261 | CAL | Texas Mutual, Optum Tmesys | TXSMFF | Texas Mutual first-fill form |
| 003858 | WC | California State Fund, myMatrixx | CSCIF | California State Fund temporary card |
| 003858 | WC | Montana State Fund, myMatrixx | K9JA | Current Montana State Fund first-fill page |
| 019082 | MPS | KEMI, ScriptAdvisor | MPS001591TC | KEMI first-fill form |
| 023377 | MPS | CNA, ScriptAdvisor | 001731TC | CNA first-fill form |
| 003858 | WC | Chesapeake Employers or IWIF, myMatrixx | IWIF | Chesapeake first-fill page |
| 003858 | WC | Workers' Compensation Trust, myMatrixx | ESR3050 | WC Trust first-fill page |
| 003858 | WC | Universal Risk Services, myMatrixx | 77NA | Universal Risk first-fill page |
| 003858 | WC | Third Coast Underwriters, myMatrixx | KQTA | AF Group first-fill form |
| 004336 | ADV | CorVel, MEMIC named 2026 form | RXFFWC8757788 | MEMIC CorVel first-fill form |
| Prescription discount-card examples |
| 019520 | NMeds | NeedyMeds standard card | DRUGCARD | Current NeedyMeds card |
| 006053 | MSC | ScriptSave WellRx | 8602 | Current WellRx coupon example |
| 019363 | 7283 | Inside Rx, people | SVECARD | Inside Rx card data |
| 019363 | 7283 | Inside Rx, pets | SVECD99 | Inside Rx card data |
| 003585 | 91200 | America's Pharmacy | ARX0302 | America's Pharmacy card |
| 003585 | ASPROD1 | Sam's Club Rx Savings, powered by America's Pharmacy | ALLMBR | Sam's Club card pass |
| 028257 | RXCO | RX.co | 2001 | RX.co discount card |
| 023252 | WCH, WDN, CHRX | WellDyne discount-card routes | Current card | WellDyne, Oct. 2025 |
| 008878 | WDN, WTZH | WellDyne and Waltz Health discount routes | Current card | WellDyne, Oct. 2025 |
| 020586 | WDN or card-specific | ChicagoRx Card and WellCardRx discount routes | Current card | WellDyne, Oct. 2025 |
| 014856 | Not required | RXDC discount route | Current card | WellDyne, Oct. 2025 |
| 018042 | Card-specific | RXDC discount route | Current card | WellDyne, Oct. 2025 |
| 020578 | Card-specific | RXDC discount route | Current card | WellDyne, Oct. 2025 |
| 017564 | Card-specific | RXDC discount route | Current card | WellDyne, Oct. 2025 |
| 017571 | Card-specific | RXDC discount route | Current card | WellDyne, Oct. 2025 |
| 018034 | WDF or card-specific | RxMedSaver discount route | Current card | WellDyne, Oct. 2025 |
| 018794 | Not required | Connect Health Solutions discount route | Current card | WellDyne, Oct. 2025 |
| 018506 | Not required | Connect Health Solutions discount route | Current card | WellDyne, Oct. 2025 |
| 022287 | WDN, 8969, or card-specific | CoastalRx discount routes | Current card | WellDyne, Oct. 2025 |
| 022725 | WDN | Discount Rx Savings route | Current card | WellDyne, Oct. 2025 |
| 021429 | FMC | Financial Marketing Concepts discount route | Current card | WellDyne, Oct. 2025 |
| 023070 | BRX or card-specific | Better Rx discount route | Current card | WellDyne, Oct. 2025 |
| 023534 | PRX or card-specific | PirateRx discount route | Current card | WellDyne, Oct. 2025 |
| 024334 | WDINT or card-specific | AffordableMeds discount route | Current card | WellDyne, Oct. 2025 |
| 024301 | WDN or card-specific | RxNxt discount route | Current card | WellDyne, Oct. 2025 |
| 024319 | WDN or card-specific | Crumdale Partners discount route | Current card | WellDyne, Oct. 2025 |
| 025367 | WDN or card-specific | Savascript Value Services discount route | Current card | WellDyne, Oct. 2025 |
| 022501 | WDN or card-specific | Savascript Value Services discount route | Current card | WellDyne, Oct. 2025 |
| 639858 | Named cash-card PCNs in source | Waltz Health Cash Card discount routes | Current card | WellDyne, Oct. 2025 |