340B | Department of Human Services | Commonwealth of Pennsylvania

340B | Department of Human Services | Commonwealth of Pennsylvania
Pharmacy Services
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:
MAB 99-13-08: 340B Drug Pricing Program Provider Requirements and Billing Instructions
The following MA Bulletins apply to 340B covered entities that bill the MA FFS program for 340B purchased drugs:
MAB 99-17-09: Payment for Covered Outpatient Drugs
MAB 24-18-21: Professional Dispensing Fee
2026 Pennsylvania Medical Assistance BIN/PCN/Group Numbers
FFS/MCO
BIN
PCN
Group Number
Fee-For-Service
600760
N/A
N/A
AmeriHealth Caritas Pennsylvania
019595
01940000
N/A
AmeriHealth Community Health Choices
019595
07630000
N/A
Geisinger Health Plan (Effective 1/1/2024)
026010
MCDG
N/A
Health Partners of Philadelphia
004336
MCAIDADV
RX3892
​Highmark Wholecare (Medicaid Primary)
​004336
​MCAIDADV
​RX2338
​Highmark Wholecare (Medicaid Secondary to Medicare)
​012114
​MCAIDADV
​RX2338
​Highmark Wholecare (Medicaid Secondary to Commercial Insurance)
​013089
​MCAIDADV
​RX2338
Keystone First Community Health Choices
019595
07630000
N/A
Keystone First
019595
01940000
N/A
Pennsylvania Health & Wellness (Effective 1/1/2024)
003858
MA
2FBA
United Healthcare Community Plan
610494
4200
ACUPA
UPMC for You
003858
A4
PMDM
Last Updated: December 15, 2025