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Medicaid Pharmacy Provider Information

Payer Sheets - Version D.0

Instructions for 340B pharmacies are within the payer sheet. 340B Contract pharmacies must carve out ND Medicaid. For Medicaid Managed Care, providers are not allowed to use 340b product.

  • Medicaid Managed Care BIN, PCN, and Group for 1/1/2014 through 12/31/2018
    • BIN 003858, PCN A4, Group SANFRX
  • Medicaid Managed Care BIN, PCN, and Group starting 1/1/2019
    • BIN 610011, PCN IRX, Group SHNNDMEDI
  • Medicaid Managed Care for ND Healthy Steps (for duration of program)
    • BIN 610455, PCN NDCAID

If you have pharmacy questions, you may email them to dhsmed@nd.gov. If you have pharmacy billing questions, please contact provider relations at (701) 328-4043.

 

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