Medicare Part D Formulary Finder
Puerto Rico
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| State | FormularyID | CMS Contract ID | CMS Plan ID | CMS Contract Name | CMS Plan Name | Epocrates Plan Name |
| PR | 00010503 | H0046 | 001 | PROSALUD HMO CORPORATION | ProSalud Medicare Esencial Activo (PPO) | ProSalud PPO MA |
| PR | 00010503 | H0046 | 002 | PROSALUD HMO CORPORATION | ProSalud Medicare Elite (PPO) | ProSalud Elite PPO MA |
| PR | 00010503 | H2291 | 002 | PROSALUD HMO, CORP. | ProSalud Medicare Esencial (HMO) | ProSalud Esencial PPO MA |
| PR | 00010503 | H2291 | 004 | PROSALUD HMO, CORP. | ProSalud Medicare ProActivo (HMO) | ProSalud ProActivo HMO MA |
| PR | 00010457 | H4003 | 001 | MMM HEALTHCARE, INC. | Medicare y Mucho Mas - ELITE (HMO) | Medicare y Mucho Mas Elite MA |
| PR | 00010459 | H4003 | 009 | MMM HEALTHCARE, INC. | Medicare y Mucho Mas - SUPREMO (HMO) | Medicare y Mucho Mas MA |
| PR | 00010456 | H4003 | 015 | MMM HEALTHCARE, INC. | Medicare y Mucho Mas - BASICO SELECT (HMO) | Medicare y Mucho Mas MA |
| PR | 00010456 | H4003 | 017 | MMM HEALTHCARE, INC. | Medicare y Mucho Mas - DIAMANTE CHOICE (HMO) | Medicare y Mucho Mas MA |
| PR | 00010457 | H4003 | 019 | MMM HEALTHCARE, INC. | Medicare y Mucho Mas - Unico (HMO) | Mucho Mas - Unico MA |
| PR | 00010457 | H4004 | 015 | PREFERRED MEDICARE CHOICE, INC. | Elite Dorado (HMO) | Elite Dorado MA |
| PR | 00010456 | H4004 | 035 | PREFERRED MEDICARE CHOICE, INC. | Medicare en el Hogar Plus (HMO) | Medicare en el Hogar Plus MA |
| PR | 00010456 | H4004 | 048 | PREFERRED MEDICARE CHOICE, INC. | Premier Preferred (HMO) | Premier Preferred MA |
| PR | 00010456 | H4004 | 049 | PREFERRED MEDICARE CHOICE, INC. | Dorado Select (HMO) | Dorado Select MA |
| PR | 00010456 | H4004 | 050 | PREFERRED MEDICARE CHOICE, INC. | PMC Max (HMO) | PMC Max MA |
| PR | 00010360 | H4005 | 003 | TRIPLE-S SALUD, INC. | Triple-S Medicare Optimo Superior (PPO) | Triple-S Medicare MA |
| PR | 00010360 | H4005 | 004 | TRIPLE-S SALUD, INC. | Triple-S Medicare Optimo Plus (PPO) | Triple-S Medicare MA |
| PR | 00010275 | H4006 | 007 | MCS ADVANTAGE INC. | MCS Classicare Premium A (HMO) | MSC Classicare Premium MA |
| PR | 00010275 | H4006 | 008 | MCS ADVANTAGE INC. | MCS Classicare Premium B (HMO-POS) | MSC Classicare Premium MA |
| PR | 00010280 | H4006 | 013 | MCS ADVANTAGE INC. | MCS Classicare Ideal D (HMO) | MSC Classicare Ideal D MA |
| PR | 00010280 | H4006 | 015 | MCS ADVANTAGE INC. | MCS Classicare Ideal C (HMO) | MSC Classicare Ideal C MA |
| PR | 00010275 | H4006 | 020 | MCS ADVANTAGE INC. | MCS Classicare Access (HMO) | MSC Classicare Access MA |
| PR | 00010275 | H4006 | 022 | MCS ADVANTAGE INC. | MCS Classicare Ideal (HMO) | MSC Classicare Ideal MA |
| PR | 00010553 | H4009 | 002 | SDM HEALTHCARE MANAGEMENT, INC. | SDM Medicare Royal (HMO) | SDM Medicare MA |
| PR | 00010553 | H4009 | 007 | SDM HEALTHCARE MANAGEMENT, INC. | SDM Medicare Platino Dorado (HMO) | SDM Medicare MA |
| PR | 00010553 | H4009 | 013 | SDM HEALTHCARE MANAGEMENT, INC. | SDM Medicare Vital Plus (HMO-POS) | SDM Medicare MA |
| PR | 00010553 | H4009 | 014 | SDM HEALTHCARE MANAGEMENT, INC. | SDM Medicare Eco (HMO) | SDM Medicare MA |
| PR | 00010050 | H4011 | 003 | FIRST MEDICAL HEALTH PLAN, INC. | First+Plus Advantage Plus (PPO) | First Plus Advantage MA |
| PR | 00010050 | H4011 | 004 | FIRST MEDICAL HEALTH PLAN, INC. | First+Plus Advantage Premium (PPO) | First Plus Advantage MA |
| PR | 00010383 | H4012 | 003 | TRIPLE-S SALUD, INC. | Triple-S Medicare Selecto Superior (HMO) | Triple-S Medicare Selecto MA |
| PR | 00010383 | H4012 | 007 | TRIPLE-S SALUD, INC. | Triple-S Medicare Selecto 3 (HMO) (HMO) | Triple-S Medicare Selecto MA |
| PR | 00010383 | H4012 | 008 | TRIPLE-S SALUD, INC. | Triple-S Medicare Selecto 4 (HMO) (HMO) | Triple-S Medicare Selecto MA |
| PR | 00010280 | H5577 | 002 | MCS ADVANTAGE INC. | MCS Classicare Especial (HMO) | MCS Classicare Especial MA |
| PR | 00010360 | H5732 | 001 | TRIPLE-S SALUD, INC. | Auxilio Platino Clßsico (HMO) | Auxilio Platino MA |
| PR | 00010362 | H5774 | 005 | AMERICAN HEALTH, INC. | AHM_Standard (HMO) | American Health Medicare MA |
| PR | 00010362 | H5774 | 008 | AMERICAN HEALTH, INC. | AHM_Classic (HMO) | American Health Medicare MA |
| PR | 00010362 | H5774 | 009 | AMERICAN HEALTH, INC. | AHM_Classic Plus (HMO) | American Health Medicare MA |
| PR | 00010362 | H5774 | 014 | AMERICAN HEALTH, INC. | AHM_Opal (HMO) | American Health Medicare MA |
| PR | 00010314 | H5774 | 019 | AMERICAN HEALTH, INC. | AHM_Platino Plus (HMO) | American Health Medicare MA |
| PR | 00010150 | H5821 | 001 | MAPFRE LIFE INSURANCE COMPANY | MAPFRE Medicare Excel (HMO-POS) | MAPFRE Medicare MA |
| PR | 00010150 | H5821 | 004 | MAPFRE LIFE INSURANCE COMPANY | MAPFRE Medicare Excel Premier (HMO-POS) | MAPFRE Medicare MA |
| PR | 00010150 | H5821 | 013 | MAPFRE LIFE INSURANCE COMPANY | MAPFRE Medicare Excel Extended (HMO-POS) | MAPFRE Medicare MA |
| PR | 00010050 | H5887 | 001 | FIRST MEDICAL HEALTH PLAN, INC. | First Care+Plus (HMO) | FirstCare Plus MA |
| PR | 00010050 | H5887 | 006 | FIRST MEDICAL HEALTH PLAN, INC. | First+Plus Titanio (HMO) | First Plus Platino MA |
| PR | 00010050 | H5887 | 007 | FIRST MEDICAL HEALTH PLAN, INC. | First+Plus Complete (HMO) | First Plus Complete MA |
| PR | 00010457 | S0043 | 009 | PREFERRED MEDICARE CHOICE, INC. | MediMax One (PDP) | MediMax One PDP |
| PR | 00010457 | S0043 | 010 | PREFERRED MEDICARE CHOICE, INC. | MediMax Plus (PDP) | MediMax Plus PDP |
| PR | 00010458 | S0043 | 013 | PREFERRED MEDICARE CHOICE, INC. | MediMax Elite (PDP) | MediMax Elite PDP |
| PR | 00010152 | S2873 | 001 | PLAN MEDICO SERVICIOS DE SALUD BELLA VISTA, INC. | Royal (PDP) | Plan Medico Royal PDP |
| PR | 00010152 | S2873 | 002 | PLAN MEDICO SERVICIOS DE SALUD BELLA VISTA, INC. | Royal Deluxe (PDP) | Plan Medico Royal PDP |
| PR | 00010152 | S2873 | 003 | PLAN MEDICO SERVICIOS DE SALUD BELLA VISTA, INC. | Royal Supreme (PDP) | Plan Medico Royal PDP |
| PR | 00010275 | S5555 | 001 | MCS ADVANTAGE, INC. | MCS Classicare Rx (PDP) | MSC Classicare Rx PDP |
| PR | 00010275 | S5555 | 003 | MCS ADVANTAGE, INC. | MCS Classicare Rx Standard (PDP) | MSC Classicare Rx PDP |
| PR | 00010064 | S5601 | 002 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 003 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 004 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 005 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 006 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 007 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 008 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 009 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 010 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 011 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 012 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 013 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 014 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 015 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 016 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 017 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 018 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 019 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 020 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 021 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 022 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 023 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 024 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 025 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 026 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 027 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 028 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 029 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 030 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 031 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 032 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 033 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 034 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 035 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 036 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 037 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 038 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 039 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 040 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 041 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 042 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 043 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 044 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 045 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 046 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 047 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 048 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 049 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 050 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 051 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 052 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 053 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 054 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 055 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 056 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 057 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 058 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 059 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 060 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 061 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 062 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 063 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 064 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 065 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 066 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 067 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 068 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 069 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010064 | S5601 | 070 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| PR | 00010394 | S5601 | 071 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| PR | 00010391 | S5601 | 072 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 073 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 074 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 075 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 076 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 077 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 078 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 079 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 080 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 081 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 082 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 083 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 084 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 085 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 086 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 087 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 088 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 089 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 090 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 091 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 092 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 093 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 094 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 095 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 096 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 097 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 098 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 099 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 100 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 101 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 102 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 103 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 105 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010391 | S5601 | 106 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| PR | 00010099 | S5660 | 001 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 003 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 004 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 005 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 006 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 007 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 008 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 009 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 010 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 012 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 013 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 014 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 015 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 016 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 017 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 018 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 019 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 020 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 021 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 022 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 023 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 024 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 025 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 026 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 027 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 028 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 029 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 030 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 031 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 032 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 033 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 034 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 035 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 103 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| PR | 00010099 | S5660 | 104 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 105 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 106 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 107 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 108 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 109 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 110 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 111 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 112 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 113 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 114 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 115 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 116 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 117 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 118 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 119 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 120 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 121 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 122 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 123 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 124 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 125 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 126 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 127 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 128 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 129 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 130 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 131 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 132 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 133 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 134 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 135 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 136 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 137 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| PR | 00010099 | S5660 | 172 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 173 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 174 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 175 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 176 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 177 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 178 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 179 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 180 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 181 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 182 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 183 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 184 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 185 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 186 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 187 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 188 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 189 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 190 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 191 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 192 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 193 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 194 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 195 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 196 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 197 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 198 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 199 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 200 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 201 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 202 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 203 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 204 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010099 | S5660 | 205 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| PR | 00010291 | S5775 | 001 | PHARMACY INSURANCE CORPORATION OF AMERICA | PICA Primero (PDP) | PICA PDP |
| PR | 00010291 | S5775 | 002 | PHARMACY INSURANCE CORPORATION OF AMERICA | PICA Alante (PDP) | PICA PDP |
| PR | 00010291 | S5775 | 003 | PHARMACY INSURANCE CORPORATION OF AMERICA | PICA Mßs (PDP) | PICA PDP |
| PR | 00010031 | S5803 | 070 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 071 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 072 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 073 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 074 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 075 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 076 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 077 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 078 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 079 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 080 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 081 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 082 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 083 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 084 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 085 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 086 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 087 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 088 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 089 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 090 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 091 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 092 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 093 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 094 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 095 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 096 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 097 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 098 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 099 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 100 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 101 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 102 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 103 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010066 | S5803 | 138 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 139 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 140 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 141 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 142 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 143 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 144 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 145 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 146 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 147 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 148 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 149 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 150 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 151 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 152 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 153 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 154 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 155 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 156 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 157 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 158 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 159 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 160 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 161 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 162 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 163 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 164 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 165 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 166 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 167 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 168 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 169 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 170 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 171 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010031 | S5803 | 210 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010031 | S5803 | 211 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| PR | 00010066 | S5803 | 214 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 215 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| PR | 00010066 | S5803 | 218 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 219 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 221 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 222 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 223 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 224 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 225 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 226 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 227 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 228 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 229 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 230 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 231 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 232 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 233 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 234 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 235 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 236 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 237 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 238 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 239 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 240 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 241 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 242 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 243 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 244 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 245 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 246 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 247 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 248 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 249 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 250 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 251 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 252 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010066 | S5803 | 253 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| PR | 00010022 | S5820 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 002 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 003 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 004 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 005 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 006 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 007 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 008 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 009 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 010 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 011 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 012 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 013 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 014 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 015 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 016 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 017 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 018 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 019 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 020 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 021 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 022 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 023 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 024 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 025 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 026 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 027 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 028 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 029 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 030 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 031 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 032 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 033 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 034 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 035 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 036 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 037 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 038 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| PR | 00010022 | S5820 | 142 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| PR | 00010022 | S5820 | 143 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| PR | 00010022 | S5820 | 144 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| PR | 00010022 | S5820 | 145 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| PR | 00010022 | S5820 | 146 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| PR | 00010213 | S5820 | 147 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| PR | 00010213 | S5820 | 148 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| PR | 00010213 | S5820 | 149 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| PR | 00010213 | S5820 | 150 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| PR | 00010213 | S5820 | 151 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| PR | 00010050 | S5840 | 001 | FIRST MEDICAL HEALTH PLAN, INC | PharmaPlus (PDP) | First Med PharmaPlus/Prem PDP |
| PR | 00010050 | S5840 | 002 | FIRST MEDICAL HEALTH PLAN, INC | PharmaPremium (PDP) | First Med PharmaPlus/Prem PDP |
| PR | 00010360 | S5907 | 001 | TRIPLE-S SALUD, INC. | Triple-S FarmaMed (PDP) | Triple-S FarmaMed PDP |
| PR | 00010360 | S5907 | 002 | TRIPLE-S SALUD, INC. | Triple-S FarmaMed Plus (PDP) | Triple-S FarmaMed PDP |