Medicare Part D Formulary Finder
Pennsylvania
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| CMS Contract Name | CMS Plan Name | Epocrates Plan Name |
|---|---|---|
| GATEWAY HEALTH PLAN, INC. | Gateway Health Plan Medicare Assured | Gateway Assured Medicare MA |
| MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice | Medco Medicare Choice PDP |
| MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access | Medco Medicare Access PDP |
| CHESAPEAKE LIFE INSURANCE COMPANY | The Care Assured Premier Plus Plan | The Care Assured Plus MA |
| CHESAPEAKE LIFE INSURANCE COMPANY | The Care Assured Value Plus Plan | The Care Assured Plus MA |
| MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value | Medco Medicare Value PDP |
| SILVERSCRIPT INSURANCE COMPANY | SilverScript | SilverScript PDP |
| SILVERSCRIPT INSURANCE COMPANY | SilverScript Plus | SilverScript Plus PDP |
| SILVERSCRIPT INSURANCE COMPANY | SilverScript Complete | SilverScript Complete PDP |
| SENIOR PARTNERS BY BRAVO HEALTH | Senior Partners Gold Rx | Senior Partners Gold MA |
| SENIOR PARTNERS BY BRAVO HEALTH | Senior Partners Silver | Senior Partners Silver MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Value Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Value Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Value Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Value Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Value Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Value Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Basic Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Basic Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Basic Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Basic Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Basic Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Basic Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Value Plus | Today's Options CCRx Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered by CCRx Basic Plus | Today's Options CCRx Plus MA |
| MEMBERHEALTH, INC. | Community CCRx Basic | Community CCRx Basic PDP |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered CCRx Premier Plus | Today'sOptions CCRx Premier MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered CCRx Premier Plus | Today'sOptions CCRx Premier MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered CCRx Premier Plus | Today'sOptions CCRx Premier MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered CCRx Premier Plus | Today'sOptions CCRx Premier MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered CCRx Premier Plus | Today'sOptions CCRx Premier MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered CCRx Premier Plus | Today'sOptions CCRx Premier MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Basic Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Basic Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Basic Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Basic Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Basic Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Basic Plus | Today's Options Plus MA |
| MARQUETTE NATIONAL LIFE INSURANCE COMPANY | Today's Options Powered CCRx Premier Plus | Today'sOptions CCRx Premier MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value Plus | Today's Options Plus MA |
| AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Basic Plus | Today's Options Plus MA |
| MEMBERHEALTH, INC. | Community CCRx Choice | Community CCRx Choice PDP |
| MEMBERHEALTH, INC. | Community CCRx Gold | Community CCRx Gold PDP |
| UNITED HEALTHCARE INSURANCE COMPANY | Erickson Advantage Signature with Drugs | Erickson Advantage MA |
| UNITED HEALTHCARE INSURANCE COMPANY | Erickson Advantage Champion | Erickson Advantage MA |
| UNITED HEALTHCARE INSURANCE COMPANY | Erickson Advantage Guardian | Erickson Advantage MA |
| UNITED HEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred | AARP MedicareRx Plan PDP |
| UNITED HEALTHCARE INSURANCE COMPANY | Evercare Plan MP | Evercare Plan MP MA |
| UNITED HEALTHCARE INSURANCE COMPANY | Evercare Plan MP | Evercare Plan MP MA |
| UNITED HEALTHCARE INSURANCE COMPANY | Evercare Plan MP | Evercare Plan MP MA |
| UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK | AARP MedicareRx Enhanced | AARP MedicareRx Enhanced PDP |
| COVENTRY HEALTH AND LIFE INSURANCE COMPANY | Freedom 5 | Advantra Freedom MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | Advantra Gold | Advantra Gold/Silver/PPO MA |
| HEALTH ASSURANCE PENNSYLVANIA, INC. | Advantra PPO Gold | Advantra Gold/Silver/PPO MA |
| COVENTRY HEALTH AND LIFE INSURANCE COMPANY | Freedom 5 | Advantra Freedom MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | Advantra Gold | Advantra Gold/Silver/PPO MA |
| HEALTH ASSURANCE PENNSYLVANIA, INC. | Advantra PPO Gold | Advantra Gold/Silver/PPO MA |
| HEALTH ASSURANCE PENNSYLVANIA, INC. | Advantra PPO Gold | Advantra Gold/Silver/PPO MA |
| HEALTH ASSURANCE PENNSYLVANIA, INC. | Advantra PPO Silver | Advantra Gold/Silver/PPO MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | Advantra Gold | Advantra Gold/Silver/PPO MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | Advantra Silver | Advantra Gold/Silver/PPO MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | Advantra Silver | Advantra Gold/Silver/PPO MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | Advantra Silver | Advantra Gold/Silver/PPO MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | Advantra Gold | Advantra Gold/Silver/PPO MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | Advantra Bronze | Advantra MA |
| COVENTRY HEALTH AND LIFE INSURANCE COMPANY | AdvantraRx Premier | Advantra Rx Premier PDP |
| COVENTRY HEALTH AND LIFE INSURANCE COMPANY | AdvantraRx Premier Plus | Advantra Rx Premier Plus PDP |
| FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Select | First Health Select PDP |
| COVENTRY HEALTH AND LIFE INSURANCE COMPANY | AdvantraRx Value | AdvantraRx Value PDP |
| FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure | First Health Secure PDP |
| FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier | First Health Premier PDP |
| HEALTHAMERICA PENNSYLVANIA, INC. | AdvantraOne | AnvantraOne MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | AdvantraExtra - Cholesterol SNP | AdvantraExtra MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | AdvantraExtra - Cholesterol SNP | AdvantraExtra MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | AdvantraExtra - Diabetes SNP | AdvantraExtra MA |
| HEALTHAMERICA PENNSYLVANIA, INC. | AdvantraExtra - Diabetes SNP | AdvantraExtra MA |
| RXAMERICA, LLC | Advantage Star Plan by RxAmerica | Advantage Star - RxAmerica PDP |
| MENNONITE MUTUAL AID ASSOCIATION | Team Care Advantage Rx | Team Care Advantage Rx MA |
| SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | SierraRx Basic | SierraRx & SierraRx Basic PDP |
| HEALTHSPRING INC. HEALTHSPRING OF ALABAMA, INC. | HealthSpring Prescription Drug Plan -Reg 6 | HealthSpring Reg PDP |
| PENNSYLVANIA LIFE INSURANCE COMPANY | Prescription Pathway Gold Plan Reg 6 | Prescription Pathway PDP |
| PENNSYLVANIA LIFE INSURANCE COMPANY | Prescription Pathway Bronze Plan Reg 6 | Prescription Pathway PDP |
| PENNSYLVANIA LIFE INSURANCE COMPANY | Prescription Pathway Platinum Plan Reg 6 | Prescription Pathway Pltnm PDP |
| UNISON HEALTH PLAN OF PENNSYLVANIA, INC. | Unison Advantage Plus | Unison Advantage Plus MA |
| RXAMERICA, LLC | Advantage Freedom Plan by RxAmerica | Adv Freedom - RxAmerica PDP |
| RXAMERICA, LLC | Advantage Allegiance Plan by RxAmerica | Adv Allegiance - RxAmerica PDP |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Rx 1 | Geisinger Health Gold Rx PDP |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred Standard Rx | GHP Gold Preferred Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred Standard Rx | GHP Gold Preferred Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred Standard Rx | GHP Gold Preferred Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred Standard Rx | GHP Gold Preferred Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred Standard Rx | GHP Gold Preferred Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred Standard Rx | GHP Gold Preferred Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred Standard Rx | GHP Gold Preferred Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred Standard Rx | GHP Gold Preferred Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 3 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 Standard Rx | GHP Gold Classic Std MA |
| UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov | UA Medicare Part D PDP |
| UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan | UA Medicare Part D PDP |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred $0 Deductible Rx | GHP Gold Preferred $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred $0 Deductible Rx | GHP Gold Preferred $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred $0 Deductible Rx | GHP Gold Preferred $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 $0 Deductible Rx | GHP Gold Open $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 $0 Deductible Rx | GHP Gold Open $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred $0 Deductible Rx | GHP Gold Preferred $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 $0 Deductible Rx | GHP Gold Open $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred $0 Deductible Rx | GHP Gold Preferred $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 $0 Deductible Rx | GHP Gold Open $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred $0 Deductible Rx | GHP Gold Preferred $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 $0 Deductible Rx | GHP Gold Open $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 $0 Deductible Rx | GHP Gold Open $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred $0 Deductible Rx | GHP Gold Preferred $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 1 $0 Deductible Rx | GHP Gold Open $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Preferred $0 Deductible Rx | GHP Gold Preferred $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 2 $0 Deductible Rx | GHP Gold Open $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 3 | Geisinger Gold Open MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 4 | Geisinger Gold Open MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 4 | Geisinger Gold Open MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Open 4 | Geisinger Gold Open MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 2 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Secure 1 | Geisinger Gold Secure MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 3 $0 Deductible Rx | GHP Gold Choice $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Secure 2 | Geisinger Gold Secure MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| GEISINGER HEALTH PLAN | Geisinger Gold Classic 1 $0 Deductible Rx | GHP Gold Classic $0 MA |
| ENVISION INSURANCE COMPANY | EnvisionRxPlus Standard | EnvisionRxPlus PDP |
| ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold | EnvisionRxPlus PDP |
| UNISON HEALTH PLAN OF PENNSYLVANIA, INC. | Unison Advantage Choice | Unison Adv Choice/Preferred MA |
| UNISON HEALTH PLAN OF PENNSYLVANIA, INC. | Unison Advantage Preferred | Unison Adv Choice/Preferred MA |
| AMERIHEALTH HMO_INC | AmeriHealth 65 Basic | AmeriHealth 65 Basic MA |
| GEISINGER INDEMNITY INSURANCE COMPANY | Geisinger Gold Rx 2 | GHP Gold Rx No Deductible PDP |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 1 | Senior Blue Option 1 2 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 1 | Senior Blue Option 1 2 MA |
| AVALON INSURANCE COMPANY | SecureRx - Option 1 | SecureRx Option 1 and 2 PDP |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 1 | Senior Blue Option 1 2 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 2 | Senior Blue Option 1 2 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 2 | Senior Blue Option 1 2 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 2 | Senior Blue Option 1 2 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 2 | Senior Blue PPO Option 1 2 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 2 | Senior Blue PPO Option 1 2 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 2 | Senior Blue PPO Option 1 2 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 2 | Senior Blue PPO Option 1 2 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 1 | Senior Blue PPO Option 1 2 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 1 | Senior Blue PPO Option 1 2 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 1 | Senior Blue PPO Option 1 2 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 1 | Senior Blue PPO Option 1 2 MA |
| QCC INS CO D/B/A AMERIHEALTH INS CO | AmeriHealth Advantage Rx Option I | AmeriHealth Advantage PDP |
| QCC INS CO D/B/A AMERIHEALTH INS CO | AmeriHealth Rx Option I | AmeriHealth PDP |
| INDEPENDENCE BLUE CROSS | Personal Choice 65 Standard Rx | Personal Choice 65 Medicare MA |
| QCC INS CO D/B/A AMERIHEALTH INS CO | AmeriHealth Rx Option II | AmeriHealth PDP |
| QCC INSURANCE COMPANY | Select Advantage Silver Rx | Select Advantage Silver MA |
| QCC INSURANCE COMPANY | Select Advantage Gold Rx | Select Advantage Gold MA |
| KEYSTONE HEALTH PLAN EAST, INC. | Keystone 65 Standard Rx | Keystone 65 Std/Val MA |
| KEYSTONE HEALTH PLAN EAST, INC. | Keystone 65 Value Rx | Keystone 65 Std/Val MA |
| KEYSTONE HEALTH PLAN EAST, INC. | Keystone 65 Value Plus Rx | Keystone 65 Std/Val MA |
| KEYSTONE HEALTH PLAN EAST, INC. | Keystone 65 Complete | Keystone 65 Complete MA |
| AETNA LIFE INSURANCE COMPANY | Aetna Medicare Open Value Plan w/Rx | Aetna Medicare Open MA |
| AETNA HEALTH INC | Aetna Golden Medicare Premier Plan | Aetna Golden Medicare MA |
| AETNA LIFE INSURANCE COMPANY | Aetna Golden Choice Standard Plan | Aetna Golden Choice MA |
| AETNA LIFE INSURANCE COMPANY | Aetna Golden Choice Premier Plan | Aetna Golden Choice MA |
| AETNA LIFE INSURANCE COMPANY | Aetna Golden Choice Standard Plan | Aetna Golden Choice MA |
| AETNA LIFE INSURANCE COMPANY | Aetna Golden Choice Premier Plan | Aetna Golden Choice MA |
| AETNA LIFE INSURANCE COMPANY | Aetna Medicare Open Premier Plan w/Rx | Aetna Medicare Open MA |
| AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials | Aetna Medicare Rx PDP |
| AETNA HEALTH INC | Aetna Golden Medicare Premier Plan | Aetna Golden Medicare MA |
| AETNA HEALTH INC | Aetna Golden Medicare Standard Plan | Aetna Golden Medicare MA |
| AETNA HEALTH INC | Aetna Golden Medicare Standard Plan | Aetna Golden Medicare MA |
| AETNA HEALTH INC | Aetna Golden Medicare Dual Advantage Plan | Aetna Golden Medicare MA |
| AETNA HEALTH INC | Aetna Golden Medicare Standard Plan | Aetna Golden Medicare MA |
| AETNA HEALTH INC | Aetna Golden Medicare Premier Plan | Aetna Golden Medicare MA |
| AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Plus | Aetna Medicare Rx PDP |
| AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier | Aetna Medicare Rx PDP |
| UNITED HEALTHCARE INSURANCE COMPANY | Evercare Plan IP | Evercare Plan MA |
| UNITED HEALTHCARE INSURANCE COMPANY | Evercare Plan DP | Evercare Plan MA |
| UNITED HEALTHCARE INSURANCE COMPANY | Evercare Plan DP | Evercare Plan MA |
| UNITED HEALTHCARE INSURANCE COMPANY | Evercare Plan DP | Evercare Plan MA |
| UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK | AARP MedicareRx Saver | AARP MedicareRx Plan Saver PDP |
| UNITED HEALTH CARE INS. CO. AND UNITED NEW YORK | UnitedHealth Rx Basic | UnitedHealth Rx Basic PDP |
| WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. | Concert | Wellcare Concert MA |
| WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. | Concert | Wellcare Concert MA |
| WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. | Concert | Wellcare Concert MA |
| WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. | Concert | Wellcare Concert MA |
| WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. | Concert | Wellcare Concert MA |
| WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. | Concert | Wellcare Concert MA |
| WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. | Concert | Wellcare Concert MA |
| WELLCARE PRESCRIPTION INSURANCE, INC. | WellCare Classic | WellCare Classic PDP |
| WELLCARE PRESCRIPTION INSURANCE, INC. | WellCare Signature | WellCare Signature PDP |
| UPMC HEALTH NETWORK | UPMC for Life PPO Rx Enhanced | UPMC for Life Medicare MA |
| UPMC HEALTH BENEFITS, INC | UPMC for Life Prescription Drug Plan | UPMC for Life Medicare PDP |
| UNIVERSITY OF PITTSBURGH MEDICAL CENTER | UPMC for Life HMO Rx Enhanced | UPMC for Life Medicare MA |
| UPMC HEALTH BENEFITS, INC | UPMC for Life PDP Enhanced | UPMC for Life Medicare PDP |
| UNIVERSITY OF PITTSBURGH MEDICAL CENTER | UPMC for Life Specialty Plan | UPMC for Life Medicare MA |
| UNIVERSITY OF PITTSBURGH MEDICAL CENTER | UPMC for Life HMO Rx | UPMC for Life Medicare MA |
| UNITED HEALTHCARE INSURANCE COMPANY | UnitedHealth Rx Value | UnitedHealth Rx Value PDP |
| HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Value Orange Option 2 | Health Net Orange PDP |
| HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 | Health Net Orange PDP |
| UNITED HEALTHCARE INSURANCE COMPANY | SecureHorizons MedicareDirect Rx Plan 50 | SecureHorizons Medi Direct MA |
| UNITED HEALTHCARE INSURANCE COMPANY | SecureHorizons MedicareCompleteChoicePlan1 | SecureHorizonsComplete Plus MA |
| UNITED HEALTHCARE INSURANCE COMPANY | SecureHorizons MedicareCompleteChoicePlan1 | SecureHorizonsComplete Plus MA |
| PACIFICARE LIFE AND HEALTH INSURANCE COMPANY | SecureHorizons MedicareDirect Rx Plan 54 | SecureHorizons Medi Direct MA |
| PACIFICARE LIFE AND HEALTH INSURANCE COMPANY | SecureHorizons MedicareDirect Rx Plan 51 | SecureHorizons Medi Direct MA |
| UNITED HEALTHCARE INSURANCE COMPANY | SecureHorizons MedicareDirect Rx Plan 150 | SecureHorizons Medi Direct MA |
| UNITED HEALTHCARE INSURANCE COMPANY | SecureHorizons MedicareDirect Rx Plan 50A | SecureHorizons Medi Direct MA |
| UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Value | MedicareRx Rewards Value PDP |
| UNICARE LIFE AND HEALTH INS. COMPANY | SecurityChoice Plus | SecurityChoice Plus MA |
| UNICARE LIFE AND HEALTH INS. COMPANY | SecurityChoice Plus | SecurityChoice Plus MA |
| UNICARE LIFE AND HEALTH INS. COMPANY | SecurityChoice Essential Plus | SecurityChoice Plus MA |
| UNICARE LIFE AND HEALTH INS. COMPANY | SecurityChoice Enhanced Plus | SecurityChoice Enhnced Plus MA |
| UNICARE LIFE AND HEALTH INS. COMPANY | SecurityChoice Enhanced Plus | SecurityChoice Enhnced Plus MA |
| AVALON INSURANCE COMPANY | SecureRx - Option 3 | SecureRx Option 3 PDP |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 3 | SeniorBlue PPO Opt 3 or 5 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 3 | SeniorBlue PPO Opt 3 or 5 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 3 | SeniorBlue PPO Opt 3 or 5 MA |
| AVALON INSURANCE COMPANY | Secure Rx - Option 4 | SecureRx Option 4 PDP |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 3 | SeniorBlue PPO Opt 3 or 5 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | Senior Blue Option 3 | Senior Blue Option 3 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 3 | Senior Blue Option 3 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 3 | Senior Blue Option 3 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 5 | Senior Blue Option 5 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 5 | Senior Blue Option 5 MA |
| KEYSTONE HEALTH PLAN CENTRAL,INC. | SeniorBlue Option 5 | Senior Blue Option 5 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 5 | SeniorBlue PPO Opt 3 or 5 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO Option 5 | SeniorBlue PPO Opt 3 or 5 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 5 | SeniorBlue PPO Opt 3 or 5 MA |
| CAPITAL ADVANTAGE INSURANCE COMPANY | SeniorBlue PPO - Option 5 | SeniorBlue PPO Opt 3 or 5 MA |
| BRAVO HEALTH INSURANCE COMPANY, INC. | BravoRx | BravoRx PDP |
| BRAVO HEALTH PENNSYLVANIA INC. | Bravo Classic | Bravo MA |
| BRAVO HEALTH PENNSYLVANIA INC. | Bravo Select | Bravo MA |
| BRAVO HEALTH PENNSYLVANIA INC. | Bravo Classic | Bravo MA |
| BRAVO HEALTH PENNSYLVANIA INC. | Bravo Premier | Bravo Premier/Liberty MA |
| BRAVO HEALTH PENNSYLVANIA INC. | Bravo Premier | Bravo Premier/Liberty MA |
| BRAVO HEALTH PENNSYLVANIA INC. | Bravo Traditions | Bravo Tradtion/HealthyHeart MA |
| BRAVO HEALTH PENNSYLVANIA INC. | Bravo Healthy Heart | Bravo Tradtion/HealthyHeart MA |
| BRAVO HEALTH PENNSYLVANIA INC. | Bravo Healthy Heart | Bravo Tradtion/HealthyHeart MA |
| STERLING LIFE INSURANCE COMPANY | Sterling Rx | Sterling Life Insurance Co PDP |
| STERLING LIFE INSURANCE COMPANY | Sterling Option II | Sterling Life Insurance Co MA |
| STERLING LIFE INSURANCE COMPANY | Sterling Option IV | Sterling Life Insurance Co MA |
| STERLING LIFE INSURANCE COMPANY | Sterling Rx Plus | Sterling Life Insurance Co PDP |
| UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard | MedicareRx Rewards Standard PDP |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One | CIGNATURE Rx 01 PDP |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two | CIGNATURE Rx PDP |
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three | CIGNATURE Rx PDP |