State,Company Name,Plan Name,Benefit Type,Benefit Type Detail,$0 Premium with Full Low-Income Subsidy?,Monthly Drug Premium,Annual Drug Deductible,Contract ID,Plan ID,Additional Drug Coverage Offered in the Gap,2024 Star Rating Part D
Alabama,Blue Cross and Blue Shield of Alabama,BlueRx Enhanced Plus (PDP),Enhanced,EA,,$153.70 ,$0.00 ,S1030,001,No,3.0
Alabama,Blue Cross and Blue Shield of Alabama,BlueRx Essential (PDP),Basic,AE,,$72.00 ,$545.00 ,S1030,006,No,3.0
Alabama,Blue Cross and Blue Shield of Alabama,BlueRx Enhanced (PDP),Enhanced,EA,,$119.50 ,$545.00 ,S1030,010,No,3.0
Alabama,Members Health Insurance Company,Farm Bureau Essential Rx (PDP),Basic,AE,x,$37.10 ,$545.00 ,S2668,005,No,2.0
Alabama,Members Health Insurance Company,Farm Bureau Select Rx (PDP),Enhanced,EA,,$76.70 ,$0.00 ,S2668,006,No,2.0
Alabama,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$36.10 ,$545.00 ,S4802,071,No,4.0
Alabama,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,147,No,4.0
Alabama,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,215,No,4.0
Alabama,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$50.00 ,$545.00 ,S5601,024,No,3.0
Alabama,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$104.10 ,$200.00 ,S5601,025,Yes,3.0
Alabama,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$12.30 ,$280.00 ,S5601,187,No,3.0
Alabama,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$56.80 ,$545.00 ,S5617,220,No,3.0
Alabama,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$83.40 ,$145.00 ,S5617,257,Yes,3.0
Alabama,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.70 ,$545.00 ,S5617,362,No,3.0
Alabama,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$102.30 ,$0.00 ,S5820,011,No,3.5
Alabama,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$40.40 ,$545.00 ,S5884,106,No,3.5
Alabama,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$96.70 ,$300.00 ,S5884,158,Yes,3.5
Alabama,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$40.10 ,$545.00 ,S5884,191,Yes,3.5
Alabama,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$35.60 ,$545.00 ,S5921,357,No,3.0
Alabama,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$59.60 ,$410.00 ,S5921,393,Yes,3.0
Alabama,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$116.90 ,$545.00 ,S7126,011,No,2.0
Alabama,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$73.00 ,$349.00 ,S7126,081,No,2.0
Alabama,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.60 ,$545.00 ,S7126,114,No,2.0
Alaska,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.40 ,$545.00 ,S4802,096,No,4.0
Alaska,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$3.50 ,$545.00 ,S4802,165,No,4.0
Alaska,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.60 ,$0.00 ,S4802,237,No,4.0
Alaska,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$43.30 ,$545.00 ,S5601,068,No,3.0
Alaska,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,209,No,3.0
Alaska,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$103.70 ,$200.00 ,S5601,210,Yes,3.0
Alaska,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$36.50 ,$545.00 ,S5617,227,No,3.0
Alaska,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$61.90 ,$145.00 ,S5617,279,Yes,3.0
Alaska,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$14.20 ,$545.00 ,S5617,384,No,3.0
Alaska,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$102.00 ,$0.00 ,S5820,033,No,3.5
Alaska,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$37.50 ,$545.00 ,S5884,116,No,3.5
Alaska,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$110.40 ,$200.00 ,S5884,180,Yes,3.5
Alaska,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$51.80 ,$545.00 ,S5884,213,Yes,3.5
Alaska,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$63.30 ,$545.00 ,S5921,377,No,3.0
Alaska,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$49.90 ,$410.00 ,S5921,415,Yes,3.0
Alaska,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$97.70 ,$545.00 ,S7126,033,No,2.0
Alaska,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$81.30 ,$349.00 ,S7126,103,No,2.0
Alaska,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.20 ,$545.00 ,S7126,136,No,2.0
American Samoa,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Basic,DS,,$55.80 ,$545.00 ,S5820,034,No,3.5
Arizona,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$37.30 ,$545.00 ,S4802,092,No,4.0
Arizona,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$400.00 ,S4802,134,No,4.0
Arizona,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,231,No,4.0
Arizona,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$50.40 ,$545.00 ,S5601,056,No,3.0
Arizona,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$112.10 ,$200.00 ,S5601,057,Yes,3.0
Arizona,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,203,No,3.0
Arizona,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$42.20 ,$545.00 ,S5617,138,No,3.0
Arizona,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$73.00 ,$145.00 ,S5617,273,Yes,3.0
Arizona,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$11.70 ,$545.00 ,S5617,378,No,3.0
Arizona,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$98.20 ,$0.00 ,S5820,027,No,3.5
Arizona,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$45.60 ,$545.00 ,S5884,146,No,3.5
Arizona,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$103.10 ,$200.00 ,S5884,174,Yes,3.5
Arizona,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$33.60 ,$545.00 ,S5884,207,Yes,3.5
Arizona,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$39.30 ,$545.00 ,S5921,380,No,3.0
Arizona,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$47.10 ,$410.00 ,S5921,409,Yes,3.0
Arizona,Blue Cross Blue Shield of Arizona (AZ Blue),Blue MedicareRx Value (PDP),Basic,AE,,$52.70 ,$545.00 ,S6506,001,No,2.0
Arizona,Blue Cross Blue Shield of Arizona (AZ Blue),Blue MedicareRx Enhanced (PDP),Enhanced,EA,,$158.60 ,$0.00 ,S6506,002,No,2.0
Arizona,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$103.20 ,$545.00 ,S7126,027,No,2.0
Arizona,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$67.50 ,$349.00 ,S7126,097,No,2.0
Arizona,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,130,No,2.0
Arkansas,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$33.80 ,$545.00 ,S4802,073,No,4.0
Arkansas,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$1.60 ,$545.00 ,S4802,153,No,4.0
Arkansas,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,222,No,4.0
Arkansas,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$37.50 ,$545.00 ,S5601,038,No,3.0
Arkansas,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$95.60 ,$200.00 ,S5601,107,Yes,3.0
Arkansas,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,194,No,3.0
Arkansas,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$36.40 ,$545.00 ,S5617,225,No,3.0
Arkansas,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$90.60 ,$145.00 ,S5617,264,Yes,3.0
Arkansas,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$19.20 ,$545.00 ,S5617,369,No,3.0
Arkansas,Arkansas Blue Medicare,BlueMedicare Premier Rx (PDP),Enhanced,EA,,$123.90 ,$0.00 ,S5795,002,Yes,3.5
Arkansas,Arkansas Blue Medicare,BlueMedicare Value Rx (PDP),Basic,BA,,$40.30 ,$495.00 ,S5795,003,No,3.5
Arkansas,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$99.20 ,$0.00 ,S5820,018,No,3.5
Arkansas,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$40.40 ,$545.00 ,S5884,141,No,3.5
Arkansas,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$99.70 ,$100.00 ,S5884,165,Yes,3.5
Arkansas,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$33.00 ,$545.00 ,S5884,198,Yes,3.5
Arkansas,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$51.80 ,$545.00 ,S5921,364,No,3.0
Arkansas,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$45.90 ,$410.00 ,S5921,400,Yes,3.0
Arkansas,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$37.70 ,$545.00 ,S7126,018,No,2.0
Arkansas,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$74.80 ,$349.00 ,S7126,088,No,2.0
Arkansas,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.80 ,$545.00 ,S7126,121,No,2.0
California,Blue Shield of California,Blue Shield Rx Plus (PDP),Basic,BA,,$168.90 ,$545.00 ,S2468,003,No,4.0
California,Blue Shield of California,Blue Shield Rx Enhanced (PDP),Enhanced,EA,,$188.40 ,$0.00 ,S2468,004,No,4.0
California,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$35.90 ,$545.00 ,S4802,094,No,4.0
California,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.40 ,$545.00 ,S4802,163,No,4.0
California,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$82.60 ,$0.00 ,S4802,235,No,4.0
California,Anthem Blue Cross MediBlue Rx (PDP),Anthem Blue Cross MediBlue Rx Standard (PDP),Basic,BA,,$100.60 ,$545.00 ,S5596,087,No,3.0
California,Anthem Blue Cross MediBlue Rx (PDP),Anthem Blue Cross MediBlue Rx Plus (PDP),Enhanced,EA,,$132.70 ,$0.00 ,S5596,088,No,3.0
California,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$55.20 ,$545.00 ,S5601,064,No,3.0
California,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$116.00 ,$200.00 ,S5601,065,Yes,3.0
California,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$18.60 ,$280.00 ,S5601,207,No,3.0
California,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$34.50 ,$545.00 ,S5617,158,No,3.0
California,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$105.90 ,$145.00 ,S5617,277,Yes,3.0
California,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$15.80 ,$545.00 ,S5617,382,No,3.0
California,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$121.60 ,$0.00 ,S5820,031,No,3.5
California,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$75.20 ,$545.00 ,S5884,114,No,3.5
California,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$129.20 ,$0.00 ,S5884,178,Yes,3.5
California,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$59.00 ,$545.00 ,S5884,211,Yes,3.5
California,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$89.80 ,$545.00 ,S5921,376,No,3.0
California,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$80.40 ,$410.00 ,S5921,413,Yes,3.0
California,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$112.30 ,$545.00 ,S7126,031,No,2.0
California,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$100.30 ,$349.00 ,S7126,101,No,2.0
California,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$25.70 ,$545.00 ,S7126,134,No,2.0
Colorado,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$41.40 ,$545.00 ,S4802,091,No,4.0
Colorado,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$400.00 ,S4802,160,No,4.0
Colorado,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$82.20 ,$0.00 ,S4802,230,No,4.0
Colorado,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$103.70 ,$545.00 ,S5596,059,No,3.0
Colorado,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$132.60 ,$0.00 ,S5596,060,No,3.0
Colorado,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$59.50 ,$545.00 ,S5601,054,No,3.0
Colorado,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$115.20 ,$200.00 ,S5601,055,Yes,3.0
Colorado,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$20.10 ,$280.00 ,S5601,202,No,3.0
Colorado,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$41.50 ,$545.00 ,S5617,133,No,3.0
Colorado,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$95.10 ,$145.00 ,S5617,272,Yes,3.0
Colorado,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$10.00 ,$545.00 ,S5617,377,No,3.0
Colorado,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$123.90 ,$0.00 ,S5820,026,No,3.5
Colorado,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$47.80 ,$545.00 ,S5884,111,No,3.5
Colorado,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$108.40 ,$300.00 ,S5884,173,Yes,3.5
Colorado,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$48.70 ,$545.00 ,S5884,206,Yes,3.5
Colorado,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$70.40 ,$545.00 ,S5921,372,No,3.0
Colorado,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$69.70 ,$410.00 ,S5921,408,Yes,3.0
Colorado,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$104.30 ,$545.00 ,S7126,026,No,2.0
Colorado,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$100.70 ,$349.00 ,S7126,096,No,2.0
Colorado,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.80 ,$545.00 ,S7126,129,No,2.0
Connecticut,Anthem Blue Cross and Blue Shield,Blue MedicareRx Value Plus (PDP),Basic,BA,,$53.40 ,$545.00 ,S2893,001,No,4.0
Connecticut,Anthem Blue Cross and Blue Shield,Blue MedicareRx Premier (PDP),Enhanced,EA,,$155.80 ,$0.00 ,S2893,003,Yes,4.0
Connecticut,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$36.80 ,$545.00 ,S4802,076,No,4.0
Connecticut,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,137,No,4.0
Connecticut,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.80 ,$0.00 ,S4802,205,No,4.0
Connecticut,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$50.90 ,$545.00 ,S5601,004,No,3.0
Connecticut,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$110.50 ,$200.00 ,S5601,005,Yes,3.0
Connecticut,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$15.70 ,$280.00 ,S5601,177,No,3.0
Connecticut,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$54.30 ,$545.00 ,S5617,008,No,3.0
Connecticut,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$90.60 ,$145.00 ,S5617,247,Yes,3.0
Connecticut,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$21.90 ,$545.00 ,S5617,352,No,3.0
Connecticut,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$110.20 ,$0.00 ,S5820,002,No,3.5
Connecticut,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$67.50 ,$545.00 ,S5884,102,No,3.5
Connecticut,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$108.40 ,$200.00 ,S5884,149,Yes,3.5
Connecticut,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$54.60 ,$545.00 ,S5884,182,Yes,3.5
Connecticut,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$34.50 ,$545.00 ,S5921,348,No,3.0
Connecticut,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$72.50 ,$410.00 ,S5921,385,Yes,3.0
Connecticut,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$110.80 ,$545.00 ,S7126,002,No,2.0
Connecticut,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$102.40 ,$349.00 ,S7126,072,No,2.0
Connecticut,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$27.90 ,$545.00 ,S7126,105,No,2.0
Delaware,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$37.40 ,$545.00 ,S4802,079,No,4.0
Delaware,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.40 ,$545.00 ,S4802,140,No,4.0
Delaware,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,208,No,4.0
Delaware,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$42.50 ,$545.00 ,S5601,010,No,3.0
Delaware,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$113.40 ,$200.00 ,S5601,011,Yes,3.0
Delaware,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$12.40 ,$280.00 ,S5601,180,No,3.0
Delaware,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$41.40 ,$545.00 ,S5617,214,No,3.0
Delaware,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$69.10 ,$145.00 ,S5617,250,Yes,3.0
Delaware,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.00 ,$545.00 ,S5617,355,No,3.0
Delaware,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.00 ,$0.00 ,S5820,004,No,3.5
Delaware,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.40 ,$545.00 ,S5884,103,No,3.5
Delaware,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$104.60 ,$0.00 ,S5884,151,Yes,3.5
Delaware,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$43.50 ,$545.00 ,S5884,184,Yes,3.5
Delaware,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$62.40 ,$545.00 ,S5921,350,No,3.0
Delaware,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,387,Yes,3.0
Delaware,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$89.10 ,$545.00 ,S7126,004,No,2.0
Delaware,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$84.60 ,$349.00 ,S7126,074,No,2.0
Delaware,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$26.30 ,$545.00 ,S7126,107,No,2.0
District of Columbia,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$37.40 ,$545.00 ,S4802,079,No,4.0
District of Columbia,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.40 ,$545.00 ,S4802,140,No,4.0
District of Columbia,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,208,No,4.0
District of Columbia,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$42.50 ,$545.00 ,S5601,010,No,3.0
District of Columbia,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$113.40 ,$200.00 ,S5601,011,Yes,3.0
District of Columbia,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$12.40 ,$280.00 ,S5601,180,No,3.0
District of Columbia,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$41.40 ,$545.00 ,S5617,214,No,3.0
District of Columbia,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$69.10 ,$145.00 ,S5617,250,Yes,3.0
District of Columbia,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.00 ,$545.00 ,S5617,355,No,3.0
District of Columbia,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.00 ,$0.00 ,S5820,004,No,3.5
District of Columbia,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.40 ,$545.00 ,S5884,103,No,3.5
District of Columbia,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$104.60 ,$0.00 ,S5884,151,Yes,3.5
District of Columbia,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$43.50 ,$545.00 ,S5884,184,Yes,3.5
District of Columbia,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$62.40 ,$545.00 ,S5921,350,No,3.0
District of Columbia,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,387,Yes,3.0
District of Columbia,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$89.10 ,$545.00 ,S7126,004,No,2.0
District of Columbia,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$84.60 ,$349.00 ,S7126,074,No,2.0
District of Columbia,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$26.30 ,$545.00 ,S7126,107,No,2.0
Florida,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$37.40 ,$545.00 ,S4802,083,No,4.0
Florida,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,146,No,4.0
Florida,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,214,No,4.0
Florida,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$52.50 ,$545.00 ,S5601,022,No,3.0
Florida,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$101.80 ,$200.00 ,S5601,023,Yes,3.0
Florida,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$13.30 ,$280.00 ,S5601,186,No,3.0
Florida,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$59.70 ,$545.00 ,S5617,053,No,3.0
Florida,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$94.80 ,$145.00 ,S5617,256,Yes,3.0
Florida,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$16.80 ,$545.00 ,S5617,361,No,3.0
Florida,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.50 ,$0.00 ,S5820,010,No,3.5
Florida,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$81.70 ,$545.00 ,S5884,105,No,3.5
Florida,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$115.10 ,$0.00 ,S5884,157,Yes,3.5
Florida,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$46.00 ,$545.00 ,S5884,190,Yes,3.5
Florida,Florida Blue,BlueMedicare Premier Rx (PDP),Basic,BA,,$76.70 ,$545.00 ,S5904,001,No,3.0
Florida,Florida Blue,BlueMedicare Complete Rx (PDP),Enhanced,EA,,$181.60 ,$0.00 ,S5904,002,Yes,3.0
Florida,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$80.60 ,$545.00 ,S5921,356,No,3.0
Florida,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$57.20 ,$410.00 ,S5921,383,Yes,3.0
Florida,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$103.80 ,$545.00 ,S7126,010,No,2.0
Florida,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$118.60 ,$349.00 ,S7126,080,No,2.0
Florida,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.20 ,$545.00 ,S7126,113,No,2.0
Georgia,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$38.30 ,$545.00 ,S4802,082,No,4.0
Georgia,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,145,No,4.0
Georgia,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,213,No,4.0
Georgia,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$109.30 ,$545.00 ,S5596,085,No,3.0
Georgia,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$130.90 ,$0.00 ,S5596,086,No,3.0
Georgia,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$52.60 ,$545.00 ,S5601,020,No,3.0
Georgia,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$100.30 ,$200.00 ,S5601,021,Yes,3.0
Georgia,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$15.70 ,$280.00 ,S5601,185,No,3.0
Georgia,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$69.30 ,$545.00 ,S5617,219,No,3.0
Georgia,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$99.70 ,$145.00 ,S5617,255,Yes,3.0
Georgia,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,360,No,3.0
Georgia,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$117.10 ,$0.00 ,S5820,009,No,3.5
Georgia,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$45.80 ,$545.00 ,S5884,135,No,3.5
Georgia,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$110.70 ,$300.00 ,S5884,156,Yes,3.5
Georgia,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$50.60 ,$545.00 ,S5884,189,Yes,3.5
Georgia,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$68.00 ,$545.00 ,S5921,355,No,3.0
Georgia,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$65.00 ,$410.00 ,S5921,392,Yes,3.0
Georgia,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$94.90 ,$545.00 ,S7126,009,No,2.0
Georgia,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$86.80 ,$349.00 ,S7126,079,No,2.0
Georgia,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.60 ,$545.00 ,S7126,112,No,2.0
Guam,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Basic,AE,,$43.50 ,$545.00 ,S5820,035,No,3.5
Hawaii,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$35.00 ,$545.00 ,S4802,095,No,4.0
Hawaii,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,164,No,4.0
Hawaii,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.60 ,$0.00 ,S4802,236,No,4.0
Hawaii,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$37.00 ,$545.00 ,S5601,066,No,3.0
Hawaii,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$99.40 ,$200.00 ,S5601,067,Yes,3.0
Hawaii,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,208,No,3.0
Hawaii,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$78.60 ,$545.00 ,S5617,163,No,3.0
Hawaii,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$116.30 ,$145.00 ,S5617,278,Yes,3.0
Hawaii,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$5.70 ,$545.00 ,S5617,383,No,3.0
Hawaii,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$105.50 ,$0.00 ,S5820,032,No,3.5
Hawaii,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$55.10 ,$545.00 ,S5884,115,No,3.5
Hawaii,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$116.60 ,$200.00 ,S5884,179,Yes,3.5
Hawaii,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$47.00 ,$545.00 ,S5884,212,Yes,3.5
Hawaii,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$39.70 ,$545.00 ,S5921,381,No,3.0
Hawaii,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,414,Yes,3.0
Hawaii,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$94.90 ,$545.00 ,S7126,032,No,2.0
Hawaii,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$79.20 ,$349.00 ,S7126,102,No,2.0
Hawaii,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.10 ,$545.00 ,S7126,135,No,2.0
Idaho,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$40.80 ,$545.00 ,S4802,021,No,4.0
Idaho,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,162,No,4.0
Idaho,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,234,No,4.0
Idaho,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$43.50 ,$545.00 ,S5601,062,No,3.0
Idaho,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$103.00 ,$200.00 ,S5601,063,Yes,3.0
Idaho,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,206,No,3.0
Idaho,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$57.40 ,$545.00 ,S5617,153,No,3.0
Idaho,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$78.10 ,$145.00 ,S5617,276,Yes,3.0
Idaho,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$14.00 ,$545.00 ,S5617,381,No,3.0
Idaho,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$97.00 ,$0.00 ,S5820,030,No,3.5
Idaho,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$47.00 ,$545.00 ,S5884,147,No,3.5
Idaho,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$102.70 ,$400.00 ,S5884,177,Yes,3.5
Idaho,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$40.60 ,$545.00 ,S5884,210,Yes,3.5
Idaho,Regence BlueShield of Idaho,Regence Medicare Script Basic (PDP),Basic,BA,,$94.00 ,$515.00 ,S5916,001,No,3.0
Idaho,Regence BlueShield of Idaho,Regence Medicare Script Enhanced (PDP),Enhanced,EA,,$108.00 ,$0.00 ,S5916,002,Yes,3.0
Idaho,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$39.60 ,$545.00 ,S5921,375,No,3.0
Idaho,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$51.80 ,$410.00 ,S5921,412,Yes,3.0
Idaho,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$41.90 ,$545.00 ,S7126,030,No,2.0
Idaho,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$71.60 ,$349.00 ,S7126,100,No,2.0
Idaho,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S7126,133,No,2.0
Illinois,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$27.90 ,$545.00 ,S4802,087,No,4.0
Illinois,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,151,No,4.0
Illinois,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,220,No,4.0
Illinois,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$39.40 ,$545.00 ,S5601,034,No,3.0
Illinois,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$103.40 ,$200.00 ,S5601,035,Yes,3.0
Illinois,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,192,No,3.0
Illinois,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$42.30 ,$545.00 ,S5617,224,No,3.0
Illinois,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$78.40 ,$145.00 ,S5617,262,Yes,3.0
Illinois,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$18.00 ,$545.00 ,S5617,367,No,3.0
Illinois,Blue Cross and Blue Shield of Illinois,Blue Cross MedicareRx Value (PDP),Enhanced,EA,,$78.10 ,$545.00 ,S5715,001,Yes,3.5
Illinois,Blue Cross and Blue Shield of Illinois,Blue Cross MedicareRx Basic (PDP),Basic,AE,,$73.60 ,$545.00 ,S5715,012,No,3.5
Illinois,Blue Cross and Blue Shield of Illinois,Blue Cross MedicareRx Choice (PDP),Enhanced,EA,,$27.70 ,$545.00 ,S5715,019,No,3.5
Illinois,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$99.80 ,$0.00 ,S5820,016,No,3.5
Illinois,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$40.40 ,$545.00 ,S5884,107,No,3.5
Illinois,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$108.60 ,$200.00 ,S5884,163,Yes,3.5
Illinois,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$39.70 ,$545.00 ,S5884,196,Yes,3.5
Illinois,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,,$55.20 ,$545.00 ,S5921,362,No,3.0
Illinois,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$46.10 ,$410.00 ,S5921,398,Yes,3.0
Illinois,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$93.10 ,$545.00 ,S7126,016,No,2.0
Illinois,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$66.90 ,$349.00 ,S7126,086,No,2.0
Illinois,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.00 ,$545.00 ,S7126,119,No,2.0
Indiana,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$33.60 ,$545.00 ,S4802,086,No,4.0
Indiana,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,150,No,4.0
Indiana,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,218,No,4.0
Indiana,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$54.70 ,$545.00 ,S5596,017,No,3.0
Indiana,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$94.70 ,$0.00 ,S5596,018,No,3.0
Indiana,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.60 ,$545.00 ,S5601,030,No,3.0
Indiana,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$100.00 ,$200.00 ,S5601,031,Yes,3.0
Indiana,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,190,No,3.0
Indiana,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$52.60 ,$545.00 ,S5617,222,No,3.0
Indiana,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$76.20 ,$145.00 ,S5617,260,Yes,3.0
Indiana,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$21.40 ,$545.00 ,S5617,365,No,3.0
Indiana,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$93.20 ,$0.00 ,S5820,014,No,3.5
Indiana,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$56.50 ,$545.00 ,S5884,138,No,3.5
Indiana,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$109.40 ,$0.00 ,S5884,161,Yes,3.5
Indiana,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$39.10 ,$545.00 ,S5884,194,Yes,3.5
Indiana,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,,$65.00 ,$545.00 ,S5921,360,No,3.0
Indiana,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,396,Yes,3.0
Indiana,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$97.10 ,$545.00 ,S7126,014,No,2.0
Indiana,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$69.50 ,$349.00 ,S7126,084,No,2.0
Indiana,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.10 ,$545.00 ,S7126,117,No,2.0
Iowa,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.40 ,$545.00 ,S4802,089,No,4.0
Iowa,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,158,No,4.0
Iowa,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,228,No,4.0
Iowa,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.00 ,$545.00 ,S5601,050,No,3.0
Iowa,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$92.60 ,$200.00 ,S5601,051,Yes,3.0
Iowa,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,200,No,3.0
Iowa,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$59.20 ,$545.00 ,S5617,123,No,3.0
Iowa,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$80.70 ,$145.00 ,S5617,270,Yes,3.0
Iowa,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,375,No,3.0
Iowa,Wellmark Blue Cross and Blue Shield of Iowa,MedicareBlue Rx Standard (PDP),Basic,BA,,$76.40 ,$545.00 ,S5743,001,No,4.0
Iowa,Wellmark Blue Cross and Blue Shield of Iowa,MedicareBlue Rx Premier (PDP),Enhanced,EA,,$123.50 ,$0.00 ,S5743,004,Yes,4.0
Iowa,Wellmark Blue Cross and Blue Shield of Iowa,MedicareBlue Rx Select (PDP),Enhanced,EA,,$20.20 ,$545.00 ,S5743,008,No,4.0
Iowa,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.80 ,$0.00 ,S5820,024,No,3.5
Iowa,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.50 ,$545.00 ,S5884,145,No,3.5
Iowa,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$95.20 ,$200.00 ,S5884,171,Yes,3.5
Iowa,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$38.00 ,$545.00 ,S5884,204,Yes,3.5
Iowa,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.50 ,$545.00 ,S5921,370,No,3.0
Iowa,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$62.00 ,$410.00 ,S5921,406,Yes,3.0
Iowa,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$40.90 ,$545.00 ,S7126,024,No,2.0
Iowa,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$70.30 ,$349.00 ,S7126,094,No,2.0
Iowa,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,127,No,2.0
Kansas,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$35.80 ,$545.00 ,S4802,088,No,4.0
Kansas,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,157,No,4.0
Kansas,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,227,No,4.0
Kansas,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$43.50 ,$545.00 ,S5601,048,No,3.0
Kansas,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$103.40 ,$200.00 ,S5601,049,Yes,3.0
Kansas,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$3.30 ,$280.00 ,S5601,199,No,3.0
Kansas,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$38.80 ,$545.00 ,S5617,118,No,3.0
Kansas,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$70.00 ,$145.00 ,S5617,269,Yes,3.0
Kansas,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$18.00 ,$545.00 ,S5617,374,No,3.0
Kansas,Blue Cross and Blue Shield of Kansas or Blue KC,Blue MedicareRx Value (PDP),Basic,BA,,$51.80 ,$545.00 ,S5726,013,No,4.0
Kansas,Blue Cross and Blue Shield of Kansas or Blue KC,Blue MedicareRx Plus (PDP),Enhanced,EA,,$70.10 ,$0.00 ,S5726,014,No,4.0
Kansas,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$106.70 ,$0.00 ,S5820,023,No,3.5
Kansas,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$55.90 ,$545.00 ,S5884,109,No,3.5
Kansas,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$96.40 ,$200.00 ,S5884,170,Yes,3.5
Kansas,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$39.00 ,$545.00 ,S5884,203,Yes,3.5
Kansas,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$61.90 ,$545.00 ,S5921,369,No,3.0
Kansas,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$62.00 ,$410.00 ,S5921,405,Yes,3.0
Kansas,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$92.20 ,$545.00 ,S7126,023,No,2.0
Kansas,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$67.20 ,$349.00 ,S7126,093,No,2.0
Kansas,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.00 ,$545.00 ,S7126,126,No,2.0
Kentucky,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$33.60 ,$545.00 ,S4802,086,No,4.0
Kentucky,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,150,No,4.0
Kentucky,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,218,No,4.0
Kentucky,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$54.70 ,$545.00 ,S5596,017,No,3.0
Kentucky,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$94.70 ,$0.00 ,S5596,018,No,3.0
Kentucky,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.60 ,$545.00 ,S5601,030,No,3.0
Kentucky,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$100.00 ,$200.00 ,S5601,031,Yes,3.0
Kentucky,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,190,No,3.0
Kentucky,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$52.60 ,$545.00 ,S5617,222,No,3.0
Kentucky,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$76.20 ,$145.00 ,S5617,260,Yes,3.0
Kentucky,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$21.40 ,$545.00 ,S5617,365,No,3.0
Kentucky,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$93.20 ,$0.00 ,S5820,014,No,3.5
Kentucky,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$56.50 ,$545.00 ,S5884,138,No,3.5
Kentucky,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$109.40 ,$0.00 ,S5884,161,Yes,3.5
Kentucky,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$39.10 ,$545.00 ,S5884,194,Yes,3.5
Kentucky,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,,$65.00 ,$545.00 ,S5921,360,No,3.0
Kentucky,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,396,Yes,3.0
Kentucky,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$97.10 ,$545.00 ,S7126,014,No,2.0
Kentucky,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$69.50 ,$349.00 ,S7126,084,No,2.0
Kentucky,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.10 ,$545.00 ,S7126,117,No,2.0
Louisiana,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.90 ,$545.00 ,S4802,012,No,4.0
Louisiana,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$2.90 ,$545.00 ,S4802,133,No,4.0
Louisiana,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$80.40 ,$0.00 ,S4802,224,No,4.0
Louisiana,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$52.10 ,$545.00 ,S5601,042,No,3.0
Louisiana,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$117.50 ,$200.00 ,S5601,108,Yes,3.0
Louisiana,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$13.90 ,$280.00 ,S5601,196,No,3.0
Louisiana,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$42.30 ,$545.00 ,S5617,103,No,3.0
Louisiana,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$91.70 ,$145.00 ,S5617,266,Yes,3.0
Louisiana,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$24.10 ,$545.00 ,S5617,371,No,3.0
Louisiana,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$115.20 ,$0.00 ,S5820,020,No,3.5
Louisiana,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$45.70 ,$545.00 ,S5884,108,No,3.5
Louisiana,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$99.40 ,$200.00 ,S5884,167,Yes,3.5
Louisiana,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$46.50 ,$545.00 ,S5884,200,Yes,3.5
Louisiana,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$39.60 ,$545.00 ,S5921,366,No,3.0
Louisiana,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$55.20 ,$410.00 ,S5921,402,Yes,3.0
Louisiana,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$43.10 ,$545.00 ,S7126,020,No,2.0
Louisiana,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$77.10 ,$349.00 ,S7126,090,No,2.0
Louisiana,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.60 ,$545.00 ,S7126,123,No,2.0
Maine,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$33.30 ,$545.00 ,S4802,075,No,4.0
Maine,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,136,No,4.0
Maine,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,204,No,4.0
Maine,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$107.20 ,$0.00 ,S5596,001,No,3.0
Maine,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$78.90 ,$545.00 ,S5596,046,No,3.0
Maine,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$44.90 ,$545.00 ,S5601,002,No,3.0
Maine,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$111.90 ,$200.00 ,S5601,003,Yes,3.0
Maine,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,176,No,3.0
Maine,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$31.30 ,$545.00 ,S5617,003,No,3.0
Maine,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$93.20 ,$145.00 ,S5617,246,Yes,3.0
Maine,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$19.30 ,$545.00 ,S5617,351,No,3.0
Maine,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$95.20 ,$0.00 ,S5820,001,No,3.5
Maine,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$36.90 ,$545.00 ,S5884,101,No,3.5
Maine,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$121.60 ,$300.00 ,S5884,148,Yes,3.5
Maine,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$47.50 ,$545.00 ,S5884,181,Yes,3.5
Maine,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$76.00 ,$545.00 ,S5921,378,No,3.0
Maine,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$70.30 ,$410.00 ,S5921,384,Yes,3.0
Maine,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$96.30 ,$545.00 ,S7126,001,No,2.0
Maine,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$90.10 ,$349.00 ,S7126,071,No,2.0
Maine,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$26.80 ,$545.00 ,S7126,104,No,2.0
Maryland,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$37.40 ,$545.00 ,S4802,079,No,4.0
Maryland,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.40 ,$545.00 ,S4802,140,No,4.0
Maryland,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,208,No,4.0
Maryland,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$42.50 ,$545.00 ,S5601,010,No,3.0
Maryland,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$113.40 ,$200.00 ,S5601,011,Yes,3.0
Maryland,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$12.40 ,$280.00 ,S5601,180,No,3.0
Maryland,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$41.40 ,$545.00 ,S5617,214,No,3.0
Maryland,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$69.10 ,$145.00 ,S5617,250,Yes,3.0
Maryland,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.00 ,$545.00 ,S5617,355,No,3.0
Maryland,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.00 ,$0.00 ,S5820,004,No,3.5
Maryland,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.40 ,$545.00 ,S5884,103,No,3.5
Maryland,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$104.60 ,$0.00 ,S5884,151,Yes,3.5
Maryland,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$43.50 ,$545.00 ,S5884,184,Yes,3.5
Maryland,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$62.40 ,$545.00 ,S5921,350,No,3.0
Maryland,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,387,Yes,3.0
Maryland,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$89.10 ,$545.00 ,S7126,004,No,2.0
Maryland,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$84.60 ,$349.00 ,S7126,074,No,2.0
Maryland,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$26.30 ,$545.00 ,S7126,107,No,2.0
Massachusetts,Blue Cross and Blue Shield of Massachusetts,Blue MedicareRx Value Plus (PDP),Basic,BA,,$53.40 ,$545.00 ,S2893,001,No,4.0
Massachusetts,Blue Cross and Blue Shield of Massachusetts,Blue MedicareRx Premier (PDP),Enhanced,EA,,$155.80 ,$0.00 ,S2893,003,Yes,4.0
Massachusetts,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$36.80 ,$545.00 ,S4802,076,No,4.0
Massachusetts,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,137,No,4.0
Massachusetts,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.80 ,$0.00 ,S4802,205,No,4.0
Massachusetts,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$50.90 ,$545.00 ,S5601,004,No,3.0
Massachusetts,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$110.50 ,$200.00 ,S5601,005,Yes,3.0
Massachusetts,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$15.70 ,$280.00 ,S5601,177,No,3.0
Massachusetts,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$54.30 ,$545.00 ,S5617,008,No,3.0
Massachusetts,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$90.60 ,$145.00 ,S5617,247,Yes,3.0
Massachusetts,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$21.90 ,$545.00 ,S5617,352,No,3.0
Massachusetts,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$110.20 ,$0.00 ,S5820,002,No,3.5
Massachusetts,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$67.50 ,$545.00 ,S5884,102,No,3.5
Massachusetts,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$108.40 ,$200.00 ,S5884,149,Yes,3.5
Massachusetts,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$54.60 ,$545.00 ,S5884,182,Yes,3.5
Massachusetts,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$34.50 ,$545.00 ,S5921,348,No,3.0
Massachusetts,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$72.50 ,$410.00 ,S5921,385,Yes,3.0
Massachusetts,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$110.80 ,$545.00 ,S7126,002,No,2.0
Massachusetts,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$102.40 ,$349.00 ,S7126,072,No,2.0
Massachusetts,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$27.90 ,$545.00 ,S7126,105,No,2.0
Michigan,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$34.70 ,$545.00 ,S4802,084,No,4.0
Michigan,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,148,No,4.0
Michigan,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,216,No,4.0
Michigan,Blue Cross Blue Shield of Michigan,Prescription Blue Select (PDP),Basic,BA,,$96.00 ,$545.00 ,S5584,001,No,4.5
Michigan,Blue Cross Blue Shield of Michigan,Prescription Blue Premium (PDP),Enhanced,EA,,$117.40 ,$0.00 ,S5584,002,No,4.5
Michigan,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$40.40 ,$545.00 ,S5601,026,No,3.0
Michigan,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$85.90 ,$200.00 ,S5601,027,Yes,3.0
Michigan,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,188,No,3.0
Michigan,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$33.90 ,$545.00 ,S5617,221,No,3.0
Michigan,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$70.00 ,$145.00 ,S5617,258,Yes,3.0
Michigan,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$15.10 ,$545.00 ,S5617,363,No,3.0
Michigan,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$97.10 ,$0.00 ,S5820,012,No,3.5
Michigan,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$38.30 ,$545.00 ,S5884,136,No,3.5
Michigan,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$95.90 ,$0.00 ,S5884,159,Yes,3.5
Michigan,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$35.10 ,$545.00 ,S5884,192,Yes,3.5
Michigan,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$31.10 ,$545.00 ,S5921,358,No,3.0
Michigan,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$51.40 ,$410.00 ,S5921,394,Yes,3.0
Michigan,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$35.40 ,$545.00 ,S7126,012,No,2.0
Michigan,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$75.00 ,$349.00 ,S7126,082,No,2.0
Michigan,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.20 ,$545.00 ,S7126,115,No,2.0
Minnesota,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.40 ,$545.00 ,S4802,089,No,4.0
Minnesota,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,158,No,4.0
Minnesota,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,228,No,4.0
Minnesota,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.00 ,$545.00 ,S5601,050,No,3.0
Minnesota,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$92.60 ,$200.00 ,S5601,051,Yes,3.0
Minnesota,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,200,No,3.0
Minnesota,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$59.20 ,$545.00 ,S5617,123,No,3.0
Minnesota,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$80.70 ,$145.00 ,S5617,270,Yes,3.0
Minnesota,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,375,No,3.0
Minnesota,Blue Cross and Blue Shield of Minnesota,MedicareBlue Rx Standard (PDP),Basic,BA,,$76.40 ,$545.00 ,S5743,001,No,4.0
Minnesota,Blue Cross and Blue Shield of Minnesota,MedicareBlue Rx Premier (PDP),Enhanced,EA,,$123.50 ,$0.00 ,S5743,004,Yes,4.0
Minnesota,Blue Cross and Blue Shield of Minnesota,MedicareBlue Rx Select (PDP),Enhanced,EA,,$20.20 ,$545.00 ,S5743,008,No,4.0
Minnesota,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.80 ,$0.00 ,S5820,024,No,3.5
Minnesota,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.50 ,$545.00 ,S5884,145,No,3.5
Minnesota,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$95.20 ,$200.00 ,S5884,171,Yes,3.5
Minnesota,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$38.00 ,$545.00 ,S5884,204,Yes,3.5
Minnesota,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.50 ,$545.00 ,S5921,370,No,3.0
Minnesota,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$62.00 ,$410.00 ,S5921,406,Yes,3.0
Minnesota,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$40.90 ,$545.00 ,S7126,024,No,2.0
Minnesota,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$70.30 ,$349.00 ,S7126,094,No,2.0
Minnesota,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,127,No,2.0
Mississippi,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$35.70 ,$545.00 ,S4802,074,No,4.0
Mississippi,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,154,No,4.0
Mississippi,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$85.20 ,$0.00 ,S4802,223,No,4.0
Mississippi,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$48.20 ,$545.00 ,S5601,040,No,3.0
Mississippi,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$113.10 ,$200.00 ,S5601,041,Yes,3.0
Mississippi,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$13.30 ,$280.00 ,S5601,195,No,3.0
Mississippi,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$35.80 ,$545.00 ,S5617,226,No,3.0
Mississippi,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$71.80 ,$145.00 ,S5617,265,Yes,3.0
Mississippi,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$25.40 ,$545.00 ,S5617,370,No,3.0
Mississippi,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$111.80 ,$0.00 ,S5820,019,No,3.5
Mississippi,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$39.30 ,$545.00 ,S5884,142,No,3.5
Mississippi,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$98.80 ,$300.00 ,S5884,166,Yes,3.5
Mississippi,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$38.20 ,$545.00 ,S5884,199,Yes,3.5
Mississippi,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$71.00 ,$545.00 ,S5921,365,No,3.0
Mississippi,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$63.10 ,$410.00 ,S5921,401,Yes,3.0
Mississippi,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$99.00 ,$545.00 ,S7126,019,No,2.0
Mississippi,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$95.10 ,$349.00 ,S7126,089,No,2.0
Mississippi,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.20 ,$545.00 ,S7126,122,No,2.0
Missouri,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.20 ,$545.00 ,S4802,072,No,4.0
Missouri,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,152,No,4.0
Missouri,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,221,No,4.0
Missouri,Blue MedicareRx (PDP),Blue MedicareRx Value (PDP),Basic,BA,,$69.90 ,$545.00 ,S5596,043,No,3.0
Missouri,Blue MedicareRx (PDP),Blue MedicareRx Plus (PDP),Enhanced,EA,,$68.90 ,$0.00 ,S5596,044,No,3.0
Missouri,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$50.50 ,$545.00 ,S5601,036,No,3.0
Missouri,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$103.20 ,$200.00 ,S5601,037,Yes,3.0
Missouri,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,193,No,3.0
Missouri,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$57.80 ,$545.00 ,S5617,088,No,3.0
Missouri,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$96.00 ,$145.00 ,S5617,263,Yes,3.0
Missouri,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.00 ,$545.00 ,S5617,368,No,3.0
Missouri,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$111.50 ,$0.00 ,S5820,017,No,3.5
Missouri,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$58.80 ,$545.00 ,S5884,140,No,3.5
Missouri,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$110.00 ,$0.00 ,S5884,164,Yes,3.5
Missouri,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$43.10 ,$545.00 ,S5884,197,Yes,3.5
Missouri,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$68.60 ,$545.00 ,S5921,363,No,3.0
Missouri,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$56.30 ,$410.00 ,S5921,399,Yes,3.0
Missouri,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$104.60 ,$545.00 ,S7126,017,No,2.0
Missouri,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$70.90 ,$349.00 ,S7126,087,No,2.0
Missouri,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.40 ,$545.00 ,S7126,120,No,2.0
Montana,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.40 ,$545.00 ,S4802,089,No,4.0
Montana,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,158,No,4.0
Montana,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,228,No,4.0
Montana,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.00 ,$545.00 ,S5601,050,No,3.0
Montana,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$92.60 ,$200.00 ,S5601,051,Yes,3.0
Montana,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,200,No,3.0
Montana,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$59.20 ,$545.00 ,S5617,123,No,3.0
Montana,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$80.70 ,$145.00 ,S5617,270,Yes,3.0
Montana,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,375,No,3.0
Montana,Blue Cross and Blue Shield of Montana,MedicareBlue Rx Standard (PDP),Basic,BA,,$76.40 ,$545.00 ,S5743,001,No,4.0
Montana,Blue Cross and Blue Shield of Montana,MedicareBlue Rx Premier (PDP),Enhanced,EA,,$123.50 ,$0.00 ,S5743,004,Yes,4.0
Montana,Blue Cross and Blue Shield of Montana,MedicareBlue Rx Select (PDP),Enhanced,EA,,$20.20 ,$545.00 ,S5743,008,No,4.0
Montana,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.80 ,$0.00 ,S5820,024,No,3.5
Montana,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.50 ,$545.00 ,S5884,145,No,3.5
Montana,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$95.20 ,$200.00 ,S5884,171,Yes,3.5
Montana,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$38.00 ,$545.00 ,S5884,204,Yes,3.5
Montana,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.50 ,$545.00 ,S5921,370,No,3.0
Montana,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$62.00 ,$410.00 ,S5921,406,Yes,3.0
Montana,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$40.90 ,$545.00 ,S7126,024,No,2.0
Montana,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$70.30 ,$349.00 ,S7126,094,No,2.0
Montana,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,127,No,2.0
Nebraska,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.40 ,$545.00 ,S4802,089,No,4.0
Nebraska,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,158,No,4.0
Nebraska,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,228,No,4.0
Nebraska,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.00 ,$545.00 ,S5601,050,No,3.0
Nebraska,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$92.60 ,$200.00 ,S5601,051,Yes,3.0
Nebraska,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,200,No,3.0
Nebraska,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$59.20 ,$545.00 ,S5617,123,No,3.0
Nebraska,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$80.70 ,$145.00 ,S5617,270,Yes,3.0
Nebraska,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,375,No,3.0
Nebraska,Blue Cross and Blue Shield of Nebraska,MedicareBlue Rx Standard (PDP),Basic,BA,,$76.40 ,$545.00 ,S5743,001,No,4.0
Nebraska,Blue Cross and Blue Shield of Nebraska,MedicareBlue Rx Premier (PDP),Enhanced,EA,,$123.50 ,$0.00 ,S5743,004,Yes,4.0
Nebraska,Blue Cross and Blue Shield of Nebraska,MedicareBlue Rx Select (PDP),Enhanced,EA,,$20.20 ,$545.00 ,S5743,008,No,4.0
Nebraska,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.80 ,$0.00 ,S5820,024,No,3.5
Nebraska,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.50 ,$545.00 ,S5884,145,No,3.5
Nebraska,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$95.20 ,$200.00 ,S5884,171,Yes,3.5
Nebraska,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$38.00 ,$545.00 ,S5884,204,Yes,3.5
Nebraska,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.50 ,$545.00 ,S5921,370,No,3.0
Nebraska,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$62.00 ,$410.00 ,S5921,406,Yes,3.0
Nebraska,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$40.90 ,$545.00 ,S7126,024,No,2.0
Nebraska,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$70.30 ,$349.00 ,S7126,094,No,2.0
Nebraska,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,127,No,2.0
Nevada,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$32.40 ,$545.00 ,S4802,093,No,4.0
Nevada,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,161,No,4.0
Nevada,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,232,No,4.0
Nevada,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$97.60 ,$545.00 ,S5596,062,No,3.0
Nevada,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$120.80 ,$0.00 ,S5596,063,No,3.0
Nevada,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$36.70 ,$545.00 ,S5601,058,No,3.0
Nevada,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$101.30 ,$200.00 ,S5601,059,Yes,3.0
Nevada,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$12.40 ,$280.00 ,S5601,204,No,3.0
Nevada,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$49.80 ,$545.00 ,S5617,143,No,3.0
Nevada,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$79.00 ,$145.00 ,S5617,274,Yes,3.0
Nevada,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$12.90 ,$545.00 ,S5617,379,No,3.0
Nevada,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$117.50 ,$0.00 ,S5820,028,No,3.5
Nevada,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$37.20 ,$545.00 ,S5884,112,No,3.5
Nevada,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$110.70 ,$200.00 ,S5884,175,Yes,3.5
Nevada,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$49.90 ,$545.00 ,S5884,208,Yes,3.5
Nevada,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$78.00 ,$545.00 ,S5921,373,No,3.0
Nevada,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.10 ,$410.00 ,S5921,410,Yes,3.0
Nevada,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$97.20 ,$545.00 ,S7126,028,No,2.0
Nevada,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$81.80 ,$349.00 ,S7126,098,No,2.0
Nevada,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.30 ,$545.00 ,S7126,131,No,2.0
New Hampshire,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$33.30 ,$545.00 ,S4802,075,No,4.0
New Hampshire,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,136,No,4.0
New Hampshire,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,204,No,4.0
New Hampshire,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$107.20 ,$0.00 ,S5596,001,No,3.0
New Hampshire,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$78.90 ,$545.00 ,S5596,046,No,3.0
New Hampshire,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$44.90 ,$545.00 ,S5601,002,No,3.0
New Hampshire,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$111.90 ,$200.00 ,S5601,003,Yes,3.0
New Hampshire,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,176,No,3.0
New Hampshire,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$31.30 ,$545.00 ,S5617,003,No,3.0
New Hampshire,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$93.20 ,$145.00 ,S5617,246,Yes,3.0
New Hampshire,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$19.30 ,$545.00 ,S5617,351,No,3.0
New Hampshire,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$95.20 ,$0.00 ,S5820,001,No,3.5
New Hampshire,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$36.90 ,$545.00 ,S5884,101,No,3.5
New Hampshire,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$121.60 ,$300.00 ,S5884,148,Yes,3.5
New Hampshire,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$47.50 ,$545.00 ,S5884,181,Yes,3.5
New Hampshire,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$76.00 ,$545.00 ,S5921,378,No,3.0
New Hampshire,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$70.30 ,$410.00 ,S5921,384,Yes,3.0
New Hampshire,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$96.30 ,$545.00 ,S7126,001,No,2.0
New Hampshire,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$90.10 ,$349.00 ,S7126,071,No,2.0
New Hampshire,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$26.80 ,$545.00 ,S7126,104,No,2.0
New Jersey,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$35.20 ,$545.00 ,S4802,078,No,4.0
New Jersey,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,139,No,4.0
New Jersey,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,207,No,4.0
New Jersey,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$53.10 ,$545.00 ,S5601,008,No,3.0
New Jersey,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$93.60 ,$200.00 ,S5601,009,Yes,3.0
New Jersey,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$12.40 ,$280.00 ,S5601,179,No,3.0
New Jersey,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$60.60 ,$545.00 ,S5617,018,No,3.0
New Jersey,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$102.40 ,$145.00 ,S5617,249,Yes,3.0
New Jersey,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$16.80 ,$545.00 ,S5617,354,No,3.0
New Jersey,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$106.00 ,$0.00 ,S5820,003,No,3.5
New Jersey,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$58.50 ,$545.00 ,S5884,131,No,3.5
New Jersey,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$107.10 ,$200.00 ,S5884,150,Yes,3.5
New Jersey,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$47.60 ,$545.00 ,S5884,183,Yes,3.5
New Jersey,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,,$68.40 ,$545.00 ,S5921,349,No,3.0
New Jersey,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,386,Yes,3.0
New Jersey,Horizon Blue Cross Blue Shield of New Jersey,Horizon Medicare Blue Rx Standard (PDP),Basic,AE,,$64.80 ,$545.00 ,S5993,001,No,3.0
New Jersey,Horizon Blue Cross Blue Shield of New Jersey,Horizon Medicare Blue Rx Enhanced (PDP),Enhanced,EA,,$130.80 ,$0.00 ,S5993,003,Yes,3.0
New Jersey,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$98.00 ,$545.00 ,S7126,003,No,2.0
New Jersey,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$89.50 ,$349.00 ,S7126,073,No,2.0
New Jersey,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.40 ,$545.00 ,S7126,106,No,2.0
New Mexico,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$32.40 ,$545.00 ,S4802,090,No,4.0
New Mexico,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,159,No,4.0
New Mexico,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,229,No,4.0
New Mexico,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$34.70 ,$545.00 ,S5601,052,No,3.0
New Mexico,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$104.10 ,$200.00 ,S5601,053,Yes,3.0
New Mexico,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$19.00 ,$280.00 ,S5601,201,No,3.0
New Mexico,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$34.80 ,$545.00 ,S5617,128,No,3.0
New Mexico,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$106.00 ,$145.00 ,S5617,271,Yes,3.0
New Mexico,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$9.80 ,$545.00 ,S5617,376,No,3.0
New Mexico,Blue Cross and Blue Shield of New Mexico,Blue Cross MedicareRx Value (PDP),Enhanced,EA,,$90.80 ,$545.00 ,S5715,003,Yes,3.5
New Mexico,Blue Cross and Blue Shield of New Mexico,Blue Cross MedicareRx Basic (PDP),Basic,AE,,$94.00 ,$545.00 ,S5715,013,No,3.5
New Mexico,Blue Cross and Blue Shield of New Mexico,Blue Cross MedicareRx Choice (PDP),Enhanced,EA,,$29.50 ,$545.00 ,S5715,020,No,3.5
New Mexico,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$89.70 ,$0.00 ,S5820,025,No,3.5
New Mexico,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$40.10 ,$545.00 ,S5884,110,No,3.5
New Mexico,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$99.80 ,$400.00 ,S5884,172,Yes,3.5
New Mexico,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$41.60 ,$545.00 ,S5884,205,Yes,3.5
New Mexico,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$33.70 ,$545.00 ,S5921,371,No,3.0
New Mexico,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$50.10 ,$410.00 ,S5921,407,Yes,3.0
New Mexico,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$94.70 ,$545.00 ,S7126,025,No,2.0
New Mexico,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$53.30 ,$349.00 ,S7126,095,No,2.0
New Mexico,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.40 ,$545.00 ,S7126,128,No,2.0
New York,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$41.40 ,$545.00 ,S4802,077,No,4.0
New York,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$3.70 ,$545.00 ,S4802,138,No,4.0
New York,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$91.80 ,$0.00 ,S4802,206,No,4.0
New York,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$85.60 ,$545.00 ,S5552,004,No,3.0
New York,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$135.40 ,$0.00 ,S5552,005,Yes,3.0
New York,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$73.90 ,$545.00 ,S5552,006,Yes,3.0
New York,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$66.10 ,$545.00 ,S5601,006,No,3.0
New York,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$120.40 ,$200.00 ,S5601,007,Yes,3.0
New York,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$31.00 ,$280.00 ,S5601,178,No,3.0
New York,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$45.60 ,$545.00 ,S5617,013,No,3.0
New York,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$111.60 ,$145.00 ,S5617,248,Yes,3.0
New York,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$19.50 ,$545.00 ,S5617,353,No,3.0
New York,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$115.90 ,$0.00 ,S5805,001,No,3.0
New York,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$93.10 ,$545.00 ,S5921,379,No,3.0
New York,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$78.70 ,$410.00 ,S5921,382,Yes,3.0
North Carolina,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$40.80 ,$545.00 ,S4802,081,No,4.0
North Carolina,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,143,No,4.0
North Carolina,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,211,No,4.0
North Carolina,Blue Cross and Blue Shield of North Carolina,Blue Medicare Rx Standard (PDP),Basic,BA,,$102.30 ,$545.00 ,S5540,002,No,3.5
North Carolina,Blue Cross and Blue Shield of North Carolina,Blue Medicare Rx Enhanced (PDP),Enhanced,EA,,$131.30 ,$0.00 ,S5540,004,Yes,3.5
North Carolina,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$52.30 ,$545.00 ,S5601,016,No,3.0
North Carolina,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$98.30 ,$200.00 ,S5601,017,Yes,3.0
North Carolina,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.20 ,$280.00 ,S5601,183,No,3.0
North Carolina,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$57.80 ,$545.00 ,S5617,217,No,3.0
North Carolina,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$79.30 ,$145.00 ,S5617,253,Yes,3.0
North Carolina,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.40 ,$545.00 ,S5617,358,No,3.0
North Carolina,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$101.80 ,$0.00 ,S5820,007,No,3.5
North Carolina,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$47.10 ,$545.00 ,S5884,133,No,3.5
North Carolina,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$111.30 ,$0.00 ,S5884,154,Yes,3.5
North Carolina,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$46.10 ,$545.00 ,S5884,187,Yes,3.5
North Carolina,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$63.90 ,$545.00 ,S5921,353,No,3.0
North Carolina,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$58.20 ,$410.00 ,S5921,390,Yes,3.0
North Carolina,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$81.20 ,$545.00 ,S7126,007,No,2.0
North Carolina,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$65.40 ,$349.00 ,S7126,077,No,2.0
North Carolina,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.90 ,$545.00 ,S7126,110,No,2.0
North Dakota,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.40 ,$545.00 ,S4802,089,No,4.0
North Dakota,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,158,No,4.0
North Dakota,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,228,No,4.0
North Dakota,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.00 ,$545.00 ,S5601,050,No,3.0
North Dakota,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$92.60 ,$200.00 ,S5601,051,Yes,3.0
North Dakota,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,200,No,3.0
North Dakota,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$59.20 ,$545.00 ,S5617,123,No,3.0
North Dakota,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$80.70 ,$145.00 ,S5617,270,Yes,3.0
North Dakota,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,375,No,3.0
North Dakota,Blue Cross Blue Shield of North Dakota,MedicareBlue Rx Standard (PDP),Basic,BA,,$76.40 ,$545.00 ,S5743,001,No,4.0
North Dakota,Blue Cross Blue Shield of North Dakota,MedicareBlue Rx Premier (PDP),Enhanced,EA,,$123.50 ,$0.00 ,S5743,004,Yes,4.0
North Dakota,Blue Cross Blue Shield of North Dakota,MedicareBlue Rx Select (PDP),Enhanced,EA,,$20.20 ,$545.00 ,S5743,008,No,4.0
North Dakota,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.80 ,$0.00 ,S5820,024,No,3.5
North Dakota,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.50 ,$545.00 ,S5884,145,No,3.5
North Dakota,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$95.20 ,$200.00 ,S5884,171,Yes,3.5
North Dakota,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$38.00 ,$545.00 ,S5884,204,Yes,3.5
North Dakota,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.50 ,$545.00 ,S5921,370,No,3.0
North Dakota,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$62.00 ,$410.00 ,S5921,406,Yes,3.0
North Dakota,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$40.90 ,$545.00 ,S7126,024,No,2.0
North Dakota,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$70.30 ,$349.00 ,S7126,094,No,2.0
North Dakota,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,127,No,2.0
Northern Mariana Islands,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Basic,DS,,$55.60 ,$545.00 ,S5820,036,No,3.5
Ohio,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$36.60 ,$545.00 ,S4802,085,No,4.0
Ohio,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,149,No,4.0
Ohio,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,217,No,4.0
Ohio,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$66.80 ,$545.00 ,S5596,013,No,3.0
Ohio,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$102.20 ,$0.00 ,S5596,014,No,3.0
Ohio,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$44.10 ,$545.00 ,S5601,028,No,3.0
Ohio,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$101.10 ,$200.00 ,S5601,029,Yes,3.0
Ohio,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,189,No,3.0
Ohio,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$55.70 ,$545.00 ,S5617,068,No,3.0
Ohio,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$79.20 ,$145.00 ,S5617,259,Yes,3.0
Ohio,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$19.20 ,$545.00 ,S5617,364,No,3.0
Ohio,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$99.80 ,$0.00 ,S5820,013,No,3.5
Ohio,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$65.00 ,$545.00 ,S5884,137,No,3.5
Ohio,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$108.80 ,$500.00 ,S5884,160,Yes,3.5
Ohio,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$40.00 ,$545.00 ,S5884,193,Yes,3.5
Ohio,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$63.80 ,$545.00 ,S5921,359,No,3.0
Ohio,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,395,Yes,3.0
Ohio,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$85.00 ,$545.00 ,S7126,013,No,2.0
Ohio,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$86.50 ,$349.00 ,S7126,083,No,2.0
Ohio,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.10 ,$545.00 ,S7126,116,No,2.0
Oklahoma,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$34.00 ,$545.00 ,S4802,014,No,4.0
Oklahoma,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$6.30 ,$545.00 ,S4802,156,No,4.0
Oklahoma,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$88.70 ,$0.00 ,S4802,226,No,4.0
Oklahoma,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$56.90 ,$545.00 ,S5601,046,No,3.0
Oklahoma,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$103.20 ,$200.00 ,S5601,109,Yes,3.0
Oklahoma,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,198,No,3.0
Oklahoma,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$51.40 ,$545.00 ,S5617,113,No,3.0
Oklahoma,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$74.20 ,$145.00 ,S5617,268,Yes,3.0
Oklahoma,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$21.50 ,$545.00 ,S5617,373,No,3.0
Oklahoma,Blue Cross and Blue Shield of Oklahoma,Blue Cross MedicareRx Value (PDP),Enhanced,EA,,$93.10 ,$545.00 ,S5715,010,Yes,3.5
Oklahoma,Blue Cross and Blue Shield of Oklahoma,Blue Cross MedicareRx Basic (PDP),Basic,AE,x,$34.60 ,$545.00 ,S5715,015,No,3.5
Oklahoma,Blue Cross and Blue Shield of Oklahoma,Blue Cross MedicareRx Choice (PDP),Enhanced,EA,,$24.80 ,$545.00 ,S5715,018,No,3.5
Oklahoma,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$102.50 ,$0.00 ,S5820,022,No,3.5
Oklahoma,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$40.30 ,$545.00 ,S5884,144,No,3.5
Oklahoma,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$99.10 ,$200.00 ,S5884,169,Yes,3.5
Oklahoma,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$40.60 ,$545.00 ,S5884,202,Yes,3.5
Oklahoma,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$76.40 ,$545.00 ,S5921,368,No,3.0
Oklahoma,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$36.00 ,$410.00 ,S5921,404,Yes,3.0
Oklahoma,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$93.20 ,$545.00 ,S7126,022,No,2.0
Oklahoma,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$79.30 ,$349.00 ,S7126,092,No,2.0
Oklahoma,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,125,No,2.0
Oregon,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$40.80 ,$545.00 ,S4802,020,No,4.0
Oregon,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,135,No,4.0
Oregon,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,233,No,4.0
Oregon,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$44.10 ,$545.00 ,S5601,060,No,3.0
Oregon,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$89.40 ,$200.00 ,S5601,061,Yes,3.0
Oregon,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$3.30 ,$280.00 ,S5601,205,No,3.0
Oregon,Asuris Northwest Health,Asuris Medicare Script Basic (PDP),Basic,BA,,$111.50 ,$540.00 ,S5609,001,No,3.5
Oregon,Asuris Northwest Health,Asuris Medicare Script Enhanced (PDP),Enhanced,EA,,$127.00 ,$0.00 ,S5609,002,Yes,3.5
Oregon,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$39.90 ,$545.00 ,S5617,148,No,3.0
Oregon,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$65.20 ,$145.00 ,S5617,275,Yes,3.0
Oregon,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$14.20 ,$545.00 ,S5617,380,No,3.0
Oregon,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$98.40 ,$0.00 ,S5820,029,No,3.5
Oregon,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$45.40 ,$545.00 ,S5884,113,No,3.5
Oregon,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$104.80 ,$200.00 ,S5884,176,Yes,3.5
Oregon,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$35.20 ,$545.00 ,S5884,209,Yes,3.5
Oregon,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$39.70 ,$545.00 ,S5921,374,No,3.0
Oregon,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$48.80 ,$410.00 ,S5921,411,Yes,3.0
Oregon,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$105.50 ,$545.00 ,S7126,029,No,2.0
Oregon,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$83.00 ,$349.00 ,S7126,099,No,2.0
Oregon,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.00 ,$545.00 ,S7126,132,No,2.0
Pennsylvania,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$41.60 ,$545.00 ,S4802,080,No,4.0
Pennsylvania,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,141,No,4.0
Pennsylvania,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,209,No,4.0
Pennsylvania,Highmark Blue Shield,Blue Rx PDP Plus (PDP),Basic,AE,,$108.80 ,$545.00 ,S5593,002,No,4.0
Pennsylvania,Highmark Blue Shield,Blue Rx PDP Complete (PDP),Enhanced,EA,,$195.10 ,$0.00 ,S5593,003,Yes,4.0
Pennsylvania,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$40.70 ,$545.00 ,S5601,012,No,3.0
Pennsylvania,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$99.60 ,$200.00 ,S5601,013,Yes,3.0
Pennsylvania,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,181,No,3.0
Pennsylvania,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$40.90 ,$545.00 ,S5617,215,No,3.0
Pennsylvania,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$91.00 ,$145.00 ,S5617,251,Yes,3.0
Pennsylvania,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.40 ,$545.00 ,S5617,356,No,3.0
Pennsylvania,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$107.10 ,$0.00 ,S5820,005,No,3.5
Pennsylvania,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$45.30 ,$545.00 ,S5884,104,No,3.5
Pennsylvania,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$106.70 ,$100.00 ,S5884,152,Yes,3.5
Pennsylvania,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$41.60 ,$545.00 ,S5884,185,Yes,3.5
Pennsylvania,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.60 ,$545.00 ,S5921,351,No,3.0
Pennsylvania,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$68.50 ,$410.00 ,S5921,388,Yes,3.0
Pennsylvania,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$41.20 ,$545.00 ,S7126,005,No,2.0
Pennsylvania,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$88.20 ,$349.00 ,S7126,075,No,2.0
Pennsylvania,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.90 ,$545.00 ,S7126,108,No,2.0
Puerto Rico,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$75.90 ,$445.00 ,S2874,001,Yes,2.5
Puerto Rico,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.00 ,$545.00 ,S2874,004,No,2.5
Puerto Rico,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$64.00 ,$545.00 ,S5617,348,No,3.0
Puerto Rico,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$71.60 ,$145.00 ,S5617,349,Yes,3.0
Puerto Rico,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$11.90 ,$545.00 ,S5617,385,No,3.0
Puerto Rico,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Basic,AE,,$74.50 ,$545.00 ,S5820,037,No,3.5
Rhode Island,Blue Cross & Blue Shield of Rhode Island,Blue MedicareRx Value Plus (PDP),Basic,BA,,$53.40 ,$545.00 ,S2893,001,No,4.0
Rhode Island,Blue Cross & Blue Shield of Rhode Island,Blue MedicareRx Premier (PDP),Enhanced,EA,,$155.80 ,$0.00 ,S2893,003,Yes,4.0
Rhode Island,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$36.80 ,$545.00 ,S4802,076,No,4.0
Rhode Island,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,137,No,4.0
Rhode Island,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.80 ,$0.00 ,S4802,205,No,4.0
Rhode Island,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$50.90 ,$545.00 ,S5601,004,No,3.0
Rhode Island,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$110.50 ,$200.00 ,S5601,005,Yes,3.0
Rhode Island,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$15.70 ,$280.00 ,S5601,177,No,3.0
Rhode Island,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$54.30 ,$545.00 ,S5617,008,No,3.0
Rhode Island,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$90.60 ,$145.00 ,S5617,247,Yes,3.0
Rhode Island,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$21.90 ,$545.00 ,S5617,352,No,3.0
Rhode Island,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$110.20 ,$0.00 ,S5820,002,No,3.5
Rhode Island,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$67.50 ,$545.00 ,S5884,102,No,3.5
Rhode Island,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$108.40 ,$200.00 ,S5884,149,Yes,3.5
Rhode Island,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$54.60 ,$545.00 ,S5884,182,Yes,3.5
Rhode Island,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$34.50 ,$545.00 ,S5921,348,No,3.0
Rhode Island,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$72.50 ,$410.00 ,S5921,385,Yes,3.0
Rhode Island,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$110.80 ,$545.00 ,S7126,002,No,2.0
Rhode Island,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$102.40 ,$349.00 ,S7126,072,No,2.0
Rhode Island,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$27.90 ,$545.00 ,S7126,105,No,2.0
South Carolina,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$40.80 ,$545.00 ,S4802,070,No,4.0
South Carolina,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,144,No,4.0
South Carolina,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,212,No,4.0
South Carolina,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$53.20 ,$545.00 ,S5601,018,No,3.0
South Carolina,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$106.40 ,$200.00 ,S5601,019,Yes,3.0
South Carolina,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$13.40 ,$280.00 ,S5601,184,No,3.0
South Carolina,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$69.50 ,$545.00 ,S5617,218,No,3.0
South Carolina,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$96.70 ,$145.00 ,S5617,254,Yes,3.0
South Carolina,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,359,No,3.0
South Carolina,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$106.10 ,$0.00 ,S5820,008,No,3.5
South Carolina,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$61.60 ,$545.00 ,S5884,134,No,3.5
South Carolina,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$116.90 ,$200.00 ,S5884,155,Yes,3.5
South Carolina,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$48.10 ,$545.00 ,S5884,188,Yes,3.5
South Carolina,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$78.80 ,$545.00 ,S5921,354,No,3.0
South Carolina,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,391,Yes,3.0
South Carolina,Blue Cross Blue Shield of South Carolina,BlueCross Rx Value (PDP),Basic,BA,,$117.40 ,$480.00 ,S5953,001,No,3.0
South Carolina,Blue Cross Blue Shield of South Carolina,BlueCross Rx Plus (PDP),Enhanced,EA,,$157.40 ,$0.00 ,S5953,002,Yes,3.0
South Carolina,Blue Cross Blue Shield of South Carolina,BlueCross Rx Essential (PDP),Enhanced,EA,,$77.00 ,$545.00 ,S5953,004,No,3.0
South Carolina,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$42.60 ,$545.00 ,S7126,008,No,2.0
South Carolina,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$78.60 ,$349.00 ,S7126,078,No,2.0
South Carolina,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$25.10 ,$545.00 ,S7126,111,No,2.0
South Dakota,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.40 ,$545.00 ,S4802,089,No,4.0
South Dakota,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,158,No,4.0
South Dakota,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,228,No,4.0
South Dakota,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.00 ,$545.00 ,S5601,050,No,3.0
South Dakota,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$92.60 ,$200.00 ,S5601,051,Yes,3.0
South Dakota,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,200,No,3.0
South Dakota,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$59.20 ,$545.00 ,S5617,123,No,3.0
South Dakota,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$80.70 ,$145.00 ,S5617,270,Yes,3.0
South Dakota,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,375,No,3.0
South Dakota,Wellmark Blue Cross Blue Shield of South Dakota,MedicareBlue Rx Standard (PDP),Basic,BA,,$76.40 ,$545.00 ,S5743,001,No,4.0
South Dakota,Wellmark Blue Cross Blue Shield of South Dakota,MedicareBlue Rx Premier (PDP),Enhanced,EA,,$123.50 ,$0.00 ,S5743,004,Yes,4.0
South Dakota,Wellmark Blue Cross Blue Shield of South Dakota,MedicareBlue Rx Select (PDP),Enhanced,EA,,$20.20 ,$545.00 ,S5743,008,No,4.0
South Dakota,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.80 ,$0.00 ,S5820,024,No,3.5
South Dakota,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.50 ,$545.00 ,S5884,145,No,3.5
South Dakota,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$95.20 ,$200.00 ,S5884,171,Yes,3.5
South Dakota,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$38.00 ,$545.00 ,S5884,204,Yes,3.5
South Dakota,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.50 ,$545.00 ,S5921,370,No,3.0
South Dakota,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$62.00 ,$410.00 ,S5921,406,Yes,3.0
South Dakota,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$40.90 ,$545.00 ,S7126,024,No,2.0
South Dakota,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$70.30 ,$349.00 ,S7126,094,No,2.0
South Dakota,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,127,No,2.0
Tennessee,UTIC Insurance Company,BlueRx Enhanced Plus (PDP),Enhanced,EA,,$153.70 ,$0.00 ,S1030,001,No,3.0
Tennessee,UTIC Insurance Company,BlueRx Essential (PDP),Basic,AE,,$72.00 ,$545.00 ,S1030,006,No,3.0
Tennessee,UTIC Insurance Company,BlueRx Enhanced (PDP),Enhanced,EA,,$119.50 ,$545.00 ,S1030,010,No,3.0
Tennessee,Farm Bureau Health Plans,Farm Bureau Essential Rx (PDP),Basic,AE,x,$37.10 ,$545.00 ,S2668,005,No,2.0
Tennessee,Farm Bureau Health Plans,Farm Bureau Select Rx (PDP),Enhanced,EA,,$76.70 ,$0.00 ,S2668,006,No,2.0
Tennessee,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$36.10 ,$545.00 ,S4802,071,No,4.0
Tennessee,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,147,No,4.0
Tennessee,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,215,No,4.0
Tennessee,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$50.00 ,$545.00 ,S5601,024,No,3.0
Tennessee,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$104.10 ,$200.00 ,S5601,025,Yes,3.0
Tennessee,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$12.30 ,$280.00 ,S5601,187,No,3.0
Tennessee,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$56.80 ,$545.00 ,S5617,220,No,3.0
Tennessee,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$83.40 ,$145.00 ,S5617,257,Yes,3.0
Tennessee,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.70 ,$545.00 ,S5617,362,No,3.0
Tennessee,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$102.30 ,$0.00 ,S5820,011,No,3.5
Tennessee,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$40.40 ,$545.00 ,S5884,106,No,3.5
Tennessee,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$96.70 ,$300.00 ,S5884,158,Yes,3.5
Tennessee,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$40.10 ,$545.00 ,S5884,191,Yes,3.5
Tennessee,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$35.60 ,$545.00 ,S5921,357,No,3.0
Tennessee,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$59.60 ,$410.00 ,S5921,393,Yes,3.0
Tennessee,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$116.90 ,$545.00 ,S7126,011,No,2.0
Tennessee,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$73.00 ,$349.00 ,S7126,081,No,2.0
Tennessee,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.60 ,$545.00 ,S7126,114,No,2.0
Texas,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$26.00 ,$545.00 ,S4802,013,No,4.0
Texas,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,155,No,4.0
Texas,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,225,No,4.0
Texas,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$40.50 ,$545.00 ,S5601,044,No,3.0
Texas,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$98.40 ,$200.00 ,S5601,045,Yes,3.0
Texas,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.80 ,$280.00 ,S5601,197,No,3.0
Texas,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$44.00 ,$545.00 ,S5617,108,No,3.0
Texas,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$81.80 ,$145.00 ,S5617,267,Yes,3.0
Texas,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$17.10 ,$545.00 ,S5617,372,No,3.0
Texas,Blue Cross and Blue Shield of Texas,Blue Cross MedicareRx Value (PDP),Enhanced,EA,,$94.00 ,$545.00 ,S5715,005,Yes,3.5
Texas,Blue Cross and Blue Shield of Texas,Blue Cross MedicareRx Basic (PDP),Basic,AE,,$79.00 ,$545.00 ,S5715,014,No,3.5
Texas,Blue Cross and Blue Shield of Texas,Blue Cross MedicareRx Choice (PDP),Enhanced,EA,,$25.60 ,$545.00 ,S5715,021,No,3.5
Texas,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$101.90 ,$0.00 ,S5820,021,No,3.5
Texas,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$51.30 ,$545.00 ,S5884,143,No,3.5
Texas,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$108.30 ,$0.00 ,S5884,168,Yes,3.5
Texas,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$47.10 ,$545.00 ,S5884,201,Yes,3.5
Texas,UnitedHealthcare,AARP Medicare Rx Saver from UHC (PDP),Basic,AE,,$67.90 ,$545.00 ,S5921,367,No,3.0
Texas,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,403,Yes,3.0
Texas,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$99.90 ,$545.00 ,S7126,021,No,2.0
Texas,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$77.10 ,$349.00 ,S7126,091,No,2.0
Texas,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.70 ,$545.00 ,S7126,124,No,2.0
Utah,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$40.80 ,$545.00 ,S4802,021,No,4.0
Utah,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,162,No,4.0
Utah,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,234,No,4.0
Utah,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$43.50 ,$545.00 ,S5601,062,No,3.0
Utah,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$103.00 ,$200.00 ,S5601,063,Yes,3.0
Utah,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,206,No,3.0
Utah,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$57.40 ,$545.00 ,S5617,153,No,3.0
Utah,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$78.10 ,$145.00 ,S5617,276,Yes,3.0
Utah,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$14.00 ,$545.00 ,S5617,381,No,3.0
Utah,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$97.00 ,$0.00 ,S5820,030,No,3.5
Utah,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$47.00 ,$545.00 ,S5884,147,No,3.5
Utah,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$102.70 ,$400.00 ,S5884,177,Yes,3.5
Utah,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$40.60 ,$545.00 ,S5884,210,Yes,3.5
Utah,Regence BlueCross BlueShield of Utah,Regence Medicare Script Basic (PDP),Basic,BA,,$94.00 ,$515.00 ,S5916,001,No,3.0
Utah,Regence BlueCross BlueShield of Utah,Regence Medicare Script Enhanced (PDP),Enhanced,EA,,$108.00 ,$0.00 ,S5916,002,Yes,3.0
Utah,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$39.60 ,$545.00 ,S5921,375,No,3.0
Utah,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$51.80 ,$410.00 ,S5921,412,Yes,3.0
Utah,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$41.90 ,$545.00 ,S7126,030,No,2.0
Utah,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$71.60 ,$349.00 ,S7126,100,No,2.0
Utah,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S7126,133,No,2.0
Vermont,Blue Cross and Blue Shield of Vermont,Blue MedicareRx Value Plus (PDP),Basic,BA,,$53.40 ,$545.00 ,S2893,001,No,4.0
Vermont,Blue Cross and Blue Shield of Vermont,Blue MedicareRx Premier (PDP),Enhanced,EA,,$155.80 ,$0.00 ,S2893,003,Yes,4.0
Vermont,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$36.80 ,$545.00 ,S4802,076,No,4.0
Vermont,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,137,No,4.0
Vermont,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.80 ,$0.00 ,S4802,205,No,4.0
Vermont,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$50.90 ,$545.00 ,S5601,004,No,3.0
Vermont,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$110.50 ,$200.00 ,S5601,005,Yes,3.0
Vermont,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$15.70 ,$280.00 ,S5601,177,No,3.0
Vermont,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$54.30 ,$545.00 ,S5617,008,No,3.0
Vermont,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$90.60 ,$145.00 ,S5617,247,Yes,3.0
Vermont,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$21.90 ,$545.00 ,S5617,352,No,3.0
Vermont,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$110.20 ,$0.00 ,S5820,002,No,3.5
Vermont,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$67.50 ,$545.00 ,S5884,102,No,3.5
Vermont,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$108.40 ,$200.00 ,S5884,149,Yes,3.5
Vermont,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$54.60 ,$545.00 ,S5884,182,Yes,3.5
Vermont,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$34.50 ,$545.00 ,S5921,348,No,3.0
Vermont,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$72.50 ,$410.00 ,S5921,385,Yes,3.0
Vermont,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$110.80 ,$545.00 ,S7126,002,No,2.0
Vermont,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$102.40 ,$349.00 ,S7126,072,No,2.0
Vermont,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$27.90 ,$545.00 ,S7126,105,No,2.0
Virgin Islands,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Basic,AE,,$94.90 ,$545.00 ,S5820,038,No,3.5
Virginia,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$36.70 ,$545.00 ,S4802,069,No,4.0
Virginia,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,142,No,4.0
Virginia,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,210,No,4.0
Virginia,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$56.60 ,$545.00 ,S5596,005,No,3.0
Virginia,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$70.60 ,$0.00 ,S5596,006,No,3.0
Virginia,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$39.40 ,$545.00 ,S5601,014,No,3.0
Virginia,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$98.70 ,$200.00 ,S5601,015,Yes,3.0
Virginia,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,182,No,3.0
Virginia,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$62.40 ,$545.00 ,S5617,216,No,3.0
Virginia,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$76.90 ,$145.00 ,S5617,252,Yes,3.0
Virginia,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$18.80 ,$545.00 ,S5617,357,No,3.0
Virginia,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$96.50 ,$0.00 ,S5820,006,No,3.5
Virginia,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$39.40 ,$545.00 ,S5884,132,No,3.5
Virginia,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$100.10 ,$300.00 ,S5884,153,Yes,3.5
Virginia,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$34.80 ,$545.00 ,S5884,186,Yes,3.5
Virginia,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$32.50 ,$545.00 ,S5921,352,No,3.0
Virginia,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$49.30 ,$410.00 ,S5921,389,Yes,3.0
Virginia,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$96.50 ,$545.00 ,S7126,006,No,2.0
Virginia,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$84.40 ,$349.00 ,S7126,076,No,2.0
Virginia,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$25.00 ,$545.00 ,S7126,109,No,2.0
Washington,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$40.80 ,$545.00 ,S4802,020,No,4.0
Washington,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,135,No,4.0
Washington,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,233,No,4.0
Washington,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,,$44.10 ,$545.00 ,S5601,060,No,3.0
Washington,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$89.40 ,$200.00 ,S5601,061,Yes,3.0
Washington,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$3.30 ,$280.00 ,S5601,205,No,3.0
Washington,Asuris Northwest Health,Asuris Medicare Script Basic (PDP),Basic,BA,,$111.50 ,$540.00 ,S5609,001,No,3.5
Washington,Asuris Northwest Health,Asuris Medicare Script Enhanced (PDP),Enhanced,EA,,$127.00 ,$0.00 ,S5609,002,Yes,3.5
Washington,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$39.90 ,$545.00 ,S5617,148,No,3.0
Washington,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$65.20 ,$145.00 ,S5617,275,Yes,3.0
Washington,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$14.20 ,$545.00 ,S5617,380,No,3.0
Washington,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$98.40 ,$0.00 ,S5820,029,No,3.5
Washington,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$45.40 ,$545.00 ,S5884,113,No,3.5
Washington,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$104.80 ,$200.00 ,S5884,176,Yes,3.5
Washington,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$35.20 ,$545.00 ,S5884,209,Yes,3.5
Washington,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$39.70 ,$545.00 ,S5921,374,No,3.0
Washington,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$48.80 ,$410.00 ,S5921,411,Yes,3.0
Washington,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$105.50 ,$545.00 ,S7126,029,No,2.0
Washington,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$83.00 ,$349.00 ,S7126,099,No,2.0
Washington,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$23.00 ,$545.00 ,S7126,132,No,2.0
West Virginia,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$41.60 ,$545.00 ,S4802,080,No,4.0
West Virginia,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,141,No,4.0
West Virginia,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,209,No,4.0
West Virginia,Highmark Blue Shield,Blue Rx PDP Plus (PDP),Basic,AE,,$108.80 ,$545.00 ,S5593,002,No,4.0
West Virginia,Highmark Blue Shield,Blue Rx PDP Complete (PDP),Enhanced,EA,,$195.10 ,$0.00 ,S5593,003,Yes,4.0
West Virginia,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$40.70 ,$545.00 ,S5601,012,No,3.0
West Virginia,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$99.60 ,$200.00 ,S5601,013,Yes,3.0
West Virginia,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.90 ,$280.00 ,S5601,181,No,3.0
West Virginia,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$40.90 ,$545.00 ,S5617,215,No,3.0
West Virginia,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$91.00 ,$145.00 ,S5617,251,Yes,3.0
West Virginia,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.40 ,$545.00 ,S5617,356,No,3.0
West Virginia,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$107.10 ,$0.00 ,S5820,005,No,3.5
West Virginia,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$45.30 ,$545.00 ,S5884,104,No,3.5
West Virginia,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$106.70 ,$100.00 ,S5884,152,Yes,3.5
West Virginia,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$41.60 ,$545.00 ,S5884,185,Yes,3.5
West Virginia,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.60 ,$545.00 ,S5921,351,No,3.0
West Virginia,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$68.50 ,$410.00 ,S5921,388,Yes,3.0
West Virginia,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,,$41.20 ,$545.00 ,S7126,005,No,2.0
West Virginia,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$88.20 ,$349.00 ,S7126,075,No,2.0
West Virginia,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$24.90 ,$545.00 ,S7126,108,No,2.0
Wisconsin,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$44.50 ,$545.00 ,S4802,097,No,4.0
Wisconsin,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.00 ,$545.00 ,S4802,132,No,4.0
Wisconsin,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$78.90 ,$0.00 ,S4802,219,No,4.0
Wisconsin,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Standard (PDP),Basic,BA,,$83.60 ,$545.00 ,S5596,056,No,3.0
Wisconsin,Anthem MediBlue Rx (PDP),Anthem MediBlue Rx Plus (PDP),Enhanced,EA,,$89.50 ,$0.00 ,S5596,057,No,3.0
Wisconsin,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$45.60 ,$545.00 ,S5601,032,No,3.0
Wisconsin,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$98.70 ,$200.00 ,S5601,033,Yes,3.0
Wisconsin,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$9.80 ,$280.00 ,S5601,191,No,3.0
Wisconsin,Cigna,Cigna Secure Rx (PDP),Basic,AE,x,$48.00 ,$545.00 ,S5617,223,No,3.0
Wisconsin,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$79.60 ,$145.00 ,S5617,261,Yes,3.0
Wisconsin,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$22.60 ,$545.00 ,S5617,366,No,3.0
Wisconsin,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$100.70 ,$0.00 ,S5820,015,No,3.5
Wisconsin,Humana,Humana Basic Rx Plan (PDP),Basic,AE,x,$48.00 ,$545.00 ,S5884,139,No,3.5
Wisconsin,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$106.60 ,$200.00 ,S5884,162,Yes,3.5
Wisconsin,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$35.30 ,$545.00 ,S5884,195,Yes,3.5
Wisconsin,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$41.60 ,$545.00 ,S5921,361,No,3.0
Wisconsin,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$54.20 ,$410.00 ,S5921,397,Yes,3.0
Wisconsin,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$46.30 ,$545.00 ,S7126,015,No,2.0
Wisconsin,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$77.80 ,$349.00 ,S7126,085,No,2.0
Wisconsin,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.10 ,$545.00 ,S7126,118,No,2.0
Wyoming,Wellcare,Wellcare Classic (PDP),Basic,AE,x,$39.40 ,$545.00 ,S4802,089,No,4.0
Wyoming,Wellcare,Wellcare Value Script (PDP),Enhanced,EA,,$0.50 ,$545.00 ,S4802,158,No,4.0
Wyoming,Wellcare,Wellcare Medicare Rx Value Plus (PDP),Enhanced,EA,,$79.00 ,$0.00 ,S4802,228,No,4.0
Wyoming,Aetna Medicare,SilverScript Choice (PDP),Basic,AE,x,$41.00 ,$545.00 ,S5601,050,No,3.0
Wyoming,Aetna Medicare,SilverScript Plus (PDP),Enhanced,EA,,$92.60 ,$200.00 ,S5601,051,Yes,3.0
Wyoming,Aetna Medicare,SilverScript SmartSaver (PDP),Enhanced,EA,,$5.30 ,$280.00 ,S5601,200,No,3.0
Wyoming,Cigna,Cigna Secure Rx (PDP),Basic,AE,,$59.20 ,$545.00 ,S5617,123,No,3.0
Wyoming,Cigna,Cigna Extra Rx (PDP),Enhanced,EA,,$80.70 ,$145.00 ,S5617,270,Yes,3.0
Wyoming,Cigna,Cigna Saver Rx (PDP),Enhanced,EA,,$20.30 ,$545.00 ,S5617,375,No,3.0
Wyoming,Blue Cross Blue Shield of Wyoming,MedicareBlue Rx Standard (PDP),Basic,BA,,$76.40 ,$545.00 ,S5743,001,No,4.0
Wyoming,Blue Cross Blue Shield of Wyoming,MedicareBlue Rx Premier (PDP),Enhanced,EA,,$123.50 ,$0.00 ,S5743,004,Yes,4.0
Wyoming,Blue Cross Blue Shield of Wyoming,MedicareBlue Rx Select (PDP),Enhanced,EA,,$20.20 ,$545.00 ,S5743,008,No,4.0
Wyoming,UnitedHealthcare,AARP Medicare Rx Preferred from UHC (PDP),Enhanced,EA,,$103.80 ,$0.00 ,S5820,024,No,3.5
Wyoming,Humana,Humana Basic Rx Plan (PDP),Basic,AE,,$44.50 ,$545.00 ,S5884,145,No,3.5
Wyoming,Humana,Humana Premier Rx Plan (PDP),Enhanced,EA,,$95.20 ,$200.00 ,S5884,171,Yes,3.5
Wyoming,Humana,Humana Walmart Value Rx Plan (PDP),Enhanced,EA,,$38.00 ,$545.00 ,S5884,204,Yes,3.5
Wyoming,UnitedHealthcare,AARP Medicare Rx Basic from UHC (PDP),Basic,AE,x,$38.50 ,$545.00 ,S5921,370,No,3.0
Wyoming,UnitedHealthcare,AARP Medicare Rx Walgreens from UHC (PDP),Enhanced,EA,,$62.00 ,$410.00 ,S5921,406,Yes,3.0
Wyoming,Mutual of Omaha Rx,Mutual of Omaha Rx Plus (PDP),Basic,AE,x,$40.90 ,$545.00 ,S7126,024,No,2.0
Wyoming,Mutual of Omaha Rx,Mutual of Omaha Rx Premier (PDP),Enhanced,EA,,$70.30 ,$349.00 ,S7126,094,No,2.0
Wyoming,Mutual of Omaha Rx,Mutual of Omaha Rx Essential (PDP),Enhanced,EA,,$22.90 ,$545.00 ,S7126,127,No,2.0