Medicare Part D Formulary Finder
Hawaii
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| State | FormularyID | CMS Contract ID | CMS Plan ID | CMS Contract Name | CMS Plan Name | Epocrates Plan Name |
| HI | 00010463 | H0540 | 020 | UNICARE LIFE AND HEALTH INS. COMPANY | SecurityChoice Plus (PFFS) | SecurityChoice Plus MA |
| HI | 00010463 | H0540 | 089 | UNICARE LIFE AND HEALTH INS. COMPANY | SecurityChoice Plus (PFFS) | SecurityChoice Plus MA |
| HI | 00010213 | H0710 | 002 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010213 | H1108 | 002 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010154 | H1230 | 001 | KAISER FOUNDATION HP, INC. | Kaiser Permanente Senior Advantage Enhanced (H | KP Senior Advantage Enhanced MA |
| HI | 00010154 | H1230 | 003 | KAISER FOUNDATION HP, INC. | Kaiser Permanente Senior Advantage Basic (HMO) | KP Senior Advantage Basic MA |
| HI | 00010223 | H1251 | 003 | HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) | 65C Plus Basic Option BRx (Cost) | 65C Plus Basic Opt BRx MA |
| HI | 00010223 | H1251 | 004 | HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) | 65C Plus High Option SRx (Cost) | 65C Plus High Opt SRx MA |
| HI | 00010223 | H1251 | 011 | HAWAII MEDICAL SERVICE ASSOCIATION (HMSA) | 65C Plus Saver Option BRx (Cost) | 65C Plus Saver Opt BRx MA |
| HI | 00010213 | H1303 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H1303 | 004 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010213 | H1509 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H1509 | 004 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010213 | H1509 | 007 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H1509 | 009 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H1717 | 006 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010213 | H1717 | 007 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010213 | H2001 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H2111 | 008 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010476 | H2762 | 028 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Two (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 030 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Two (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 032 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Two (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 034 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Two (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 036 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Four (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 038 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Four (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 040 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Four (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 042 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Two (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 044 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Two (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 046 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Two (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 048 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Two (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 050 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Four (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 052 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Four (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010476 | H2762 | 054 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Access Plus RX Plan Four (PFFS) | Cigna Access Plus Rx MA |
| HI | 00010213 | H3209 | 002 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010068 | H3333 | 049 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 050 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 051 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 052 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 053 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 054 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 055 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 056 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 057 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 058 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 059 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 060 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 105 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 107 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 113 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 115 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 121 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 123 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 129 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 131 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 137 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 139 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010068 | H3333 | 145 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Premier powered by CCRx (PFFS) | TodaysOptions Premier CCRx MA |
| HI | 00010068 | H3333 | 147 | AMERICAN PROGRESSIVE LIFE/HLTH INS. | Today's Options Value powered by CCRx (PFFS) | Todays Options Value MA |
| HI | 00010213 | H3812 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H3912 | 005 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010213 | H3921 | 008 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H4522 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H4522 | 007 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010213 | H5424 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H5424 | 005 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan DP (PPO) | Evercare Plan DP MA |
| HI | 00010213 | H5507 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H5516 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010213 | H5532 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareComplete Choice (PPO) | AARP MedicareComplete ChoiceMA |
| HI | 00010342 | H5969 | 001 | ALOHACARE | AlohaCare Advantage (HMO) | AlohaCare Advantage MA |
| HI | 00010350 | H5969 | 002 | ALOHACARE | AlohaCare Advantage Plus (HMO) | AlohaCare Advantage Plus MA |
| HI | 00010213 | R3175 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | SecureHorizons MedicareComplete Choice (Region | SecureHorizonsComplete Choice MA |
| HI | 00010213 | R3175 | 003 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan RDP (Regional PPO) | Evercare Plan RDP MA |
| HI | 00010213 | R3175 | 004 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan RMP (Regional PPO) | Evercare Plan RMP MA |
| HI | 00010213 | R5287 | 003 | UNITEDHEALTHCARE INSURANCE COMPANY | Evercare Plan RDP (Regional PPO) | Evercare Plan RDP MA |
| HI | 00010474 | S5557 | 004 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 006 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010444 | S5557 | 009 | FOX INSURANCE COMPANY | Fox Grand Plan (PDP) | Fox Grand Plan (PDP) |
| HI | 00010444 | S5557 | 011 | FOX INSURANCE COMPANY | Fox Grand Plan (PDP) | Fox Grand Plan (PDP) |
| HI | 00010444 | S5557 | 013 | FOX INSURANCE COMPANY | Fox Grand Plan (PDP) | Fox Grand Plan (PDP) |
| HI | 00010444 | S5557 | 015 | FOX INSURANCE COMPANY | Fox Grand Plan (PDP) | Fox Grand Plan (PDP) |
| HI | 00010444 | S5557 | 017 | FOX INSURANCE COMPANY | Fox Grand Plan (PDP) | Fox Grand Plan (PDP) |
| HI | 00010444 | S5557 | 019 | FOX INSURANCE COMPANY | Fox Grand Plan (PDP) | Fox Grand Plan (PDP) |
| HI | 00010444 | S5557 | 021 | FOX INSURANCE COMPANY | Fox Grand Plan (PDP) | Fox Grand Plan (PDP) |
| HI | 00010474 | S5557 | 023 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 025 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 031 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 036 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 038 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 040 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 042 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 046 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 048 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 050 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 052 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010474 | S5557 | 054 | FOX INSURANCE COMPANY | Fox Value Plan (PDP) | Fox Value Plan PDP |
| HI | 00010064 | S5601 | 002 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 003 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 004 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 005 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 006 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 007 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 008 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 009 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 010 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 011 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 012 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 013 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 014 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 015 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 016 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 017 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 018 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 019 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 020 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 021 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 022 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 023 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 024 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 025 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 026 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 027 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 028 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 029 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 030 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 031 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 032 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 033 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 034 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 035 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 036 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 037 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 038 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 039 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 040 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 041 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 042 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 043 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 044 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 045 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 046 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 047 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 048 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 049 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 050 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 051 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 052 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 053 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 054 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 055 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 056 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 057 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 058 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 059 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 060 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 061 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 062 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 063 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 064 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 065 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 066 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 067 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 068 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 069 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010064 | S5601 | 070 | SILVERSCRIPT INSURANCE COMPANY | SilverScript Value (PDP) | SilverScript PDP |
| HI | 00010394 | S5601 | 071 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Plus (PDP) | CVS Caremark Plus PDP |
| HI | 00010391 | S5601 | 104 | SILVERSCRIPT INSURANCE COMPANY | CVS Caremark Complete (PDP) | CVS Caremark Complete PDP |
| HI | 00010476 | S5617 | 003 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 005 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 008 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 010 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 013 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 015 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 018 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 020 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 025 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 030 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 035 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 040 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 045 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 050 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 053 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 055 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 060 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 065 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 068 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 070 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 075 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 080 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 085 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 088 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 090 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 095 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 100 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 103 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 105 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 108 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 110 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 113 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 115 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 118 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 120 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 123 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 125 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 128 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 130 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 133 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 135 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 138 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 140 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 143 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 145 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 148 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 150 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 153 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 155 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 158 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 160 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010476 | S5617 | 163 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010480 | S5617 | 165 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010480 | S5617 | 170 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Two (PDP) | CIGNA Rx 02 PDP |
| HI | 00010481 | S5617 | 171 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 172 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 173 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 174 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 175 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 176 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 177 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 178 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 179 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 180 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 181 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 182 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 183 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 184 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 185 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 186 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 187 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 188 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 189 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 190 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 191 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 192 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 193 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 194 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 195 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 196 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 197 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 198 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 199 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 200 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 201 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 202 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 203 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010481 | S5617 | 204 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan Three (PDP) | CIGNA Rx 03 PDP |
| HI | 00010476 | S5617 | 214 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 215 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 216 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 217 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 218 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 219 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 220 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 221 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 222 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 223 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 224 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 225 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 226 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010476 | S5617 | 227 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | CIGNA Medicare Rx Plan One (PDP) | Cigna Rx 01 PDP |
| HI | 00010000 | S5644 | 004 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 005 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 012 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010063 | S5644 | 045 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 047 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 048 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 049 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 050 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 051 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 052 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 053 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 054 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 055 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 056 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 057 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 058 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 059 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 060 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 061 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 062 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 063 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 064 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 065 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010000 | S5644 | 067 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 068 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 071 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 072 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 073 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 074 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 075 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 076 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 078 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 079 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 080 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 081 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 082 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 083 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 084 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 085 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 087 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010063 | S5644 | 174 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 175 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 176 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 177 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 178 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 179 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 180 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 181 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 182 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 183 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 184 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 185 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 186 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010063 | S5644 | 187 | ACCENDO INSURANCE COMPANY | Advantage Freedom Plan by RxAmerica (PDP) | Adv Freedom - RxAmerica PDP |
| HI | 00010000 | S5644 | 188 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 189 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 190 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 191 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 192 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 193 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 194 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 195 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 196 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 197 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 198 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 199 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 200 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010000 | S5644 | 201 | ACCENDO INSURANCE COMPANY | Advantage Star Plan by RxAmerica (PDP) | Advantage Star - RxAmerica PDP |
| HI | 00010099 | S5660 | 001 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 003 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 004 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 005 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 006 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 007 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 008 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 009 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 010 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 012 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 013 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 014 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 015 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 016 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 017 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 018 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 019 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 020 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 021 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 022 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 023 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 024 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 025 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 026 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 027 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 028 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 029 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 030 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 031 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 032 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 033 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 034 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 035 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 103 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Choice (PDP) | Medco Medicare Choice PDP |
| HI | 00010099 | S5660 | 104 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 105 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 106 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 107 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 108 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 109 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 110 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 111 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 112 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 113 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 114 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 115 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 116 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 117 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 118 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 119 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 120 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 121 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 122 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 123 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 124 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 125 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 126 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 127 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 128 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 129 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 130 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 131 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 132 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 133 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 134 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 135 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 136 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 137 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Value (PDP) | Medco Medicare Value PDP |
| HI | 00010099 | S5660 | 172 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 173 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 174 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 175 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 176 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 177 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 178 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 179 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 180 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 181 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 182 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 183 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 184 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 185 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 186 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 187 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 188 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 189 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 190 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 191 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 192 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 193 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 194 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 195 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 196 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 197 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 198 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 199 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 200 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 201 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 202 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 203 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 204 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010099 | S5660 | 205 | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | Medco Medicare Prescription Plan - Access (PDP) | Medco Medicare Access PDP |
| HI | 00010448 | S5674 | 002 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 003 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 005 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 008 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 009 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 011 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 014 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 015 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 017 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 020 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 021 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 023 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 026 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 027 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 029 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 032 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 033 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 035 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 038 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 039 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 041 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 044 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 045 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 047 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 050 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 051 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 053 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 056 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 057 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 059 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 062 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 063 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 065 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010448 | S5674 | 068 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Value (PDP) | AdvantraRx Value PDP |
| HI | 00010446 | S5674 | 069 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier (PDP) | Advantra Rx Premier PDP |
| HI | 00010460 | S5674 | 071 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | AdvantraRx Premier Plus (PDP) | Advantra Rx Premier Plus PDP |
| HI | 00010408 | S5678 | 001 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 002 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 003 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 004 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 005 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 006 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 007 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010409 | S5678 | 008 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010409 | S5678 | 009 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010409 | S5678 | 010 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010409 | S5678 | 011 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010409 | S5678 | 012 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 014 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 016 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 018 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 020 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 021 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 022 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 024 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 026 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 027 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 028 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 030 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 032 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 034 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 035 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 036 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 038 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 039 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 040 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 041 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 042 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 044 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 046 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 048 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 049 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 050 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 052 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 054 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 056 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 057 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 058 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 059 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 060 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 061 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 062 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 064 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010409 | S5678 | 065 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 2 (PDP) | Health Net PDP |
| HI | 00010408 | S5678 | 066 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010408 | S5678 | 068 | HEALTH NET LIFE INS CO/HEALTH NET INS OF NY | Health Net Orange Option 1 (PDP) | Health Net Orange PDP |
| HI | 00010283 | S5755 | 005 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 006 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 007 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 008 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 009 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 010 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 011 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 012 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 013 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 014 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 015 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 016 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 017 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 018 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 019 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 020 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 021 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 022 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 023 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 024 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 025 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 026 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 027 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 028 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 029 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 030 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 031 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 032 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 033 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 034 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 035 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 038 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010283 | S5755 | 039 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Prescription Drug Cov (PDP) | UA Medicare Part D PDP |
| HI | 00010281 | S5755 | 040 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 041 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 042 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 043 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 044 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 045 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 046 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 047 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 048 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 049 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 050 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 051 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 052 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 053 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 054 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 055 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 056 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 057 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 058 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 059 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 060 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 061 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 062 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 063 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 064 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 065 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 066 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 067 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 068 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 069 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 070 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 071 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010281 | S5755 | 072 | UNITED AMERICAN INSURANCE COMPANY | UA Medicare Part D Rx Covg - Silver Plan (PDP) | UA Medicare Silver PDP |
| HI | 00010451 | S5768 | 005 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 007 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 008 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 009 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 010 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 012 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 015 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 016 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 017 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 018 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 021 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 031 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 038 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 039 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 040 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 041 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 042 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 043 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 044 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 045 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 046 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 047 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 048 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 082 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 083 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010450 | S5768 | 084 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 085 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 086 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 087 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 088 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 089 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 090 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 091 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 092 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 093 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 094 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 095 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 096 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 097 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 098 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 099 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 100 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 101 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 102 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 103 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 104 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 105 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 106 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 107 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 108 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 109 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 110 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 111 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 112 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 113 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 114 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 115 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010450 | S5768 | 116 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Secure (PDP) | First Health Secure PDP |
| HI | 00010451 | S5768 | 117 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 118 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 119 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 120 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 121 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 122 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 123 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010451 | S5768 | 124 | FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY | First Health Part D-Premier (PDP) | First Health Premier PDP |
| HI | 00010031 | S5803 | 070 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 071 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 072 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 073 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 074 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 075 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 076 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 077 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 078 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 079 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 080 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 081 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 082 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 083 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 084 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 085 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 086 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 087 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 088 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 089 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 090 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 091 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 092 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 093 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 094 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 095 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 096 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 097 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 098 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 099 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 100 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 101 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 102 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 103 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010066 | S5803 | 138 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 139 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 140 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 141 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 142 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 143 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 144 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 145 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 146 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 147 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 148 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 149 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 150 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 151 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 152 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 153 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 154 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 155 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 156 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 157 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 158 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 159 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 160 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 161 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 162 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 163 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 164 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 165 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 166 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 167 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 168 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 169 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 170 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 171 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010031 | S5803 | 210 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010031 | S5803 | 211 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Basic (PDP) | Community CCRx Basic PDP |
| HI | 00010066 | S5803 | 214 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 215 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Choice (PDP) | Community CCRx Choice PDP |
| HI | 00010066 | S5803 | 218 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 219 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 221 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 222 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 223 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 224 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 225 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 226 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 227 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 228 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 229 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 230 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 231 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 232 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 233 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 234 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 235 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 236 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 237 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 238 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 239 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 240 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 241 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 242 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 243 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 244 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 245 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 246 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 247 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 248 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 249 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 250 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 251 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 252 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010066 | S5803 | 253 | PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO | Community CCRx Gold (PDP) | Community CCRx Gold PDP |
| HI | 00010232 | S5810 | 035 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 036 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 037 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 038 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 039 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 040 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 041 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 042 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 043 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 044 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 045 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 046 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 047 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 048 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 049 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 050 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 051 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 052 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 053 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 054 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 055 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 056 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 057 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 058 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 059 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 060 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 061 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 062 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 063 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 064 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 065 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 066 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 067 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 068 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Essentials (PDP) | Aetna MedicareRx Essentials PDP |
| HI | 00010232 | S5810 | 171 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 172 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 173 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 174 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 175 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 176 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 177 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 178 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 179 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 180 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 181 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 182 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 183 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 184 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 185 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 186 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 187 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 188 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 189 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 190 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 191 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 192 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 193 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 194 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 195 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 196 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 197 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 198 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 199 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 200 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 201 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 202 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 203 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 204 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Premier (PDP) | Aetna Medicare Rx Premier PDP |
| HI | 00010232 | S5810 | 207 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 211 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 215 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 217 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 218 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 221 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 230 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 231 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 232 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 233 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 234 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 235 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 236 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 237 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010232 | S5810 | 238 | AETNA LIFE INSURANCE COMPANY | Aetna Medicare Rx Costco Plus Plan (PDP) | Aetna Rx Costco Plus Plan PDP |
| HI | 00010022 | S5820 | 001 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 002 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 003 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 004 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 005 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 006 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 007 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 008 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 009 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 010 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 011 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 012 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 013 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 014 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 015 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 016 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 017 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 018 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 019 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 020 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 021 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 022 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 023 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 024 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 025 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 026 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 027 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 028 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 029 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 030 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 031 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 032 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 033 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 034 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 035 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 036 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 037 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010022 | S5820 | 038 | UNITEDHEALTHCARE INSURANCE COMPANY | AARP MedicareRx Preferred (PDP) | AARP MedicareRx Preferred PDP |
| HI | 00010213 | S5921 | 001 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 003 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 011 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 013 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 021 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 023 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 031 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 033 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 041 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 043 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 051 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 053 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 061 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 063 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 071 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 073 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 081 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 083 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 091 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 093 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 101 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 103 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 111 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 113 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 121 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 123 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 131 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 133 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 141 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 143 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 151 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 153 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 161 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 163 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 171 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 173 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 181 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 183 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 191 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 193 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 201 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010213 | S5921 | 203 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 213 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 221 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 223 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 231 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 233 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010022 | S5921 | 235 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 237 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 239 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 247 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 249 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 261 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 263 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 265 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 273 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 281 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 283 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 286 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 293 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 301 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 303 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 311 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 313 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 321 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 323 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010213 | S5921 | 331 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Saver (PDP) | AARP MedicareRx Saver PDP |
| HI | 00010022 | S5921 | 333 | UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY | AARP MedicareRx Enhanced (PDP) | AARP MedicareRx Enhanced PDP |
| HI | 00010489 | S5932 | 032 | HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. | HealthSpring Prescription Drug Plan-Reg 33 (PDP) | HealthSpring Reg PDP |
| HI | 00010464 | S5960 | 108 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 109 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 110 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 111 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 112 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 114 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 115 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 117 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 118 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 119 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 123 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 125 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 126 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 127 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 128 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 129 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 130 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 131 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 132 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 134 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 136 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 137 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 139 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010464 | S5960 | 140 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Standard (PDP) | MedicareRx Rewards Standrd PDP |
| HI | 00010461 | S5960 | 141 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 142 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 143 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 144 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 145 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 146 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 147 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 148 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 149 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 150 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 151 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 152 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 153 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 154 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 155 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 156 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 157 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 158 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 159 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 160 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 161 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010461 | S5960 | 162 | UNICARE LIFE AND HEALTH INSURANCE COMPANY | MedicareRx Rewards Plus (PDP) | MedicareRx Rewards Plus PDP |
| HI | 00010167 | S7694 | 001 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 002 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 003 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 004 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 005 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 006 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 007 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 008 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 009 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 010 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 011 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 012 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 014 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 015 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 016 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 017 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 018 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 019 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 020 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 021 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 022 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 023 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 024 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 025 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 026 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 027 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 028 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 029 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 030 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 031 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 032 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 033 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010167 | S7694 | 034 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Silver (PDP) | EnvisionRxPlus Silver PDP |
| HI | 00010166 | S7694 | 035 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 036 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 037 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 038 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 039 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 040 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 041 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 042 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 043 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 044 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 045 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 046 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 048 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 049 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 050 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 051 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 052 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 053 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 054 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 055 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 056 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 057 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 058 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 059 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 060 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 061 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 062 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 063 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 064 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 065 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 066 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 067 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |
| HI | 00010166 | S7694 | 068 | ENVISION INSURANCE COMPANY | EnvisionRxPlus Gold (PDP) | EnvisionRxPlus Gold PDP |