pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_a_last_data_entry_date	pbpver	pbp_a_ready_for_upload_date_tm	pbp_a_BPT_MA_date_time	pbp_a_BPT_PD_date_time	pbp_a_BPT_MSA_date_time	pbp_a_upload_date_time	pbp_a_org_name	pbp_a_org_marketing_name	pbp_a_org_website	pbp_a_plan_name	pbp_a_org_type	pbp_a_plan_type	pbp_a_network_flag	pbp_a_ben_cov	pbp_a_hospice_care_yn	pbp_a_service_area	pbp_a_contract_number	pbp_a_plan_identifier	pbp_a_segment_id	pbp_a_contract_period	pbp_a_plan_geog_name	pbp_a_segment_name	pbp_a_eghp_yn	pbp_a_est_memb	pbp_a_continue_yn	pbp_a_continue_costshare_yn	pbp_a_platino_flag	pbp_a_platino_yn	pbp_a_special_need_flag	pbp_a_special_need_plan_type	pbp_a_snp_institutional_type	pbp_a_snp_pct	pbp_a_snp_pop	pbp_a_snp_cond	pbp_a_opd_web_addr	pbp_a_formulary_web_addr	pbp_a_pharmacy_website	pbp_a_curmbr_phone	pbp_a_curmbr_phone_ext	pbp_a_curmbr_loc_phone	pbp_a_curmbr_loc_phone_ext	pbp_a_prombr_phone	pbp_a_prombr_phone_ext	pbp_a_prombr_loc_phone	pbp_a_prombr_loc_phone_ext	pbp_a_pd_curmbr_phone	pbp_a_pd_curmbr_phone_ext	pbp_a_pd_curmbr_loc_phone	pbp_a_pd_curmbr_loc_phone_ext	pbp_a_pd_prombr_phone	pbp_a_pd_prombr_phone_ext	pbp_a_pd_prombr_loc_phone	pbp_a_pd_prombr_loc_phone_ext	pbp_a_ttytdd_curmbr_phone	pbp_a_ttytdd_curmbr_phone_ext	pbp_a_ttytdd_cur_loc_phone	pbp_a_ttytdd_cur_loc_phone_ext	pbp_a_ttytdd_prombr_phone	pbp_a_ttytdd_prombr_phone_ext	pbp_a_ttytdd_pro_loc_phone	pbp_a_ttytdd_pro_loc_phone_ext	pbp_a_pd_ttytdd_curmbr_phone	pbp_a_pd_ttytdd_curmbr_phn_ext	pbp_a_pd_ttytdd_cur_loc_phone	pbp_a_pd_ttytdd_cur_loc_phn_ex	pbp_a_pd_ttytdd_prombr_phone	pbp_a_pd_ttytdd_prombr_phn_ext	pbp_a_pd_ttytdd_pro_loc_phone	pbp_a_pd_ttytdd_pro_loc_phn_ex	pbp_a_contract_partd_flag
E0654	801	0		30	13	E0654_801_0	1	06/07/2010	2011.01	06/07/2010 06:03:39 PM Eastern Daylight Time				06/07/2010 06:06:10 PM Eastern Daylight Time	IBT VOLUNTARY EMPLOYEE BENEFITS TRUST	TEAMStar Medicare Part D Prescription Drug Program	www.teamstarpartd.com	IBT VEBA (Employer PDP)	13	30					E0654	801	0	2011	National		1						2							http://www.rxsolutions.com/pdpclientformulary/formulary.asp?var=IBTPDPGOLDinfoid=IBT	www.rxsolutions.com									(866)-524-4173		(866)-524-4173		(866)-524-4173		(866)-524-4173										(866)-524-4174		(866)-524-4173		(866)-524-4174		(866)-524-4174		1
E2332	801	0		30	13	E2332_801_0	1	06/04/2010	2011.01	06/04/2010 11:32:56 AM Eastern Daylight Time				06/04/2010 11:33:12 AM Eastern Daylight Time	NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION	National Rural Electric Cooperative Association	www.nreca.coop	NRECA Medicare Part D Plan (Employer PDP)	13	30					E2332	801	0	2011	NRECA Medicare Part D Plan-Nationwide		1						2							http://nreca.medicareplanrx.com	http://nreca.medicareplanrx.com									(866)-586-7322		(866)-586-7322		(866)-673-2299		(866)-673-2299										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1
E2630	801	0		30	13	E2630_801_0	1	05/26/2010	2011.01	05/26/2010 02:13:11 PM Eastern Daylight Time				05/26/2010 02:13:18 PM Eastern Daylight Time	C AND O EMPLOYEES HOSPITAL ASSOCIATION	C and O Employees Hospital Association	www.coeha.com	C and O Employees Hospital Association (Employer PDP)	13	30					E2630	801	0	2011	Virginia, West VA, Kentucky, Ohio, Indiana		1						2							http://www.coeha.com	http://www.nmhc.com									(800)-679-9135		(540)-862-5728		(800)-679-9135		(540)-862-5728										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
E2868	801	0		30	13	E2868_801_0	1	05/26/2010	2011.01	05/26/2010 03:22:08 PM Eastern Daylight Time				05/26/2010 03:40:38 PM Eastern Daylight Time	CARPENTER'S HEALTH  AND WELFARE TRUST FUND OF STL	Carpenters' District Council of Greater St. Louis	http://www.carpdc.org/	Carpenters' 2011 Plan (Employer PDP)	13	30					E2868	801	0	2011	National		1						2							http://www.medcohealth.com	http://www.medcohealth.com/									(800)-301-3002		(314)-644-4802		(800)-301-3002		(314)-644-4802										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
E3014	801	0		30	13	E3014_801_0	1	05/18/2010	2011.01	05/18/2010 05:08:03 PM Eastern Daylight Time				05/18/2010 05:08:47 PM Eastern Daylight Time	PSERS HOP PROGRAM	Pennsylvania Public School Employees Retirement Sy	http://www.psers.state.pa.us/hop/hop.htm	PSERS HOP (Employer PDP)	13	30					E3014	801	0	2011	National		1						2							http://www.hopbenefits.com/medicareRx/drugData/	http://www.hopbenefits.com/medicareRx/index.cfm?fa=findPharmacy									(888)-239-1301		(888)-239-1301		(888)-239-1301		(888)-239-1301										(866)-394-7218		(866)-394-7218		(866)-394-7218		(866)-394-7218		1
E4744	801	0		30	13	E4744_801_0	1	05/18/2010	2011.01	05/18/2010 01:04:04 PM Central Daylight Time				05/18/2010 01:04:10 PM Central Daylight Time	MO DOT AND MSHP MEDICAL AND LIFE INS PLAN	MISSOURI DEPARTMENT OF TRANSPORTATION	http://www.modot.state.mo.us/	Missouri Department of Transportaion/ Highway Patr (Employer PDP)	13	30					E4744	801	0	2011	National		1						2							http://www.Catalystrx.com/	http://www.Catalystrx.com/									(800)-601-3002		(573)-751-2551		(800)-601-3002		(573)-751-2551										(800)-221-6915		(800)-221-6915		(800)-221-6915		(800)-221-6915		1
E5088	801	0	1	40	14	E5088_801_0	5	08/30/2010	2011.01	08/30/2010 02:37:16 PM Mountain Daylight Time	06/05/2010 06:25:55 PM Mountain Daylight Time			08/30/2010 02:38:54 PM Mountain Daylight Time	DESERET HEALTHCARE EMPLOYEE BENEFITS TRUST	Deseret Mutual	www.dmba.com	Deseret Secure (Employer PFFS)	14	40	1	1			E5088	801	0	2011	National Area		1	136668	2				2									(800)-777-3622		(801)-578-5600		(800)-777-3622		(801)-578-5600										(800)-333-9715		(801)-578-5655		(800)-333-9715		(801)-578-5655										2
E6036	801	0	1	40	14	E6036_801_0	4	09/01/2010	2011.01	09/01/2010 02:08:54 PM Eastern Daylight Time	06/07/2010 02:10:18 AM Eastern Daylight Time			09/02/2010 06:44:57 PM Eastern Daylight Time	ASOCIACION DE MAESTROS DE PUERTO RICO	PROSSAM Plus	www.prossamplus.com	PROSSAM Plus (Employer PFFS)	14	40	2	1			E6036	801	0	2011	Commonwealth of Puerto Rico		1	2200	2				2							www.amprnet.org	www.silverscript.com	(866)-990-7301		(787)-767-2020	1391	(866)-990-7301		(787)-767-2020	1391	(866)-990-7301		(787)-767-2020	1391	(866)-990-7301		(787)-767-2020	1391	(866)-690-7771		(866)-690-7771		(866)-690-7771		(866)-690-7771		(866)-690-7771		(866)-690-7771		(866)-690-7771		(866)-690-7771		1
E6322	801	0		30	13	E6322_801_0	1	06/03/2010	2011.01	06/03/2010 03:36:24 PM Central Daylight Time				06/03/2010 03:43:32 PM Central Daylight Time	KENTUCKY RETIREMENT SYSTEM	Kentucky Retirement Systems	https://www.kyret.ky.gov	Kentucky Retirement Systems (Employer PDP)	13	30					E6322	801	0	2011	Kentucky Retirement Systems		1						2							www.catalystrx.com	www.catalystrx.com									(800)-928-4646		(502)-696-8800		(800)-928-4646		(502)-696-8800										(877)-247-6985		(502)-696-8700		(877)-247-6985		(502)-696-8700		1
E7316	801	0		30	13	E7316_801_0	1	05/18/2010	2011.01	05/18/2010 05:08:25 PM Eastern Daylight Time				05/18/2010 05:15:14 PM Eastern Daylight Time	UNION PACIFIC RAILROAD EMPLOYES HEALTH SYSTEMS	Union Pacific Railroad  Employes Health Systems	www.uphealth.com	The UPREHS Prime Medicare Plan (Employer PDP)	13	30					E7316	801	0	2011	National		1						2							https://www.uphealth.com/medicare/formularies.shtml	https://www.uphealth.com/secure_member/rxRefill100.shtml									(800)-547-0421		(801)-595-4300		(800)-547-0421		(801)-595-4300										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
E7848	801	0		30	13	E7848_801_0	1	05/19/2010	2011.01	05/19/2010 09:50:14 AM Central Daylight Time				05/19/2010 09:52:05 AM Central Daylight Time	OKLAHOMA STATE AND EDUCATION EMP GRP INS BOARD	HealthChoice	www.sib.ok.gov	OK State and Education Emp Group Ins Board (Employer PDP)	13	30					E7848	801	0	2011	State of Oklahoma		1						2							www.sib.ok.gov	www.sib.ok.gov									(800)-865-5142		(405)-717-8699		(800)-865-5142		(405)-717-8699										(866)-447-0436		(405)-949-2281		(866)-447-0436		(405)-949-2281		1
H0084	001	0	1	04	01	H0084_001_0	5	08/20/2010	2011.01	08/20/2010 09:01:29 PM Eastern Daylight Time	08/19/2010 03:32:50 PM Eastern Daylight Time	08/20/2010 02:50:56 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Medicare Advantage (PPO)	01	04		1			H0084	001	0	2011	Texas		2	1214	2				2						http://www.careimprovementplus.com	http://www.careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/texas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
H0104	010	1	1	04	01	H0104_010_1	4	08/20/2010	2011.01	08/20/2010 08:58:31 AM Central Daylight Time	08/20/2010 12:33:38 PM Central Daylight Time	08/20/2010 12:33:14 PM Central Daylight Time		08/20/2010 02:29:07 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Premier (PPO)	01	04		1			H0104	010	1	2011	H0104 Plan 010 Areas 1 through 5	101	2	4053	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	010	2	1	04	01	H0104_010_2	4	08/20/2010	2011.01	08/20/2010 08:58:41 AM Central Daylight Time	08/20/2010 12:34:20 PM Central Daylight Time	08/20/2010 12:35:02 PM Central Daylight Time		08/20/2010 02:29:07 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Premier (PPO)	01	04		1			H0104	010	2	2011	H0104 Plan 010 Areas 1 through 5	102	2	306	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	010	3	1	04	01	H0104_010_3	5	08/20/2010	2011.01	08/20/2010 08:58:50 AM Central Daylight Time	08/22/2010 03:20:12 PM Central Daylight Time	08/22/2010 03:20:22 PM Central Daylight Time		08/22/2010 03:24:05 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Premier (PPO)	01	04		1			H0104	010	3	2011	H0104 Plan 010 Areas 1 through 5	103	2	590	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	010	4	1	04	01	H0104_010_4	4	08/20/2010	2011.01	08/20/2010 08:58:59 AM Central Daylight Time	08/20/2010 12:41:14 PM Central Daylight Time	08/20/2010 12:41:32 PM Central Daylight Time		08/20/2010 02:29:07 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Premier (PPO)	01	04		1			H0104	010	4	2011	H0104 Plan 010 Areas 1 through 5	104	2	8166	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	010	5	1	04	01	H0104_010_5	4	08/20/2010	2011.01	08/20/2010 08:59:10 AM Central Daylight Time	08/20/2010 12:41:58 PM Central Daylight Time	08/20/2010 12:42:22 PM Central Daylight Time		08/20/2010 02:29:07 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Premier (PPO)	01	04		1			H0104	010	5	2011	H0104 Plan 010 Areas 1 through 5	105	2	2725	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	011	1	1	04	01	H0104_011_1	5	08/20/2010	2011.01	08/20/2010 02:06:16 PM Central Daylight Time	08/20/2010 12:42:46 PM Central Daylight Time	08/20/2010 12:43:08 PM Central Daylight Time		08/20/2010 02:21:05 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Complete (PPO)	01	04		1			H0104	011	1	2011	H0104 Plan 011 Areas 1 through 6	111	2	100	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	011	2	1	04	01	H0104_011_2	6	08/20/2010	2011.01	08/20/2010 02:06:57 PM Central Daylight Time	08/20/2010 12:43:44 PM Central Daylight Time	08/20/2010 12:44:16 PM Central Daylight Time		08/20/2010 02:35:27 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Complete (PPO)	01	04		1			H0104	011	2	2011	H0104 Plan 011 Areas 1 through 6	112	2	270	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	011	3	1	04	01	H0104_011_3	6	08/20/2010	2011.01	08/20/2010 02:06:57 PM Central Daylight Time	08/20/2010 12:44:40 PM Central Daylight Time	08/20/2010 12:44:56 PM Central Daylight Time		08/20/2010 02:35:27 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Complete (PPO)	01	04		1			H0104	011	3	2011	H0104 Plan 011 Areas 1 through 6	113	2	12170	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	011	4	1	04	01	H0104_011_4	6	08/20/2010	2011.01	08/20/2010 02:06:58 PM Central Daylight Time	08/20/2010 12:45:22 PM Central Daylight Time	08/20/2010 12:45:44 PM Central Daylight Time		08/20/2010 02:35:27 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Complete (PPO)	01	04		1			H0104	011	4	2011	H0104 Plan 011 Areas 1 through 6	114	2	6599	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	011	5	1	04	01	H0104_011_5	6	08/20/2010	2011.01	08/20/2010 02:06:58 PM Central Daylight Time	08/20/2010 12:46:54 PM Central Daylight Time	08/20/2010 12:47:12 PM Central Daylight Time		08/20/2010 02:35:27 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Complete (PPO)	01	04		1			H0104	011	5	2011	H0104 Plan 011 Areas 1 through 6	115	2	1908	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	011	6	1	04	01	H0104_011_6	6	08/20/2010	2011.01	08/20/2010 02:06:58 PM Central Daylight Time	08/20/2010 12:47:42 PM Central Daylight Time	08/20/2010 12:48:00 PM Central Daylight Time		08/20/2010 02:35:27 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Complete (PPO)	01	04		1			H0104	011	6	2011	H0104 Plan 011 Areas 1 through 6	116	2	13973	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	801	0	1	04	01	H0104_801_0	2	07/06/2010	2011.01	07/06/2010 02:02:41 PM Central Daylight Time	06/06/2010 10:42:30 AM Central Daylight Time			07/07/2010 03:07:57 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Employer Group Plan 801 (PPO)	01	04		1			H0104	801	0	2011	State of Alabama		1	100	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266										(711)		(711)		(711)		(711)										1
H0104	802	0	1	04	01	H0104_802_0	3	08/13/2010	2011.01	08/13/2010 04:19:17 PM Central Daylight Time	06/06/2010 10:42:38 AM Central Daylight Time			08/13/2010 04:20:37 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Employer Group Plan 802 (PPO)	01	04		1			H0104	802	0	2011	State of Alabama		1	100	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0104	804	0	1	04	01	H0104_804_0	2	07/06/2010	2011.01	07/06/2010 02:03:06 PM Central Daylight Time	06/06/2010 10:42:46 AM Central Daylight Time			07/07/2010 03:07:57 PM Central Daylight Time	BLUE CROSS AND BLUE SHIELD OF ALABAMA	Blue Cross and Blue Shield of Alabama	www.bcbsalmedicare.com	Blue Advantage Employer Group Plan 804 (PPO)	01	04		1			H0104	804	0	2011	State of Alabama		1	100	2				2						www.bcbsalmedicare.com	www.bcbsalmedicare.com/medicare/tools	www.bcbsalmedicare.com/medicare/tools/index.cfm	(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(888)-234-8266		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0105	001	0	1	20	08	H0105_001_0	1	05/20/2010	2011.01	05/20/2010 12:09:24 PM Eastern Daylight Time		05/19/2010 10:35:00 AM Eastern Daylight Time		05/20/2010 12:13:51 PM Eastern Daylight Time	THE METHODIST OAKS	The Methodist Oaks d.b.a. The Oaks PACE	http://www.theoakspace.com	The Methodist Oaks d.b.a. The Oaks PACE (PACE)	08	20		1			H0105	001	0	2011	Rural South Carolina		2		2				2							www.groveparkpharmacy.com	www.groveparkpharmacy.com									(877)-505-3131	5301	(803)-268-5300		(877)-505-3131	5301	(803)-268-5300										(877)-505-3131	5301	(803)-268-5300		(877)-505-3131	5301	(803)-268-5300		1
H0105	002	0	1	20	08	H0105_002_0	1	05/20/2010	2011.01	05/20/2010 12:10:10 PM Eastern Daylight Time		05/19/2010 10:35:00 AM Eastern Daylight Time		05/20/2010 12:13:51 PM Eastern Daylight Time	THE METHODIST OAKS	The Methodist Oaks d.b.a. The Oaks PACE	http://www.theoakspace.com	The Methodist Oaks d.b.a. The Oaks PACE (PACE)	08	20		1			H0105	002	0	2011	Rural South Carolina		2		2				2							www.groveparkpharmacy.com	www.groveparkpharmacy.com									(877)-505-3131	5301	(803)-268-5300		(877)-505-3131	5301	(803)-268-5300										(877)-505-3131	5301	(803)-268-5300		(877)-505-3131	5301	(803)-268-5300		1
H0108	004	0	1	01	01	H0108_004_0	5	08/20/2010	2011.01	08/20/2010 03:35:54 PM Eastern Daylight Time	08/20/2010 06:17:59 PM Eastern Daylight Time	08/20/2010 03:31:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-004 (HMO)	01	01		1			H0108	004	0	2011	Fresno and Kings Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0108	005	0	1	01	01	H0108_005_0	5	08/20/2010	2011.01	08/20/2010 03:37:50 PM Eastern Daylight Time	08/20/2010 06:21:20 PM Eastern Daylight Time	08/20/2010 03:31:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-005 (HMO)	01	01		1			H0108	005	0	2011	Riverside and San Bernardino Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0108	006	0	1	02	01	H0108_006_0	5	08/20/2010	2011.01	08/20/2010 02:19:10 PM Eastern Daylight Time	08/20/2010 06:17:39 PM Eastern Daylight Time	08/20/2010 03:31:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-006 (HMO-POS)	01	02		1			H0108	006	0	2011	Riverside and San Bernardino Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0108	008	0	1	01	01	H0108_008_0	6	08/20/2010	2011.01	08/20/2010 02:19:31 PM Eastern Daylight Time	08/20/2010 06:22:19 PM Eastern Daylight Time	08/20/2010 03:32:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-008 (HMO)	01	01		1			H0108	008	0	2011	San Diego County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0108	009	0	1	02	01	H0108_009_0	5	08/20/2010	2011.01	08/20/2010 02:19:49 PM Eastern Daylight Time	08/20/2010 06:21:59 PM Eastern Daylight Time	08/20/2010 03:32:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-009 (HMO-POS)	01	02		1			H0108	009	0	2011	San Diego County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0108	010	0	1	02	01	H0108_010_0	5	08/20/2010	2011.01	08/20/2010 02:20:15 PM Eastern Daylight Time	08/20/2010 06:23:32 PM Eastern Daylight Time	08/20/2010 03:32:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Gold Plus H0108-010 (HMO-POS)	01	02		1			H0108	010	0	2011	Fresno and Kings counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0108	801	0	1	01	01	H0108_801_0	3	06/03/2010	2011.01	06/03/2010 05:36:14 PM Eastern Daylight Time	07/26/2010 01:22:35 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H0108	801	0	2011	Central California Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H0108	802	0	1	01	01	H0108_802_0	3	06/03/2010	2011.01	06/03/2010 05:36:30 PM Eastern Daylight Time	07/26/2010 01:25:55 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H0108	802	0	2011	Central California Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H0108	803	0	1	01	01	H0108_803_0	3	06/03/2010	2011.01	06/03/2010 05:36:44 PM Eastern Daylight Time	07/26/2010 01:26:20 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF CALIFORNIA, INC.	Humana Health Plan of California, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H0108	803	0	2011	Central California Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H0117	005	0	1	01	01	H0117_005_0	6	08/20/2010	2011.01	08/20/2010 09:30:38 AM Eastern Daylight Time	08/20/2010 04:48:57 PM Eastern Daylight Time	08/20/2010 05:13:09 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE OF OHIO, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H0117	005	0	2011	Cleveland, Columbus, Cincinnati Metro Areas		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-687-8815		(866)-687-8815		(877)-232-7119		(877)-232-7119		(866)-687-8815		(866)-687-8815		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H0117	007	0	1	01	01	H0117_007_0	6	08/20/2010	2011.01	08/20/2010 09:33:24 AM Eastern Daylight Time	08/20/2010 04:49:17 PM Eastern Daylight Time	08/20/2010 04:54:33 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE OF OHIO, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H0117	007	0	2011	Cleveland, Columbus, Cincinnati Metro Areas		2		2		2		1	3		1	1		www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-530-9487		(866)-530-9487		(877)-232-7119		(877)-232-7119		(866)-530-9487		(866)-530-9487		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H0141	001	0	1	01	01	H0141_001_0	8	08/30/2010	2011.01	08/30/2010 03:59:14 PM Eastern Daylight Time	08/23/2010 11:32:28 AM Eastern Daylight Time	08/25/2010 04:58:07 PM Eastern Daylight Time		08/30/2010 04:10:40 PM Eastern Daylight Time	CARESOURCE MICHIGAN	CareSource	www.caresource.com	CareSource Advantage (HMO SNP)	01	01		1			H0141	001	0	2011	9 counties in the State of Michigan		2	463	2		2		1	3		1	3		www.caresource.com	www.caresource.com	www.caresource.com	(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(877)-725-4581		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		1
H0150	001	0	1	01	01	H0150_001_0	8	08/30/2010	2011.01	08/30/2010 12:03:25 PM Central Daylight Time	08/20/2010 04:32:52 PM Central Daylight Time	08/19/2010 02:32:23 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthyAdvantage Plus (HMO)	01	01		1			H0150	001	0	2011	Alabama		2	13179	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H0150	007	0	1	01	01	H0150_007_0	9	08/30/2010	2011.01	08/30/2010 12:05:41 PM Central Daylight Time	08/20/2010 04:34:06 PM Central Daylight Time	08/19/2010 02:33:14 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	TotalCare (HMO SNP)	01	01		1			H0150	007	0	2011	Alabama		2	13658	2		2		1	3		1	2		www.healthspring.com	www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H0150	010	0	1	01	01	H0150_010_0	8	08/30/2010	2011.01	08/30/2010 12:12:21 PM Central Daylight Time	08/20/2010 04:35:33 PM Central Daylight Time	08/19/2010 02:33:37 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthyAdvantage Select (HMO)	01	01		1			H0150	010	0	2011	Alabama		2	955	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H0150	012	0	1	01	01	H0150_012_0	6	08/30/2010	2011.01	08/30/2010 12:12:55 PM Central Daylight Time	07/25/2010 11:34:01 AM Central Daylight Time			08/30/2010 04:46:05 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthyAdvantage (HMO)	01	01		1			H0150	012	0	2011	Alabama		2	888	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879										(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090										1
H0150	023	0	1	02	01	H0150_023_0	9	08/30/2010	2011.01	08/30/2010 12:13:37 PM Central Daylight Time	08/24/2010 12:00:22 PM Central Daylight Time	08/19/2010 02:34:36 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	HealthyAdvantage Premier (HMO-POS)	01	02		1			H0150	023	0	2011	Alabama		2	3872	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H0150	802	0	1	01	01	H0150_802_0	3	07/20/2010	2011.01	07/20/2010 12:08:06 PM Central Daylight Time	06/02/2010 04:09:45 PM Central Daylight Time			08/04/2010 05:56:57 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	Retiree Advantage (HMO)	01	01		1			H0150	802	0	2011	Alabama		1	159	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879										(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090										1
H0150	804	0	1	01	01	H0150_804_0	3	07/20/2010	2011.01	07/20/2010 12:08:18 PM Central Daylight Time	06/02/2010 04:11:05 PM Central Daylight Time			08/04/2010 05:56:57 PM Central Daylight Time	HEALTHSPRING OF ALABAMA, INC.	Healthspring of Alabama, Inc.	www.healthspring.com	Retiree Advantage Plus (HMO)	01	01		1			H0150	804	0	2011	Alabama		1	159	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(800)-952-1992		(800)-952-1992		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H0151	001	0	1	01	01	H0151_001_0	5	06/02/2010	2011.01	06/02/2010 02:47:08 PM Central Daylight Time	08/19/2010 07:22:47 PM Central Daylight Time	08/18/2010 04:25:32 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0151	001	0	2011	Central Alabama and Mobile and Baldwin Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0151	015	0	1	01	01	H0151_015_0	3	06/03/2010	2011.01	06/03/2010 04:59:11 PM Central Daylight Time	08/19/2010 07:23:07 PM Central Daylight Time	08/18/2010 04:25:45 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete (HMO SNP)	01	01		1			H0151	015	0	2011	Central Alabama and Mobile and Baldwin Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0151	801	0	1	01	01	H0151_801_0	1	06/03/2010	2011.01	06/03/2010 05:01:55 PM Central Daylight Time	06/01/2010 06:04:07 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0151	801	0	2011	Select Counties in Alabama		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0151	804	0	1	01	01	H0151_804_0	1	05/25/2010	2011.01	05/25/2010 08:28:25 AM Central Daylight Time	06/01/2010 06:04:19 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0151	804	0	2011	Select Counties in AL		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0151	805	0	1	01	01	H0151_805_0	1	05/25/2010	2011.01	05/25/2010 08:28:32 AM Central Daylight Time	06/01/2010 06:04:30 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ALABAMA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0151	805	0	2011	Select counties in AL		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H0154	001	0	1	01	01	H0154_001_0	6	09/01/2010	2011.01	09/01/2010 10:19:04 AM Central Daylight Time	08/20/2010 04:48:00 PM Central Daylight Time	08/20/2010 05:03:00 PM Central Daylight Time		09/01/2010 10:32:49 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Rx (HMO)	01	01		1			H0154	001	0	2011	Central Alabama		2	15370	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	http://www.vivamedicaremember.com/Download.aspx?ID=329Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1
H0154	008	0	1	01	01	H0154_008_0	3	09/01/2010	2011.01	09/01/2010 10:20:38 AM Central Daylight Time	07/29/2010 09:07:00 AM Central Daylight Time			09/01/2010 10:32:49 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Select (HMO)	01	01		1			H0154	008	0	2011	Central Alabama and Mobile County		2	1217	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	http://www.vivamedicaremember.com/Download.aspx?ID=329Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482										(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546										1
H0154	011	0	1	01	01	H0154_011_0	6	09/01/2010	2011.01	09/01/2010 10:21:39 AM Central Daylight Time	08/20/2010 04:51:00 PM Central Daylight Time	08/20/2010 05:05:00 PM Central Daylight Time		09/01/2010 10:32:49 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Rx Premier (HMO)	01	01		1			H0154	011	0	2011	Central Alabama and Mobile County		2	4132	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	http://www.vivamedicaremember.com/Download.aspx?ID=329Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1
H0154	012	0	1	01	01	H0154_012_0	4	08/21/2010	2011.01	08/21/2010 09:57:59 AM Central Daylight Time	08/20/2010 04:53:00 PM Central Daylight Time	08/20/2010 05:07:00 PM Central Daylight Time		08/23/2010 09:46:02 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	http://www.vivamedicaremember.com/	VIVA Medicare Plus Rx Extra Value (HMO SNP)	01	01		1			H0154	012	0	2011	Central Alabama and Mobile County		2	11172	2		2		1	3		1	5		www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	http://www.vivamedicaremember.com/Download.aspx?ID=329Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1
H0154	801	0	1	01	01	H0154_801_0	3	07/23/2010	2011.01	07/23/2010 01:38:25 PM Central Daylight Time	07/29/2010 09:14:00 AM Central Daylight Time			08/02/2010 08:17:52 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivamedicaremember.com	VIVA Medicare Plus Rx Group Plan (HMO)	01	01		1			H0154	801	0	2011	State of Alabama		1	50	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	http://www.vivamedicaremember.com/Download.aspx?ID=329Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1
H0154	802	0	1	01	01	H0154_802_0	3	07/23/2010	2011.01	07/23/2010 01:40:05 PM Central Daylight Time	07/29/2010 09:15:00 AM Central Daylight Time			08/02/2010 08:17:52 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivamedicaremember.com	VIVA Medicare Plus Select Group Plan (HMO)	01	01		1			H0154	802	0	2011	State of Alabama		1	50	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	http://www.vivamedicaremember.com/Download.aspx?ID=329Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482										(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546										1
H0154	803	0	1	01	01	H0154_803_0	3	07/23/2010	2011.01	07/23/2010 01:40:40 PM Central Daylight Time	07/29/2010 09:16:00 AM Central Daylight Time			08/02/2010 08:17:52 AM Central Daylight Time	VIVA HEALTH, INC.	VIVA Medicare Plus	www.vivamedicaremember.com	VIVA Medicare Plus Rx Group Plan (not CY) (HMO)	01	01		1			H0154	803	0	2011	State of Alabama		1	50	2				2						www.vivamedicaremember.com	http://www.vivamedicaremember.com/Download.aspx?ID=253Type=doc	http://www.vivamedicaremember.com/Download.aspx?ID=329Type=doc	(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-633-1542		(205)-918-2067		(888)-830-8482		(205)-933-8482		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		(800)-548-2546		1
H0248	001	0	1	04	01	H0248_001_0	4	08/21/2010	2011.01	08/21/2010 09:34:04 AM Eastern Daylight Time	08/20/2010 06:28:34 PM Eastern Daylight Time	08/20/2010 04:55:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0248-001 (PPO)	01	04		1			H0248	001	0	2011	Honolulu County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http:/www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0248	002	0	1	04	01	H0248_002_0	3	08/20/2010	2011.01	08/20/2010 02:17:14 PM Eastern Daylight Time	08/20/2010 06:21:00 PM Eastern Daylight Time	08/20/2010 03:37:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0248-002 (PPO)	01	04		1			H0248	002	0	2011	Honolulu and Kauai Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http:/www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0251	002	0	1	01	01	H0251_002_0	5	08/20/2010	2011.01	08/20/2010 01:41:35 PM Central Daylight Time	08/19/2010 05:51:08 PM Central Daylight Time	08/18/2010 04:25:51 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	AmeriChoice Secure Plus Complete	https://www.uhcrivervalley.com/	UnitedHealthcare Dual Complete Preferred (HMO SNP)	01	01		1			H0251	002	0	2011	Tennessee Counties		2		2		2		1	3		1	5		https://www.uhcrivervalley.com/	https://www.uhcrivervalley.com/SecurePlusComplete	www.prescriptionsolutions.com	(800)-690-1606		(800)-690-1606		(888)-565-8170		(888)-565-8170		(800)-690-1606		(800)-690-1606		(866)-365-2795		(866)-365-2795		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0302	001	0	1	01	01	H0302_001_0	6	08/17/2010	2011.01	08/17/2010 01:12:44 PM US Mountain Standard Time	08/20/2010 11:47:38 AM US Mountain Standard Time	08/20/2010 11:48:44 AM US Mountain Standard Time		08/20/2010 12:09:41 PM US Mountain Standard Time	BANNER MEDISUN, INC.	Banner MediSun	www.bannermedisun.com	MediSunONE Plus (HMO)	01	01		1			H0302	001	0	2011	Maricopa  County		2	19866	2				2						www.medisun.com	http://www.medisun.com/drug_plan/index.cfm?content=formulary_form	http://www.medisun.com/drug_plan/	(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H0302	004	0	1	01	01	H0302_004_0	7	08/17/2010	2011.01	08/17/2010 01:13:29 PM US Mountain Standard Time	08/20/2010 11:49:27 AM US Mountain Standard Time	08/20/2010 11:50:16 AM US Mountain Standard Time		08/20/2010 12:14:53 PM US Mountain Standard Time	BANNER MEDISUN, INC.	Banner MediSun	www.bannermedisun.com	MediSunONE HeartSmart (HMO SNP)	01	01		1			H0302	004	0	2011	MediSunONE HeartSmart, Maricopa County		2	543	2				1	4		1		00000000000000010000	www.medisun.com	http://www.medisun.com/drug_plan/index.cfm?content=formulary_form	http://www.medisun.com/drug_plan/	(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H0302	006	0	1	01	01	H0302_006_0	6	08/17/2010	2011.01	08/17/2010 01:14:14 PM US Mountain Standard Time	08/20/2010 11:51:39 AM US Mountain Standard Time	08/20/2010 11:52:30 AM US Mountain Standard Time		08/20/2010 12:19:12 PM US Mountain Standard Time	BANNER MEDISUN, INC.	Banner MediSun	www.bannermedisun.com	MediSunONE Classic (HMO)	01	01		1			H0302	006	0	2011	Maricopa County		2	319	2				2						www.medisun.com	http://www.medisun.com/drug_plan/index.cfm?content=formulary_form	http://www.medisun.com/drug_plan/	(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H0302	007	0	1	01	01	H0302_007_0	6	08/17/2010	2011.01	08/17/2010 01:15:04 PM US Mountain Standard Time	08/20/2010 11:54:40 AM US Mountain Standard Time	08/20/2010 11:56:01 AM US Mountain Standard Time		08/20/2010 12:23:24 PM US Mountain Standard Time	BANNER MEDISUN, INC.	Banner MediSun	www.bannermedisun.com	MediSunONE Premier (HMO)	01	01		1			H0302	007	0	2011	Maricopa County		2	543	2				2						www.medisun.com	http://www.medisun.com/drug_plan/index.cfm?content=formulary_form	http://www.medisun.com/drug_plan/	(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-446-8331		(623)-974-7430		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H0303	013	0	1	01	01	H0303_013_0	4	07/15/2010	2011.01	07/15/2010 04:49:42 PM Central Daylight Time	08/19/2010 01:27:27 PM Central Daylight Time	08/18/2010 04:41:47 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0303	013	0	2011	Pima		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0303	015	0	1	01	01	H0303_015_0	4	06/03/2010	2011.01	06/03/2010 12:59:25 PM Central Daylight Time	08/19/2010 01:27:50 PM Central Daylight Time	08/18/2010 04:41:57 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0303	015	0	2011	Maricopa and Pinal Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0303	034	0	1	01	01	H0303_034_0	4	06/01/2010	2011.01	06/01/2010 07:08:58 PM Central Daylight Time	08/19/2010 01:28:13 PM Central Daylight Time	08/18/2010 04:25:56 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H0303	034	0	2011	Maricopa, Pima, and part of Pinal counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-480-2063		(866)-480-2063		(888)-834-3721		(888)-834-3721		(866)-480-2063		(866)-480-2063		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0303	801	0	1	01	01	H0303_801_0	1	06/03/2010	2011.01	06/03/2010 06:25:15 PM Central Daylight Time	06/01/2010 11:27:52 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0303	801	0	2011	AZ Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H0303	804	0	1	01	01	H0303_804_0	1	06/03/2010	2011.01	06/03/2010 06:25:33 PM Central Daylight Time	06/01/2010 11:28:10 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0303	804	0	2011	AZ Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0303	805	0	1	01	01	H0303_805_0	1	06/03/2010	2011.01	06/03/2010 06:25:45 PM Central Daylight Time	06/01/2010 11:28:27 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF ARIZONA, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0303	805	0	2011	AZ Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0307	008	0	1	01	01	H0307_008_0	4	08/20/2010	2011.01	08/20/2010 02:00:55 PM Eastern Daylight Time	08/20/2010 06:18:40 PM Eastern Daylight Time	08/20/2010 03:38:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H0307-008 (HMO)	01	01		1			H0307	008	0	2011	Maricopa and Pinal (Partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0307	009	0	1	02	01	H0307_009_0	7	08/21/2010	2011.01	08/21/2010 09:42:44 AM Eastern Daylight Time	08/20/2010 06:14:59 PM Eastern Daylight Time	08/20/2010 03:38:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H0307-009 (HMO-POS)	01	02		1			H0307	009	0	2011	Cochise, Pima and Pinal (Partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0307	010	0	1	02	01	H0307_010_0	7	08/20/2010	2011.01	08/20/2010 02:01:28 PM Eastern Daylight Time	08/20/2010 06:16:56 PM Eastern Daylight Time	08/20/2010 03:38:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H0307-010 (HMO-POS)	01	02		1			H0307	010	0	2011	Maricopa and Pinal (Partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0307	011	0	1	01	01	H0307_011_0	4	08/20/2010	2011.01	08/20/2010 02:01:53 PM Eastern Daylight Time	08/20/2010 06:20:40 PM Eastern Daylight Time	08/20/2010 03:38:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H0307-011 (HMO)	01	01		1			H0307	011	0	2011	Maricopa and Pinal (partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0307	801	0	1	01	01	H0307_801_0	3	06/03/2010	2011.01	06/03/2010 05:36:59 PM Eastern Daylight Time	07/26/2010 01:18:46 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H0307	801	0	2011	Maricopa and parts of Pinal		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-2364		(877)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H0307	802	0	1	01	01	H0307_802_0	3	06/03/2010	2011.01	06/03/2010 05:37:16 PM Eastern Daylight Time	07/26/2010 01:29:11 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H0307	802	0	2011	Maricopa and parts of Pinal		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-2364		(877)-833-2364										1
H0307	803	0	1	01	01	H0307_803_0	3	06/03/2010	2011.01	06/03/2010 05:37:30 PM Eastern Daylight Time	07/26/2010 01:29:35 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H0307	803	0	2011	Maricopa and Pinal Counties		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-2364		(877)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H0316	002	0	1	02	01	H0316_002_0	4	06/02/2010	2011.01	06/02/2010 11:48:17 AM Central Daylight Time	08/19/2010 01:29:36 PM Central Daylight Time	08/18/2010 04:26:06 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H0316	002	0	2011	Southern Arizona		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0316	014	0	1	02	01	H0316_014_0	4	06/02/2010	2011.01	06/02/2010 11:06:28 AM Central Daylight Time	08/19/2010 01:30:05 PM Central Daylight Time	08/18/2010 04:26:22 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H0316	014	0	2011	Yavapai		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0316	801	0	1	01	01	H0316_801_0	1	05/25/2010	2011.01	05/25/2010 08:34:25 AM Central Daylight Time	06/04/2010 01:42:43 PM Central Daylight Time			06/04/2010 04:40:26 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0316	801	0	2011	AZ Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0316	804	0	1	01	01	H0316_804_0	1	05/25/2010	2011.01	05/25/2010 08:34:29 AM Central Daylight Time	06/04/2010 01:42:57 PM Central Daylight Time			06/04/2010 04:40:26 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0316	804	0	2011	AZ Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0316	806	0	1	01	01	H0316_806_0	1	05/25/2010	2011.01	05/25/2010 08:34:37 AM Central Daylight Time	06/04/2010 01:43:12 PM Central Daylight Time			06/04/2010 04:40:26 PM Central Daylight Time	UNITEDHEALTHCARE OF ARIZONA,  INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0316	806	0	2011	AZ Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H0317	001	0	1	04	01	H0317_001_0	5	08/20/2010	2011.01	08/20/2010 02:00:27 PM Eastern Daylight Time	08/20/2010 06:14:37 PM Eastern Daylight Time	08/20/2010 03:38:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-001 (PPO)	01	04		1			H0317	001	0	2011	Maricopa and Yavapai Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0317	002	0	1	04	01	H0317_002_0	5	08/20/2010	2011.01	08/20/2010 02:02:31 PM Eastern Daylight Time	08/20/2010 06:19:20 PM Eastern Daylight Time	08/20/2010 03:38:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-002 (PPO)	01	04		1			H0317	002	0	2011	Maricopa county		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0317	004	0	1	04	01	H0317_004_0	5	08/20/2010	2011.01	08/20/2010 02:02:55 PM Eastern Daylight Time	08/20/2010 06:15:21 PM Eastern Daylight Time	08/20/2010 03:38:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-004 (PPO)	01	04		1			H0317	004	0	2011	Tucson Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0317	006	0	1	04	01	H0317_006_0	3	08/20/2010	2011.01	08/20/2010 02:03:19 PM Eastern Daylight Time	08/20/2010 06:19:59 PM Eastern Daylight Time	08/20/2010 03:39:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-006 (PPO)	01	04		1			H0317	006	0	2011	Yavapai County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0317	007	0	1	04	01	H0317_007_0	3	08/20/2010	2011.01	08/20/2010 02:03:42 PM Eastern Daylight Time	08/20/2010 06:21:38 PM Eastern Daylight Time	08/20/2010 03:39:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0317-007 (PPO)	01	04		1			H0317	007	0	2011	Mohave County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0318	002	0	1	01	01	H0318_002_0	3	08/17/2010	2011.01	08/17/2010 10:12:18 AM Central Daylight Time	08/19/2010 02:39:42 PM Central Daylight Time	08/19/2010 12:58:58 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0318	002	0	2011	Maricopa County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0318	801	0	1	01	01	H0318_801_0	1	05/07/2010	2011.01	05/07/2010 08:49:04 PM Eastern Daylight Time	06/03/2010 01:48:24 PM Eastern Daylight Time			06/04/2010 02:27:39 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H0318	801	0	2011	Arizona		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H0318	802	0	1	01	01	H0318_802_0	1	05/07/2010	2011.01	05/07/2010 08:49:21 PM Eastern Daylight Time	06/03/2010 01:43:08 PM Eastern Daylight Time			06/04/2010 02:27:39 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H0318	802	0	2011	Arizona		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0319	001	0	1	04	01	H0319_001_0	4	06/03/2010	2011.01	06/03/2010 10:13:47 AM Central Daylight Time	08/19/2010 01:30:50 PM Central Daylight Time	08/18/2010 04:26:28 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H0319	001	0	2011	Maricopa, Pima, and Pinal Counties		2		2				1	1	1	1			www.EvercareHealthPlans.com	evercarehealthplans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0320	005	0	1	01	01	H0320_005_0	7	08/22/2010	2011.01	08/22/2010 06:41:24 PM Central Daylight Time	08/21/2010 12:25:37 PM Central Daylight Time	08/18/2010 05:51:23 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Desert Canyon Community Care	www.desertcanyoncommunitycare.com	Desert Canyon Community Care-Plus (HMO)	01	01		1			H0320	005	0	2011	Mohave		2		2				2							http://www.desertcanyoncommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H0320	006	0	1	01	01	H0320_006_0	6	08/22/2010	2011.01	08/22/2010 09:08:13 AM Central Daylight Time	08/20/2010 06:44:45 PM Central Daylight Time	08/18/2010 05:51:47 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Desert Canyon Community Care	www.desertcanyoncommunitycare.com	Desert Canyon Community Care-Plus (HMO)	01	01		1			H0320	006	0	2011	Yavapai		2		2				2							http://www.desertcanyoncommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(800)-573-8597		(800)-573-8597		(800)-887-6177		(928)-777-9226		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H0321	002	0	1	01	01	H0321_002_0	6	08/06/2010	2011.01	08/06/2010 03:36:50 PM Central Daylight Time	08/20/2010 10:28:22 AM Central Daylight Time	08/18/2010 04:26:33 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	ARIZONA PHYSICIANS IPA, INC.	APIPA Personal Care Plus	myapipa.com	UnitedHealthcare Dual Complete (HMO SNP)	01	01		1			H0321	002	0	2011	Maricopa, Pima, Yuma, Mohave and Related Counties		2		2		2		1	3		1	3		www.myapipa.com	www.myapipa.com	www.prescriptionsolutions.com	(877)-614-0621		(877)-614-0621		(888)-565-8170		(888)-565-8170		(877)-614-0623		(877)-614-0623		(877)-614-0621		(877)-614-0621		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0332	001	0	1	01	01	H0332_001_0	5	08/03/2010	2011.01	08/03/2010 01:45:43 PM Central Daylight Time	08/13/2010 01:03:50 PM Central Daylight Time			08/13/2010 01:25:30 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential (HMO)	01	01		1			H0332	001	0	2011	Harris, Ft Bend, Galveston and Montgomery counties		2	3892	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(800)-663-7146		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1
H0332	002	0	1	01	01	H0332_002_0	6	08/20/2010	2011.01	08/20/2010 02:54:16 PM Central Daylight Time	08/23/2010 08:07:28 AM Central Daylight Time	08/23/2010 07:40:48 AM Central Daylight Time		08/23/2010 09:52:41 AM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx (HMO)	01	01		1			H0332	002	0	2011	Harris, Ft Bend, Galveston and Montgomery counties		2	8816	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(800)-663-7146		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		1
H0332	003	0	1	02	01	H0332_003_0	5	08/17/2010	2011.01	08/17/2010 01:05:42 PM Central Daylight Time	08/13/2010 01:06:03 PM Central Daylight Time			08/18/2010 04:02:16 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential + Choice (HMO-POS)	01	02		1			H0332	003	0	2011	Harris, Ft Bend, Galveston and Montgomery counties		2	1870	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(800)-663-7146		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1
H0332	004	0	1	02	01	H0332_004_0	5	08/23/2010	2011.01	08/23/2010 09:06:28 AM Central Daylight Time	08/23/2010 07:45:17 AM Central Daylight Time	08/23/2010 07:41:41 AM Central Daylight Time		08/23/2010 09:52:41 AM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx + Choice (HMO-POS)	01	02		1			H0332	004	0	2011	Harris, Ft Bend, Galveston and Montgomery counties		2	1113	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(800)-663-7146		(713)-442-2273		(866)-535-8343		(713)-442-5177		(866)-535-8343		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		1
H0332	801	0	1	01	01	H0332_801_0	5	08/04/2010	2011.01	08/04/2010 02:26:04 PM Central Daylight Time	06/07/2010 08:22:28 AM Central Daylight Time			08/04/2010 02:35:19 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential Retiree (HMO)	01	01		1			H0332	801	0	2011	Texas		1	25	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1
H0332	803	0	1	01	01	H0332_803_0	6	08/04/2010	2011.01	08/04/2010 02:26:25 PM Central Daylight Time	07/06/2010 05:39:48 PM Central Daylight Time			08/04/2010 02:35:19 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx Retiree (HMO)	01	01		1			H0332	803	0	2011	Texas		1	49	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-9550		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		1
H0332	804	0	1	02	01	H0332_804_0	5	08/04/2010	2011.01	08/04/2010 02:26:52 PM Central Daylight Time	06/07/2010 08:24:35 AM Central Daylight Time			08/04/2010 02:35:19 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential + Choice Retiree (HMO-POS)	01	02		1			H0332	804	0	2011	Texas		1	9	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1
H0332	805	0	1	02	01	H0332_805_0	5	08/04/2010	2011.01	08/04/2010 02:27:09 PM Central Daylight Time	06/07/2010 08:35:00 AM Central Daylight Time			08/04/2010 02:35:19 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx + Choice Retiree (HMO-POS)	01	02		1			H0332	805	0	2011	Texas		1	17	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		1
H0332	806	0	1	01	01	H0332_806_0	5	08/04/2010	2011.01	08/04/2010 02:27:24 PM Central Daylight Time	06/07/2010 09:17:59 AM Central Daylight Time			08/04/2010 02:35:19 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential Retiree (HMO)	01	01		1			H0332	806	0	2011	Harris, Ft Bend, Galveston and Montgomery counties		1	9	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1
H0332	807	0	1	01	01	H0332_807_0	6	08/04/2010	2011.01	08/04/2010 02:27:37 PM Central Daylight Time	07/06/2010 05:40:46 PM Central Daylight Time			08/04/2010 02:35:19 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx Retiree (HMO)	01	01		1			H0332	807	0	2011	Harris, Ft Bend, Galveston and Montgomery counties		1	406	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		1
H0332	808	0	1	02	01	H0332_808_0	5	08/04/2010	2011.01	08/04/2010 02:27:54 PM Central Daylight Time	06/07/2010 09:24:38 AM Central Daylight Time			08/04/2010 02:35:19 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Essential + Choice Retiree (HMO-POS)	01	02		1			H0332	808	0	2011	Harris, Ft Bend, Galveston and Montgomery counties		1	9	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273										(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537										1
H0332	809	0	1	02	01	H0332_809_0	5	08/04/2010	2011.01	08/04/2010 02:28:27 PM Central Daylight Time	06/07/2010 09:26:29 AM Central Daylight Time			08/04/2010 02:35:19 PM Central Daylight Time	KS PLAN ADMINISTRATORS, LLC	KelseyCare Advantage	www.kelseycareadvantage.com	KelseyCare Advantage Rx + Choice Retiree (HMO-POS)	01	02		1			H0332	809	0	2011	Harris, Ft Bend, Galveston and Montgomery counties		1	91	2				2						www.Kelseycareadvantage.com	www.kelseycareadvantage.com	www.kelseycareadvantage.com	(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-535-8343		(713)-442-2273		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		(866)-302-9336		(713)-442-9537		1
H0346	001	0	1	20	08	H0346_001_0	4	06/11/2010	2011.01	06/11/2010 02:41:56 PM Eastern Daylight Time		06/04/2010 03:13:33 PM Eastern Daylight Time		06/11/2010 02:44:56 PM Eastern Daylight Time	PACE VERMONT, INC.	PACE Vermont, Inc	www.pacevt.org	PACE Vermont - Duals (PACE)	08	20		1			H0346	001	0	2011	Chittenden and Grand Isle Counties		2		2				2							www.pacevt.org	www.pacevt.org									(888)-655-6708		(802)-655-6700		(888)-655-6708		(802)-655-6700										(802)-655-6700		(802)-655-6700		(802)-655-6700		(802)-655-6700		1
H0346	002	0	1	20	08	H0346_002_0	5	06/11/2010	2011.01	06/11/2010 02:42:03 PM Eastern Daylight Time		06/04/2010 03:13:54 PM Eastern Daylight Time		06/11/2010 02:44:56 PM Eastern Daylight Time	PACE VERMONT, INC.	PACE Vermont, Inc	www.pacevt.org	PACE Vermont (PACE)	08	20		1			H0346	002	0	2011	Rutland and Bennington Counties		2		2				2							www.pacevt.org	www.pacevt.org									(888)-655-6708		(802)-776-2900		(888)-655-6708		(802)-655-6700										(802)-655-6700		(802)-655-6700		(802)-655-6700		(802)-655-6700		1
H0351	014	0	1	01	01	H0351_014_0	4	08/20/2010	2011.01	08/20/2010 07:31:49 PM Pacific Daylight Time	08/20/2010 02:12:32 PM Pacific Daylight Time	08/19/2010 05:11:00 PM Pacific Daylight Time		08/21/2010 12:59:28 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Ruby 1 (HMO)	01	01		1			H0351	014	0	2011	Maricopa, Pinal, Pima, Sta Cruz, Cochise		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1
H0351	029	0	1	01	01	H0351_029_0	4	08/20/2010	2011.01	08/20/2010 07:32:27 PM Pacific Daylight Time	08/20/2010 02:13:02 PM Pacific Daylight Time	08/19/2010 05:11:48 PM Pacific Daylight Time		08/21/2010 12:59:28 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Amber (HMO SNP)	01	01		1			H0351	029	0	2011	Maricopa, Pinal, Pima, Sta Cruz, Cochise		2		2		2		1	3		1	2		www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1
H0351	030	0	1	01	01	H0351_030_0	3	08/08/2010	2011.01	08/08/2010 03:01:28 PM Pacific Daylight Time	06/06/2010 06:14:00 PM Pacific Daylight Time			08/08/2010 04:00:18 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Green (HMO)	01	01		1			H0351	030	0	2011	Maricopa, Pinal, Pima, Sta Cruz, Cochise		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311										(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757										1
H0351	035	0	1	01	01	H0351_035_0	4	08/20/2010	2011.01	08/20/2010 07:30:18 PM Pacific Daylight Time	08/20/2010 02:14:08 PM Pacific Daylight Time	08/19/2010 05:13:20 PM Pacific Daylight Time		08/21/2010 12:59:28 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Ruby 4 (HMO)	01	01		1			H0351	035	0	2011	Cochise, Pima, Santa Cruz		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1
H0351	036	0	1	01	01	H0351_036_0	4	08/20/2010	2011.01	08/20/2010 07:30:25 PM Pacific Daylight Time	08/20/2010 02:14:44 PM Pacific Daylight Time	08/19/2010 05:14:06 PM Pacific Daylight Time		08/21/2010 12:59:28 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Ruby 4 (HMO)	01	01		1			H0351	036	0	2011	Maricopa, Pinal		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1
H0351	038	0	1	01	01	H0351_038_0	4	08/20/2010	2011.01	08/20/2010 07:30:40 PM Pacific Daylight Time	08/20/2010 02:15:18 PM Pacific Daylight Time	08/19/2010 07:03:06 PM Pacific Daylight Time		08/21/2010 12:59:28 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net Jade (HMO SNP)	01	01		1			H0351	038	0	2011	Maricopa, Pima and Pinal Counties		2		2				1	4		1		00000000000000000100	www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1
H0351	801	0	1	01	01	H0351_801_0	1	06/06/2010	2011.01	06/06/2010 11:03:02 AM US Mountain Standard Time	06/07/2010 12:31:34 PM Pacific Daylight Time			06/07/2010 12:58:26 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0351	801	0	2011	All AZ Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1
H0351	803	0	1	01	01	H0351_803_0	1	06/06/2010	2011.01	06/06/2010 11:02:48 AM US Mountain Standard Time	06/07/2010 12:34:40 PM Pacific Daylight Time			06/07/2010 12:58:26 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0351	803	0	2011	All AZ Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311										(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757										1
H0351	804	0	1	01	01	H0351_804_0	1	06/06/2010	2011.01	06/06/2010 10:51:35 AM US Mountain Standard Time	06/07/2010 12:37:12 PM Pacific Daylight Time			06/07/2010 12:58:26 PM Pacific Daylight Time	HEALTH NET OF ARIZONA, INC.	Health Net of Arizona, Inc.	www.healthnet.com	Health Net EG (HMO)	01	01		1			H0351	804	0	2011	All AZ Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-7522		(800)-977-7522		(800)-422-7311		(800)-422-7311		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		(800)-977-6757		1
H0354	001	0	1	01	01	H0354_001_0	9	08/25/2010	2011.01	08/25/2010 05:30:42 PM US Mountain Standard Time	08/25/2010 02:30:51 PM US Mountain Standard Time	08/25/2010 02:30:51 PM US Mountain Standard Time		08/26/2010 06:57:46 AM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare of Arizona	www.cignamedicare.com	CIGNA Medicare Select Plus Rx (HMO)	01	01		1			H0354	001	0	2011	Maricopa County, Apache Jct and Queen Creek		2		2				2						www.cignamedicare.com	www.cignamedicare.com	www.cignamedicare.com	(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		1
H0354	012	0	1	01	01	H0354_012_0	4	07/22/2010	2011.01	07/22/2010 03:20:54 PM US Mountain Standard Time	07/26/2010 03:34:22 PM US Mountain Standard Time	06/03/2010 12:08:55 PM US Mountain Standard Time		07/26/2010 05:20:37 PM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare of Arizona	www.cignamedicare.com	CIGNA Medicare Select Plus Rx-Dual (HMO SNP)	01	01		1			H0354	012	0	2011	Maricopa County, Apache Jct and Queen Creek		2		2		2		1	3		1	2		www.cignamedicare.com	www.cignamedicare.com	www.cignamedicare.com	(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		1
H0354	801	0	1	01	01	H0354_801_0	5	08/04/2010	2011.01	08/04/2010 03:12:00 PM US Mountain Standard Time	08/03/2010 03:40:58 PM US Mountain Standard Time			08/04/2010 03:33:12 PM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare of Arizona	www.cignamedicare.com	CIGNA Medicare Select-Employer (HMO)	01	01		1			H0354	801	0	2011	All Counties in Arizona		1		2				2						www.cignamedicare.com	www.cignamedicare.com	www.cignamedicare.com	(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231										(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816										1
H0354	804	0	1	01	01	H0354_804_0	4	07/19/2010	2011.01	07/19/2010 01:40:06 PM US Mountain Standard Time	07/26/2010 03:36:40 PM US Mountain Standard Time			07/26/2010 05:32:24 PM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare of Arizona	www.cignamedicare.com	CIGNA Medicare Select Plus Rx-Employer Calendar Yr (HMO)	01	01		1			H0354	804	0	2011	All Counties in Arizona		1		2				2						www.cignamedicare.com	www.cignamedicare.com	www.cignamedicare.com	(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		1
H0354	805	0	1	01	01	H0354_805_0	6	08/04/2010	2011.01	08/04/2010 03:12:14 PM US Mountain Standard Time	08/03/2010 03:40:18 PM US Mountain Standard Time			08/04/2010 03:33:12 PM US Mountain Standard Time	CIGNA HEALTHCARE OF ARIZONA, INC.	CIGNA HealthCare of Arizona	www.cignamedicare.com	CIGNA Medicare Select Plus Rx-Employer NonCal Yr (HMO)	01	01		1			H0354	805	0	2011	All Counties in Arizona		1		2				2						www.cignamedicare.com	www.cignamedicare.com	www.cignamedicare.com	(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-627-7534		(800)-627-7534		(800)-592-9231		(800)-592-9231		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		1
H0370	001	0	1	04	01	H0370_001_0	10	08/23/2010	2011.01	08/23/2010 01:12:34 PM Central Daylight Time	08/23/2010 02:33:51 PM Central Daylight Time	08/23/2010 03:23:26 PM Central Daylight Time		08/23/2010 03:56:51 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.ia.chcadvantra.com	Advantra Platinum (PPO)	01	04		1			H0370	001	0	2011	Partial South Dakota		2	798	2				2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H0370	801	0	1	04	01	H0370_801_0	5	08/03/2010	2011.01	08/03/2010 04:09:44 PM Central Daylight Time	06/06/2010 04:18:24 AM Central Daylight Time			08/05/2010 02:22:48 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO	Coventry Health Care	www.ia.chcadvantra.com	SD/PPO-EmGp/NoRx/Cyear (PPO)	01	04		1			H0370	801	0	2011	South Dakota		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845										(711)		(711)		(711)		(711)										1
H0370	802	0	1	04	01	H0370_802_0	5	08/03/2010	2011.01	08/03/2010 03:38:40 PM Central Daylight Time	06/06/2010 04:24:00 AM Central Daylight Time			08/05/2010 02:22:48 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO	Coventry Health Care	www.ia.chcadvantra.com	SD/PPO-EmGp/Comm4/Cyear (PPO)	01	04		1			H0370	802	0	2011	South Dakota		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H0370	803	0	1	04	01	H0370_803_0	5	08/03/2010	2011.01	08/03/2010 03:38:51 PM Central Daylight Time	06/06/2010 04:28:22 AM Central Daylight Time			08/05/2010 02:22:48 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (SOUTH DAKO	Coventry Health Care	www.ia.chcadvantra.com	SD/PPO-EmGp/Comm4/NonCyear (PPO)	01	04		1			H0370	803	0	2011	South Dakota		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H0401	002	0	1	02	01	H0401_002_0	5	06/01/2010	2011.01	06/01/2010 04:12:57 PM Central Daylight Time	08/19/2010 03:24:53 PM Central Daylight Time	08/18/2010 04:26:38 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H0401	002	0	2011	Select Counties in Arkansas		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0401	008	0	1	02	01	H0401_008_0	5	06/02/2010	2011.01	06/02/2010 04:29:37 PM Central Daylight Time	08/19/2010 03:25:18 PM Central Daylight Time	08/18/2010 04:26:44 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H0401	008	0	2011	Sebastian County		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0401	801	0	1	01	01	H0401_801_0	1	05/25/2010	2011.01	05/25/2010 08:34:41 AM Central Daylight Time	06/03/2010 02:25:03 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0401	801	0	2011	Benton and Washington Counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0401	804	0	1	01	01	H0401_804_0	1	05/25/2010	2011.01	05/25/2010 08:34:48 AM Central Daylight Time	06/03/2010 02:25:27 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0401	804	0	2011	Benton and Washington Counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H0401	805	0	1	01	01	H0401_805_0	1	05/25/2010	2011.01	05/25/2010 08:34:52 AM Central Daylight Time	06/03/2010 02:26:01 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0401	805	0	2011	Select Counites in AR		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0401	807	0	1	02	01	H0401_807_0	1	05/27/2010	2011.01	05/27/2010 08:14:03 AM Central Daylight Time	06/03/2010 02:26:25 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H0401	807	0	2011	Benton and Washington Counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0401	808	0	1	02	01	H0401_808_0	1	05/27/2010	2011.01	05/27/2010 08:14:26 AM Central Daylight Time	06/03/2010 02:26:46 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H0401	808	0	2011	Benton and Washington Counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H0401	809	0	1	02	01	H0401_809_0	1	05/27/2010	2011.01	05/27/2010 08:14:48 AM Central Daylight Time	06/03/2010 02:27:09 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF ARKANSAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H0401	809	0	2011	Benton and Washington counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0408	002	0	1	02	01	H0408_002_0	4	06/03/2010	2011.01	06/03/2010 09:05:24 AM Central Daylight Time	08/19/2010 06:52:08 PM Central Daylight Time	08/18/2010 04:26:49 PM Central Daylight Time		08/20/2010 04:57:05 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS SNP)	01	02		1			H0408	002	0	2011	Nashville, Knoxville area		2		2				1	1	1	1			www.EvercareHealthPlans.com	evercarehealthplans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0423	001	0	1	01	01	H0423_001_0	8	08/23/2010	2011.01	08/26/2010 02:24:56 PM Eastern Daylight Time	08/24/2010 05:40:54 PM Eastern Daylight Time	08/22/2010 06:30:22 PM Eastern Daylight Time		08/26/2010 03:16:56 PM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Advantage Plan (HMO SNP)	01	01		1			H0423	001	0	2011	NYC - The Bronx, Brooklyn, Manhattan, Queens		2		2		2		1	3		1	2		www.metroplus.org	www.metroplus.org	www.nmhc.com	(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		1
H0423	002	0	1	01	01	H0423_002_0	9	08/23/2010	2011.01	08/23/2010 10:34:02 AM Eastern Daylight Time	08/24/2010 05:40:45 PM Eastern Daylight Time	08/22/2010 06:44:10 PM Eastern Daylight Time		08/24/2010 05:45:02 PM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Medicare Partnership in Care Plan (HMO SNP)	01	01		1			H0423	002	0	2011	NYC - The Bronx, Brooklyn, Manhattan, Queens		2		2				1	4		1		00000000001000000000	www.metroplus.org	www.metroplus.org	www.nmhc.com	(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		1
H0423	003	0	1	01	01	H0423_003_0	8	08/23/2010	2011.01	08/26/2010 03:12:40 PM Eastern Daylight Time	08/24/2010 05:41:16 PM Eastern Daylight Time	08/22/2010 06:49:24 PM Eastern Daylight Time		08/26/2010 03:16:56 PM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Select Plan (HMO SNP)	01	01		1			H0423	003	0	2011	NYC - The Bronx, Brooklyn, Manhattan, Queens		2		2		2		1	3		1	5		www.metroplus.org	www.metroplus.org	www.nmhc.com	(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		1
H0423	004	0	1	01	01	H0423_004_0	9	08/23/2010	2011.01	08/23/2010 10:34:31 AM Eastern Daylight Time	08/24/2010 05:41:06 PM Eastern Daylight Time	08/22/2010 06:58:22 PM Eastern Daylight Time		08/24/2010 05:45:02 PM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Platinum (HMO)	01	01		1			H0423	004	0	2011	NYC - The Bronx, Brooklyn, Manhattan, Queens		2		2				2						www.metroplus.org	www.metroplus.org	www.nmhc.com	(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812		1
H0423	005	0	1	01	01	H0423_005_0	7	08/13/2010	2011.01	08/13/2010 09:50:58 AM Eastern Daylight Time	07/30/2010 11:40:33 AM Eastern Daylight Time			08/13/2010 09:54:37 AM Eastern Daylight Time	METROPLUS HEALTH PLAN, INC.	MetroPlus Health Plan	www.metroplus.org	MetroPlus Choice (HMO)	01	01		1			H0423	005	0	2011	MetroPlus Choice		2		2				2						www.metroplus.org	www.metroplus.org	www.nmhc.com	(866)-986-0356		(866)-986-0356		(866)-986-0356		(866)-986-0356										(800)-881-2812		(800)-881-2812		(800)-881-2812		(800)-881-2812										1
H0474	001	0	1	01	01	H0474_001_0	8	08/20/2010	2011.01	08/20/2010 07:55:53 AM Central Daylight Time	08/20/2010 08:57:36 AM Central Daylight Time	08/20/2010 08:57:53 AM Central Daylight Time		08/21/2010 08:26:22 AM Central Daylight Time	ESSENCE HEALTHCARE OF NEW YORK, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H0474	001	0	2011	Greater Rochester Metropolitan Area		2	2266	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H0474	002	0	1	01	01	H0474_002_0	7	08/20/2010	2011.01	08/20/2010 09:13:32 AM Central Daylight Time	08/20/2010 09:03:37 AM Central Daylight Time	08/20/2010 09:03:14 AM Central Daylight Time		08/21/2010 08:29:23 AM Central Daylight Time	ESSENCE HEALTHCARE OF NEW YORK, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Plus (HMO)	01	01		1			H0474	002	0	2011	Greater Rochester Metropolitan Area		2	734	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H0474	801	0	1	01	01	H0474_801_0	5	08/13/2010	2011.01	08/13/2010 01:46:39 PM Central Daylight Time	07/26/2010 07:39:11 AM Central Daylight Time			08/13/2010 01:52:30 PM Central Daylight Time	ESSENCE HEALTHCARE OF NEW YORK, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan (HMO)	01	01		1			H0474	801	0	2011	Greater Rochester Service Area		1	100	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H0474	802	0	1	01	01	H0474_802_0	5	08/13/2010	2011.01	08/13/2010 01:48:24 PM Central Daylight Time	07/26/2010 07:40:58 AM Central Daylight Time			08/13/2010 01:52:30 PM Central Daylight Time	ESSENCE HEALTHCARE OF NEW YORK, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan non-calendar (HMO)	01	01		1			H0474	802	0	2011	Greater Rochester Service Area		1	100	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(877)-215-0955		(585)-381-7095		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H0490	001	0	1	01	01	H0490_001_0	9	08/30/2010	2011.01	08/30/2010 07:56:03 AM Pacific Daylight Time	08/20/2010 08:10:00 PM Pacific Daylight Time	08/20/2010 06:49:00 PM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF OHIO	Molina Healthcare of Ohio	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H0490	001	0	2011	Ohio Urban Area		2	328	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-472-4584		(866)-472-4584		(866)-403-8293		(866)-403-8293		(866)-472-4584		(866)-472-4584		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H0490	004	0	1	01	01	H0490_004_0	7	08/23/2010	2011.01	08/23/2010 11:46:48 AM Pacific Daylight Time	08/20/2010 08:10:00 PM Pacific Daylight Time	08/20/2010 09:00:00 AM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF OHIO	Molina Healthcare of Ohio	www.molinamedicare.com	Molina Medicare Options Plus (HMO SNP)	01	01		1			H0490	004	0	2011	Ohio Urban Area		2	1097	2		2		1	3		1	5		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-472-4584		(866)-472-4584		(866)-403-8293		(866)-403-8293		(866)-472-4584		(866)-472-4584		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H0490	005	0	1	01	01	H0490_005_0	7	08/30/2010	2011.01	08/30/2010 07:53:25 AM Pacific Daylight Time	08/20/2010 08:11:00 PM Pacific Daylight Time	08/20/2010 09:00:00 AM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF OHIO	Molina Healthcare of Ohio	www.molinamedicare.com	Molina Medicare Options Select (HMO)	01	01		1			H0490	005	0	2011	Ohio Urban Area		2	348	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-472-4584		(866)-472-4584		(866)-403-8293		(866)-403-8293		(866)-472-4584		(866)-472-4584		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H0504	015	0	1	01	01	H0504_015_0	6	08/23/2010	2011.01	08/23/2010 11:58:10 AM Pacific Daylight Time	08/23/2010 11:33:59 AM Pacific Daylight Time	08/23/2010 11:18:03 AM Pacific Daylight Time		08/23/2010 12:02:36 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com/findamedicareplan	Blue Shield 65 Plus (HMO)	01	01		1			H0504	015	0	2011	Los Angeles (Partial)/Orange Counties		2		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1
H0504	017	0	1	01	01	H0504_017_0	5	08/23/2010	2011.01	08/23/2010 11:58:41 AM Pacific Daylight Time	08/23/2010 11:31:48 AM Pacific Daylight Time	08/23/2010 11:19:42 AM Pacific Daylight Time		08/23/2010 12:09:27 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com/findamedicareplan	Blue Shield 65 Plus (HMO)	01	01		1			H0504	017	0	2011	San Bernardino County (Partial)		2		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1
H0504	021	0	1	01	01	H0504_021_0	7	09/15/2010	2011.01	09/15/2010 10:35:26 AM Pacific Daylight Time	08/23/2010 11:36:25 AM Pacific Daylight Time	08/23/2010 11:23:29 AM Pacific Daylight Time		09/15/2010 10:37:08 AM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com/findamedicareplan	Blue Shield 65 Plus Choice Plan (HMO)	01	01		1			H0504	021	0	2011	Los Angeles (Partial)/Orange (Partial) Counties CP		2		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1
H0504	026	0	1	01	01	H0504_026_0	6	08/23/2010	2011.01	08/23/2010 11:59:29 AM Pacific Daylight Time	08/23/2010 11:39:44 AM Pacific Daylight Time	08/23/2010 11:28:44 AM Pacific Daylight Time		08/23/2010 01:06:44 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com/findamedicareplan	Blue Shield 65 Plus (HMO)	01	01		1			H0504	026	0	2011	Riverside County (Partial)		2		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1
H0504	803	0	1	01	01	H0504_803_0	3	06/04/2010	2011.01	06/04/2010 10:11:53 AM Pacific Daylight Time	07/26/2010 03:36:44 PM Pacific Daylight Time			07/27/2010 02:31:18 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	803	0	2011	MA-PD Employer Group Plan		1		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1
H0504	804	0	1	01	01	H0504_804_0	3	06/03/2010	2011.01	06/03/2010 03:56:35 PM Pacific Daylight Time	07/27/2010 01:42:50 PM Pacific Daylight Time			07/27/2010 02:36:59 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	804	0	2011	MA-PD Employer Group Plan		1		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000		1
H0504	805	0	1	01	01	H0504_805_0	2	06/03/2010	2011.01	06/03/2010 03:56:54 PM Pacific Daylight Time	07/26/2010 03:40:12 PM Pacific Daylight Time			07/27/2010 02:41:22 PM Pacific Daylight Time	CALIFORNIA PHYSICIANS' SERVICE	Blue Shield of California	www.blueshieldca.com	Blue Shield 65 Plus (HMO)	01	01		1			H0504	805	0	2011	MA-Only Employer Group Plan		1		2				2						www.blueshieldca.com	https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com	(800)-776-4466		(800)-776-4466		(800)-488-8000		(800)-488-8000										(800)-794-1099		(800)-794-1099		(888)-595-0000		(888)-595-0000										1
H0523	002	0	1	01	01	H0523_002_0	4	08/20/2010	2011.01	08/20/2010 01:35:30 PM Central Daylight Time	08/20/2010 09:23:20 AM Central Daylight Time	08/19/2010 12:59:02 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	002	0	2011	Los Angeles and Orange Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	022	0	1	01	01	H0523_022_0	5	08/20/2010	2011.01	08/20/2010 01:37:02 PM Central Daylight Time	08/19/2010 03:07:05 PM Central Daylight Time	08/19/2010 12:59:05 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	022	0	2011	Riverside and San Bernardino Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	031	0	1	01	01	H0523_031_0	4	08/20/2010	2011.01	08/20/2010 01:37:33 PM Central Daylight Time	08/19/2010 03:59:32 PM Central Daylight Time	08/19/2010 12:59:09 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	031	0	2011	Kern County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	032	0	1	01	01	H0523_032_0	4	08/20/2010	2011.01	08/20/2010 01:39:50 PM Central Daylight Time	08/19/2010 04:11:35 PM Central Daylight Time	08/19/2010 12:59:13 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	032	0	2011	Fresno County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	052	0	1	01	01	H0523_052_0	4	08/20/2010	2011.01	08/20/2010 01:41:04 PM Central Daylight Time	08/19/2010 04:13:38 PM Central Daylight Time	08/19/2010 12:59:17 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	052	0	2011	San Diego County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	054	0	1	01	01	H0523_054_0	4	07/28/2010	2011.01	07/28/2010 10:48:28 AM Central Daylight Time	08/19/2010 02:41:12 PM Central Daylight Time	08/19/2010 12:59:21 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H0523	054	0	2011	San Diego County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	056	0	1	01	01	H0523_056_0	4	07/28/2010	2011.01	07/28/2010 10:48:28 AM Central Daylight Time	08/19/2010 02:42:06 PM Central Daylight Time	08/19/2010 12:59:25 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H0523	056	0	2011	Riverside and San Bernardino Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	057	0	1	01	01	H0523_057_0	4	07/28/2010	2011.01	07/28/2010 10:48:28 AM Central Daylight Time	08/19/2010 02:42:49 PM Central Daylight Time	08/19/2010 12:59:29 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H0523	057	0	2011	Los Angeles and Orange Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	058	0	1	01	01	H0523_058_0	4	07/28/2010	2011.01	07/28/2010 10:48:28 AM Central Daylight Time	08/19/2010 02:43:35 PM Central Daylight Time	08/19/2010 12:59:32 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H0523	058	0	2011	Ventura County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	059	0	1	01	01	H0523_059_0	4	07/28/2010	2011.01	07/28/2010 10:48:29 AM Central Daylight Time	08/19/2010 02:44:20 PM Central Daylight Time	08/19/2010 12:59:36 PM Central Daylight Time		08/20/2010 02:36:29 PM Central Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H0523	059	0	2011	Ventura County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0523	801	0	1	01	01	H0523_801_0	1	05/07/2010	2011.01	05/07/2010 12:29:30 PM Eastern Daylight Time	06/01/2010 02:23:52 PM Eastern Daylight Time			06/04/2010 02:27:39 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H0523	801	0	2011	California		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H0523	805	0	1	01	01	H0523_805_0	1	05/07/2010	2011.01	05/07/2010 12:29:31 PM Eastern Daylight Time	06/01/2010 02:15:15 PM Eastern Daylight Time			06/04/2010 02:27:39 PM Eastern Daylight Time	AETNA HEALTH OF CALIFORNIA,INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H0523	805	0	2011	California		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0524	002	0	2	01	01	H0524_002_0	7	08/20/2010	2011.01	08/20/2010 03:11:50 PM Pacific Daylight Time	08/23/2010 04:26:53 PM Pacific Daylight Time	08/20/2010 10:57:02 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage B Only South (HMO)	01	01		2	1		H0524	002	0	2011	Part B Only Southern California Area		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	003	0	1	01	01	H0524_003_0	7	08/20/2010	2011.01	08/20/2010 03:12:09 PM Pacific Daylight Time	08/23/2010 03:18:31 PM Pacific Daylight Time	08/20/2010 10:57:58 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)	01	01		1			H0524	003	0	2011	Los Angeles and Orange Counties Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	008	0	1	01	01	H0524_008_0	7	08/26/2010	2011.01	08/26/2010 09:28:23 AM Pacific Daylight Time	08/26/2010 09:12:00 AM Pacific Daylight Time	08/20/2010 10:29:14 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Solano (HMO)	01	01		1			H0524	008	0	2011	Solano County Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	010	0	2	01	01	H0524_010_0	7	08/26/2010	2011.01	08/26/2010 09:28:47 AM Pacific Daylight Time	08/26/2010 09:12:57 AM Pacific Daylight Time	08/20/2010 10:31:27 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage B Only North (HMO)	01	01		2	1		H0524	010	0	2011	Part B Only Northern California Area		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	013	0	1	01	01	H0524_013_0	7	08/26/2010	2011.01	08/26/2010 09:29:03 AM Pacific Daylight Time	08/26/2010 09:14:02 AM Pacific Daylight Time	08/20/2010 10:40:43 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Sac., Sonoma (HMO)	01	01		1			H0524	013	0	2011	Greater Sacramento and Sonoma County Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	015	0	1	01	01	H0524_015_0	9	08/20/2010	2011.01	08/20/2010 03:12:30 PM Pacific Daylight Time	08/23/2010 03:19:48 PM Pacific Daylight Time	08/20/2010 10:58:55 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Inland Empire (HMO)	01	01		1			H0524	015	0	2011	Inland Empire Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	029	0	1	01	01	H0524_029_0	8	08/12/2010	2011.01	08/12/2010 12:04:55 PM Pacific Daylight Time	08/23/2010 03:21:23 PM Pacific Daylight Time	08/20/2010 10:59:52 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Medicare Medi-Cal Plan South (HMO SNP)	01	01		1			H0524	029	0	2011	Southern California Plan		2		2		2		1	3		1	3		kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	030	0	1	01	01	H0524_030_0	8	08/12/2010	2011.01	08/12/2010 12:04:36 PM Pacific Daylight Time	08/23/2010 03:21:03 PM Pacific Daylight Time	08/20/2010 10:41:51 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Medicare Medi-Cal Plan North (HMO SNP)	01	01		1			H0524	030	0	2011	Northern California Plan		2		2		2		1	3		1	3		kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	031	0	1	01	01	H0524_031_0	9	08/26/2010	2011.01	08/26/2010 09:29:25 AM Pacific Daylight Time	08/26/2010 09:15:40 AM Pacific Daylight Time	08/20/2010 10:46:29 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Marin San Mateo (HMO)	01	01		1			H0524	031	0	2011	Marin and San Mateo Counties Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	032	0	1	01	01	H0524_032_0	7	08/26/2010	2011.01	08/26/2010 09:29:45 AM Pacific Daylight Time	08/26/2010 09:16:53 AM Pacific Daylight Time	08/20/2010 10:47:32 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)	01	01		1			H0524	032	0	2011	Alameda, Napa, and SF Counties Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	033	0	1	01	01	H0524_033_0	7	08/26/2010	2011.01	08/26/2010 09:30:01 AM Pacific Daylight Time	08/26/2010 09:19:28 AM Pacific Daylight Time	08/20/2010 10:48:28 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Contra Costa (HMO)	01	01		1			H0524	033	0	2011	Contra Costa County Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	034	0	1	01	01	H0524_034_0	7	08/20/2010	2011.01	08/20/2010 03:12:49 PM Pacific Daylight Time	08/23/2010 03:22:41 PM Pacific Daylight Time	08/20/2010 11:00:45 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Ventura (HMO)	01	01		1			H0524	034	0	2011	Ventura County Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	035	0	1	01	01	H0524_035_0	7	08/20/2010	2011.01	08/20/2010 03:13:02 PM Pacific Daylight Time	08/23/2010 03:24:13 PM Pacific Daylight Time	08/20/2010 11:01:44 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced Kern (HMO)	01	01		1			H0524	035	0	2011	Kern County Plan - Enhanced		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	036	0	1	01	01	H0524_036_0	9	08/20/2010	2011.01	08/20/2010 03:13:21 PM Pacific Daylight Time	08/23/2010 03:25:40 PM Pacific Daylight Time	08/20/2010 11:02:40 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic Kern (HMO)	01	01		1			H0524	036	0	2011	Kern County Plan - Basic		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	037	0	1	01	01	H0524_037_0	7	08/20/2010	2011.01	08/20/2010 03:13:34 PM Pacific Daylight Time	08/23/2010 03:27:12 PM Pacific Daylight Time	08/20/2010 11:03:35 AM Pacific Daylight Time		08/23/2010 05:22:34 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage San Diego (HMO)	01	01		1			H0524	037	0	2011	San Diego County Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	038	0	1	01	01	H0524_038_0	7	08/26/2010	2011.01	08/26/2010 09:30:23 AM Pacific Daylight Time	08/26/2010 09:25:46 AM Pacific Daylight Time	08/20/2010 10:49:27 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)	01	01		1			H0524	038	0	2011	Greater Fresno Area Plan - Enhanced		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	039	0	1	01	01	H0524_039_0	9	08/26/2010	2011.01	08/26/2010 09:30:41 AM Pacific Daylight Time	08/26/2010 09:24:49 AM Pacific Daylight Time	08/20/2010 10:50:25 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Santa Clara (HMO)	01	01		1			H0524	039	0	2011	Santa Clara County Plan		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	040	0	1	01	01	H0524_040_0	7	08/26/2010	2011.01	08/26/2010 09:30:57 AM Pacific Daylight Time	08/26/2010 09:23:39 AM Pacific Daylight Time	08/20/2010 10:51:25 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)	01	01		1			H0524	040	0	2011	Stanislaus County Plan - Enhanced		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	041	0	1	01	01	H0524_041_0	7	08/26/2010	2011.01	08/26/2010 09:31:12 AM Pacific Daylight Time	08/26/2010 09:22:37 AM Pacific Daylight Time	08/20/2010 10:52:26 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic Stanis (HMO)	01	01		1			H0524	041	0	2011	Stanislaus County Plan - Basic		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	042	0	1	01	01	H0524_042_0	7	08/26/2010	2011.01	08/26/2010 09:32:03 AM Pacific Daylight Time	08/26/2010 09:21:20 AM Pacific Daylight Time	08/20/2010 10:54:10 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)	01	01		1			H0524	042	0	2011	San Joaquin County Plan - Enhanced		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	043	0	1	01	01	H0524_043_0	7	08/26/2010	2011.01	08/26/2010 09:31:37 AM Pacific Daylight Time	08/26/2010 09:18:26 AM Pacific Daylight Time	08/20/2010 10:55:05 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)	01	01		1			H0524	043	0	2011	San Joaquin County Plan - Basic		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	046	0	1	01	01	H0524_046_0	7	08/26/2010	2011.01	08/26/2010 09:32:25 AM Pacific Daylight Time	08/26/2010 09:30:01 AM Pacific Daylight Time	08/20/2010 10:56:01 AM Pacific Daylight Time		08/26/2010 01:22:23 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic Fresno (HMO)	01	01		1			H0524	046	0	2011	Greater Fresno Area Plan - Basic		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		(800)-777-1370		(800)-777-1370		(888)-758-6054		(888)-758-6054		1
H0524	801	0	1	01	01	H0524_801_0	3	08/12/2010	2011.01	08/12/2010 12:11:11 PM Pacific Daylight Time	07/29/2010 08:40:52 AM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H0524	801	0	2011	Southern California Group Part A B		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238										(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370										1
H0524	802	0	1	01	01	H0524_802_0	3	08/12/2010	2011.01	08/12/2010 12:11:27 PM Pacific Daylight Time	07/29/2010 07:58:07 AM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H0524	802	0	2011	Northern California Group Part A B		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238										(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370										1
H0524	803	0	2	01	01	H0524_803_0	2	08/12/2010	2011.01	08/12/2010 12:11:46 PM Pacific Daylight Time	07/29/2010 08:42:35 AM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		2	1		H0524	803	0	2011	Southern California Group B Only		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238										(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370										1
H0524	804	0	2	01	01	H0524_804_0	2	08/12/2010	2011.01	08/12/2010 12:12:05 PM Pacific Daylight Time	07/28/2010 05:04:03 PM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		2	1		H0524	804	0	2011	Northern California Group B Only		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238										(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370										1
H0524	805	0	1	01	01	H0524_805_0	3	08/12/2010	2011.01	08/12/2010 12:12:22 PM Pacific Daylight Time	07/29/2010 08:43:57 AM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H0524	805	0	2011	Southern California Group Part A B Part D		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1
H0524	806	0	1	01	01	H0524_806_0	3	08/12/2010	2011.01	08/12/2010 12:12:39 PM Pacific Daylight Time	07/26/2010 01:45:48 PM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H0524	806	0	2011	Northern California Group Part A B Part D		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1
H0524	807	0	2	01	01	H0524_807_0	2	08/12/2010	2011.01	08/12/2010 12:12:58 PM Pacific Daylight Time	07/31/2010 05:18:59 PM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		2	1		H0524	807	0	2011	Southern California Group Part B only  Part D		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1
H0524	808	0	2	01	01	H0524_808_0	2	08/12/2010	2011.01	08/12/2010 12:13:13 PM Pacific Daylight Time	07/28/2010 05:10:03 PM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		2	1		H0524	808	0	2011	Northern California Group Part B only Part D		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1
H0524	809	0	1	01	01	H0524_809_0	3	08/12/2010	2011.01	08/12/2010 12:14:05 PM Pacific Daylight Time	07/31/2010 05:20:03 PM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part AB with D (HMO)	01	01		1			H0524	809	0	2011	Southern California Plan		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1
H0524	810	0	1	01	01	H0524_810_0	3	08/12/2010	2011.01	08/12/2010 12:14:18 PM Pacific Daylight Time	07/29/2010 08:00:09 AM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part AB with D (HMO)	01	01		1			H0524	810	0	2011	Northern California Plan		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1
H0524	811	0	2	01	01	H0524_811_0	2	08/12/2010	2011.01	08/12/2010 12:14:35 PM Pacific Daylight Time	07/29/2010 08:46:17 AM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part B Only with D (HMO)	01	01		2	1		H0524	811	0	2011	Southern California Plan		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1
H0524	812	0	2	01	01	H0524_812_0	2	08/12/2010	2011.01	08/12/2010 12:14:51 PM Pacific Daylight Time	07/28/2010 05:18:12 PM Pacific Daylight Time			08/12/2010 05:07:35 PM Pacific Daylight Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part B Only with D (HMO)	01	01		2	1		H0524	812	0	2011	Northern California Plan		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-443-0815		(800)-443-0815		(800)-777-1238		(800)-777-1238		(800)-443-0815		(800)-443-0815		(877)-473-9147		(877)-473-9147		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		(800)-777-1370		1
H0540	001	0	1	09	04	H0540_001_0	5	08/31/2010	2011.01	08/31/2010 10:01:43 AM Eastern Daylight Time	08/07/2010 05:30:32 PM Eastern Daylight Time			08/31/2010 12:26:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	https://www.unicare.com	SecurityChoice Classic (PFFS)	04	09	2	1			H0540	001	0	2011	Select Counties in NC,NE,and VA		2	1699	2				2							http://www.medicarerxrewards.com	www.unicare.com	(888)-445-8916		(888)-445-8916		(800)-797-6470		(800)-797-6470										(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894										1
H0540	020	0	1	09	04	H0540_020_0	10	08/30/2010	2011.01	08/30/2010 07:38:48 PM Eastern Daylight Time	08/23/2010 09:49:14 AM Eastern Daylight Time	08/23/2010 09:51:28 AM Eastern Daylight Time		08/30/2010 07:46:01 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	https://www.unicare.com	SecurityChoice Plus (PFFS)	04	09	2	1			H0540	020	0	2011	Select Counties NC,NE, and VA		2	1962	2				2							http://www.medicarerxrewards.com	www.unicare.com	(888)-445-8916		(888)-445-8916		(800)-797-6470		(800)-797-6470		(888)-445-8916		(888)-445-8916		(800)-797-6470		(800)-797-6470		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1
H0540	090	0	1	09	04	H0540_090_0	5	08/30/2010	2011.01	08/30/2010 07:38:48 PM Eastern Daylight Time	08/07/2010 05:31:20 PM Eastern Daylight Time			08/31/2010 12:26:41 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	https://www.unicare.com	SmartValue Classic (PFFS)	04	09	2	1			H0540	090	0	2011	Select Counties in GA and WI		2	1037	2				2							http://www.medicarerxrewards.com	www.unicare.com	(888)-445-8916		(888)-445-8916		(800)-797-6458		(800)-797-6458										(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894										1
H0540	091	0	1	09	04	H0540_091_0	9	08/30/2010	2011.01	08/30/2010 07:38:49 PM Eastern Daylight Time	08/23/2010 09:49:51 AM Eastern Daylight Time	08/23/2010 09:51:39 AM Eastern Daylight Time		08/30/2010 07:46:01 PM Eastern Daylight Time	UNICARE LIFE AND HEALTH INS. COMPANY	Unicare Life  Health Ins. Company	https://www.unicare.com	SmartValue Plus (PFFS)	04	09	2	1			H0540	091	0	2011	Select Counties in GA, and WI		2	2538	2				2							http://www.medicarerxrewards.com	www.unicare.com	(888)-445-8916		(888)-445-8916		(800)-797-6458		(800)-797-6458		(888)-445-8916		(888)-445-8916		(800)-797-6458		(800)-797-6458		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1
H0542	001	0	1	20	08	H0542_001_0	2	05/20/2010	2011.01	05/20/2010 08:54:41 AM Pacific Daylight Time		05/19/2010 09:24:16 AM Pacific Daylight Time		05/20/2010 09:27:45 AM Pacific Daylight Time	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Senior BuenaCare	www.altamed.org	AltaMed Senior BuenaCare (PACE)	08	20		1			H0542	001	0	2011	Los Angeles County		2	815	2				2							http://www.altamed.org/	http://www.altamed.org/									(877)-462-2582		(323)-728-0411		(877)-462-2582		(323)-728-0411										(800)-735-2922		(800)-735-2922		(800)-735-2922		(800)-735-2922		1
H0542	002	0	1	20	08	H0542_002_0	2	05/20/2010	2011.01	05/20/2010 08:55:46 AM Pacific Daylight Time		05/19/2010 09:24:22 AM Pacific Daylight Time		05/20/2010 09:27:45 AM Pacific Daylight Time	ALTAMED HEALTH SERVICES CORPORATION	AltaMed Senior BuenaCare	www.altamed.org	AltaMed Senior BuenaCare (PACE)	08	20		1			H0542	002	0	2011	Los Angeles County		2	0	2				2							http://www.altamed.org/	http://www.altamed.org/									(877)-462-2582		(323)-728-0411		(877)-462-2582		(323)-728-0411										(800)-735-2922		(323)-728-0411		(800)-735-2922		(800)-735-2922		1
H0543	001	0	1	01	01	H0543_001_0	6	07/19/2010	2011.01	07/19/2010 12:58:30 PM Central Daylight Time	08/20/2010 11:50:16 AM Central Daylight Time	08/18/2010 04:42:02 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	001	0	2011	Los Angeles County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	004	0	1	01	01	H0543_004_0	6	06/01/2010	2011.01	06/01/2010 06:13:36 PM Central Daylight Time	08/20/2010 11:50:38 AM Central Daylight Time	08/18/2010 04:42:07 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Premier (HMO)	01	01		1			H0543	004	0	2011	Orange County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	007	0	1	01	01	H0543_007_0	7	07/23/2010	2011.01	07/23/2010 11:19:16 AM Central Daylight Time	08/20/2010 11:51:03 AM Central Daylight Time	08/18/2010 04:42:12 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0543	007	0	2011	Riverside, San Bernardino		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	013	0	1	01	01	H0543_013_0	7	06/07/2010	2011.01	06/07/2010 03:58:10 PM Central Daylight Time	08/20/2010 11:51:43 AM Central Daylight Time	08/18/2010 04:42:20 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Value (HMO)	01	01		1			H0543	013	0	2011	San Diego		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	019	0	1	01	01	H0543_019_0	6	06/01/2010	2011.01	06/01/2010 06:51:03 PM Central Daylight Time	08/20/2010 11:53:23 AM Central Daylight Time	08/18/2010 04:42:24 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	019	0	2011	Kern		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	022	0	1	01	01	H0543_022_0	6	06/01/2010	2011.01	06/01/2010 06:54:31 PM Central Daylight Time	08/20/2010 11:53:52 AM Central Daylight Time	08/18/2010 04:42:29 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	022	0	2011	Ventura		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	028	0	1	01	01	H0543_028_0	6	06/02/2010	2011.01	06/02/2010 10:43:54 AM Central Daylight Time	08/20/2010 11:54:22 AM Central Daylight Time	08/18/2010 04:42:34 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	028	0	2011	San Mateo		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	029	0	1	01	01	H0543_029_0	6	06/02/2010	2011.01	06/02/2010 10:50:01 AM Central Daylight Time	08/20/2010 11:54:43 AM Central Daylight Time	08/18/2010 04:42:40 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	029	0	2011	Santa Clara		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	032	0	1	01	01	H0543_032_0	7	06/07/2010	2011.01	06/07/2010 10:18:02 AM Central Daylight Time	08/20/2010 11:55:10 AM Central Daylight Time	08/18/2010 04:42:49 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	032	0	2011	Santa Barbara and San Luis Obispo counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	035	0	1	01	01	H0543_035_0	5	06/02/2010	2011.01	06/02/2010 11:08:08 AM Central Daylight Time	08/20/2010 11:55:40 AM Central Daylight Time	08/18/2010 04:42:56 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0543	035	0	2011	Fresno County and Madera County- select zip codes		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	036	0	1	01	01	H0543_036_0	5	06/02/2010	2011.01	06/02/2010 10:59:57 AM Central Daylight Time	08/20/2010 11:56:05 AM Central Daylight Time	08/18/2010 04:43:06 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	036	0	2011	Stanislaus County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	060	0	1	01	01	H0543_060_0	5	06/01/2010	2011.01	06/01/2010 07:20:56 PM Central Daylight Time	08/20/2010 11:56:27 AM Central Daylight Time	08/18/2010 04:43:11 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Premier (HMO)	01	01		1			H0543	060	0	2011	San Diego		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	070	0	1	01	01	H0543_070_0	5	06/02/2010	2011.01	06/02/2010 11:16:51 AM Central Daylight Time	08/20/2010 11:56:53 AM Central Daylight Time	08/18/2010 04:43:16 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	070	0	2011	Alameda and Contra Costa counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	078	0	1	01	01	H0543_078_0	6	08/05/2010	2011.01	08/05/2010 04:10:23 PM Central Daylight Time	08/20/2010 11:57:21 AM Central Daylight Time	08/18/2010 04:26:54 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H0543	078	0	2011	Los Angeles County		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	079	0	1	01	01	H0543_079_0	6	08/05/2010	2011.01	08/05/2010 04:10:17 PM Central Daylight Time	08/20/2010 11:57:48 AM Central Daylight Time	08/18/2010 04:26:59 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H0543	079	0	2011	Orange County		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	081	0	1	01	01	H0543_081_0	6	08/05/2010	2011.01	08/05/2010 04:10:10 PM Central Daylight Time	08/20/2010 11:58:12 AM Central Daylight Time	08/18/2010 04:27:04 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H0543	081	0	2011	Riverside and San Bernardino Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	085	0	1	01	01	H0543_085_0	5	06/02/2010	2011.01	06/02/2010 11:03:11 AM Central Daylight Time	08/20/2010 11:58:32 AM Central Daylight Time	08/18/2010 04:43:21 PM Central Daylight Time		08/20/2010 06:32:01 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	085	0	2011	San Francisco		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	086	0	1	01	01	H0543_086_0	5	06/02/2010	2011.01	06/02/2010 11:04:48 AM Central Daylight Time	08/20/2010 11:58:53 AM Central Daylight Time	08/18/2010 04:43:25 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	086	0	2011	Nevada and Sonoma Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	089	0	1	01	01	H0543_089_0	5	06/02/2010	2011.01	06/02/2010 10:52:12 AM Central Daylight Time	08/20/2010 11:59:20 AM Central Daylight Time	08/18/2010 04:43:31 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	089	0	2011	Sacramento, Placer, and Yolo counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	121	0	1	01	01	H0543_121_0	2	06/07/2010	2011.01	06/07/2010 10:19:00 AM Central Daylight Time	06/04/2010 10:18:18 AM Central Daylight Time			06/07/2010 10:40:41 AM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H0543	121	0	2011	Kern,LA,Orange,Riverside,San Bernardino,San Diego		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H0543	125	0	1	01	01	H0543_125_0	5	06/02/2010	2011.01	06/02/2010 10:54:34 AM Central Daylight Time	08/20/2010 11:59:41 AM Central Daylight Time	08/18/2010 04:43:36 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H0543	125	0	2011	Fresno and Madera		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	138	0	1	01	01	H0543_138_0	6	06/03/2010	2011.01	06/03/2010 08:43:43 PM Central Daylight Time	08/20/2010 12:00:02 PM Central Daylight Time	08/18/2010 04:43:45 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0543	138	0	2011	Orange		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	140	0	1	01	01	H0543_140_0	5	06/02/2010	2011.01	06/02/2010 04:10:27 PM Central Daylight Time	08/20/2010 12:00:25 PM Central Daylight Time	08/18/2010 04:43:50 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	140	0	2011	Amador, El Dorado, Mendocino,Merced,Shasta,Tulare		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	141	0	1	01	01	H0543_141_0	6	08/05/2010	2011.01	08/05/2010 04:10:36 PM Central Daylight Time	08/20/2010 12:00:46 PM Central Daylight Time	08/18/2010 04:27:09 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H0543	141	0	2011	San Diego County		2		2		2		1	3		1	5		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	142	0	1	01	01	H0543_142_0	5	06/03/2010	2011.01	06/03/2010 11:47:58 AM Central Daylight Time	08/20/2010 12:01:04 PM Central Daylight Time	08/18/2010 04:43:56 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H0543	142	0	2011	Imperial County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	144	0	1	01	01	H0543_144_0	5	06/03/2010	2011.01	06/03/2010 07:48:14 PM Central Daylight Time	08/20/2010 12:01:31 PM Central Daylight Time	08/18/2010 04:44:02 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0543	144	0	2011	Riverside and San Bernardino Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	145	0	1	01	01	H0543_145_0	6	06/06/2010	2011.01	06/06/2010 12:39:57 PM Central Daylight Time	08/20/2010 12:01:54 PM Central Daylight Time	08/18/2010 04:44:08 PM Central Daylight Time		08/20/2010 05:56:11 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0543	145	0	2011	San Diego		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	802	0	1	01	01	H0543_802_0	1	05/26/2010	2011.01	05/26/2010 04:05:59 PM Central Daylight Time	06/04/2010 10:20:01 AM Central Daylight Time			06/04/2010 03:18:40 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0543	802	0	2011	CA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H0543	805	0	1	01	01	H0543_805_0	1	05/26/2010	2011.01	05/26/2010 04:06:28 PM Central Daylight Time	06/04/2010 10:20:14 AM Central Daylight Time			06/04/2010 03:18:40 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0543	805	0	2011	CA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0543	806	0	1	01	01	H0543_806_0	1	05/26/2010	2011.01	05/26/2010 04:06:31 PM Central Daylight Time	06/04/2010 10:20:27 AM Central Daylight Time			06/04/2010 03:18:40 PM Central Daylight Time	PACIFICARE OF CALIFORNIA	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0543	806	0	2011	CA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0544	002	0	1	01	01	H0544_002_0	7	08/22/2010	2011.01	08/22/2010 04:20:59 PM Pacific Daylight Time	08/22/2010 06:15:10 PM Pacific Daylight Time	08/18/2010 07:28:00 PM Pacific Daylight Time		08/23/2010 02:16:28 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H0544	002	0	2011	Los Angeles and Orange Counties (partial)		2	19978	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	003	0	1	01	01	H0544_003_0	5	08/23/2010	2011.01	08/23/2010 11:57:35 AM Pacific Daylight Time	08/22/2010 06:15:41 PM Pacific Daylight Time	08/18/2010 07:28:00 PM Pacific Daylight Time		08/23/2010 02:16:28 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Connect (HMO SNP)	01	01		1			H0544	003	0	2011	Los Angeles and Orange Counties (partial)		2	615	2		2		1	3		1	2		www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-589-3146		(800)-589-3146		(866)-622-2820		(866)-622-2820		(800)-589-3146		(800)-589-3146		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	004	0	1	01	01	H0544_004_0	6	08/22/2010	2011.01	08/22/2010 04:21:53 PM Pacific Daylight Time	08/22/2010 06:16:13 PM Pacific Daylight Time	08/18/2010 07:28:02 PM Pacific Daylight Time		08/23/2010 02:16:28 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Diabetes (HMO SNP)	01	01		1			H0544	004	0	2011	Los Angeles and Orange Counties (partial)		2	5439	2				1	4		1		00000010000000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	005	0	1	01	01	H0544_005_0	6	08/22/2010	2011.01	08/22/2010 04:22:19 PM Pacific Daylight Time	08/22/2010 06:17:43 PM Pacific Daylight Time	08/18/2010 07:28:00 PM Pacific Daylight Time		08/23/2010 02:16:28 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Touch (HMO SNP)	01	01		1			H0544	005	0	2011	Los Angeles and Orange Counties (partial)		2	799	2				1	1	3	1			www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	007	0	1	01	01	H0544_007_0	5	08/22/2010	2011.01	08/22/2010 04:22:44 PM Pacific Daylight Time	08/22/2010 06:18:11 PM Pacific Daylight Time	08/18/2010 07:28:29 PM Pacific Daylight Time		08/23/2010 02:16:28 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	StartSmart with CareMore (HMO)	01	01		1			H0544	007	0	2011	Los Angeles and Orange Counties (partial)		2	737	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	008	0	1	01	01	H0544_008_0	7	08/27/2010	2011.01	08/27/2010 12:33:22 PM Pacific Daylight Time	08/22/2010 06:18:39 PM Pacific Daylight Time	08/18/2010 07:28:29 PM Pacific Daylight Time		08/27/2010 02:25:37 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H0544	008	0	2011	San Bernardino County (partial)		2	942	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	009	0	1	01	01	H0544_009_0	4	08/22/2010	2011.01	08/22/2010 11:28:33 AM Pacific Daylight Time	08/22/2010 06:19:08 PM Pacific Daylight Time	08/18/2010 07:28:29 PM Pacific Daylight Time		08/23/2010 02:27:06 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Connect (HMO SNP)	01	01		1			H0544	009	0	2011	San Bernardino County (partial)		2	50	2		2		1	3		1	2		www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-589-3146		(800)-589-3146		(866)-622-2820		(866)-622-2820		(800)-589-3146		(800)-589-3146		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	010	0	1	01	01	H0544_010_0	5	08/22/2010	2011.01	08/22/2010 11:28:54 AM Pacific Daylight Time	08/22/2010 06:19:35 PM Pacific Daylight Time	08/18/2010 07:28:29 PM Pacific Daylight Time		08/23/2010 02:27:06 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Diabetes (HMO SNP)	01	01		1			H0544	010	0	2011	San Bernardino County (partial)		2	1287	2				1	4		1		00000010000000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	012	0	1	01	01	H0544_012_0	5	08/22/2010	2011.01	08/22/2010 11:30:45 AM Pacific Daylight Time	08/22/2010 06:20:16 PM Pacific Daylight Time	08/18/2010 07:29:33 PM Pacific Daylight Time		08/23/2010 02:38:26 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H0544	012	0	2011	Santa Clara County (partial)		2	2078	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	013	0	1	01	01	H0544_013_0	3	08/22/2010	2011.01	08/22/2010 04:23:19 PM Pacific Daylight Time	08/22/2010 06:16:43 PM Pacific Daylight Time	08/18/2010 07:29:33 PM Pacific Daylight Time		08/23/2010 02:16:28 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Heart (HMO SNP)	01	01		1			H0544	013	0	2011	Los Angeles and Orange Counties (partial)		2	3627	2				1	4		1		00000000000000010000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-494-8280		(888)-494-8280		(866)-622-2820		(866)-622-2820		(888)-494-8280		(888)-494-8280		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	014	0	1	01	01	H0544_014_0	3	08/22/2010	2011.01	08/22/2010 04:23:39 PM Pacific Daylight Time	08/22/2010 06:17:13 PM Pacific Daylight Time	08/18/2010 07:29:33 PM Pacific Daylight Time		08/23/2010 02:16:28 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Breathe (HMO SNP)	01	01		1			H0544	014	0	2011	Los Angeles and Orange Counties (partial)		2	1834	2				1	4		1		00000000000100000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	015	0	1	01	01	H0544_015_0	3	08/22/2010	2011.01	08/22/2010 04:24:09 PM Pacific Daylight Time		08/18/2010 07:29:32 PM Pacific Daylight Time		08/23/2010 02:16:28 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore ESRD (HMO SNP)	01	01		1			H0544	015	0	2011	Los Angeles and Orange Counties		2	1015	2				1	4		1		00000000100000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	016	0	1	01	01	H0544_016_0	4	08/22/2010	2011.01	08/22/2010 11:49:37 AM Pacific Daylight Time	08/22/2010 09:24:39 PM Pacific Daylight Time	08/18/2010 07:31:04 PM Pacific Daylight Time		08/23/2010 02:27:06 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	StartSmart with CareMore (HMO)	01	01		1			H0544	016	0	2011	San Bernardino County (partial)		2	51	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	019	0	1	01	01	H0544_019_0	3	08/22/2010	2011.01	08/22/2010 11:32:24 AM Pacific Daylight Time	08/23/2010 09:39:18 AM Pacific Daylight Time	08/18/2010 07:31:06 PM Pacific Daylight Time		08/23/2010 02:27:06 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Breathe (HMO SNP)	01	01		1			H0544	019	0	2011	San Bernardino County (partial)		2	694	2				1	4		1		00000000000100000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	020	0	1	01	01	H0544_020_0	3	08/22/2010	2011.01	08/22/2010 11:32:37 AM Pacific Daylight Time		08/18/2010 07:31:06 PM Pacific Daylight Time		08/23/2010 02:27:06 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore ESRD (HMO SNP)	01	01		1			H0544	020	0	2011	San Bernardino County (partial)		2	74	2				1	4		1		00000000100000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	021	0	1	01	01	H0544_021_0	6	08/22/2010	2011.01	08/22/2010 03:16:05 PM Pacific Daylight Time	08/25/2010 10:53:10 AM Pacific Daylight Time	08/18/2010 07:31:04 PM Pacific Daylight Time		08/25/2010 11:47:45 AM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	StartSmart with CareMore (HMO)	01	01		1			H0544	021	0	2011	Santa Clara County (partial)		2	77	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	022	0	1	01	01	H0544_022_0	3	08/22/2010	2011.01	08/22/2010 11:33:15 AM Pacific Daylight Time	08/22/2010 06:21:14 PM Pacific Daylight Time	08/18/2010 07:32:57 PM Pacific Daylight Time		08/23/2010 02:38:26 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Touch (HMO SNP)	01	01		1			H0544	022	0	2011	Santa Clara County (partial)		2	265	2				1	1	3	1			www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	024	0	1	01	01	H0544_024_0	3	08/22/2010	2011.01	08/22/2010 11:33:48 AM Pacific Daylight Time	08/22/2010 06:20:42 PM Pacific Daylight Time	08/18/2010 07:32:57 PM Pacific Daylight Time		08/23/2010 02:38:26 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Breathe (HMO SNP)	01	01		1			H0544	024	0	2011	Santa Clara County (partial)		2	221	2				1	4		1		00000000000100000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	025	0	1	01	01	H0544_025_0	3	08/22/2010	2011.01	08/22/2010 11:33:56 AM Pacific Daylight Time	08/22/2010 09:25:10 PM Pacific Daylight Time	08/18/2010 07:32:57 PM Pacific Daylight Time		08/23/2010 02:38:26 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Diabetes (HMO SNP)	01	01		1			H0544	025	0	2011	Santa Clara County (partial)		2	627	2				1	4		1		00000010000000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	027	0	1	01	01	H0544_027_0	5	08/22/2010	2011.01	08/22/2010 11:35:33 AM Pacific Daylight Time	08/22/2010 06:24:39 PM Pacific Daylight Time	08/18/2010 07:32:57 PM Pacific Daylight Time		08/23/2010 02:38:26 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H0544	027	0	2011	Stanislaus County		2	1525	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	028	0	1	01	01	H0544_028_0	7	08/22/2010	2011.01	08/22/2010 03:16:15 PM Pacific Daylight Time	08/23/2010 04:24:31 PM Pacific Daylight Time	08/18/2010 07:33:56 PM Pacific Daylight Time		08/24/2010 11:46:21 AM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	StartSmart with CareMore (HMO)	01	01		1			H0544	028	0	2011	Stanislaus County		2	72	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	031	0	1	01	01	H0544_031_0	5	08/22/2010	2011.01	08/22/2010 11:36:01 AM Pacific Daylight Time	08/22/2010 06:25:30 PM Pacific Daylight Time	08/18/2010 07:33:56 PM Pacific Daylight Time		08/23/2010 02:38:26 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Breathe (HMO SNP)	01	01		1			H0544	031	0	2011	Stanislaus County		2	140	2				1	4		1		00000000000100000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	032	0	1	01	01	H0544_032_0	6	08/22/2010	2011.01	08/22/2010 11:36:29 AM Pacific Daylight Time	08/22/2010 06:25:04 PM Pacific Daylight Time	08/18/2010 07:33:56 PM Pacific Daylight Time		08/23/2010 02:38:26 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Diabetes (HMO SNP)	01	01		1			H0544	032	0	2011	Stanislaus County		2	951	2				1	4		1		00000010000000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	034	0	1	01	01	H0544_034_0	4	08/22/2010	2011.01	08/22/2010 02:21:33 PM Pacific Daylight Time	08/22/2010 06:26:21 PM Pacific Daylight Time	08/18/2010 07:33:56 PM Pacific Daylight Time		08/23/2010 03:59:56 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H0544	034	0	2011	Riverside (partial)		2	951	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0544	035	0	1	01	01	H0544_035_0	5	08/23/2010	2011.01	08/23/2010 03:52:49 PM Pacific Daylight Time	08/22/2010 06:26:47 PM Pacific Daylight Time	08/18/2010 07:35:19 PM Pacific Daylight Time		08/23/2010 03:59:56 PM Pacific Daylight Time	CAREMORE HEALTH PLAN	CareMore Health Plan	http://www.caremore.com	CareMore Diabetes (HMO SNP)	01	01		1			H0544	035	0	2011	Riverside (partial)		2	158	2				1	4		1		00000010000000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H0545	001	0	1	01	01	H0545_001_0	4	08/19/2010	2011.01	08/19/2010 01:46:20 PM Pacific Daylight Time	08/19/2010 01:02:32 PM Pacific Daylight Time	08/19/2010 10:09:08 AM Pacific Daylight Time		08/19/2010 04:30:04 PM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Service To Seniors (HMO)	01	01		1			H0545	001	0	2011	Los Angeles, San Bernardino and Riverside Counties		2	13000	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	http://www.ivhp.com/ivhp/member.asp?content=content/planBenefits.inc	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1
H0545	009	0	1	01	01	H0545_009_0	2	08/19/2010	2011.01	08/19/2010 01:46:59 PM Pacific Daylight Time	08/19/2010 12:39:28 PM Pacific Daylight Time	08/19/2010 10:13:36 AM Pacific Daylight Time		08/19/2010 04:30:04 PM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Focus SNP (HMO SNP)	01	01		1			H0545	009	0	2011	Los Angeles, San Bernardino and Riverside Counites		2	2000	2				1	4		1		00000000000000000100	http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	http://www.ivhp.com/ivhp/member.asp?content=content/planBenefits.inc	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1
H0545	011	0	1	01	01	H0545_011_0	5	08/19/2010	2011.01	08/19/2010 01:47:47 PM Pacific Daylight Time	08/19/2010 12:28:02 PM Pacific Daylight Time	08/19/2010 10:11:14 AM Pacific Daylight Time		08/19/2010 04:30:04 PM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Total Fit (HMO)	01	01		1			H0545	011	0	2011	Los Angeles, Riverside and San Bernardino Counties		2	3000	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	http://www.ivhp.com/ivhp/member.asp?content=content/planBenefits.inc	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1
H0545	012	0	1	01	01	H0545_012_0	5	08/19/2010	2011.01	08/19/2010 02:26:01 PM Pacific Daylight Time	08/19/2010 01:38:40 PM Pacific Daylight Time	08/19/2010 01:37:30 PM Pacific Daylight Time		08/19/2010 04:30:04 PM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Desert Preferred Choice (HMO)	01	01		1			H0545	012	0	2011	Riverside County		2	5000	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	http://www.ivhp.com/ivhp/member.asp?content=content/planBenefits.inc	(800)-251-8191		(800)-251-8191		(866)-756-4407		(866)-756-4407		(800)-546-5677		(800)-546-5677		(866)-756-4407		(866)-756-4407		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(866)-706-4757		(866)-706-4757		(800)-505-7150		(800)-505-7150		1
H0545	801	0	1	01	01	H0545_801_0	3	07/25/2010	2011.01	07/25/2010 12:25:28 PM Pacific Daylight Time	08/10/2010 01:48:00 PM Pacific Daylight Time			08/11/2010 09:11:05 AM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Active Plus I (HMO)	01	01		1			H0545	801	0	2011	Los Angeles, Riverside and San Bernardino Counties		1	500	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	http://www.ivhp.com/ivhp/member.asp?content=content/planBenefits.inc	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1
H0545	802	0	1	01	01	H0545_802_0	3	07/25/2010	2011.01	07/25/2010 12:25:21 PM Pacific Daylight Time	08/10/2010 01:52:00 PM Pacific Daylight Time			08/11/2010 09:11:05 AM Pacific Daylight Time	INTER VALLEY HEALTH PLAN, INC.	Inter Valley Health Plan	www.ivhp.com	Inter Valley Health Plan Active Plus II (HMO)	01	01		1			H0545	802	0	2011	Los Angeles, Riverside and San Bernardino Counties		1	500	2				2						http://www.ivhp.com	www.ivhp.com/ivhp/pdfs/formulary.pdf	http://www.ivhp.com/ivhp/member.asp?content=content/planBenefits.inc	(800)-251-8191		(909)-623-6333		(800)-500-7018		(800)-500-7018		(800)-523-3142		(800)-523-3142		(800)-500-7018		(800)-500-7018		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		(800)-505-7150		1
H0562	009	0	1	01	01	H0562_009_0	4	08/20/2010	2011.01	08/20/2010 09:16:12 AM Central Daylight Time	08/20/2010 02:47:10 PM Pacific Daylight Time	08/19/2010 05:15:40 PM Pacific Daylight Time		08/21/2010 10:06:45 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	009	0	2011	San Francisco County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	011	0	1	01	01	H0562_011_0	4	08/20/2010	2011.01	08/20/2010 09:25:47 AM Central Daylight Time	08/20/2010 02:47:44 PM Pacific Daylight Time	08/19/2010 05:16:28 PM Pacific Daylight Time		08/21/2010 10:06:45 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	011	0	2011	Contra Costa and Fresno Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	012	0	1	01	01	H0562_012_0	4	08/20/2010	2011.01	08/20/2010 09:35:13 AM Central Daylight Time	08/20/2010 02:48:12 PM Pacific Daylight Time	08/19/2010 05:17:10 PM Pacific Daylight Time		08/21/2010 10:06:45 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	012	0	2011	San Diego county		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	017	0	1	01	01	H0562_017_0	6	08/26/2010	2011.01	08/26/2010 04:26:18 PM Pacific Daylight Time	08/27/2010 08:01:24 AM Pacific Daylight Time	08/27/2010 08:01:24 AM Pacific Daylight Time		08/27/2010 09:42:51 AM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Ruby (HMO)	01	01		1			H0562	017	0	2011	Santa Barbara, Santa Cruz Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	036	0	1	01	01	H0562_036_0	5	08/20/2010	2011.01	08/20/2010 04:01:04 PM Pacific Daylight Time	08/20/2010 03:56:24 PM Pacific Daylight Time	08/19/2010 05:18:38 PM Pacific Daylight Time		08/21/2010 10:06:45 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	036	0	2011	San Mateo, Solano Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	037	0	1	01	01	H0562_037_0	4	08/20/2010	2011.01	08/20/2010 04:01:42 PM Pacific Daylight Time	08/20/2010 02:49:32 PM Pacific Daylight Time	08/19/2010 05:19:22 PM Pacific Daylight Time		08/21/2010 10:06:45 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	037	0	2011	Santa Clara county		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	039	0	1	01	01	H0562_039_0	4	08/20/2010	2011.01	08/20/2010 04:05:10 PM Pacific Daylight Time	08/20/2010 02:50:00 PM Pacific Daylight Time	08/19/2010 05:20:04 PM Pacific Daylight Time		08/21/2010 10:06:45 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	039	0	2011	Yolo county		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	040	0	1	01	01	H0562_040_0	4	08/19/2010	2011.01	08/19/2010 04:34:09 PM Pacific Daylight Time	08/20/2010 02:50:36 PM Pacific Daylight Time	08/19/2010 05:20:52 PM Pacific Daylight Time		08/21/2010 10:06:45 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Ruby Plan 2 (HMO)	01	01		1			H0562	040	0	2011	San Diego County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	044	0	1	01	01	H0562_044_0	3	08/05/2010	2011.01	08/05/2010 01:32:27 PM Central Daylight Time	07/21/2010 10:46:00 PM Pacific Daylight Time			08/08/2010 02:22:03 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Green (HMO)	01	01		1			H0562	044	0	2011	Kern, L.A., Orange, Riverside, S.Bern., San Diego		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1
H0562	045	0	1	01	01	H0562_045_0	3	08/05/2010	2011.01	08/05/2010 01:38:27 PM Central Daylight Time	07/21/2010 10:47:00 PM Pacific Daylight Time			08/08/2010 02:22:03 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Green (HMO)	01	01		1			H0562	045	0	2011	No. CA and Santa Barbara Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1
H0562	053	0	1	01	01	H0562_053_0	4	08/20/2010	2011.01	08/20/2010 04:05:56 PM Pacific Daylight Time	08/20/2010 02:51:12 PM Pacific Daylight Time	08/19/2010 05:21:36 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	053	0	2011	Sonoma, Stanislaus Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	055	0	1	01	01	H0562_055_0	2	08/10/2010	2011.01	08/10/2010 12:01:24 PM Pacific Daylight Time	08/20/2010 04:33:22 PM Pacific Daylight Time	08/19/2010 05:22:18 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Amber I (HMO SNP)	01	01		1			H0562	055	0	2011	L.A., Kern, Orange, Riverside and San Bernardino		2		2		2		1	3		1	2		www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-431-9007		(800)-431-9007		(800)-935-6565		(800)-935-6565		(800)-431-9007		(800)-431-9007		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	058	0	1	01	01	H0562_058_0	3	08/19/2010	2011.01	08/19/2010 04:40:24 PM Pacific Daylight Time	08/20/2010 02:51:40 PM Pacific Daylight Time	08/19/2010 05:23:08 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart Plan 2 (HMO)	01	01		1			H0562	058	0	2011	Placer County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	062	0	1	01	01	H0562_062_0	4	08/20/2010	2011.01	08/20/2010 04:06:39 PM Pacific Daylight Time	08/20/2010 02:52:26 PM Pacific Daylight Time	08/19/2010 05:23:54 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	062	0	2011	San Joaquin County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	068	0	1	01	01	H0562_068_0	3	08/20/2010	2011.01	08/20/2010 09:40:26 AM Central Daylight Time	08/20/2010 02:52:54 PM Pacific Daylight Time	08/19/2010 05:24:38 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart (HMO)	01	01		1			H0562	068	0	2011	Alameda County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	070	0	1	01	01	H0562_070_0	3	08/10/2010	2011.01	08/10/2010 12:01:50 PM Pacific Daylight Time	08/20/2010 04:32:40 PM Pacific Daylight Time	08/19/2010 05:25:22 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Amber II (HMO SNP)	01	01		1			H0562	070	0	2011	Parts of So. Cal., Alameda, Contra Costa, S.F.		2		2		2		1	3		1	2		www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-431-9007		(800)-431-9007		(800)-935-6565		(800)-935-6565		(800)-431-9007		(800)-431-9007		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	071	0	1	01	01	H0562_071_0	4	08/20/2010	2011.01	08/20/2010 03:59:12 PM Pacific Daylight Time	08/20/2010 02:53:30 PM Pacific Daylight Time	08/19/2010 05:26:06 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart Plan 2 (HMO)	01	01		1			H0562	071	0	2011	LA, Orange, Riverside and San Bernardino Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	077	0	1	01	01	H0562_077_0	4	08/19/2010	2011.01	08/19/2010 04:40:30 PM Pacific Daylight Time	08/20/2010 02:53:58 PM Pacific Daylight Time	08/19/2010 05:26:50 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Ruby Plan 3 (HMO)	01	01		1			H0562	077	0	2011	San Diego, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	079	0	1	01	01	H0562_079_0	3	08/19/2010	2011.01	08/19/2010 04:41:49 PM Pacific Daylight Time	08/20/2010 02:54:26 PM Pacific Daylight Time	08/19/2010 05:27:36 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Ruby (HMO)	01	01		1			H0562	079	0	2011	Kern County, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	081	0	1	01	01	H0562_081_0	5	08/19/2010	2011.01	08/19/2010 05:30:10 PM Pacific Daylight Time	08/20/2010 04:43:44 PM Pacific Daylight Time	08/19/2010 06:03:06 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Amber CHF (HMO SNP)	01	01		1			H0562	081	0	2011	Riverside and San Bernardino Counties		2		2				1	4		1		00001000000000000000	www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-431-9007		(800)-431-9007		(800)-935-6565		(800)-935-6565		(800)-431-9007		(800)-431-9007		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	082	0	1	01	01	H0562_082_0	4	08/20/2010	2011.01	08/20/2010 04:00:09 PM Pacific Daylight Time	08/20/2010 02:55:06 PM Pacific Daylight Time	08/19/2010 05:29:06 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart Plan 1 (HMO)	01	01		1			H0562	082	0	2011	LA, Orange, Riverside San Bernardino Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	083	0	1	01	01	H0562_083_0	3	08/19/2010	2011.01	08/19/2010 04:45:38 PM Pacific Daylight Time	08/20/2010 02:55:42 PM Pacific Daylight Time	08/19/2010 05:29:48 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Ruby Plan 1 (HMO)	01	01		1			H0562	083	0	2011	LA, Orange Riverside and San Bernardino Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	084	0	1	01	01	H0562_084_0	3	08/19/2010	2011.01	08/19/2010 04:45:47 PM Pacific Daylight Time	08/20/2010 02:56:08 PM Pacific Daylight Time	08/19/2010 05:30:36 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart Plan 2 (HMO)	01	01		1			H0562	084	0	2011	Sacramento		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	085	0	1	01	01	H0562_085_0	4	08/19/2010	2011.01	08/19/2010 04:45:55 PM Pacific Daylight Time	08/20/2010 02:56:52 PM Pacific Daylight Time	08/19/2010 05:31:24 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Salud con Health Net Medicare Advantage (HMO)	01	01		1			H0562	085	0	2011	LA, Orange, Riverside and San Bernardino Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	086	0	1	01	01	H0562_086_0	4	08/19/2010	2011.01	08/19/2010 04:46:04 PM Pacific Daylight Time	08/20/2010 02:57:24 PM Pacific Daylight Time	08/19/2010 05:32:12 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Ruby Plan 1 (HMO)	01	01		1			H0562	086	0	2011	San Diego, CA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	087	0	1	01	01	H0562_087_0	3	08/19/2010	2011.01	08/19/2010 05:32:46 PM Pacific Daylight Time	08/20/2010 02:57:58 PM Pacific Daylight Time	08/19/2010 05:32:54 PM Pacific Daylight Time		08/21/2010 10:37:46 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Healthy Heart Plan 1 (HMO)	01	01		1			H0562	087	0	2011	Placer and Sacramento Counties		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	801	0	1	01	01	H0562_801_0	2	07/09/2010	2011.01	07/09/2010 12:51:40 PM Pacific Daylight Time	06/06/2010 11:29:00 PM Pacific Daylight Time			07/09/2010 04:26:04 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Employer (HMO)	01	01		1			H0562	801	0	2011	California		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0562	803	0	1	01	01	H0562_803_0	3	07/09/2010	2011.01	07/09/2010 12:51:57 PM Pacific Daylight Time	07/29/2010 12:42:56 PM Pacific Daylight Time			08/03/2010 05:48:48 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Employer (HMO)	01	01		1			H0562	803	0	2011	California		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1
H0562	804	0	1	01	01	H0562_804_0	2	07/09/2010	2011.01	07/09/2010 12:51:19 PM Pacific Daylight Time	06/06/2010 11:35:00 PM Pacific Daylight Time			07/09/2010 04:26:04 PM Pacific Daylight Time	HEALTH NET OF CALIFORNIA	Health Net of California	www.healthnet.com	Health Net Seniority Plus Employer (HMO)	01	01		1			H0562	804	0	2011	California		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-275-4737		(800)-275-4737		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H0564	006	0	1	01	01	H0564_006_0	8	08/23/2010	2011.01	08/23/2010 04:25:55 PM Eastern Daylight Time	08/23/2010 04:33:18 PM Eastern Daylight Time	08/23/2010 04:35:31 PM Eastern Daylight Time		08/23/2010 04:41:40 PM Eastern Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	Blue Cross Senior Secure Plan I (HMO)	01	01		1			H0564	006	0	2011	Orange and Los Angeles Counties in California		2	3585	2				2							http://www.bluecrosscamedicarerx.com	www.bluecrossca.com	(888)-230-7338		(888)-230-7338		(800)-797-6438		(800)-797-6438		(888)-230-7338		(888)-230-7338		(800)-797-6438		(800)-797-6438		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H0564	047	0	1	01	01	H0564_047_0	8	08/23/2010	2011.01	08/23/2010 04:27:25 PM Eastern Daylight Time	08/23/2010 04:33:36 PM Eastern Daylight Time	08/23/2010 04:35:46 PM Eastern Daylight Time		08/23/2010 04:41:40 PM Eastern Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca	Blue Cross Senior Secure Plan I (HMO)	01	01		1			H0564	047	0	2011	Select Counties in Southern California		2	7008	2				2							http://www.bluecrosscamedicarerx.com	www.bluecrossca.com	(888)-230-7338		(888)-230-7338		(800)-797-6438		(800)-797-6438		(888)-230-7338		(888)-230-7338		(800)-797-6438		(800)-797-6438		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H0564	801	0	1	01	01	H0564_801_0	9	08/20/2010	2011.01	08/20/2010 12:17:49 PM Pacific Daylight Time	07/22/2010 04:41:14 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca/medicare	Senior Secure (HMO)	01	01		1			H0564	801	0	2011	California, Select Counties		1	998	2				2							http://www.bluecrosscamedicarerx.com	www.bluecrossca.com	(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H0564	810	0	1	01	01	H0564_810_0	6	08/20/2010	2011.01	08/20/2010 12:00:43 PM Pacific Daylight Time	07/22/2010 04:42:35 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca/medicare	Senior Secure (HMO)	01	01		1			H0564	810	0	2011	California, Select Counties		1	50	2				2							http://www.bluecrosscamedicarerx.com	www.bluecrossca.com	(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1
H0564	811	0	1	01	01	H0564_811_0	6	08/20/2010	2011.01	08/20/2010 11:59:57 AM Pacific Daylight Time	07/22/2010 04:43:14 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	BLUE CROSS OF CALIFORNIA	Anthem Blue Cross	www.anthem.com/ca/medicare	Senior Secure (HMO)	01	01		1			H0564	811	0	2011	CA, Select Counties		1	50	2				2							http://www.bluecrosscamedicarerx.com	www.bluecrossca.com	(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(888)-230-7338		(888)-230-7338		(888)-211-9813		(888)-211-9813		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H0571	001	0	1	01	01	H0571_001_0	9	08/24/2010	2011.01	08/24/2010 04:15:43 PM Pacific Daylight Time	08/23/2010 10:36:32 AM Pacific Daylight Time	08/23/2010 10:35:43 AM Pacific Daylight Time		08/24/2010 04:27:17 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Program (HMO)	01	01		1			H0571	001	0	2011	San Francisco County		2	4081	2				2							www.cchphmo.com/drugbenefitseniorprogram.html	www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1
H0571	002	0	2	01	01	H0571_002_0	9	08/24/2010	2011.01	08/24/2010 04:16:19 PM Pacific Daylight Time	08/23/2010 10:36:26 AM Pacific Daylight Time	08/23/2010 10:35:47 AM Pacific Daylight Time		08/24/2010 04:27:17 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Plan B-only Plan (HMO)	01	01		2	2		H0571	002	0	2011	San Francisco County		2	6	2				2							www.cchphmo.com/drugbenefitseniorprogram.html	www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1
H0571	005	0	1	01	01	H0571_005_0	5	07/28/2010	2011.01	07/28/2010 03:32:38 PM Pacific Daylight Time	08/23/2010 03:48:39 PM Pacific Daylight Time	08/23/2010 10:36:12 AM Pacific Daylight Time		08/23/2010 03:52:55 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Select Program (HMO SNP)	01	01		1			H0571	005	0	2011	San Francisco County		2	3590	2		2		1	3		1	3			www.cchphmo.com/drugbenefitseniorprogram.html	www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1
H0571	006	0	1	01	01	H0571_006_0	8	08/24/2010	2011.01	08/24/2010 04:17:23 PM Pacific Daylight Time	08/23/2010 10:36:59 AM Pacific Daylight Time	08/23/2010 10:36:38 AM Pacific Daylight Time		08/24/2010 04:27:17 PM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Program (HMO)	01	01		1			H0571	006	0	2011	Northern San Mateo County		2	449	2				2							www.cchphmo.com/drugbenefitseniorprogram.html	www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1
H0571	801	0	1	01	01	H0571_801_0	4	07/28/2010	2011.01	07/28/2010 03:33:42 PM Pacific Daylight Time	06/07/2010 06:01:35 PM Pacific Daylight Time			07/29/2010 09:09:40 AM Pacific Daylight Time	CHINESE COMMUNITY HEALTH PLAN	Chinese Community Health Plan	www.cchphmo.com	CCHP Senior Plan  Employer-Only (HMO)	01	01		1			H0571	801	0	2011	San Francisco County		1	26	2				2							www.cchphmo.com/drugbenefitseniorprogram.html	www.cchphmo.com/drugbenefitseniorprogram.html	(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(888)-775-7888		(415)-834-2118		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		(877)-681-8898		1
H0602	001	0	1	18	06	H0602_001_0	5	08/09/2010	2011.01	08/09/2010 09:52:57 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Standard Plan (Cost)	06	18		1			H0602	001	0	2011	Western Slope Colorado		2	5800	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	003	0	1	18	06	H0602_003_0	9	08/09/2010	2011.01	08/09/2010 09:53:13 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Plus Plan (Cost)	06	18		1			H0602	003	0	2011	Colorado		2	1125	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	007	0	1	18	06	H0602_007_0	6	08/09/2010	2011.01	08/09/2010 09:53:36 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Standard Plan (Cost)	06	18		1			H0602	007	0	2011	Front Range Colorado		2	2300	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	009	0	1	18	06	H0602_009_0	6	08/09/2010	2011.01	08/09/2010 09:53:50 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Standard Plan (Cost)	06	18		1			H0602	009	0	2011	Denver/Boulder Metro Area		2	2025	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	013	0	1	18	06	H0602_013_0	6	08/09/2010	2011.01	08/09/2010 09:54:10 AM Mountain Daylight Time				08/09/2010 02:05:45 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	winhealthpartners.org	WINhealth Partners Standard Plan (Cost)	06	18		1			H0602	013	0	2011	Select Wyoming Counties		2	75	2				2							http://www.rmhp.org	www.rmhp.org	(800)-840-2211		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	017	0	1	18	06	H0602_017_0	11	08/19/2010	2011.01	08/19/2010 02:40:28 PM Mountain Daylight Time		08/19/2010 10:19:31 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Standard Plan + Rx (Cost)	06	18		1			H0602	017	0	2011	Western Slope Colorado		2	5800	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	019	0	1	18	06	H0602_019_0	9	08/09/2010	2011.01	08/09/2010 09:54:29 AM Mountain Daylight Time		08/19/2010 10:20:00 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Plus Plan + Rx (Cost)	06	18		1			H0602	019	0	2011	Colorado		2	1125	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	020	0	1	18	06	H0602_020_0	10	08/09/2010	2011.01	08/09/2010 09:54:41 AM Mountain Daylight Time		08/19/2010 10:20:26 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Standard Plan + Rx (Cost)	06	18		1			H0602	020	0	2011	Front Range Colorado		2	2300	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	022	0	1	18	06	H0602_022_0	10	08/09/2010	2011.01	08/09/2010 09:54:52 AM Mountain Daylight Time		08/19/2010 10:20:52 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Standard Plan + Rx (Cost)	06	18		1			H0602	022	0	2011	Denver/Boulder Metro Area		2	2025	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(800)-346-4643		(970)-243-7050		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	023	0	1	18	06	H0602_023_0	10	08/09/2010	2011.01	08/09/2010 09:55:03 AM Mountain Daylight Time		08/19/2010 10:21:16 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	winhealthpartners.org	WINhealth Partners Standard Plan + Rx (Cost)	06	18		1			H0602	023	0	2011	Select Wyoming Counties		2	75	2				2							http://www.rmhp.org	www.rmhp.org	(800)-840-2211		(800)-840-2211		(888)-282-1420		(970)-244-7912		(800)-840-2211		(800)-840-2211		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	026	0	1	18	06	H0602_026_0	1	06/04/2010	2011.01	06/04/2010 09:38:55 AM Mountain Daylight Time				06/04/2010 07:51:02 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	AB Basic Plan (Cost)	06	18		1			H0602	026	0	2011	Colorado and Select Wyoming Counties		2	1300	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	027	0	1	18	06	H0602_027_0	5	08/09/2010	2011.01	08/09/2010 09:55:14 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Thrifty Plan (Cost)	06	18		1			H0602	027	0	2011	Western Slope Colorado		2	780	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	028	0	1	18	06	H0602_028_0	5	08/09/2010	2011.01	08/09/2010 09:55:23 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Thrifty Plan (Cost)	06	18		1			H0602	028	0	2011	Front Range Colorado		2	90	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	029	0	1	18	06	H0602_029_0	5	08/09/2010	2011.01	08/09/2010 09:55:33 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky MountainThrifty Plan (Cost)	06	18		1			H0602	029	0	2011	Denver/Boulder Metro Area		2	350	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	036	0	1	18	06	H0602_036_0	6	08/09/2010	2011.01	08/09/2010 09:55:41 AM Mountain Daylight Time		08/19/2010 10:21:53 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Thrifty Plan + Rx (Cost)	06	18		1			H0602	036	0	2011	Denver/Boulder Metro Area		2	400	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(800)-346-4643		(970)-243-7050		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	038	0	1	18	06	H0602_038_0	6	08/09/2010	2011.01	08/09/2010 09:55:52 AM Mountain Daylight Time		08/19/2010 10:22:18 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Thrifty Plan + Rx (Cost)	06	18		1			H0602	038	0	2011	Front Range Colorado		2	115	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(800)-346-4643		(970)-243-7050		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	039	0	1	18	06	H0602_039_0	6	08/17/2010	2011.01	08/17/2010 08:27:10 AM Mountain Daylight Time		08/19/2010 10:22:41 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Thrifty Plan + Rx (Cost)	06	18		1			H0602	039	0	2011	Western Slope Colorado		2	700	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(800)-346-4643		(970)-243-7050		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	040	0	2	18	06	H0602_040_0	2	06/07/2010	2011.01	06/07/2010 11:00:44 AM Mountain Daylight Time				06/07/2010 11:31:04 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	B Basic Plan (Cost)	06	18		2	2		H0602	040	0	2011	Colorado and Select Wyoming Counties		2	5	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-243-7050										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	041	0	2	18	06	H0602_041_0	6	08/09/2010	2011.01	08/09/2010 09:56:12 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	B Standard Plan (Cost)	06	18		2	2		H0602	041	0	2011	Colorado and Select Wyoming Counties		2	10	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	042	0	1	18	06	H0602_042_0	5	08/09/2010	2011.01	08/09/2010 09:56:22 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Green Plan (Cost)	06	18		1			H0602	042	0	2011	Colorado		2	600	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	043	0	1	18	06	H0602_043_0	6	08/20/2010	2011.01	08/20/2010 07:30:27 AM Mountain Daylight Time		08/19/2010 10:23:05 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhpmedicare.org	Rocky Mountain Green Plan + Rx (Cost)	06	18		1			H0602	043	0	2011	Colorado		2	600	2				2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420		(970)-244-7912		(800)-346-4643		(970)-243-7050		(888)-282-1420		(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0602	044	0	1	18	06	H0602_044_0	5	08/09/2010	2011.01	08/09/2010 09:56:42 AM Mountain Daylight Time				08/09/2010 01:03:07 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	winhealthpartners.org	WINhealth Partners Green Plan (Cost)	06	18		1			H0602	044	0	2011	Select Wyoming Counties		2	100	2				2							http://www.rmhp.org	www.rmhp.org	(800)-840-2211		(800)-840-2211		(888)-282-1420		(970)-244-7912										(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019										1
H0602	045	0	1	18	06	H0602_045_0	5	08/17/2010	2011.01	08/17/2010 08:26:20 AM Mountain Daylight Time		08/19/2010 10:23:31 AM Mountain Daylight Time		08/20/2010 08:13:22 AM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	winhealthpartners.org	WINhealth Partners Green Plan + Rx (Cost)	06	18		1			H0602	045	0	2011	Select Wyoming Counties		2	100	2				2							http://www.rmhp.org	www.rmhp.org	(800)-840-2211		(800)-840-2211		(888)-282-1420		(970)-244-7912		(800)-840-2211		(800)-840-2211		(800)-949-6952	241	(970)-244-7912		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(800)-704-6370		(800)-704-6370		(970)-248-5019		1
H0602	801	0		18	06	H0602_801_0	1	05/26/2010	2011.01						ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION	Rocky Mountain Health Plans	www.rmhp.org	Group Plus Plan (Cost)	06	18					H0602	801	0	2011	Colorado		1						2							http://www.rmhp.org	www.rmhp.org	(888)-282-1420		(970)-244-7912		(888)-282-1420				(888)-282-1420		(970)-243-7050		(800)-346-4643		(970)-243-7050		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		(800)-704-6370		(970)-248-5019		1
H0609	002	0	1	01	01	H0609_002_0	4	06/01/2010	2011.01	06/01/2010 10:07:39 AM Central Daylight Time	08/19/2010 07:23:37 PM Central Daylight Time	08/18/2010 04:44:13 PM Central Daylight Time		08/20/2010 02:49:16 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0609	002	0	2011	El Paso, Teller and Larimer counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0609	007	0	1	01	01	H0609_007_0	5	06/01/2010	2011.01	06/01/2010 12:21:41 PM Central Daylight Time	08/19/2010 07:23:57 PM Central Daylight Time	08/18/2010 04:44:18 PM Central Daylight Time		08/20/2010 02:49:16 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H0609	007	0	2011	Denver Metro		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0609	012	0	1	01	01	H0609_012_0	4	06/01/2010	2011.01	06/01/2010 10:07:59 AM Central Daylight Time	08/19/2010 07:24:17 PM Central Daylight Time	08/18/2010 04:44:23 PM Central Daylight Time		08/20/2010 02:49:16 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0609	012	0	2011	Denver Metro		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0609	015	0	1	01	01	H0609_015_0	1	06/01/2010	2011.01	06/01/2010 12:25:05 PM Central Daylight Time	06/01/2010 06:06:34 PM Central Daylight Time			06/03/2010 08:17:34 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H0609	015	0	2011	El Paso, Fremont, Pueblo, Teller, Larimer counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H0609	018	0	1	01	01	H0609_018_0	1	06/01/2010	2011.01	06/01/2010 10:08:41 AM Central Daylight Time	06/01/2010 06:06:46 PM Central Daylight Time			06/03/2010 08:17:34 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H0609	018	0	2011	Denver Metro		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H0609	020	0	1	01	01	H0609_020_0	4	06/01/2010	2011.01	06/01/2010 10:08:53 AM Central Daylight Time	08/19/2010 07:24:37 PM Central Daylight Time	08/18/2010 04:44:28 PM Central Daylight Time		08/20/2010 02:49:16 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H0609	020	0	2011	El Paso, Fremont, Pueblo, Teller, Larimer counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0609	801	0	1	01	01	H0609_801_0	1	06/03/2010	2011.01	06/03/2010 04:10:42 PM Central Daylight Time	06/01/2010 06:07:10 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0609	801	0	2011	CO Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H0609	804	0	1	01	01	H0609_804_0	1	05/26/2010	2011.01	05/26/2010 04:30:26 PM Central Daylight Time	06/01/2010 06:07:22 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0609	804	0	2011	CO Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0609	805	0	1	01	01	H0609_805_0	1	05/26/2010	2011.01	05/26/2010 04:30:29 PM Central Daylight Time	06/01/2010 06:07:34 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0609	805	0	2011	CO Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0609	806	0	2	01	01	H0609_806_0	1	06/03/2010	2011.01	06/03/2010 04:13:43 PM Central Daylight Time	06/01/2010 06:07:46 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	PACIFICARE OF COLORADO, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H0609	806	0	2011	CO Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0613	001	0	1	20	08	H0613_001_0	1	06/02/2010	2011.01	06/02/2010 05:31:15 PM Mountain Daylight Time		06/02/2010 05:24:38 PM Mountain Daylight Time		06/02/2010 05:38:10 PM Mountain Daylight Time	TOTAL LONGTERM CARE, INC.	Total Longterm Care, Inc.	totallongtermcare.org	Total Longterm Care - Dual eligibles (PACE)	08	20		1			H0613	001	0	2011	Metropolitan Denver		2		2				2							http://www.totallongtermcare.org/services.html	http://www.totallongtermcare.org									(877)-277-6163		(303)-869-4664		(877)-277-6163		(303)-869-4664										(877)-277-6163		(303)-869-4664		(877)-277-6163		(303)-869-4664		1
H0613	003	0	1	20	08	H0613_003_0	1	06/02/2010	2011.01	06/02/2010 05:31:59 PM Mountain Daylight Time		06/02/2010 05:24:38 PM Mountain Daylight Time		06/02/2010 05:38:10 PM Mountain Daylight Time	TOTAL LONGTERM CARE, INC.	Total Longterm Care, Inc.	totallongtermcare.org	Total Longterm Care - Medicare only (PACE)	08	20		1			H0613	003	0	2011	Metropolitian Denver		2		2				2							http://www.totallongtermcare.org/services.html	http://www.totallongtermcare.org									(303)-869-4664		(303)-869-4664		(877)-277-6163		(303)-869-4664										(877)-277-6163		(303)-869-4664		(877)-277-6163		(303)-869-4664		1
H0620	002	0	1	04	01	H0620_002_0	4	06/03/2010	2011.01	06/03/2010 02:35:49 PM Central Daylight Time	08/19/2010 05:17:48 PM Central Daylight Time	08/18/2010 04:27:14 PM Central Daylight Time		08/20/2010 02:49:16 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H0620	002	0	2011	Denver, Colorado Springs Area		2		2				1	1	1	1			www.EvercareHealthPlans.com	evercarehealthplans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0621	001	0	1	01	01	H0621_001_0	7	08/23/2010	2011.01	08/23/2010 09:39:34 AM Mountain Daylight Time	08/20/2010 04:46:26 AM Mountain Daylight Time	08/18/2010 04:32:00 PM Mountain Daylight Time		08/23/2010 12:46:08 PM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coaccess.com	Colorado Access Advantage - Plan D (HMO SNP)	01	01		1			H0621	001	0	2011	Denver,  Surrounding Counties, and San Luis Valley		2	1491	2		2		1	3		1	3		http://www.coaccess.com/our-medicare-plans	www.coaccess.com/our-medicare-plans	www.coaccess.com/our-medicare-plans	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1
H0621	006	0	1	01	01	H0621_006_0	6	08/20/2010	2011.01	08/20/2010 01:24:13 PM Mountain Daylight Time	08/20/2010 12:48:52 PM Mountain Daylight Time	08/18/2010 04:27:12 PM Mountain Daylight Time		08/23/2010 12:46:08 PM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coaccess.com	Colorado Access Advantage - Plan E (HMO)	01	01		1			H0621	006	0	2011	Denver,  Surrounding Counties, and San Luis Valley		2	604	2				2						http://www.coaccess.com/our-medicare-plans	www.coaccess.com/our-medicare-plans	www.coaccess.com/our-medicare-plans	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1
H0621	009	0	1	01	01	H0621_009_0	4	08/23/2010	2011.01	08/23/2010 11:16:17 AM Mountain Daylight Time	08/20/2010 05:06:40 AM Mountain Daylight Time	08/18/2010 04:36:06 PM Mountain Daylight Time		08/23/2010 11:47:28 AM Mountain Daylight Time	COLORADO ACCESS	Colorado Access	www.coaccess.com	Colorado Access Advantage Select D (HMO SNP)	01	01		1			H0621	009	0	2011	Denver,  Surrounding Counties, and San Luis Valley		2	643	2		2		1	3		1	5		http://www.coaccess.com/our-medicare-plans	www.coaccess.com/our-medicare-plans	www.coaccess.com/our-medicare-plans	(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(877)-441-6032		(303)-751-2657		(877)-287-6767		(303)-751-2436		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		(888)-803-4494		1
H0623	001	0	1	04	01	H0623_001_0	5	08/20/2010	2011.01	08/20/2010 03:07:58 PM Eastern Daylight Time	08/20/2010 11:56:22 AM Eastern Daylight Time	08/20/2010 03:39:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0623-001 (PPO)	01	04		1			H0623	001	0	2011	Denver/Fort Collins/Pueblo/Grand Junction Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0623	009	0	1	04	01	H0623_009_0	4	07/26/2010	2011.01	07/26/2010 02:41:23 PM Eastern Daylight Time	08/02/2010 03:45:22 PM Eastern Daylight Time			08/09/2010 10:00:38 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H0623-009 (PPO)	01	04		1			H0623	009	0	2011	Denver/Fort Collins/Pueblo/Grand Junction Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H0624	001	0	1	01	01	H0624_001_0	4	06/01/2010	2011.01	06/01/2010 07:12:16 PM Central Daylight Time	08/19/2010 05:22:58 PM Central Daylight Time	08/18/2010 04:27:19 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H0624	001	0	2011	Denver, Colorado Springs area		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	evercarehealthplans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0630	013	0	1	01	01	H0630_013_0	5	08/23/2010	2011.01	08/23/2010 02:30:55 PM Mountain Daylight Time	08/23/2010 01:49:26 PM Mountain Daylight Time	08/20/2010 11:33:40 AM Mountain Daylight Time		08/23/2010 03:34:30 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Core (HMO)	01	01		1			H0630	013	0	2011	Denver Metro Area		2	6433	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	014	0	1	01	01	H0630_014_0	2	08/23/2010	2011.01	08/23/2010 08:53:23 AM Mountain Daylight Time	08/20/2010 04:28:46 PM Mountain Daylight Time	08/20/2010 12:01:48 PM Mountain Daylight Time		08/23/2010 03:34:30 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Medicare Medicaid Plan (HMO SNP)	01	01		1			H0630	014	0	2011	Denver Metro Area		2	2348	2		2		1	3		1	2		kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	015	0	1	01	01	H0630_015_0	5	08/06/2010	2011.01	08/06/2010 02:41:56 PM Pacific Daylight Time	08/20/2010 02:31:30 PM Mountain Daylight Time	08/20/2010 11:37:54 AM Mountain Daylight Time		08/23/2010 10:29:19 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Silver (HMO)	01	01		1			H0630	015	0	2011	Denver Metro Area		2	27038	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	016	0	1	01	01	H0630_016_0	5	08/06/2010	2011.01	08/06/2010 04:37:47 PM Pacific Daylight Time	08/20/2010 02:33:20 PM Mountain Daylight Time	08/20/2010 12:00:38 PM Mountain Daylight Time		08/23/2010 10:29:19 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Gold (HMO)	01	01		1			H0630	016	0	2011	Denver Metro Area		2	3977	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	017	0	1	01	01	H0630_017_0	4	08/23/2010	2011.01	08/23/2010 02:52:31 PM Mountain Daylight Time	08/23/2010 01:54:03 PM Mountain Daylight Time	08/20/2010 11:52:52 AM Mountain Daylight Time		08/23/2010 03:34:30 PM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Core (HMO)	01	01		1			H0630	017	0	2011	Southern Colorado		2	1170	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	018	0	1	01	01	H0630_018_0	4	06/03/2010	2011.01	06/03/2010 04:54:34 PM Mountain Daylight Time	08/20/2010 02:37:50 PM Mountain Daylight Time	08/20/2010 11:53:46 AM Mountain Daylight Time		08/23/2010 10:29:19 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Silver (HMO)	01	01		1			H0630	018	0	2011	Southern Colorado		2	701	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	019	0	1	02	01	H0630_019_0	5	08/06/2010	2011.01	08/06/2010 04:38:29 PM Pacific Daylight Time	08/20/2010 02:34:54 PM Mountain Daylight Time	08/20/2010 11:51:46 AM Mountain Daylight Time		08/23/2010 10:29:19 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Plus Choice (HMO-POS)	01	02		1			H0630	019	0	2011	Denver Metro Area		2	798	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(800)-476-2167		(303)-338-3800		(877)-408-3492		(877)-408-3492		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	805	0	2	01	01	H0630_805_0	2	08/06/2010	2011.01	08/06/2010 03:54:59 PM Pacific Daylight Time	08/06/2010 04:00:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Group MA-PD_Part B only (HMO)	01	01		2	1		H0630	805	0	2011	Denver Metro Area		1	515	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	806	0	2	01	01	H0630_806_0	2	08/06/2010	2011.01	08/06/2010 03:55:14 PM Pacific Daylight Time	08/06/2010 04:41:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Group MA only_Part B only (HMO)	01	01		2	1		H0630	806	0	2011	Denver Metro Area		1	19	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814										(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054										1
H0630	807	0	1	01	01	H0630_807_0	3	08/06/2010	2011.01	08/06/2010 03:55:31 PM Pacific Daylight Time	08/06/2010 04:43:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Group MA-PD (HMO)	01	01		1			H0630	807	0	2011	Denver Metro Area		1	20776	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	808	0	1	01	01	H0630_808_0	3	08/06/2010	2011.01	08/06/2010 03:57:42 PM Pacific Daylight Time	08/06/2010 04:52:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Adv_Group_MA only (HMO)	01	01		1			H0630	808	0	2011	Denver Metro Area		1	1071	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814										(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054										1
H0630	809	0	2	01	01	H0630_809_0	2	08/06/2010	2011.01	08/06/2010 04:06:28 PM Pacific Daylight Time	08/06/2010 05:05:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	FEHB B only with D (HMO)	01	01		2	1		H0630	809	0	2011	Denver Metro Area		1	15	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	810	0	1	01	01	H0630_810_0	3	08/06/2010	2011.01	08/06/2010 04:07:08 PM Pacific Daylight Time	08/06/2010 05:08:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	FEHB AB with D (HMO)	01	01		1			H0630	810	0	2011	Denver Metro Area		1	2419	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	811	0	2	01	01	H0630_811_0	2	08/06/2010	2011.01	08/06/2010 04:07:29 PM Pacific Daylight Time	08/06/2010 05:23:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Group MA-PD_Part B only (HMO)	01	01		2	1		H0630	811	0	2011	Southern Colorado		1	96	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	812	0	2	01	01	H0630_812_0	2	08/06/2010	2011.01	08/06/2010 04:07:53 PM Pacific Daylight Time	08/06/2010 05:26:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Group MA only_Part B only (HMO)	01	01		2	1		H0630	812	0	2011	Southern Colorado		1	20	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814										(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054										1
H0630	813	0	1	01	01	H0630_813_0	3	08/06/2010	2011.01	08/06/2010 04:08:09 PM Pacific Daylight Time	08/06/2010 05:28:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Group MA-PD (HMO)	01	01		1			H0630	813	0	2011	Southern Colorado		1	1753	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	814	0	1	01	01	H0630_814_0	3	08/06/2010	2011.01	08/06/2010 04:08:42 PM Pacific Daylight Time	08/06/2010 05:30:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	Senior Adv Group_MA only (HMO)	01	01		1			H0630	814	0	2011	Southern Colorado		1	20	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814										(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054										1
H0630	815	0	2	01	01	H0630_815_0	2	08/06/2010	2011.01	08/06/2010 04:08:55 PM Pacific Daylight Time	08/06/2010 05:33:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	FEHB B only with D (HMO)	01	01		2	1		H0630	815	0	2011	Southern Colorado		1	1	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0630	816	0	1	01	01	H0630_816_0	3	08/06/2010	2011.01	08/06/2010 04:09:16 PM Pacific Daylight Time	08/06/2010 05:35:00 PM Mountain Daylight Time			08/07/2010 08:13:20 AM Mountain Daylight Time	KAISER FOUNDATION HP OF CO	Kaiser Permanente Senior Advantage	kp.org	FEHB AB with D (HMO)	01	01		1			H0630	816	0	2011	Southern Colorado		1	707	2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(800)-476-2167		(303)-338-3800		(800)-509-7570		(303)-338-3814		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		(866)-513-9964		(303)-338-3820		(888)-758-6054		(888)-758-6054		1
H0657	005	0	1	18	06	H0657_005_0	4	09/24/2010	2011.01	09/24/2010 06:19:33 PM Mountain Daylight Time				09/24/2010 06:28:09 PM Mountain Daylight Time	COLORADO CHOICE HEALTH PLANS	Colorado Choice Health Plans	coloradochoicehp.com	Colorado Choice Silver SV (Cost) Plan (Cost)	06	18		1			H0657	005	0	2011	ALA, CON, COS, MIN, RIOG, SAG		2	50	2				2									(800)-475-8466		(719)-589-3696		(800)-475-8466		(719)-589-3696										(800)-659-2656		(800)-659-2656		(800)-659-2656		(800)-659-2656										2
H0657	006	0	1	18	06	H0657_006_0	5	09/24/2010	2011.01	09/24/2010 06:19:41 PM Mountain Daylight Time				09/24/2010 06:28:09 PM Mountain Daylight Time	COLORADO CHOICE HEALTH PLANS	Colorado Choice Health Plans	www.coloradochoicehp.com	Colorado Choice Gold SV (Cost) Plan (Cost)	06	18		1			H0657	006	0	2011	ALA, CON, COS, MIN, RIOG, SAG		2	50	2				2									(800)-475-8466		(719)-589-3696		(800)-475-8466		(719)-589-3696										(800)-659-2656		(800)-659-2656		(800)-659-2656		(800)-659-2656										2
H0657	007	0	1	18	06	H0657_007_0	5	09/24/2010	2011.01	09/24/2010 06:19:50 PM Mountain Daylight Time				09/24/2010 06:28:09 PM Mountain Daylight Time	COLORADO CHOICE HEALTH PLANS	Colorado Choice Health Plans	www.coloradochoicehp.com	Colorado Choice Platinum SV (Cost) Plan (Cost)	06	18		1			H0657	007	0	2011	ALA, CON, COS, MIN, RIOG, SAG		2	550	2				2									(800)-475-8466		(719)-589-3696		(800)-475-8466		(719)-589-3696										(800)-659-2656		(800)-659-2656		(800)-659-2656		(800)-659-2656										2
H0657	008	0	1	18	06	H0657_008_0	6	09/28/2010	2011.01	09/28/2010 09:33:41 AM Mountain Daylight Time				09/28/2010 09:52:18 AM Mountain Daylight Time	COLORADO CHOICE HEALTH PLANS	Colorado Choice Health Plans	www.coloradochoicehp.com	Colorado Choice Silver (Cost) Plan (Cost)	06	18		1			H0657	008	0	2011	BEN, CHA, CRO, CUS, FRE, HUE, LAS, OTE, PRO, YUM		2	75	2				2									(800)-475-8466		(719)-589-3696		(800)-475-8466		(719)-589-3696										(800)-659-2656		(800)-659-2656		(800)-659-2656		(800)-659-2656										2
H0657	009	0	1	18	06	H0657_009_0	5	09/24/2010	2011.01	09/24/2010 06:20:05 PM Mountain Daylight Time				09/24/2010 06:28:09 PM Mountain Daylight Time	COLORADO CHOICE HEALTH PLANS	Colorado Choice Health Plans	www.coloradochoicehp.com	Colorado Choice Gold (Cost) Plan (Cost)	06	18		1			H0657	009	0	2011	BEN, CHA, CRO, CUS, FRE, HUE, LAS, OTE, PRO, YUM		2	20	2				2									(800)-475-8466		(719)-589-3696		(800)-475-8466		(719)-589-3696										(800)-659-2656		(800)-659-2656		(800)-659-2656		(800)-659-2656										2
H0657	010	0	1	18	06	H0657_010_0	5	09/24/2010	2011.01	09/24/2010 06:20:13 PM Mountain Daylight Time				09/24/2010 06:28:09 PM Mountain Daylight Time	COLORADO CHOICE HEALTH PLANS	Colorado Choice Health Plans	www.coloradochoicehp.com	Colorado Choice Platinum (Cost) Plan (Cost)	06	18		1			H0657	010	0	2011	BEN, CHA, CRO, CUS, FRE, HUE, LAS, OTE, PRO, YUM		2	30	2				2									(800)-475-8466		(719)-589-3696		(800)-475-8466		(719)-589-3696										(800)-659-2656		(800)-659-2656		(800)-659-2656		(800)-659-2656										2
H0710	001	0	1	04	01	H0710_001_0	5	08/20/2010	2011.01	08/20/2010 01:56:07 PM Central Daylight Time	08/19/2010 04:41:23 PM Central Daylight Time	08/18/2010 04:27:25 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H0710	001	0	2011	Fairfld, Hrtfrd, Lthfld, New Hvn, Tollnd, Wndham		2		2				1	1	1	1			www.EvercareHealthPlans.com	evercarehealthplans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0710	002	0	1	04	01	H0710_002_0	4	06/03/2010	2011.01	06/03/2010 10:53:13 AM Central Daylight Time	08/19/2010 04:41:52 PM Central Daylight Time	08/18/2010 04:27:30 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H0710	002	0	2011	Fairfld, Hrtfrd, Lthfld, New Hvn, Tollnd, Wndham		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	evercarehealthplans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0712	001	0	1	02	01	H0712_001_0	5	08/10/2010	2011.01	08/10/2010 10:18:18 AM Eastern Daylight Time	08/20/2010 04:49:36 PM Eastern Daylight Time	08/20/2010 04:54:48 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H0712	001	0	2011	Fairfield, Hartford, New Haven, Tolland Counties		2		2				2							www.wellcare.com	www.wellcare.com	(866)-579-8006		(866)-579-8006		(877)-232-7119		(877)-232-7119		(866)-579-8006		(866)-579-8006		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H0712	005	0	1	01	01	H0712_005_0	5	08/20/2010	2011.01	08/20/2010 09:34:58 AM Eastern Daylight Time	08/20/2010 04:49:54 PM Eastern Daylight Time	08/20/2010 04:55:09 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H0712	005	0	2011	Fairfield, Hartford, New Haven, Tolland Counties		2		2		2		1	3		1	1			www.wellcare.com	www.wellcare.com	(866)-635-7047		(866)-635-7047		(877)-232-7119		(877)-232-7119		(866)-635-7047		(866)-635-7047		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H0712	018	0	1	02	01	H0712_018_0	8	08/10/2010	2011.01	08/10/2010 10:18:45 AM Eastern Daylight Time	08/20/2010 04:50:15 PM Eastern Daylight Time	08/20/2010 04:55:29 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE OF CONNECTICUT, INC.	WellCare	www.wellcare.com	WellCare Premium (HMO-POS)	01	02		1			H0712	018	0	2011	Fairfield, Hartford, New Haven, Tolland Counties		2		2				2							www.wellcare.com	www.wellcare.com	(866)-579-8006		(866)-579-8006		(877)-232-7119		(877)-232-7119		(866)-579-8006		(866)-579-8006		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H0752	002	0	1	02	01	H0752_002_0	6	06/01/2010	2011.01	06/01/2010 10:15:00 AM Central Daylight Time	08/19/2010 06:34:04 PM Central Daylight Time	08/18/2010 04:27:35 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	OXFORD HEALTH PLANS (CT), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H0752	002	0	2011	New Haven CT		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0752	801	0	1	01	01	H0752_801_0	1	05/26/2010	2011.01	05/26/2010 04:36:10 PM Central Daylight Time	06/01/2010 06:46:49 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	OXFORD HEALTH PLANS (CT), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0752	801	0	2011	CT Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0752	802	0	1	01	01	H0752_802_0	1	05/26/2010	2011.01	05/26/2010 04:36:33 PM Central Daylight Time	06/01/2010 06:46:34 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	OXFORD HEALTH PLANS (CT), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0752	802	0	2011	CT Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H0752	803	0	1	01	01	H0752_803_0	1	05/26/2010	2011.01	05/26/2010 04:36:34 PM Central Daylight Time	06/01/2010 06:45:52 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	OXFORD HEALTH PLANS (CT), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0752	803	0	2011	CT Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H0755	030	0	1	01	01	H0755_030_0	3	06/05/2010	2011.01	06/05/2010 12:43:50 PM Central Daylight Time	08/19/2010 03:27:03 PM Central Daylight Time	08/18/2010 04:44:37 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	HEALTH NET OF CONNECTICUT	UnitedHealthcare	www.healthnet.com	UnitedHealthcare MedicareComplete Plan 1 (HMO)	01	01		1			H0755	030	0	2011	Connecticut		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-949-2516		(800)-949-2516		(800)-547-8734		(800)-547-8734		(800)-949-2516		(800)-949-2516		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1
H0755	031	0	1	01	01	H0755_031_0	3	06/05/2010	2011.01	06/05/2010 12:44:29 PM Central Daylight Time	08/19/2010 03:26:19 PM Central Daylight Time	08/18/2010 04:44:46 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	HEALTH NET OF CONNECTICUT	UnitedHealthcare	www.healthnet.com	UnitedHealthcare MedicareComplete Plan 2 (HMO)	01	01		1			H0755	031	0	2011	Connecticut		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-949-2516		(800)-949-2516		(800)-547-8734		(800)-547-8734		(800)-949-2516		(800)-949-2516		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1
H0755	032	0	1	01	01	H0755_032_0	2	08/09/2010	2011.01	08/09/2010 02:22:49 PM Central Daylight Time	08/10/2010 10:13:57 AM Central Daylight Time			08/11/2010 09:52:46 AM Central Daylight Time	HEALTH NET OF CONNECTICUT	UnitedHealthcare	www.healthnet.com	UnitedHealthcare MedicareComplete Essential (HMO)	01	01		1			H0755	032	0	2011	Connecticut		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-949-2516		(800)-949-2516										(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424										1
H0755	807	0	1	02	01	H0755_807_0	1	05/27/2010	2011.01	05/27/2010 08:15:10 AM Central Daylight Time	06/06/2010 04:36:32 PM Central Daylight Time			06/07/2010 09:42:11 AM Central Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H0755	807	0	2011	Select Counties in CT		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1
H0755	808	0	1	02	01	H0755_808_0	1	05/27/2010	2011.01	05/27/2010 08:15:40 AM Central Daylight Time	06/06/2010 04:35:55 PM Central Daylight Time			06/07/2010 09:42:11 AM Central Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H0755	808	0	2011	Select Counties in CT		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192										(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424										1
H0755	809	0	1	02	01	H0755_809_0	1	06/07/2010	2011.01	06/07/2010 09:36:59 AM Central Daylight Time	06/06/2010 04:35:09 PM Central Daylight Time			06/07/2010 09:42:11 AM Central Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H0755	809	0	2011	Select Counties in CT		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1
H0755	810	0	1	01	01	H0755_810_0	1	06/03/2010	2011.01	06/07/2010 09:37:49 AM Central Daylight Time	06/06/2010 04:00:32 PM Central Daylight Time			06/07/2010 09:42:11 AM Central Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0755	810	0	2011	Connecticut		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-949-2516		(800)-949-2516		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1
H0755	811	0	1	01	01	H0755_811_0	1	06/03/2010	2011.01	06/07/2010 09:37:55 AM Central Daylight Time	06/06/2010 05:20:57 PM Central Daylight Time			06/07/2010 09:42:11 AM Central Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0755	811	0	2011	Connecticut		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192										(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424										1
H0755	812	0	1	01	01	H0755_812_0	1	06/03/2010	2011.01	06/07/2010 09:37:59 AM Central Daylight Time	06/06/2010 03:59:12 PM Central Daylight Time			06/07/2010 09:42:11 AM Central Daylight Time	HEALTH NET OF CONNECTICUT	Health Net of Connecticut	www.healthnet.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H0755	812	0	2011	Connecticut		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-547-8734		(800)-547-8734		(800)-709-4192		(800)-709-4192		(800)-547-8734		(800)-547-8734		(800)-949-2516		(800)-949-2516		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		(888)-747-2424		1
H0819	001	0	1	20	08	H0819_001_0	1	05/25/2010	2011.01	05/25/2010 09:11:45 AM Eastern Daylight Time		05/24/2010 02:40:19 PM Eastern Daylight Time		05/25/2010 09:16:09 AM Eastern Daylight Time	SENIOR LIFE YORK	York County PACE	http://www.seniorlifeyork.com	Senior LIFE York Dual Eligible (PACE)	08	20		1			H0819	001	0	2011	York County PACE		2	20	2				2							www.seniorlifeyork.com	NA									(877)-998-5433	102	(814)-535-6000	102	(877)-998-5433	102	(814)-535-6000	102									(877)-998-5433		(814)-535-6000		(877)-998-5433		(814)-535-6000		1
H0819	002	0	1	20	08	H0819_002_0	1	05/25/2010	2011.01	05/25/2010 09:12:03 AM Eastern Daylight Time		05/24/2010 02:40:20 PM Eastern Daylight Time		05/25/2010 09:16:09 AM Eastern Daylight Time	SENIOR LIFE YORK	York County PACE	http://www.seniorlifeyork.com	Senior LIFE York Medicare Only (PACE)	08	20		1			H0819	002	0	2011	York County PACE Medicare Only		2	0	2				2							www.seniorlifeyork.com	NA									(877)-998-5433	102	(814)-535-6000	102	(877)-998-5433	102	(814)-535-6000	102									(877)-998-5433		(814)-535-6000		(877)-998-5433		(814)-535-6000		1
H0838	020	0	1	01	01	H0838_020_0	9	08/24/2010	2011.01	08/24/2010 11:28:43 AM Eastern Daylight Time	08/24/2010 11:18:26 AM Eastern Daylight Time	08/23/2010 05:37:48 PM Eastern Daylight Time		08/24/2010 02:07:30 PM Eastern Daylight Time	HMO CALIFORNIA	Brand New Day	www.brandnewdayhmo.com	Brand New Day (HMO SNP)	01	01		1			H0838	020	0	2011	Counties: LA, Orange, Kern, Riverside, San Bernard		2	2000	2				1	4		1		00000000000010000000	www.BrandNewDayHMO.com	http://www.BrandNewDayHMO.com/pdf/Comprehensive_Formulary.pdf?	www.BrandNewDayHMO.com	(866)-255-4795		(866)-255-4795		(866)-255-4795		(866)-255-4795		(866)-255-4795		(866)-255-4795		(866)-255-4795		(866)-255-4795		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		(866)-321-5955		1
H0901	004	0	1	01	01	H0901_004_0	3	08/02/2010	2011.01	08/02/2010 12:07:45 PM Central Daylight Time	08/19/2010 01:22:42 PM Central Daylight Time	08/19/2010 12:59:40 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H0901	004	0	2011	District of Columbia		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0901	801	0	1	01	01	H0901_801_0	1	05/10/2010	2011.01	05/10/2010 09:45:56 AM Eastern Daylight Time	06/03/2010 09:41:47 AM Eastern Daylight Time			06/04/2010 02:27:39 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H0901	801	0	2011	District of Columbia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H0901	802	0	1	01	01	H0901_802_0	1	05/10/2010	2011.01	05/10/2010 09:49:51 AM Eastern Daylight Time	06/03/2010 09:44:26 AM Eastern Daylight Time			06/04/2010 02:27:39 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H0901	802	0	2011	District of Columbia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H0908	001	0	1	01	01	H0908_001_0	4	07/12/2010	2011.01	07/12/2010 09:14:22 AM Pacific Daylight Time	08/18/2010 05:58:45 PM Pacific Daylight Time	08/18/2010 02:03:34 PM Pacific Daylight Time		08/19/2010 12:34:13 PM Pacific Daylight Time	BUCKEYE COMMUNITY HEALTH PLAN, INC.	Advantage by Buckeye Community Health Plan	http://www.bchpohio.com/	Buckeye Community Health Plan (HMO SNP)	01	01		1			H0908	001	0	2011	Northwest, northeast, southwest, and eastern Ohio		2	670	2		2		1	3		1	3		http://www.bchpohio.com/	www.bchpohio.com	www.bchpohio.com	(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(866)-389-7690		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H0913	002	0	1	01	01	H0913_002_0	5	08/20/2010	2011.01	08/20/2010 09:37:42 AM Eastern Daylight Time	08/20/2010 04:50:32 PM Eastern Daylight Time	08/20/2010 04:55:56 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H0913	002	0	2011	Essex, Hudson, Middlesex, Passaic, Union Counties		2		2				2							www.wellcare.com	www.wellcare.com	(866)-687-8570		(866)-687-8570		(877)-232-7119		(877)-232-7119		(866)-687-8570		(866)-687-8570		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H0913	003	0	1	01	01	H0913_003_0	6	08/20/2010	2011.01	08/20/2010 09:38:39 AM Eastern Daylight Time	08/20/2010 04:50:52 PM Eastern Daylight Time	08/20/2010 04:56:17 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE HEALTH PLANS OF NEW JERSEY, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H0913	003	0	2011	Essex, Hudson, Middlesex, Passaic, Union Counties		2		2		2		1	3		1	1			www.wellcare.com	www.wellcare.com	(866)-530-9496		(866)-530-9496		(877)-232-7119		(877)-232-7119		(866)-530-9496		(866)-530-9496		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H0979	021	0	1	09	04	H0979_021_0	7	08/06/2010	2011.01	08/06/2010 01:46:36 PM Eastern Daylight Time	08/13/2010 10:40:06 AM Eastern Daylight Time			08/16/2010 05:23:41 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	www.americas1stchoice.com	Presidential (PFFS)	04	09	2	1			H0979	021	0	2011	Select Counties in North Carolina		2	847	2				2							www.Americas1stChoice.com	www.Americas1stChoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962										1
H0979	022	0	1	09	04	H0979_022_0	8	08/23/2010	2011.01	08/23/2010 12:02:11 PM Eastern Daylight Time	08/22/2010 03:11:11 PM Eastern Daylight Time	08/22/2010 03:10:05 PM Eastern Daylight Time		08/23/2010 02:28:09 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	www.americas1stchoice.com	Presidential Plus (PFFS)	04	09	2	1			H0979	022	0	2011	Select Counties in North Carolina		2	1317	2				2							www.Americas1stChoice.com	www.Americas1stChoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		1
H1013	011	0	1	01	01	H1013_011_0	6	08/22/2010	2011.01	08/22/2010 11:30:59 AM Eastern Daylight Time	08/20/2010 08:55:38 PM Eastern Daylight Time	08/19/2010 11:47:15 AM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY HEALTH PLAN OF FLORIDA, INC	Coventry Health Plan of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Ideal (HMO)	01	01		1			H1013	011	0	2011	Miami-Dade County		2	3981	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-842-7442		(800)-842-7442		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1013	021	0	1	01	01	H1013_021_0	7	08/22/2010	2011.01	08/22/2010 10:05:40 AM Eastern Daylight Time	08/20/2010 08:57:25 PM Eastern Daylight Time	08/19/2010 11:47:51 AM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY HEALTH PLAN OF FLORIDA, INC	Coventry Health Plan of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Ideal (HMO)	01	01		1			H1013	021	0	2011	Broward County		2	1388	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-842-7442		(800)-842-7442		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1013	024	0	1	01	01	H1013_024_0	6	08/22/2010	2011.01	08/22/2010 10:06:20 AM Eastern Daylight Time	08/20/2010 08:58:22 PM Eastern Daylight Time	08/19/2010 12:54:25 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY HEALTH PLAN OF FLORIDA, INC	Coventry Health Plan of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Maximum (HMO SNP)	01	01		1			H1013	024	0	2011	Dade and Broward Counties		2	789	2		2		1	3		1	2		www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-842-7442		(800)-842-7442		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1013	802	0	1	01	01	H1013_802_0	3	07/23/2010	2011.01	07/23/2010 10:42:08 AM Eastern Daylight Time	07/26/2010 11:12:47 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY HEALTH PLAN OF FLORIDA, INC	Coventry Health Plan of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Group Ideal (HMO)	01	01		1			H1013	802	0	2011	Nationwide		1	93	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-842-7442		(800)-842-7442		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1013	803	0	1	01	01	H1013_803_0	3	07/23/2010	2011.01	07/23/2010 10:42:13 AM Eastern Daylight Time	07/26/2010 11:14:56 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY HEALTH PLAN OF FLORIDA, INC	Coventry Health Plan of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Group Value (HMO)	01	01		1			H1013	803	0	2011	Nationwide		1	93	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506										(711)		(711)		(711)		(711)										1
H1013	805	0	1	01	01	H1013_805_0	2	07/23/2010	2011.01	07/23/2010 10:42:17 AM Eastern Daylight Time	07/26/2010 11:17:08 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY HEALTH PLAN OF FLORIDA, INC	Coventry Health Plan of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Group Choice (HMO)	01	01		1			H1013	805	0	2011	Nationwide		1	93	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-842-7442		(800)-842-7442		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1016	001	0	1	01	01	H1016_001_0	10	08/24/2010	2011.01	08/24/2010 04:40:58 PM Eastern Daylight Time	08/19/2010 09:34:04 AM Eastern Daylight Time	08/19/2010 09:02:56 AM Eastern Daylight Time		08/24/2010 05:34:36 PM Eastern Daylight Time	AVMED, INC	AvMed Medicare	www.avmed.org	AvMed Medicare Choice (HMO)	01	01		1			H1016	001	0	2011	Miami-Dade County		2	14285	2				2						www.avmed.org	http://www.avmed.org/medicare/drug-list.asp	www.avmed.org	(800)-782-8633		(305)-671-5437	22147	(800)-535-9355		(305)-671-5437	27346	(800)-782-8633		(305)-671-5437	22147	(800)-535-9355		(305)-671-5437	27346	(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		1
H1016	002	0	1	01	01	H1016_002_0	9	08/24/2010	2011.01	08/24/2010 04:40:33 PM Eastern Daylight Time	08/19/2010 09:34:38 AM Eastern Daylight Time	08/19/2010 09:03:32 AM Eastern Daylight Time		08/24/2010 05:28:41 PM Eastern Daylight Time	AVMED, INC	AvMed Medicare	www.avmed.org	AvMed Medicare Choice (HMO)	01	01		1			H1016	002	0	2011	Broward County		2	13815	2				2						www.avmed.org	http://www.avmed.org/medicare/drug-list.asp	www.avmed.org	(800)-782-8633		(305)-671-5437	22147	(800)-535-9355		(305)-671-5437	27346	(800)-782-8633		(305)-671-5437	22147	(800)-535-9355		(305)-671-5437	27346	(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		(877)-442-8633		1
H1019	001	0	1	01	01	H1019_001_0	3	08/20/2010	2011.01	08/20/2010 02:18:08 PM Eastern Daylight Time	08/20/2010 05:26:32 PM Eastern Daylight Time	08/20/2010 03:39:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	001	0	2011	Broward		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	004	0	1	01	01	H1019_004_0	3	08/20/2010	2011.01	08/20/2010 02:18:39 PM Eastern Daylight Time	08/20/2010 05:26:10 PM Eastern Daylight Time	08/20/2010 03:39:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareFree (HMO)	01	01		1			H1019	004	0	2011	Broward		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	006	0	1	01	01	H1019_006_0	5	08/20/2010	2011.01	08/20/2010 02:19:09 PM Eastern Daylight Time	08/20/2010 04:47:18 PM Eastern Daylight Time	08/20/2010 03:39:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne Plus (HMO)	01	01		1			H1019	006	0	2011	Miami-Dade		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	010	0	1	01	01	H1019_010_0	4	08/20/2010	2011.01	08/20/2010 02:19:38 PM Eastern Daylight Time	08/20/2010 05:23:10 PM Eastern Daylight Time	08/20/2010 03:39:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	010	0	2011	Palm Beach		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	014	0	1	01	01	H1019_014_0	4	08/20/2010	2011.01	08/20/2010 02:19:58 PM Eastern Daylight Time	08/20/2010 05:23:38 PM Eastern Daylight Time	08/20/2010 03:39:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	014	0	2011	Hillsborough, Pasco, Pinellas, Polk		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	023	0	1	01	01	H1019_023_0	4	08/20/2010	2011.01	08/20/2010 02:22:40 PM Eastern Daylight Time	08/20/2010 05:26:56 PM Eastern Daylight Time	08/20/2010 03:40:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO SNP)	01	01		1			H1019	023	0	2011	Broward		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	024	0	1	01	01	H1019_024_0	5	08/20/2010	2011.01	08/20/2010 02:39:46 PM Eastern Daylight Time	08/20/2010 04:49:44 PM Eastern Daylight Time	08/20/2010 03:40:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO SNP)	01	01		1			H1019	024	0	2011	Miami-Dade		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	025	0	1	01	01	H1019_025_0	5	08/20/2010	2011.01	08/20/2010 02:36:28 PM Eastern Daylight Time	08/20/2010 05:24:06 PM Eastern Daylight Time	08/20/2010 03:40:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO SNP)	01	01		1			H1019	025	0	2011	Palm Beach		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	026	0	1	01	01	H1019_026_0	4	08/20/2010	2011.01	08/20/2010 02:24:00 PM Eastern Daylight Time	08/20/2010 05:24:34 PM Eastern Daylight Time	08/20/2010 03:40:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO SNP)	01	01		1			H1019	026	0	2011	Hillsborough, Pasco, Pinellas		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	027	0	1	01	01	H1019_027_0	3	08/20/2010	2011.01	08/20/2010 02:24:15 PM Eastern Daylight Time	08/20/2010 04:32:22 PM Eastern Daylight Time	08/20/2010 03:40:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	027	0	2011	Orange, Osceola, Seminole, Lake, Marion		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	028	0	1	01	01	H1019_028_0	6	08/26/2010	2011.01	08/26/2010 11:27:51 AM Eastern Daylight Time	08/20/2010 04:33:58 PM Eastern Daylight Time	08/20/2010 03:40:00 PM Eastern Daylight Time		08/26/2010 04:02:49 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds (HMO SNP)	01	01		1			H1019	028	0	2011	Orange, Osceola, Seminole		2		2		2		1	3		1	2		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	032	0	1	01	01	H1019_032_0	3	08/20/2010	2011.01	08/20/2010 02:25:09 PM Eastern Daylight Time	08/20/2010 05:24:58 PM Eastern Daylight Time	08/20/2010 03:40:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareDirect (HMO SNP)	01	01		1			H1019	032	0	2011	Broward		2		2				1	4		1		00000010000000000000	www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	035	0	1	01	01	H1019_035_0	3	08/20/2010	2011.01	08/20/2010 02:25:34 PM Eastern Daylight Time	08/20/2010 05:25:22 PM Eastern Daylight Time	08/20/2010 03:40:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareDirect (HMO SNP)	01	01		1			H1019	035	0	2011	Miami-Dade		2		2				1	4		1		00000010000000000000	www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	039	0	1	01	01	H1019_039_0	3	08/02/2010	2011.01	08/02/2010 01:14:11 PM Eastern Daylight Time	07/15/2010 04:01:44 PM Eastern Daylight Time			08/06/2010 02:45:11 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareComplete (HMO)	01	01		1			H1019	039	0	2011	Hillsborough, Pasco, Pinellas, Polk		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030										(711)		(711)		(711)		(711)										1
H1019	043	0	1	01	01	H1019_043_0	4	08/20/2010	2011.01	08/20/2010 02:25:55 PM Eastern Daylight Time	08/21/2010 12:24:00 AM Eastern Daylight Time	08/20/2010 03:41:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	043	0	2011	Treasure Coast Area		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	044	0	1	01	01	H1019_044_0	5	08/20/2010	2011.01	08/20/2010 02:26:23 PM Eastern Daylight Time	08/20/2010 04:37:42 PM Eastern Daylight Time	08/20/2010 03:41:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne (HMO)	01	01		1			H1019	044	0	2011	Charlotte, Lee, Sarasota		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(866)-838-8239		(866)-838-8239		(800)-794-5907		(800)-794-5907		(866)-838-8239		(866)-838-8239		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	045	0	1	01	01	H1019_045_0	6	08/26/2010	2011.01	08/26/2010 11:28:53 AM Eastern Daylight Time	08/20/2010 04:35:48 PM Eastern Daylight Time	08/20/2010 03:41:00 PM Eastern Daylight Time		08/26/2010 04:02:49 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds Plus (HMO SNP)	01	01		1			H1019	045	0	2011	Brevard		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	046	0	1	01	01	H1019_046_0	4	08/20/2010	2011.01	08/20/2010 02:27:15 PM Eastern Daylight Time	08/20/2010 04:40:56 PM Eastern Daylight Time	08/20/2010 03:41:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds Plus (HMO SNP)	01	01		1			H1019	046	0	2011	Hillsborough, Pasco, Pinellas, Polk		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	047	0	1	01	01	H1019_047_0	4	08/20/2010	2011.01	08/20/2010 02:27:37 PM Eastern Daylight Time	08/20/2010 04:41:16 PM Eastern Daylight Time	08/20/2010 03:41:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds Plus (HMO SNP)	01	01		1			H1019	047	0	2011	Broward		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	048	0	1	01	01	H1019_048_0	5	08/20/2010	2011.01	08/20/2010 02:40:06 PM Eastern Daylight Time	08/20/2010 04:41:34 PM Eastern Daylight Time	08/20/2010 03:41:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds Plus (HMO SNP)	01	01		1			H1019	048	0	2011	Miami-Dade		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	049	0	1	01	01	H1019_049_0	6	08/26/2010	2011.01	08/26/2010 11:29:49 AM Eastern Daylight Time	08/20/2010 04:42:10 PM Eastern Daylight Time	08/20/2010 04:55:00 PM Eastern Daylight Time		08/26/2010 04:02:49 PM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds Plus (HMO SNP)	01	01		1			H1019	049	0	2011	Orange, Osceola, Seminole		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	050	0	1	01	01	H1019_050_0	5	08/20/2010	2011.01	08/20/2010 02:37:15 PM Eastern Daylight Time	08/20/2010 04:41:52 PM Eastern Daylight Time	08/20/2010 03:45:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareNeeds Plus (HMO SNP)	01	01		1			H1019	050	0	2011	Palm Beach		2		2		2		1	3		1	5		www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	054	0	1	01	01	H1019_054_0	3	08/20/2010	2011.01	08/20/2010 02:29:01 PM Eastern Daylight Time	08/20/2010 04:43:58 PM Eastern Daylight Time	08/20/2010 03:45:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne Plus (HMO)	01	01		1			H1019	054	0	2011	Hillsborough, Pinellas		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	055	0	1	01	01	H1019_055_0	4	08/20/2010	2011.01	08/20/2010 04:15:19 PM Eastern Daylight Time	08/20/2010 04:45:30 PM Eastern Daylight Time	08/20/2010 03:45:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOpen (HMO)	01	01		1			H1019	055	0	2011	Palm Beach		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	056	0	1	01	01	H1019_056_0	3	08/20/2010	2011.01	08/20/2010 04:15:52 PM Eastern Daylight Time	08/20/2010 04:46:58 PM Eastern Daylight Time	08/20/2010 03:45:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareFree Plus (HMO)	01	01		1			H1019	056	0	2011	Miami-Dade		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	057	0	1	01	01	H1019_057_0	3	08/20/2010	2011.01	08/20/2010 02:31:03 PM Eastern Daylight Time	08/20/2010 04:45:46 PM Eastern Daylight Time	08/20/2010 03:46:00 PM Eastern Daylight Time		08/21/2010 10:57:07 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareOne Plus (HMO)	01	01		1			H1019	057	0	2011	Orange, Osceola, Seminole		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(800)-794-5907		(800)-794-5907		(800)-531-9030		(800)-531-9030		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1019	058	0	1	01	01	H1019_058_0	4	08/20/2010	2011.01	08/20/2010 02:31:21 PM Eastern Daylight Time	08/20/2010 04:46:04 PM Eastern Daylight Time	08/20/2010 03:46:00 PM Eastern Daylight Time		08/21/2010 11:04:40 AM Eastern Daylight Time	CARE PLUS HEALTH PLAN	CarePlus Health Plans, Inc.	www.careplushealthplans.com	CareFree Plus (HMO)	01	01		1			H1019	058	0	2011	Broward		2		2				2						www.careplushealthplans.com	http://www.careplushealthplans.com/plans_Rx.asp	http://www.careplushealthplans.com/plans_Rx.asp	(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(800)-794-5907		(800)-794-5907		(800)-794-4105		(800)-794-4105		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1026	001	0	1	01	01	H1026_001_0	9	09/01/2010	2011.01	09/01/2010 09:46:13 AM Eastern Daylight Time	08/19/2010 02:41:43 PM Eastern Daylight Time	08/19/2010 07:22:40 AM Eastern Daylight Time		09/01/2010 11:20:24 AM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.BlueMedicareFL.com	BlueMedicare HMO (HMO)	01	01		1			H1026	001	0	2011	Miami-Dade County		2		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1026	038	0	1	01	01	H1026_038_0	8	09/01/2010	2011.01	09/01/2010 09:48:35 AM Eastern Daylight Time	08/19/2010 02:13:10 PM Eastern Daylight Time	08/19/2010 07:28:06 AM Eastern Daylight Time		09/01/2010 11:20:24 AM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.BlueMedicareFL.com	BlueMedicare HMO (HMO)	01	01		1			H1026	038	0	2011	Hillsb, Palm Bch, Pasco, Pinellas, Polk Counties		2		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1026	040	0	1	01	01	H1026_040_0	9	09/01/2010	2011.01	09/01/2010 09:52:59 AM Eastern Daylight Time	08/19/2010 02:02:53 PM Eastern Daylight Time	08/19/2010 07:21:23 AM Eastern Daylight Time		09/01/2010 11:20:24 AM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.BlueMedicareFL.com	BlueMedicare HMO (HMO)	01	01		1			H1026	040	0	2011	Broward County		2		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1026	801	0	1	01	01	H1026_801_0	9	08/25/2010	2011.01	08/25/2010 04:33:11 PM Eastern Daylight Time	07/12/2010 09:28:33 AM Eastern Daylight Time			08/25/2010 04:36:06 PM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.BlueMedicareFL.com	BlueMedicare Group HMO (HMO)	01	01		1			H1026	801	0	2011	State of Florida		1		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1026	802	0	1	01	01	H1026_802_0	8	08/25/2010	2011.01	08/25/2010 04:33:34 PM Eastern Daylight Time	07/12/2010 09:29:42 AM Eastern Daylight Time			08/25/2010 04:36:06 PM Eastern Daylight Time	HEALTH OPTIONS, INC	Health Options, Inc / Blue Cross Blue Shield of FL	www.BlueMedicareFL.com	BlueMedicare Group HMO (HMO)	01	01		1			H1026	802	0	2011	State of Florida		1		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1032	002	0	1	02	01	H1032_002_0	5	08/20/2010	2011.01	08/20/2010 10:38:22 AM Eastern Daylight Time	08/20/2010 04:51:12 PM Eastern Daylight Time	08/20/2010 04:56:34 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	002	0	2011	Orange, Osceola, Seminole Counties		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	008	0	1	01	01	H1032_008_0	5	08/20/2010	2011.01	08/20/2010 10:39:17 AM Eastern Daylight Time	08/20/2010 04:51:31 PM Eastern Daylight Time	08/20/2010 04:56:52 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO)	01	01		1			H1032	008	0	2011	Miami-Dade County		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	012	0	1	02	01	H1032_012_0	5	08/20/2010	2011.01	08/20/2010 10:40:28 AM Eastern Daylight Time	08/20/2010 04:51:48 PM Eastern Daylight Time	08/20/2010 04:57:10 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	012	0	2011	Citrus, Hillsborough, Pasco Counties		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	014	0	1	02	01	H1032_014_0	5	08/20/2010	2011.01	08/20/2010 10:41:30 AM Eastern Daylight Time	08/20/2010 04:52:07 PM Eastern Daylight Time	08/20/2010 04:57:27 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	014	0	2011	Pinellas county		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	025	0	1	02	01	H1032_025_0	5	08/20/2010	2011.01	08/20/2010 10:42:19 AM Eastern Daylight Time	08/20/2010 04:52:27 PM Eastern Daylight Time	08/20/2010 04:57:44 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	025	0	2011	Escambia, Okaloosa, Santa Rosa Counties		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	032	0	1	01	01	H1032_032_0	7	08/20/2010	2011.01	08/20/2010 10:43:07 AM Eastern Daylight Time	08/20/2010 05:19:29 PM Eastern Daylight Time	08/20/2010 04:58:02 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H1032	032	0	2011	Hernando, Palm Beach, Pinellas, St. Lucie Counties		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	035	0	1	02	01	H1032_035_0	4	08/20/2010	2011.01	08/20/2010 10:43:56 AM Eastern Daylight Time	08/20/2010 04:53:20 PM Eastern Daylight Time	08/20/2010 04:58:21 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1032	035	0	2011	Hernando, Hillsborough, Pasco, Pinellas Counties		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	037	0	1	01	01	H1032_037_0	4	08/10/2010	2011.01	08/10/2010 11:09:18 AM Eastern Daylight Time	06/07/2010 09:44:35 PM Eastern Daylight Time			08/10/2010 03:18:40 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Advance (HMO)	01	01		1			H1032	037	0	2011	East Central Florida		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1
H1032	040	0	1	01	01	H1032_040_0	4	08/20/2010	2011.01	08/20/2010 11:49:28 AM Eastern Daylight Time	08/20/2010 04:54:02 PM Eastern Daylight Time	08/20/2010 04:58:39 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H1032	040	0	2011	Miami-Dade County		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	061	0	1	02	01	H1032_061_0	6	06/07/2010	2011.01	06/07/2010 09:44:05 PM Eastern Daylight Time	08/20/2010 04:54:22 PM Eastern Daylight Time	08/20/2010 04:58:53 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Select (HMO-POS SNP)	01	02		1			H1032	061	0	2011	East Central, NE, Southeast, Tampa Bay Florida		2		2		2		1	3		1	2			www.wellcare.com	www.wellcare.com	(866)-637-8041		(866)-637-8041		(877)-232-7119		(877)-232-7119		(866)-637-8041		(866)-637-8041		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	073	0	1	02	01	H1032_073_0	7	08/20/2010	2011.01	08/20/2010 10:45:50 AM Eastern Daylight Time	08/20/2010 04:54:42 PM Eastern Daylight Time	08/20/2010 04:59:11 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H1032	073	0	2011	Broward, Duval, Manatee Counties		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	079	0	1	01	01	H1032_079_0	5	08/20/2010	2011.01	08/20/2010 10:46:43 AM Eastern Daylight Time	08/20/2010 04:55:06 PM Eastern Daylight Time	08/20/2010 04:59:28 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H1032	079	0	2011	Northwest Florida		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	091	0	1	02	01	H1032_091_0	6	08/20/2010	2011.01	08/20/2010 10:47:33 AM Eastern Daylight Time	08/20/2010 04:55:26 PM Eastern Daylight Time	08/20/2010 04:59:52 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1032	091	0	2011	East Central, Southeast Florida		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	101	0	1	02	01	H1032_101_0	7	08/20/2010	2011.01	08/20/2010 10:55:15 AM Eastern Daylight Time	08/20/2010 04:55:47 PM Eastern Daylight Time	08/20/2010 05:00:25 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Select (HMO-POS SNP)	01	02		1			H1032	101	0	2011	Northwest Florida		2		2		2		1	3		1	2			www.wellcare.com	www.wellcare.com	(866)-637-8041		(866)-637-8041		(877)-232-7119		(877)-232-7119		(866)-637-8041		(866)-637-8041		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	124	0	1	01	01	H1032_124_0	6	06/07/2010	2011.01	06/07/2010 09:43:29 PM Eastern Daylight Time	08/20/2010 04:56:08 PM Eastern Daylight Time	08/20/2010 05:00:57 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H1032	124	0	2011	East Central, NE, NW, SE, Tampa Bay Florida		2		2		2		1	3		1	1			www.wellcare.com	www.wellcare.com	(866)-637-8041		(866)-637-8041		(877)-232-7119		(877)-232-7119		(866)-637-8041		(866)-637-8041		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	131	0	1	01	01	H1032_131_0	6	08/10/2010	2011.01	08/10/2010 11:11:47 AM Eastern Daylight Time	08/20/2010 04:56:27 PM Eastern Daylight Time	08/20/2010 05:01:15 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H1032	131	0	2011	East Central, Southeast, Tampa Bay Florida		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	132	0	1	02	01	H1032_132_0	6	08/20/2010	2011.01	08/20/2010 10:48:47 AM Eastern Daylight Time	08/20/2010 04:56:49 PM Eastern Daylight Time	08/20/2010 05:01:30 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1032	132	0	2011	Polk County		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1032	133	0	1	02	01	H1032_133_0	6	08/20/2010	2011.01	08/20/2010 10:49:53 AM Eastern Daylight Time	08/20/2010 04:57:10 PM Eastern Daylight Time	08/20/2010 05:01:46 PM Eastern Daylight Time		08/20/2010 05:27:29 PM Eastern Daylight Time	WELL CARE OF FLORIDA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1032	133	0	2011	Brevard, Indian River, Marion Counties		2		2				2							www.wellcare.com	www.wellcare.com	(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(888)-888-9355		(888)-888-9355		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1035	002	0	1	02	01	H1035_002_0	9	09/20/2010	2011.01	09/20/2010 02:06:41 PM Eastern Daylight Time	08/23/2010 07:23:41 PM Eastern Daylight Time	08/23/2010 07:23:41 PM Eastern Daylight Time		09/20/2010 02:44:33 PM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://www.fhcp.com/medicare/overview/overview.htm	FHCP Medvantage Rx Plus (HMO-POS)	01	02		1			H1035	002	0	2011	Volusia and Flagler Counties, FL		2	13000	2				2						http://www.fhcp.com/members/findAProvider/providers.htm	http://www.fhcp.com/medicare/formulary/formulary.htm	http://www.fhcp.com/medicare/pharmacies/overview.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1035	006	0	1	01	01	H1035_006_0	8	09/20/2010	2011.01	09/20/2010 02:06:53 PM Eastern Daylight Time	08/23/2010 07:23:41 PM Eastern Daylight Time	08/23/2010 07:23:40 PM Eastern Daylight Time		09/20/2010 02:49:07 PM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://www.fhcp.com/medicare/overview/overview.htm	FHCP Medvantage Rx (HMO)	01	01		1			H1035	006	0	2011	Volusia and Flagler Counties, FL		2	2332	2				2						http://www.fhcp.com/members/findAProvider/providers.htm	http://www.fhcp.com/medicare/formulary/formulary.htm	http://www.fhcp.com/medicare/pharmacies/overview.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1035	007	0	1	02	01	H1035_007_0	9	09/20/2010	2011.01	09/20/2010 02:07:04 PM Eastern Daylight Time	08/03/2010 12:17:33 PM Eastern Daylight Time			09/20/2010 02:50:59 PM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://www.fhcp.com/medicare/overview/overview.htm	FHCP Medvantage (HMO-POS)	01	02		1			H1035	007	0	2011	Volusia and Flagler Counties, FL		2	800	2				2						http://www.fhcp.com/members/findAProvider/providers.htm	http://www.fhcp.com/medicare/formulary/formulary.htm	http://www.fhcp.com/medicare/pharmacies/overview.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1
H1035	801	0	1	01	01	H1035_801_0	6	08/27/2010	2011.01	08/27/2010 11:42:54 AM Eastern Daylight Time	08/27/2010 11:39:46 AM Eastern Daylight Time			08/27/2010 11:44:01 AM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://fhcp.com/medicare/overview/overview.htm	GRPMED (HMO)	01	01		1			H1035	801	0	2011	Florida		1	500	2				2						http://www.fhcp.com/members/findAProvider/providers.htm	http://www.fhcp.com/medicare/formulary/formulary.htm	http://www.fhcp.com/medicare/pharmacies/overview.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1035	802	0	1	01	01	H1035_802_0	6	08/27/2010	2011.01	08/27/2010 11:43:34 AM Eastern Daylight Time	08/27/2010 11:39:46 AM Eastern Daylight Time			08/27/2010 11:48:24 AM Eastern Daylight Time	FLORIDA HEALTH CARE PLAN, INC.	Florida Health Care Plan, Inc.	http://fhcp.com/medicare/overview/overview.htm	GRPMED+ (HMO)	01	01		1			H1035	802	0	2011	Florida		1	500	2				2						http://www.fhcp.com/members/findAProvider/providers.htm	http://www.fhcp.com/medicare/formulary/formulary.htm	http://www.fhcp.com/medicare/pharmacies/overview.htm	(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(877)-615-4022		(386)-615-4022		(800)-232-0578		(386)-676-7110		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1036	011	0	1	01	01	H1036_011_0	5	08/20/2010	2011.01	08/20/2010 05:08:26 PM Eastern Daylight Time	08/20/2010 04:38:42 PM Eastern Daylight Time	08/20/2010 03:46:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-011A (HMO)	01	01		1			H1036	011	0	2011	Broward County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	025	0	1	01	01	H1036_025_0	6	08/26/2010	2011.01	08/26/2010 11:23:02 AM Eastern Daylight Time	08/20/2010 04:29:56 PM Eastern Daylight Time	08/20/2010 03:46:00 PM Eastern Daylight Time		08/26/2010 03:51:02 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-025 (HMO)	01	01		1			H1036	025	0	2011	Hillsborough County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	034	0	1	01	01	H1036_034_0	4	08/20/2010	2011.01	08/20/2010 05:08:52 PM Eastern Daylight Time	08/20/2010 04:39:02 PM Eastern Daylight Time	08/20/2010 03:46:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-034A (HMO)	01	01		1			H1036	034	0	2011	Dade County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	035	0	1	01	01	H1036_035_0	4	08/20/2010	2011.01	08/20/2010 05:09:24 PM Eastern Daylight Time	08/20/2010 04:39:22 PM Eastern Daylight Time	08/20/2010 03:46:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-035A (HMO)	01	01		1			H1036	035	0	2011	Palm Beach County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	040	0	1	01	01	H1036_040_0	7	08/26/2010	2011.01	08/26/2010 11:23:14 AM Eastern Daylight Time	08/20/2010 04:30:24 PM Eastern Daylight Time	08/20/2010 03:46:00 PM Eastern Daylight Time		08/26/2010 03:51:02 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-040 (HMO)	01	01		1			H1036	040	0	2011	Pasco County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	044	0	1	01	01	H1036_044_0	5	08/20/2010	2011.01	08/20/2010 04:15:30 PM Eastern Daylight Time	08/20/2010 04:49:26 PM Eastern Daylight Time	08/20/2010 03:47:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-044 (HMO)	01	01		1			H1036	044	0	2011	Flagler, Volusia Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	047	0	1	01	01	H1036_047_0	5	08/20/2010	2011.01	08/20/2010 04:17:58 PM Eastern Daylight Time	08/20/2010 05:27:16 PM Eastern Daylight Time	08/20/2010 03:47:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-047 (HMO)	01	01		1			H1036	047	0	2011	Orange, Osceola, Seminole Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	052	0	1	01	01	H1036_052_0	6	08/26/2010	2011.01	08/26/2010 11:23:31 AM Eastern Daylight Time	08/20/2010 04:30:44 PM Eastern Daylight Time	08/20/2010 03:47:00 PM Eastern Daylight Time		08/26/2010 03:51:02 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-052 (HMO)	01	01		1			H1036	052	0	2011	Pinellas County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	053	0	1	01	01	H1036_053_0	3	06/02/2010	2011.01	06/02/2010 05:31:42 PM Eastern Daylight Time	07/26/2010 03:18:48 PM Eastern Daylight Time			07/26/2010 08:57:55 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-053A (HMO)	01	01		1			H1036	053	0	2011	Broward County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H1036	054	0	1	01	01	H1036_054_0	4	08/20/2010	2011.01	08/20/2010 05:10:34 PM Eastern Daylight Time	08/20/2010 04:39:42 PM Eastern Daylight Time	08/20/2010 03:47:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-054C (HMO)	01	01		1			H1036	054	0	2011	Dade County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	056	0	1	01	01	H1036_056_0	3	06/03/2010	2011.01	06/03/2010 12:11:42 PM Eastern Daylight Time	05/28/2010 04:45:22 PM Eastern Daylight Time			07/27/2010 12:04:07 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-056 (HMO)	01	01		1			H1036	056	0	2011	Flagler, Volusia Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H1036	062	0	1	01	01	H1036_062_0	5	08/21/2010	2011.01	08/21/2010 10:12:19 AM Eastern Daylight Time	08/20/2010 04:50:02 PM Eastern Daylight Time	08/20/2010 03:47:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-062C (HMO)	01	01		1			H1036	062	0	2011	Palm Beach County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	063	0	1	01	01	H1036_063_0	3	06/02/2010	2011.01	06/02/2010 05:31:59 PM Eastern Daylight Time	07/26/2010 05:48:04 PM Eastern Daylight Time			07/26/2010 08:57:55 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-063A (HMO)	01	01		1			H1036	063	0	2011	Palm Beach County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H1036	065	0	1	01	01	H1036_065_0	4	08/20/2010	2011.01	08/20/2010 05:12:00 PM Eastern Daylight Time	08/20/2010 04:48:10 PM Eastern Daylight Time	08/20/2010 03:47:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-065C (HMO)	01	01		1			H1036	065	0	2011	Broward County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	067	0	1	01	01	H1036_067_0	6	08/26/2010	2011.01	08/26/2010 11:23:45 AM Eastern Daylight Time	08/20/2010 04:31:08 PM Eastern Daylight Time	08/20/2010 03:47:00 PM Eastern Daylight Time		08/26/2010 03:51:02 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-067 (HMO)	01	01		1			H1036	067	0	2011	Hernando County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	068	0	1	01	01	H1036_068_0	5	08/20/2010	2011.01	08/20/2010 04:04:01 PM Eastern Daylight Time	08/20/2010 04:40:00 PM Eastern Daylight Time	08/20/2010 03:47:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-068 (HMO)	01	01		1			H1036	068	0	2011	St Johns, Putnam, Clay Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	074	0	1	01	01	H1036_074_0	6	08/26/2010	2011.01	08/26/2010 11:23:59 AM Eastern Daylight Time	08/20/2010 04:31:34 PM Eastern Daylight Time	08/20/2010 03:48:00 PM Eastern Daylight Time		08/26/2010 03:51:02 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-074 (HMO)	01	01		1			H1036	074	0	2011	Manatee County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	077	0	1	01	01	H1036_077_0	6	08/20/2010	2011.01	08/20/2010 05:12:20 PM Eastern Daylight Time	08/20/2010 04:40:20 PM Eastern Daylight Time	08/20/2010 03:48:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H1036-077A (HMO SNP)	01	01		1			H1036	077	0	2011	Dade County		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	081	0	1	01	01	H1036_081_0	7	08/26/2010	2011.01	08/26/2010 12:42:50 PM Eastern Daylight Time	08/20/2010 04:47:52 PM Eastern Daylight Time	08/20/2010 03:48:00 PM Eastern Daylight Time		08/27/2010 04:20:32 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-081D (HMO)	01	01		1			H1036	081	0	2011	Baker, Duval, Nassau Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	102	0	1	01	01	H1036_102_0	6	08/20/2010	2011.01	08/20/2010 04:05:42 PM Eastern Daylight Time	08/20/2010 04:27:02 PM Eastern Daylight Time	08/20/2010 03:48:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H1036-102 (HMO SNP)	01	01		1			H1036	102	0	2011	Tampa Metro Area		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	103	0	1	01	01	H1036_103_0	6	08/20/2010	2011.01	08/20/2010 05:13:01 PM Eastern Daylight Time	08/20/2010 04:48:30 PM Eastern Daylight Time	08/20/2010 03:48:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H1036-103A (HMO SNP)	01	01		1			H1036	103	0	2011	Broward County		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	104	0	1	01	01	H1036_104_0	6	08/20/2010	2011.01	08/20/2010 05:13:35 PM Eastern Daylight Time	08/20/2010 04:27:38 PM Eastern Daylight Time	08/20/2010 03:48:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H1036-104A (HMO SNP)	01	01		1			H1036	104	0	2011	Palm Beach County		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	119	0	1	01	01	H1036_119_0	3	06/03/2010	2011.01	06/03/2010 09:17:31 AM Eastern Daylight Time	07/26/2010 03:12:34 PM Eastern Daylight Time			07/27/2010 12:04:07 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-119 (HMO)	01	01		1			H1036	119	0	2011	Tampa Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H1036	121	0	1	01	01	H1036_121_0	4	08/20/2010	2011.01	08/20/2010 05:13:58 PM Eastern Daylight Time	08/20/2010 04:33:08 PM Eastern Daylight Time	08/20/2010 03:51:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DB H1036-121C (HMO SNP)	01	01		1			H1036	121	0	2011	Broward County		2		2				1	4		1		00000010000000000000	www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	125	0	1	01	01	H1036_125_0	3	08/20/2010	2011.01	08/20/2010 05:14:21 PM Eastern Daylight Time	08/20/2010 04:34:20 PM Eastern Daylight Time	08/20/2010 03:51:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DB H1036-125C (HMO SNP)	01	01		1			H1036	125	0	2011	Dade County		2		2				1	4		1		00000010000000000000	www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	130	0	1	01	01	H1036_130_0	3	08/20/2010	2011.01	08/20/2010 05:14:40 PM Eastern Daylight Time	08/20/2010 04:34:42 PM Eastern Daylight Time	08/20/2010 03:51:00 PM Eastern Daylight Time		08/21/2010 11:29:44 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DB H1036-130C (HMO SNP)	01	01		1			H1036	130	0	2011	Palm Beach County		2		2				1	4		1		00000010000000000000	www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	136	0	1	01	01	H1036_136_0	4	08/20/2010	2011.01	08/20/2010 01:35:39 PM Eastern Daylight Time	08/20/2010 01:52:40 PM Eastern Daylight Time	08/20/2010 03:51:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-136 (HMO)	01	01		1			H1036	136	0	2011	Jackson Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	137	0	1	02	01	H1036_137_0	4	08/20/2010	2011.01	08/20/2010 01:31:03 PM Eastern Daylight Time	08/20/2010 01:32:50 PM Eastern Daylight Time	08/20/2010 03:51:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-137 (HMO-POS)	01	02		1			H1036	137	0	2011	Charlotte Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	138	0	1	02	01	H1036_138_0	4	08/20/2010	2011.01	08/20/2010 01:31:33 PM Eastern Daylight Time	08/20/2010 01:39:20 PM Eastern Daylight Time	08/20/2010 04:55:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-138 (HMO-POS)	01	02		1			H1036	138	0	2011	Greensboro / Winston-Salem Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	140	0	1	01	01	H1036_140_0	4	08/20/2010	2011.01	08/20/2010 04:06:08 PM Eastern Daylight Time	08/20/2010 04:43:04 PM Eastern Daylight Time	08/20/2010 03:52:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-140 (HMO)	01	01		1			H1036	140	0	2011	Citrus County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	141	0	1	01	01	H1036_141_0	5	08/20/2010	2011.01	08/20/2010 04:06:32 PM Eastern Daylight Time	08/20/2010 04:44:36 PM Eastern Daylight Time	08/20/2010 03:53:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-141 (HMO)	01	01		1			H1036	141	0	2011	Tampa Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	143	0	1	01	01	H1036_143_0	5	08/20/2010	2011.01	08/20/2010 04:07:42 PM Eastern Daylight Time	08/20/2010 04:43:42 PM Eastern Daylight Time	08/20/2010 03:53:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-143 (HMO)	01	01		1			H1036	143	0	2011	Escambia, Santa Rosa Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	144	0	1	01	01	H1036_144_0	4	08/06/2010	2011.01	08/06/2010 08:49:44 AM Eastern Daylight Time	08/02/2010 11:16:18 AM Eastern Daylight Time			08/06/2010 11:02:30 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-144 (HMO)	01	01		1			H1036	144	0	2011	Escambia, Santa Rosa Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H1036	146	0	1	01	01	H1036_146_0	5	08/20/2010	2011.01	08/20/2010 04:07:04 PM Eastern Daylight Time	08/20/2010 04:45:12 PM Eastern Daylight Time	08/26/2010 10:43:03 AM Eastern Daylight Time		08/26/2010 03:51:02 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-146 (HMO)	01	01		1			H1036	146	0	2011	Orange, Osceola, Seminole Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1036	149	0	1	02	01	H1036_149_0	5	08/20/2010	2011.01	08/20/2010 02:09:42 PM Eastern Daylight Time	08/20/2010 01:30:00 PM Eastern Daylight Time	08/20/2010 03:53:00 PM Eastern Daylight Time		08/21/2010 09:19:42 AM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-149 (HMO-POS)	01	02		1			H1036	149	0	2011	Portland, OR		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	151	0	1	01	01	H1036_151_0	3	08/20/2010	2011.01	08/20/2010 01:36:21 PM Eastern Daylight Time	08/20/2010 01:53:34 PM Eastern Daylight Time	08/20/2010 03:53:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1036-151 (HMO)	01	01		1			H1036	151	0	2011	Jackson Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1036	801	0	1	01	01	H1036_801_0	2	06/03/2010	2011.01	06/03/2010 05:37:44 PM Eastern Daylight Time	07/30/2010 11:28:36 AM Eastern Daylight Time			07/30/2010 03:27:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1036	801	0	2011	State of Florida (selected counties)		1	6859	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H1036	806	0	1	01	01	H1036_806_0	3	06/03/2010	2011.01	06/03/2010 05:38:01 PM Eastern Daylight Time	07/30/2010 11:29:50 AM Eastern Daylight Time			07/30/2010 03:27:00 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1036	806	0	2011	State of Florida (selected counties)		1	315	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H1036	807	0	1	01	01	H1036_807_0	2	06/03/2010	2011.01	06/03/2010 05:38:16 PM Eastern Daylight Time	07/26/2010 01:30:23 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA MEDICAL PLAN, INC	Humana Medical Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H1036	807	0	2011	State of Florida (select counties)		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H1043	001	0	1	20	08	H1043_001_0	1	05/20/2010	2011.01	05/20/2010 12:11:56 PM Eastern Daylight Time		05/19/2010 01:31:59 PM Eastern Daylight Time		05/20/2010 12:14:15 PM Eastern Daylight Time	FLORIDA PACE CENTERS, INC.	Florida Pace Centers, Inc.	www.floridapace.org	Florida PACE Centers, Inc. (PACE)	08	20		1			H1043	001	0	2011	Florida PACE Centers, Inc.		2		2				2							www.noformulary.com	www.floridapace.org									(305)-262-7842		(305)-751-7223		(305)-262-7842		(305)-751-7223										(305)-262-7842		(305)-751-7223		(305)-262-7842		(305)-751-7223		1
H1043	002	0	1	20	08	H1043_002_0	1	05/20/2010	2011.01	05/20/2010 12:13:44 PM Eastern Daylight Time		05/19/2010 01:31:59 PM Eastern Daylight Time		05/20/2010 12:14:15 PM Eastern Daylight Time	FLORIDA PACE CENTERS, INC.	Florida Pace Centers, Inc.	www.floridapace.org	Florida PACE Centers, Inc (PACE)	08	20		1			H1043	002	0	2011	Florida PACE Centers, Inc.		2		2				2							www.noformulary.com	www.floridapace.org									(305)-262-7842		(305)-751-7223		(305)-262-7842		(305)-751-7223										(305)-262-7842		(305)-751-7223		(305)-262-7842		(305)-751-7223		1
H1045	001	0	1	02	01	H1045_001_0	5	08/23/2010	2011.01	08/23/2010 03:49:29 PM Eastern Daylight Time	08/23/2010 02:26:52 PM Eastern Daylight Time	08/23/2010 02:26:52 PM Eastern Daylight Time		08/23/2010 03:58:38 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Choice Dade (HMO-POS)	01	02		1			H1045	001	0	2011	Miami-Dade County		2	17788	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary/	http://www.mypreferredcare.com/pharmacy/	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1
H1045	005	0	1	01	01	H1045_005_0	6	08/23/2010	2011.01	08/23/2010 03:51:59 PM Eastern Daylight Time	08/23/2010 03:36:55 PM Eastern Daylight Time	08/21/2010 02:05:04 PM Eastern Daylight Time		08/23/2010 03:58:38 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Choice Broward (HMO)	01	01		1			H1045	005	0	2011	Broward County		2	1727	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary/	http://www.mypreferredcare.com/pharmacy/	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1
H1045	010	0	1	02	01	H1045_010_0	6	08/23/2010	2011.01	08/23/2010 03:50:54 PM Eastern Daylight Time	08/23/2010 03:37:41 PM Eastern Daylight Time	08/21/2010 02:05:15 PM Eastern Daylight Time		08/23/2010 03:58:38 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred PremiumAdvantage (HMO-POS)	01	02		1			H1045	010	0	2011	DADE, BROW, LAKE, MAR, SUM, HIL, MAN, PIN Counties		2	18537	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary/	http://www.mypreferredcare.com/pharmacy/	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1
H1045	012	0	1	01	01	H1045_012_0	6	08/23/2010	2011.01	08/23/2010 03:49:41 PM Eastern Daylight Time	08/21/2010 03:01:48 PM Eastern Daylight Time	08/21/2010 02:06:18 PM Eastern Daylight Time		08/23/2010 03:58:38 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Medicare Assist (HMO SNP)	01	01		1			H1045	012	0	2011	Miami-Dade and Broward Counties		2	856	2		2		1	3		1	2		www.mypreferredcare.com	http://www.mypreferredcare.com/formulary/	http://www.mypreferredcare.com/pharmacy/	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1
H1045	016	0	1	01	01	H1045_016_0	6	08/23/2010	2011.01	08/23/2010 03:49:56 PM Eastern Daylight Time	08/21/2010 02:08:33 PM Eastern Daylight Time	08/21/2010 02:05:18 PM Eastern Daylight Time		08/23/2010 03:58:38 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Complete Care (HMO)	01	01		1			H1045	016	0	2011	Miami-Dade County		2	4729	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary/	http://www.mypreferredcare.com/pharmacy/	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1
H1045	018	0	1	01	01	H1045_018_0	4	08/23/2010	2011.01	08/23/2010 03:50:08 PM Eastern Daylight Time	08/21/2010 02:08:34 PM Eastern Daylight Time	08/21/2010 02:05:24 PM Eastern Daylight Time		08/23/2010 03:58:38 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Special Care (HMO SNP)	01	01		1			H1045	018	0	2011	Miami-Dade and Broward Counties		2	1374	2				1	4		1		00000000000000000010	www.mypreferredcare.com	http://www.mypreferredcare.com/formulary/	http://www.mypreferredcare.com/pharmacy/	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1
H1045	019	0	1	01	01	H1045_019_0	5	08/23/2010	2011.01	08/23/2010 03:51:44 PM Eastern Daylight Time	08/23/2010 03:37:44 PM Eastern Daylight Time	08/21/2010 02:05:24 PM Eastern Daylight Time		08/23/2010 03:58:38 PM Eastern Daylight Time	PREFERRED CARE PARTNERS INC.	Preferred Care Partners, Inc.	www.mypreferredcare.com	Preferred Care Partners Preferred Gold Option (HMO)	01	01		1			H1045	019	0	2011	LAKE, MAR, SUM, HIL, MAN, PIN Counties		2	316	2				2						www.mypreferredcare.com	http://www.mypreferredcare.com/formulary/	http://www.mypreferredcare.com/pharmacy/	(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(866)-231-7201		(305)-670-8446		(866)-473-0218		(305)-670-8437		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		(800)-406-8076		1
H1076	003	0	1	01	01	H1076_003_0	6	08/22/2010	2011.01	08/22/2010 11:12:49 AM Eastern Daylight Time	08/20/2010 08:59:23 PM Eastern Daylight Time	08/19/2010 01:02:23 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF FLORIDA, INC	Coventry Health Care of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Prime (HMO)	01	01		1			H1076	003	0	2011	Broward County		2	377	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1076	010	0	1	01	01	H1076_010_0	6	08/04/2010	2011.01	08/04/2010 03:13:07 PM Eastern Daylight Time	07/25/2010 12:37:31 PM Eastern Daylight Time			08/07/2010 03:56:29 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF FLORIDA, INC	Coventry Health Care of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Value (HMO)	01	01		1			H1076	010	0	2011	Broward, Miami-Dade and Palm Beach counties		2	689	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506										(711)		(711)		(711)		(711)										1
H1076	011	0	1	01	01	H1076_011_0	6	08/22/2010	2011.01	08/22/2010 10:11:32 AM Eastern Daylight Time	08/20/2010 09:00:24 PM Eastern Daylight Time	08/19/2010 01:03:10 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF FLORIDA, INC	Coventry Health Care of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Maximum Choice (HMO SNP)	01	01		1			H1076	011	0	2011	Broward, Miami-Dade and Palm Beach counties		2	1442	2		2		1	3		1	2		www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1076	016	0	1	01	01	H1076_016_0	7	08/22/2010	2011.01	08/22/2010 11:13:55 AM Eastern Daylight Time	08/20/2010 09:01:20 PM Eastern Daylight Time	08/19/2010 02:41:05 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF FLORIDA, INC	Coventry Health Care of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Prime (HMO)	01	01		1			H1076	016	0	2011	Palm Beach County		2	301	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1076	802	0	1	01	01	H1076_802_0	3	07/23/2010	2011.01	07/23/2010 10:40:41 AM Eastern Daylight Time	07/26/2010 11:24:28 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF FLORIDA, INC	Coventry Health Care of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Group Prime (HMO)	01	01		1			H1076	802	0	2011	Nationwide		1	93	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1076	803	0	1	01	01	H1076_803_0	3	07/23/2010	2011.01	07/23/2010 10:42:22 AM Eastern Daylight Time	07/26/2010 11:29:04 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF FLORIDA, INC	Coventry Health Care of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Group Prime Value (HMO)	01	01		1			H1076	803	0	2011	Nationwide		1	93	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506										(711)		(711)		(711)		(711)										1
H1076	805	0	1	01	01	H1076_805_0	3	07/23/2010	2011.01	07/23/2010 10:42:27 AM Eastern Daylight Time	07/26/2010 11:36:30 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF FLORIDA, INC	Coventry Health Care of Florida, Inc. (VISTA)	www.vistahealthplan.com	Coventry Vista Group Prime Choice (HMO)	01	01		1			H1076	805	0	2011	Nationwide		1	93	2				2						www.vistahealthplan.com	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/vista-medicare/prescription-drug-benefits	(866)-707-9781		(866)-707-9781		(866)-988-7506		(866)-988-7506		(800)-977-7339		(800)-977-7339		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1080	004	0	1	02	01	H1080_004_0	5	06/03/2010	2011.01	06/03/2010 03:41:56 PM Central Daylight Time	08/19/2010 04:29:17 PM Central Daylight Time	08/18/2010 04:27:41 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H1080	004	0	2011	Select Counties in Florida		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1080	036	0	1	01	01	H1080_036_0	4	06/01/2010	2011.01	06/01/2010 07:12:51 PM Central Daylight Time	08/19/2010 04:31:26 PM Central Daylight Time	08/18/2010 04:27:45 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H1080	036	0	2011	Tampa area Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1080	042	0	1	01	01	H1080_042_0	5	06/01/2010	2011.01	06/01/2010 12:22:02 PM Central Daylight Time	08/19/2010 04:32:26 PM Central Daylight Time	08/18/2010 04:27:50 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H1080	042	0	2011	St. Lucie FL		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1080	801	0	1	01	01	H1080_801_0	2	07/13/2010	2011.01	07/13/2010 04:29:05 PM Central Daylight Time	06/03/2010 02:18:48 PM Central Daylight Time			07/13/2010 04:31:43 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1080	801	0	2011	Select Counties in Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1080	804	0	1	01	01	H1080_804_0	1	05/25/2010	2011.01	05/25/2010 08:36:25 AM Central Daylight Time	06/03/2010 02:19:29 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1080	804	0	2011	Select Counties in Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H1080	807	0	1	01	01	H1080_807_0	1	05/25/2010	2011.01	05/25/2010 08:36:29 AM Central Daylight Time	06/03/2010 02:20:22 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1080	807	0	2011	Select Counties in Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1080	808	0	2	01	01	H1080_808_0	1	06/01/2010	2011.01	06/01/2010 04:28:55 PM Central Daylight Time	06/03/2010 02:21:09 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H1080	808	0	2011	Select Counties in Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1080	809	0	1	02	01	H1080_809_0	1	05/27/2010	2011.01	05/27/2010 08:16:24 AM Central Daylight Time	06/03/2010 02:21:52 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1080	809	0	2011	Select Counties in Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1080	810	0	1	02	01	H1080_810_0	1	05/27/2010	2011.01	05/27/2010 08:16:48 AM Central Daylight Time	06/03/2010 02:22:27 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1080	810	0	2011	Select Counties in Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H1080	811	0	1	02	01	H1080_811_0	1	05/27/2010	2011.01	05/27/2010 08:17:09 AM Central Daylight Time	06/03/2010 02:24:53 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1080	811	0	2011	Select Counties in Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1099	001	0	1	02	01	H1099_001_0	4	08/16/2010	2011.01	08/16/2010 09:17:03 AM Eastern Daylight Time	08/20/2010 08:54:16 AM Eastern Daylight Time	08/20/2010 08:54:36 AM Eastern Daylight Time		08/20/2010 11:20:44 AM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.HealthFirstMedicarePlans.org	Health First Classic Plan (HMO-POS)	01	02		1			H1099	001	0	2011	All Brevard and Indian River Zip 32957/32958/32978		2	12000	2				2						www.HealthFirstMedicarePlans.org	http://www.health-first.org/health_plans/	www.sxc.com	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1099	006	0	1	01	01	H1099_006_0	6	08/25/2010	2011.01	08/25/2010 02:54:43 PM Eastern Daylight Time	08/20/2010 08:56:42 AM Eastern Daylight Time	08/20/2010 08:57:00 AM Eastern Daylight Time		08/25/2010 03:02:20 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.HealthFirstMedicarePlans.org	Health First Value Plan (HMO)	01	01		1			H1099	006	0	2011	All Brevard and Indian River Zip 32957/32958/32978		2	5000	2				2						www.HealthFirstMedicarePlans.org	http://www.health-first.org/health_plans/	www.sxc.com	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1099	009	0	1	01	01	H1099_009_0	2	08/11/2010	2011.01	08/11/2010 11:08:13 AM Eastern Daylight Time	08/10/2010 02:13:44 PM Eastern Daylight Time			08/11/2010 02:26:11 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.HealthFirstMedicarePlans.org	Health First Secure Plan (HMO)	01	01		1			H1099	009	0	2011	All Brevard and Indian River Zip 32957/32958/32978		2	1000	2				2						www.HealthFirstMedicarePlans.org	http://www.health-first.org/health_plans/	www.sxc.com	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1
H1099	014	0	1	02	01	H1099_014_0	7	09/16/2010	2011.01	09/16/2010 02:12:49 PM Eastern Daylight Time	08/20/2010 08:55:40 AM Eastern Daylight Time	08/20/2010 08:56:00 AM Eastern Daylight Time		09/16/2010 04:25:36 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.HealthFirstMedicarePlans.org	Health First Rewards Plan (HMO-POS)	01	02		1			H1099	014	0	2011	Health First Rewards Plan		2	5000	2				2						www.HealthFirstMedicarePlans.org	http://www.health-first.org/health_plans/	www.sxc.com	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1099	802	0	1	01	01	H1099_802_0	3	08/09/2010	2011.01	08/09/2010 11:26:13 AM Eastern Daylight Time	08/09/2010 02:46:10 PM Eastern Daylight Time			08/09/2010 02:50:48 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.HealthFirstMedicarePlans.org	HEALTH FIRST EMPLOYER GROUP PLUS (HMO)	01	01		1			H1099	802	0	2011	All Brevard and Indian River Zip 32957/32958/32978		1	1000	2				2						www.HealthFirstMedicarePlans.org	http://www.health-first.org/health_plans/	www.sxc.com	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1099	803	0	1	01	01	H1099_803_0	4	08/09/2010	2011.01	08/09/2010 11:31:05 AM Eastern Daylight Time	08/26/2010 03:23:01 PM Eastern Daylight Time			08/26/2010 04:00:34 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.HealthFirstMedicarePlans.org	HEALTH FIRST EMPLOYER GROUP BASIC (HMO)	01	01		1			H1099	803	0	2011	All Brevard and Indian River Zip 32957/32958/32978		1	1000	2				2						www.HealthFirstMedicarePlans.org	http://www.health-first.org/health_plans/	www.sxc.com	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1
H1099	804	0	1	02	01	H1099_804_0	3	08/05/2010	2011.01	08/05/2010 12:17:04 PM Eastern Daylight Time	08/04/2010 03:26:22 PM Eastern Daylight Time			08/05/2010 12:30:13 PM Eastern Daylight Time	HEALTH FIRST HEALTH PLANS, INC.	Health First Medicare Plans	www.HealthFirstMedicarePlans.org	HEALTH FIRST EMPLOYER GROUP POS (HMO-POS)	01	02		1			H1099	804	0	2011	All Brevard and Indian River Zip 32957/32958/32978		1	1000	2				2						www.HealthFirstMedicarePlans.org	http://www.health-first.org/health_plans/	www.sxc.com	(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-716-7737		(321)-434-5665		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H1108	001	0	1	04	01	H1108_001_0	5	08/20/2010	2011.01	08/20/2010 11:30:59 AM Central Daylight Time	08/19/2010 06:05:41 PM Central Daylight Time	08/18/2010 04:27:56 PM Central Daylight Time		08/20/2010 03:43:00 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H1108	001	0	2011	Atlanta and Macon Metro Areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1108	002	0	1	04	01	H1108_002_0	4	06/01/2010	2011.01	06/01/2010 08:30:18 PM Central Daylight Time	08/19/2010 06:06:46 PM Central Daylight Time	08/18/2010 04:28:01 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H1108	002	0	2011	Atlanta and Macon Metro Areas		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1109	001	0	1	01	01	H1109_001_0	3	08/20/2010	2011.01	08/20/2010 03:39:00 PM Central Daylight Time	08/20/2010 07:53:26 AM Central Daylight Time	08/19/2010 12:59:44 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H1109	001	0	2011	Atlanta and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H1109	003	0	1	01	01	H1109_003_0	3	08/20/2010	2011.01	08/20/2010 03:39:07 PM Central Daylight Time	08/20/2010 08:41:28 AM Central Daylight Time	08/19/2010 12:59:48 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H1109	003	0	2011	Atlanta and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H1109	801	0	1	01	01	H1109_801_0	2	05/10/2010	2011.01	05/10/2010 09:51:33 AM Eastern Daylight Time	07/21/2010 01:04:04 PM Central Daylight Time			07/27/2010 12:03:00 PM Central Daylight Time	AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H1109	801	0	2011	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H1109	802	0	1	01	01	H1109_802_0	2	05/10/2010	2011.01	05/10/2010 11:08:01 AM Eastern Daylight Time	07/21/2010 01:07:21 PM Central Daylight Time			07/27/2010 12:03:00 PM Central Daylight Time	AETNA HEALTH INC.(GEORGIA)	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H1109	802	0	2011	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H1110	001	0	1	04	01	H1110_001_0	4	08/20/2010	2011.01	08/20/2010 03:39:20 PM Central Daylight Time	08/20/2010 08:47:26 AM Central Daylight Time	08/19/2010 12:59:52 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H1110	001	0	2011	Atlanta and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H1110	801	0	1	04	01	H1110_801_0	2	05/10/2010	2011.01	05/10/2010 02:48:41 PM Eastern Daylight Time	07/22/2010 10:10:39 AM Central Daylight Time			07/27/2010 12:03:00 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (PPO)	01	04		1			H1110	801	0	2011	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H1110	802	0	1	04	01	H1110_802_0	3	05/10/2010	2011.01	05/10/2010 02:49:31 PM Eastern Daylight Time	08/03/2010 03:48:25 PM Central Daylight Time			08/05/2010 09:24:39 AM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (PPO)	01	04		1			H1110	802	0	2011	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H1110	805	0	2	04	01	H1110_805_0	2	05/10/2010	2011.01	05/10/2010 02:50:49 PM Eastern Daylight Time	07/22/2010 11:02:30 AM Eastern Daylight Time			08/11/2010 11:11:03 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan (PPO)	01	04		2	2		H1110	805	0	2011	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H1110	806	0	2	04	01	H1110_806_0	2	05/10/2010	2011.01	05/10/2010 11:32:40 PM Eastern Daylight Time	07/22/2010 11:06:37 AM Eastern Daylight Time			08/11/2010 11:11:03 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx CY (PPO)	01	04		2	2		H1110	806	0	2011	Georgia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H1111	002	0	1	02	01	H1111_002_0	5	07/07/2010	2011.01	07/07/2010 09:31:33 AM Central Daylight Time	08/19/2010 06:09:22 PM Central Daylight Time	08/18/2010 04:44:54 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1111	002	0	2011	Columbia, Harris, Muscogee and Richmond Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1111	004	0	1	02	01	H1111_004_0	4	06/01/2010	2011.01	06/01/2010 07:27:54 PM Central Daylight Time	08/19/2010 06:09:48 PM Central Daylight Time	08/18/2010 04:28:05 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH-POS (HMO-POS SNP)	01	02		1			H1111	004	0	2011	Columbia, Harris, Muscogee and Richmond Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1111	801	0	1	01	01	H1111_801_0	1	05/25/2010	2011.01	05/25/2010 08:36:39 AM Central Daylight Time	06/01/2010 11:46:27 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1111	801	0	2011	GA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1111	804	0	1	01	01	H1111_804_0	1	05/25/2010	2011.01	05/25/2010 08:36:45 AM Central Daylight Time	06/01/2010 11:46:08 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1111	804	0	2011	GA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H1111	805	0	1	01	01	H1111_805_0	1	05/25/2010	2011.01	05/25/2010 08:36:51 AM Central Daylight Time	06/01/2010 11:45:50 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H1111	805	0	2011	GA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1111	807	0	2	01	01	H1111_807_0	1	06/01/2010	2011.01	06/01/2010 04:29:27 PM Central Daylight Time	06/01/2010 11:45:33 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H1111	807	0	2011	GA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1111	808	0	1	02	01	H1111_808_0	1	05/27/2010	2011.01	05/27/2010 08:17:28 AM Central Daylight Time	06/01/2010 11:45:15 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1111	808	0	2011	GA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1111	809	0	1	02	01	H1111_809_0	1	05/27/2010	2011.01	05/27/2010 08:17:51 AM Central Daylight Time	06/01/2010 11:44:48 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1111	809	0	2011	GA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H1111	810	0	1	02	01	H1111_810_0	1	05/27/2010	2011.01	05/27/2010 08:18:14 AM Central Daylight Time	06/01/2010 11:44:22 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE OF GEORGIA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1111	810	0	2011	GA Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1112	003	0	1	01	01	H1112_003_0	5	08/10/2010	2011.01	08/10/2010 10:56:32 AM Eastern Daylight Time	06/07/2010 09:49:33 PM Eastern Daylight Time			08/10/2010 03:59:35 PM Eastern Daylight Time	WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	WellCare Advance (HMO)	01	01		1			H1112	003	0	2011	Atlanta, Columbus, Savannah Metro Areas		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-334-7730		(866)-334-7730		(877)-232-7119		(877)-232-7119										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1
H1112	006	0	1	01	01	H1112_006_0	6	06/07/2010	2011.01	06/07/2010 07:11:10 PM Eastern Daylight Time	08/20/2010 04:57:49 PM Eastern Daylight Time	08/20/2010 05:02:04 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H1112	006	0	2011	Atlanta, Columbus, Savannah Metro Areas		2		2		2		1	3		1	1		www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-482-3361		(866)-482-3361		(877)-232-7119		(877)-232-7119		(866)-482-3361		(866)-482-3361		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1112	027	0	1	02	01	H1112_027_0	6	08/20/2010	2011.01	08/20/2010 10:24:13 AM Eastern Daylight Time	08/20/2010 04:58:09 PM Eastern Daylight Time	08/20/2010 05:02:23 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF GEORGIA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1112	027	0	2011	Atlanta, Columbus, Savannah Metro Areas		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-334-7730		(866)-334-7730		(877)-232-7119		(877)-232-7119		(866)-334-7730		(866)-334-7730		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1170	002	0	1	01	01	H1170_002_0	5	08/23/2010	2011.01	08/23/2010 12:47:36 PM Eastern Daylight Time	08/23/2010 11:14:46 AM Eastern Daylight Time	08/23/2010 08:44:00 AM Eastern Daylight Time		08/23/2010 04:40:15 PM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced (HMO)	01	01		1			H1170	002	0	2011	Atlanta Metro Area		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(877)-408-3493		(877)-408-3493		(800)-232-4404		(800)-232-4404		(877)-408-3493		(877)-408-3493		(800)-255-0056		(800)-255-0056		(888)-758-6054		(888)-758-6054		(800)-255-0056		(800)-255-0056		(888)-758-6054		(888)-758-6054		1
H1170	008	0	1	01	01	H1170_008_0	2	08/06/2010	2011.01	08/06/2010 11:51:12 AM Eastern Daylight Time	08/23/2010 11:56:50 AM Eastern Daylight Time	08/23/2010 08:48:44 AM Eastern Daylight Time		08/23/2010 04:40:15 PM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Senior Advantage Medicare Medicaid Plan (HMO SNP)	01	01		1			H1170	008	0	2011	Atlanta Metro Area		2		2		2		1	3		1	2		kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(877)-408-3493		(877)-408-3493		(800)-232-4404		(800)-232-4404		(877)-408-3493		(877)-408-3493		(800)-255-0056		(800)-255-0056		(888)-758-6054		(888)-758-6054		(800)-255-0056		(800)-255-0056		(888)-758-6054		(888)-758-6054		1
H1170	009	0	1	01	01	H1170_009_0	5	08/23/2010	2011.01	08/23/2010 04:27:10 PM Eastern Daylight Time	08/20/2010 10:50:26 AM Eastern Daylight Time	08/23/2010 08:52:04 AM Eastern Daylight Time		08/23/2010 04:40:15 PM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic (HMO)	01	01		1			H1170	009	0	2011	Atlanta Metro Area		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(877)-408-3493		(877)-408-3493		(800)-232-4404		(800)-232-4404		(877)-408-3493		(877)-408-3493		(800)-255-0056		(800)-255-0056		(888)-758-6054		(888)-758-6054		(800)-255-0056		(800)-255-0056		(888)-758-6054		(888)-758-6054		1
H1170	801	0	1	01	01	H1170_801_0	3	08/08/2010	2011.01	08/08/2010 10:53:51 AM Eastern Daylight Time	08/06/2010 08:55:08 PM Eastern Daylight Time			08/08/2010 02:26:36 PM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Employer Group Plan (HMO)	01	01		1			H1170	801	0	2011	Atlanta Metro Area		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404										(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056										1
H1170	802	0	1	01	01	H1170_802_0	3	08/08/2010	2011.01	08/08/2010 10:54:04 AM Eastern Daylight Time	08/06/2010 08:57:15 PM Eastern Daylight Time			08/08/2010 02:26:36 PM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Employer Group With Part D (HMO)	01	01		1			H1170	802	0	2011	Atlanta Metro Area		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		1
H1170	805	0	1	01	01	H1170_805_0	3	08/06/2010	2011.01	08/06/2010 11:54:14 AM Eastern Daylight Time	08/11/2010 04:08:02 PM Eastern Daylight Time			08/12/2010 02:33:41 PM Eastern Daylight Time	KAISER FOUNDATION HP OF GA, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB Part AB  with D (HMO)	01	01		1			H1170	805	0	2011	Atlanta Metro Area		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-232-4404		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		(800)-255-0056		1
H1216	001	0	1	02	01	H1216_001_0	7	08/20/2010	2011.01	08/20/2010 10:25:03 AM Eastern Daylight Time	08/20/2010 04:58:31 PM Eastern Daylight Time	08/20/2010 05:02:41 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1216	001	0	2011	St. Charles, St. Louis, St. Louis City Counties		2		2				2							www.wellcare.com	www.wellcare.com	(866)-687-8994		(866)-687-8994		(877)-232-7119		(877)-232-7119		(866)-687-8994		(866)-687-8994		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1216	003	0	1	01	01	H1216_003_0	6	07/20/2010	2011.01	07/20/2010 10:26:45 AM Eastern Daylight Time	08/20/2010 04:58:52 PM Eastern Daylight Time	08/20/2010 05:02:55 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H1216	003	0	2011	St. Charles, St. Louis, St. Louis City Counties		2		2		2		1	3		1	1			www.wellcare.com	www.wellcare.com	(866)-635-7049		(866)-635-7049		(877)-232-7119		(877)-232-7119		(866)-635-7049		(866)-635-7049		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1216	005	0	1	01	01	H1216_005_0	6	08/20/2010	2011.01	08/20/2010 10:25:31 AM Eastern Daylight Time	08/20/2010 04:59:13 PM Eastern Daylight Time	08/20/2010 05:03:10 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H1216	005	0	2011	St. Charles, St. Louis, St. Louis City Counties		2		2				2							www.wellcare.com	www.wellcare.com	(866)-687-8994		(866)-687-8994		(877)-232-7119		(877)-232-7119		(866)-687-8994		(866)-687-8994		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1230	001	0	1	01	01	H1230_001_0	4	08/23/2010	2011.01	08/23/2010 01:09:00 PM Hawaiian Standard Time	08/23/2010 11:55:00 AM Hawaiian Standard Time	08/23/2010 11:59:00 AM Hawaiian Standard Time		08/23/2010 01:39:31 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Enhanced (HMO)	01	01		1			H1230	001	0	2011	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(877)-408-3494		(877)-408-3494		(800)-805-2739		(800)-805-2739		(877)-408-3494		(877)-408-3494		(877)-447-5990		(877)-447-5990		(888)-758-6054		(888)-758-6054		(877)-447-5990		(877)-447-5990		(888)-758-6054		(888)-758-6054		1
H1230	003	0	1	01	01	H1230_003_0	4	08/21/2010	2011.01	08/21/2010 12:33:24 AM Hawaiian Standard Time	08/23/2010 11:30:00 AM Hawaiian Standard Time	08/23/2010 11:57:00 AM Hawaiian Standard Time		08/23/2010 01:39:31 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Senior Advantage Basic (HMO)	01	01		1			H1230	003	0	2011	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		2		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(877)-408-3494		(877)-408-3494		(800)-805-2739		(800)-805-2739		(877)-408-3494		(877)-408-3494		(877)-447-5990		(877)-447-5990		(888)-758-6054		(888)-758-6054		(877)-447-5990		(877)-447-5990		(888)-758-6054		(888)-758-6054		1
H1230	801	0	1	01	01	H1230_801_0	6	08/08/2010	2011.01	08/08/2010 08:15:51 AM Hawaiian Standard Time	08/11/2010 07:41:59 AM Hawaiian Standard Time			08/11/2010 07:54:47 AM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Employer Group MA only (HMO)	01	01		1			H1230	801	0	2011	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739										(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990										1
H1230	802	0	2	01	01	H1230_802_0	3	08/03/2010	2011.01	08/03/2010 12:27:32 PM Hawaiian Standard Time	06/05/2010 06:01:00 PM Hawaiian Standard Time			08/03/2010 05:00:15 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Employer Group MA only Part B (HMO)	01	01		2	1		H1230	802	0	2011	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739										(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990										1
H1230	803	0	1	01	01	H1230_803_0	5	08/07/2010	2011.01	08/07/2010 10:08:44 PM Hawaiian Standard Time	08/08/2010 11:40:00 AM Hawaiian Standard Time			08/08/2010 09:08:05 AM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Employer Group MA-PD (HMO)	01	01		1			H1230	803	0	2011	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1
H1230	804	0	2	01	01	H1230_804_0	3	08/03/2010	2011.01	08/03/2010 12:28:48 PM Hawaiian Standard Time	06/05/2010 06:03:00 PM Hawaiian Standard Time			08/03/2010 05:00:15 PM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	Kaiser Permanente Employer Group MA-PD Part B (HMO)	01	01		2	1		H1230	804	0	2011	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1
H1230	805	0	1	01	01	H1230_805_0	3	08/08/2010	2011.01	08/08/2010 08:01:27 AM Hawaiian Standard Time	08/08/2010 11:39:00 AM Hawaiian Standard Time			08/08/2010 09:08:05 AM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB AB with D (HMO)	01	01		1			H1230	805	0	2011	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1
H1230	806	0	2	01	01	H1230_806_0	4	08/07/2010	2011.01	08/07/2010 10:30:42 PM Hawaiian Standard Time	08/08/2010 11:38:00 AM Hawaiian Standard Time			08/08/2010 09:08:05 AM Hawaiian Standard Time	KAISER FOUNDATION HP, INC.	Kaiser Permanente Senior Advantage	kp.org	FEHB B only with D (HMO)	01	01		2	1		H1230	806	0	2011	Islands of Oahu, Maui and Hawaii except for 3 ZIPs		1		2				2						kp.org	www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(800)-805-2739		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1
H1234	001	0	1	20	08	H1234_001_0	1	05/24/2010	2011.01	05/24/2010 01:08:29 PM Eastern Daylight Time		05/18/2010 03:39:02 PM Eastern Daylight Time		05/24/2010 01:21:33 PM Eastern Daylight Time	LIFE ST. FRANCIS	LIFE St. Francis	www.stfrancismedical.org	SFMC-Dual (PACE)	08	20		1			H1234	001	0	2011	Mercer County and portions of Burlington County		2		2				2							www.stfrancismedical.org	www.omnicare.com									(609)-599-5433		(609)-599-5433		(609)-599-5433		(609)-599-5433										(609)-599-5433		(609)-599-5433		(609)-599-5433		(609)-599-5433		1
H1234	002	0	1	20	08	H1234_002_0	1	05/24/2010	2011.01	05/24/2010 01:08:59 PM Eastern Daylight Time		05/18/2010 03:39:02 PM Eastern Daylight Time		05/24/2010 01:21:33 PM Eastern Daylight Time	LIFE ST. FRANCIS	LIFE St. Francis	www.stfrancismedical.org	SFMC-Medicare only (PACE)	08	20		1			H1234	002	0	2011	Mercer County and portions of Burlington County		2		2				2							www.stfrancismedical.org	www.omnicare.com									(609)-599-5433		(609)-599-5433		(609)-599-5433		(609)-599-5433										(609)-599-5433		(609)-599-5433		(609)-599-5433		(609)-599-5433		1
H1251	001	0	1	18	06	H1251_001_0	5	07/30/2010	2011.01	07/30/2010 12:35:40 PM Hawaiian Standard Time				07/30/2010 01:03:28 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Basic Option (Cost)	06	18		1			H1251	001	0	2011	State of Hawaii		2	1000	2				2							www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222										1
H1251	002	0	1	18	06	H1251_002_0	5	07/30/2010	2011.01	07/30/2010 12:36:12 PM Hawaiian Standard Time				07/30/2010 01:11:42 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus High Option (Cost)	06	18		1			H1251	002	0	2011	State of Hawaii		2	5000	2				2							www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222										1
H1251	003	0	1	18	06	H1251_003_0	6	08/12/2010	2011.01	08/12/2010 01:57:29 PM Hawaiian Standard Time		08/20/2010 04:00:53 AM Hawaiian Standard Time		08/20/2010 10:52:14 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Basic Option BRx (Cost)	06	18		1			H1251	003	0	2011	State of Hawaii		2	3000	2				2							www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H1251	004	0	1	18	06	H1251_004_0	6	07/30/2010	2011.01	07/30/2010 12:36:28 PM Hawaiian Standard Time		08/20/2010 04:01:16 AM Hawaiian Standard Time		08/20/2010 11:07:48 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus High Option SRx (Cost)	06	18		1			H1251	004	0	2011	State of Hawaii		2	29000	2				2							www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H1251	801	0		18	06	H1251_801_0	1	05/04/2010	2011.01						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Basic Option EGWP with Drug CY (Cost)	06	18					H1251	801	0	2011	State of Hawaii		1						2							www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H1251	802	0		18	06	H1251_802_0	1	05/04/2010	2011.01						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus High Option EGWP with Drug CY (Cost)	06	18					H1251	802	0	2011	State of Hawaii		1						2							www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H1251	803	0		18	06	H1251_803_0	1	05/04/2010	2011.01						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus Basic Option EGWP with Drug NCY (Cost)	06	18					H1251	803	0	2011	State of Hawaii		1						2							www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H1251	804	0		18	06	H1251_804_0	1	05/04/2010	2011.01						HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's 65C Plus	www.hmsa.com	65C Plus High Option EGWP with Drug NCY (Cost)	06	18					H1251	804	0	2011	State of Hawaii		1						2							www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672				(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H1264	004	0	1	02	01	H1264_004_0	5	08/20/2010	2011.01	08/20/2010 10:26:00 AM Eastern Daylight Time	08/20/2010 04:59:35 PM Eastern Daylight Time	08/20/2010 05:03:26 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF TEXAS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1264	004	0	2011	Houston, Dallas, San Antonio Metro Areas		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-687-8878		(866)-687-8878		(877)-232-7119		(877)-232-7119		(866)-687-8878		(866)-687-8878		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1264	007	0	1	01	01	H1264_007_0	5	06/07/2010	2011.01	06/07/2010 08:15:08 AM Eastern Daylight Time	08/20/2010 04:59:56 PM Eastern Daylight Time	08/20/2010 05:03:40 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF TEXAS, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H1264	007	0	2011	Bexar, Dallas, Harris, Tarrant Counties		2		2		2		1	3		1	1		www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-530-9495		(866)-530-9495		(877)-232-7119		(877)-232-7119		(866)-530-9495		(866)-530-9495		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1264	008	0	1	01	01	H1264_008_0	6	08/10/2010	2011.01	08/10/2010 10:57:58 AM Eastern Daylight Time	08/20/2010 05:00:18 PM Eastern Daylight Time	08/20/2010 05:03:58 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF TEXAS, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H1264	008	0	2011	Ft. Bend, Harris, Montgomery, San Jacinto Counties		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-687-8878		(866)-687-8878		(877)-232-7119		(877)-232-7119		(866)-687-8878		(866)-687-8878		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1264	014	0	1	01	01	H1264_014_0	6	08/10/2010	2011.01	08/10/2010 10:58:09 AM Eastern Daylight Time	08/20/2010 05:00:38 PM Eastern Daylight Time	08/20/2010 05:04:16 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF TEXAS, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H1264	014	0	2011	Bexar, Dallas, Tarrant Counties		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-687-8878		(866)-687-8878		(877)-232-7119		(877)-232-7119		(866)-687-8878		(866)-687-8878		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1286	002	0	1	02	01	H1286_002_0	4	06/02/2010	2011.01	06/02/2010 11:06:47 AM Central Daylight Time	08/19/2010 06:23:08 PM Central Daylight Time	08/18/2010 04:44:59 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1286	002	0	2011	Spokane County		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1286	003	0	1	02	01	H1286_003_0	1	06/01/2010	2011.01	06/01/2010 10:09:39 AM Central Daylight Time	06/03/2010 01:11:51 PM Central Daylight Time			06/04/2010 09:42:45 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H1286	003	0	2011	Spokane County		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H1286	004	0	1	02	01	H1286_004_0	5	06/02/2010	2011.01	06/02/2010 08:41:09 AM Central Daylight Time	08/19/2010 06:23:31 PM Central Daylight Time	08/18/2010 04:45:03 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1286	004	0	2011	Clackamas, Marion, Multnomah, Washington Counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1286	008	0	1	02	01	H1286_008_0	4	06/02/2010	2011.01	06/02/2010 11:24:57 AM Central Daylight Time	08/19/2010 06:23:47 PM Central Daylight Time	08/18/2010 04:45:08 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1286	008	0	2011	Skagit and Whatcom Counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1286	801	0	1	02	01	H1286_801_0	1	05/27/2010	2011.01	05/27/2010 08:10:21 AM Central Daylight Time	06/03/2010 01:10:49 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1286	801	0	2011	Spokane WA,Multnomah,Washing,Clackamas, Marion,OR		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1286	803	0	1	02	01	H1286_803_0	1	05/27/2010	2011.01	05/27/2010 08:18:36 AM Central Daylight Time	06/03/2010 01:10:30 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1286	803	0	2011	Select counties in OR/WA		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1286	804	0	1	02	01	H1286_804_0	1	05/27/2010	2011.01	05/27/2010 08:19:00 AM Central Daylight Time	06/03/2010 01:10:11 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1286	804	0	2011	Select counties in OR/WA		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H1291	001	0	1	09	04	H1291_001_0	5	08/20/2010	2011.01	08/20/2010 01:31:52 PM Eastern Daylight Time	08/19/2010 06:38:34 PM Eastern Daylight Time	08/20/2010 03:53:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Gold Choice H1291-001 (PFFS)	04	09	1	1			H1291	001	0	2011	Select Counties in New York		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1291	003	0	1	09	04	H1291_003_0	4	06/07/2010	2011.01	06/07/2010 10:12:09 AM Eastern Daylight Time	08/04/2010 04:46:41 PM Eastern Daylight Time			08/05/2010 10:25:11 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Gold Choice H1291-003 (PFFS)	04	09	1	1			H1291	003	0	2011	Select Counties in New York		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H1291	007	0	1	09	04	H1291_007_0	5	08/20/2010	2011.01	08/20/2010 01:33:16 PM Eastern Daylight Time	08/19/2010 06:38:04 PM Eastern Daylight Time	08/20/2010 03:54:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Gold Choice H1291-007 (PFFS)	04	09	1	1			H1291	007	0	2011	Select Counties in New York		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1291	801	0	1	09	04	H1291_801_0	4	06/05/2010	2011.01	06/05/2010 09:01:41 AM Eastern Daylight Time	07/26/2010 02:04:56 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	1	1			H1291	801	0	2011	Select Counties in New York		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H1291	802	0	1	09	04	H1291_802_0	3	06/05/2010	2011.01	06/05/2010 09:35:55 AM Eastern Daylight Time	07/26/2010 02:11:02 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	1	1			H1291	802	0	2011	Select Counties in New York		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H1291	803	0	1	09	04	H1291_803_0	3	06/05/2010	2011.01	06/05/2010 09:36:05 AM Eastern Daylight Time	07/26/2010 02:11:25 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	1	1			H1291	803	0	2011	Select Counties in New York		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H1302	001	0	1	04	01	H1302_001_0	7	08/09/2010	2011.01	08/09/2010 03:29:28 PM Mountain Daylight Time	08/20/2010 01:19:36 PM Mountain Daylight Time	08/20/2010 01:19:46 PM Mountain Daylight Time		08/23/2010 10:20:48 AM Mountain Daylight Time	BLUE CROSS OF IDAHO HLTH SERVICES INC	Blue Cross of Idaho	www.bcidaho.com/medicare	Secure Blue (PPO)	01	04		1			H1302	001	0	2011	Select Counties in Idaho		2	2500	2				2						www.bcidaho.com/medicare	bcidaho.com/ma_formulary	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1
H1302	004	0	1	04	01	H1302_004_0	5	08/09/2010	2011.01	08/09/2010 03:30:03 PM Mountain Daylight Time	06/06/2010 01:56:46 PM Mountain Daylight Time			08/09/2010 03:45:00 PM Mountain Daylight Time	BLUE CROSS OF IDAHO HLTH SERVICES INC	Blue Cross of Idaho	www.bcidaho.com/medicare	Secure Blue (PPO)	01	04		1			H1302	004	0	2011	Select Counties in Idaho		2	100	2				2						www.bcidaho.com/medicare	bcidaho.com/ma_formulary	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673										(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363										1
H1303	001	0	1	04	01	H1303_001_0	4	06/01/2010	2011.01	06/01/2010 10:09:47 AM Central Daylight Time	08/19/2010 01:31:35 PM Central Daylight Time	08/18/2010 04:45:13 PM Central Daylight Time		08/20/2010 02:49:16 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H1303	001	0	2011	Ada and Canyon Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1303	004	0	1	04	01	H1303_004_0	4	06/01/2010	2011.01	06/01/2010 08:31:25 PM Central Daylight Time	08/19/2010 01:31:58 PM Central Daylight Time	08/18/2010 04:28:11 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H1303	004	0	2011	Ada and Canyon Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1304	001	0	1	04	01	H1304_001_0	4	08/09/2010	2011.01	08/09/2010 11:15:58 AM Mountain Daylight Time	06/04/2010 02:12:27 PM Pacific Daylight Time			08/10/2010 02:28:07 PM Pacific Daylight Time	REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.regence.com/ID/products/medicare	Regence MedAdvantage (PPO)	01	04		1			H1304	001	0	2011	Select Counties in Idaho/Asotin Co, WA		2		2				2						www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H1304	002	0	1	04	01	H1304_002_0	6	08/09/2010	2011.01	08/09/2010 11:39:10 AM Mountain Daylight Time	08/20/2010 04:09:07 PM Pacific Daylight Time	08/19/2010 02:00:16 PM Pacific Daylight Time		08/20/2010 04:34:19 PM Pacific Daylight Time	REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.regence.com/ID/products/medicare	Regence MedAdvantage + Rx Classic (PPO)	01	04		1			H1304	002	0	2011	Select Counties in Idaho/Asotin Co, WA		2		2				2						www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H1304	004	0	1	04	01	H1304_004_0	5	08/09/2010	2011.01	08/09/2010 11:20:22 AM Mountain Daylight Time	08/20/2010 04:09:07 PM Pacific Daylight Time	08/19/2010 02:14:45 PM Pacific Daylight Time		08/20/2010 04:37:43 PM Pacific Daylight Time	REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.regence.com/ID/products/medicare	Regence MedAdvantage + Rx Enhanced (PPO)	01	04		1			H1304	004	0	2011	Select Counties in Idaho/Asotin Co, WA		2		2				2						www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H1304	803	0	1	04	01	H1304_803_0	3	08/03/2010	2011.01	08/03/2010 10:47:07 AM Mountain Daylight Time	06/04/2010 03:37:39 PM Pacific Daylight Time			08/03/2010 02:35:07 PM Pacific Daylight Time	REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.regence.com/ID/products/medicare	Regence MedAdvantage (PPO)	01	04		1			H1304	803	0	2011	Nationwide except territories		1		2				2						www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H1304	804	0	1	04	01	H1304_804_0	3	08/03/2010	2011.01	08/03/2010 10:49:14 AM Mountain Daylight Time	06/04/2010 03:37:41 PM Pacific Daylight Time			08/03/2010 02:37:28 PM Pacific Daylight Time	REGENCE BLUE SHIELD OF IDAHO	Regence BlueShield Of Idaho	www.regence.com/ID/products/medicare	Regence MedAdvantage + Rx (PPO)	01	04		1			H1304	804	0	2011	Nationwide except territories		1		2				2						www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	www.regence.com/ID/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H1310	001	0	1	20	08	H1310_001_0	2	05/24/2010	2011.01	05/24/2010 04:58:57 PM Eastern Daylight Time		05/24/2010 04:30:58 PM Eastern Daylight Time		05/24/2010 05:05:09 PM Eastern Daylight Time	COMPREHENSIVE SENIOR CARE CORPORATION	CentraCare	www.mycentracare.com	CentraCare Dual (PACE)	08	20		1			H1310	001	0	2011	Calhoun County		2		2				2							mycentracare.com	mycentracare.com									(877)-284-4071		(269)-441-9305		(877)-284-4071		(269)-441-9300										(800)-649-3777		(269)-441-9328		(800)-649-3777		(269)-441-9328		1
H1310	003	0	1	20	08	H1310_003_0	2	05/24/2010	2011.01	05/24/2010 04:59:21 PM Eastern Daylight Time		05/24/2010 04:30:58 PM Eastern Daylight Time		05/24/2010 05:05:09 PM Eastern Daylight Time	COMPREHENSIVE SENIOR CARE CORPORATION	CentraCare	mycentracare.com	CentraCare Medicare-only (PACE)	08	20		1			H1310	003	0	2011	Calhoun County		2		2				2							mycentracare.com	mycentracare.com									(877)-284-4071		(269)-441-9305		(877)-284-4071		(269)-441-9300										(800)-649-3777		(269)-441-9328		(800)-649-3777		(269)-441-9328		1
H1350	001	0	1	01	01	H1350_001_0	6	08/10/2010	2011.01	08/10/2010 02:21:58 PM Mountain Daylight Time	08/20/2010 01:20:03 PM Mountain Daylight Time	08/20/2010 01:20:13 PM Mountain Daylight Time		08/23/2010 10:20:48 AM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com/medicare	True Blue HMO Rx Option I (HMO)	01	01		1			H1350	001	0	2011	Select Counties in Idaho		2	13400	2				2						bcidaho.com/medicare	bcidaho.com/ma_formulary	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1
H1350	006	0	1	01	01	H1350_006_0	4	08/10/2010	2011.01	08/10/2010 02:35:54 PM Mountain Daylight Time	06/06/2010 01:57:23 PM Mountain Daylight Time			08/11/2010 10:11:06 AM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com/medicare	True Blue (HMO)	01	01		1			H1350	006	0	2011	Select Counties in Idaho		2	4200	2				2						bcidaho.com/medicare	bcidaho.com/ma_formulary	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673										(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363										1
H1350	009	0	1	01	01	H1350_009_0	5	08/13/2010	2011.01	08/13/2010 02:45:43 PM Mountain Daylight Time	08/20/2010 01:20:40 PM Mountain Daylight Time	08/20/2010 01:20:49 PM Mountain Daylight Time		08/23/2010 10:20:48 AM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com/medicare	True Blue Special Needs Plan (HMO SNP)	01	01		1			H1350	009	0	2011	Select Counties in Idaho		2	680	2		2		1	3		1	5		bcidaho.com/medicare	bcidaho.com/ma_formulary	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1
H1350	010	0	1	01	01	H1350_010_0	4	08/10/2010	2011.01	08/10/2010 02:36:05 PM Mountain Daylight Time	08/20/2010 01:21:05 PM Mountain Daylight Time	08/20/2010 01:21:14 PM Mountain Daylight Time		08/23/2010 10:20:48 AM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC	Blue Cross of Idaho	www.bcidaho.com/medicare	True Blue HMO Rx Option II (HMO)	01	01		1			H1350	010	0	2011	Select Counties in Idaho		2	6700	2				2						bcidaho.com/medicare	bcidaho.com/ma_formulary	bcidaho.com/ma_formulary	(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(888)-494-2583		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1
H1355	001	0	1	04	01	H1355_001_0	4	08/20/2010	2011.01	08/20/2010 08:29:28 AM Eastern Daylight Time	08/23/2010 11:30:04 AM Eastern Daylight Time	08/19/2010 09:22:44 AM Eastern Daylight Time		09/16/2010 04:30:10 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	Bravo Freedom (PPO)	01	04		1			H1355	001	0	2011	Select Texas Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1355	002	0	1	04	01	H1355_002_0	4	07/07/2010	2011.01	07/07/2010 12:17:39 PM Eastern Daylight Time	08/23/2010 11:31:10 AM Eastern Daylight Time	08/19/2010 09:20:02 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	Bravo Traditions (PPO SNP)	01	04		1			H1355	002	0	2011	Select Tx Counties		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1355	801	0	1	04	01	H1355_801_0	2	08/05/2010	2011.01	08/05/2010 09:46:45 AM Eastern Daylight Time	06/01/2010 06:46:56 PM Eastern Daylight Time			08/05/2010 10:45:09 AM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	EGWP (CY) (PPO)	01	04		1			H1355	801	0	2011	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1355	802	0	1	04	01	H1355_802_0	2	08/05/2010	2011.01	08/05/2010 10:04:46 AM Eastern Daylight Time	06/01/2010 06:47:48 PM Eastern Daylight Time			08/05/2010 10:45:09 AM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	EGWP (non-CY) (PPO)	01	04		1			H1355	802	0	2011	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1365	001	0	1	04	01	H1365_001_0	9	08/21/2010	2011.01	08/21/2010 05:14:54 PM Eastern Daylight Time	08/20/2010 05:19:55 PM Eastern Daylight Time	08/20/2010 01:46:41 PM Eastern Daylight Time		08/22/2010 11:08:46 AM Eastern Daylight Time	MARTIN'S POINT GENERATIONS, LLC	Martin's Point Generations Advantage	www.martinspoint.org/medicare	Martin's Point Generations Advantage Select (PPO)	01	04		1			H1365	001	0	2011	State of Maine		2		2				2						http://www.martinspoint.org	www.martinspoint.org	www.martinspoint.org	(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423		(888)-640-4423		(888)-640-4423		(888)-640-4423		(888)-640-4423		(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502		(866)-544-7502		(866)-544-7502		(866)-544-7502		(866)-544-7502		1
H1406	013	0	1	01	01	H1406_013_0	7	08/20/2010	2011.01	08/20/2010 02:12:28 PM Eastern Daylight Time	08/20/2010 04:44:08 PM Eastern Daylight Time	08/20/2010 03:54:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1406-013 (HMO)	01	01		1			H1406	013	0	2011	Chicago Illinois		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1406	022	0	1	02	01	H1406_022_0	6	08/20/2010	2011.01	08/20/2010 01:50:26 PM Eastern Daylight Time	08/20/2010 04:50:42 PM Eastern Daylight Time	08/20/2010 03:54:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1406-022 (HMO-POS)	01	02		1			H1406	022	0	2011	Chicago (Collar) Illinois		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1406	025	0	1	01	01	H1406_025_0	6	08/20/2010	2011.01	08/20/2010 01:50:49 PM Eastern Daylight Time	08/20/2010 04:45:34 PM Eastern Daylight Time	08/20/2010 03:54:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1406-025 (HMO)	01	01		1			H1406	025	0	2011	Ottawa Illinois		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1406	026	0	1	01	01	H1406_026_0	6	08/20/2010	2011.01	08/20/2010 01:51:09 PM Eastern Daylight Time	08/20/2010 04:46:16 PM Eastern Daylight Time	08/20/2010 03:54:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H1406-026 (HMO)	01	01		1			H1406	026	0	2011	Rockford Illinois		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1406	801	0	1	01	01	H1406_801_0	3	06/03/2010	2011.01	06/03/2010 05:38:30 PM Eastern Daylight Time	07/26/2010 01:21:48 PM Eastern Daylight Time			07/26/2010 05:11:25 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1406	801	0	2011	Chicago Area		1	1861	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H1406	802	0	1	01	01	H1406_802_0	3	06/03/2010	2011.01	06/03/2010 05:38:47 PM Eastern Daylight Time	07/26/2010 03:44:10 PM Eastern Daylight Time			07/26/2010 05:11:25 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1406	802	0	2011	Chicago Area		1	145	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H1406	803	0	1	01	01	H1406_803_0	3	06/03/2010	2011.01	06/03/2010 05:39:01 PM Eastern Daylight Time	07/26/2010 01:31:37 PM Eastern Daylight Time			07/26/2010 05:11:25 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H1406	803	0	2011	Cook, Kendall and Parts of Kane Counties		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H1415	005	0	1	01	01	H1415_005_0	11	08/30/2010	2011.01	08/30/2010 10:52:44 AM Central Daylight Time	08/20/2010 04:08:09 PM Central Daylight Time	08/19/2010 02:35:44 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	TotalCare (HMO SNP)	01	01		1			H1415	005	0	2011	Cook, DuPage, Kane,  and Will		2	3460	2		2		1	3		1	2			www.healthspring.com	www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-886-1993		(800)-331-6293		(800)-331-6293		(888)-299-3582		(888)-299-3582		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
H1415	013	0	1	01	01	H1415_013_0	6	08/20/2010	2011.01	08/20/2010 12:52:34 PM Central Daylight Time	07/26/2010 06:47:41 PM Central Daylight Time			08/25/2010 03:50:09 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthyAdvantage (HMO)	01	01		1			H1415	013	0	2011	Cook, DuPage, Kane, Lake and Will		2	766	2				2							www.healthspring.com	www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-886-1993										(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565										1
H1415	021	0	1	02	01	H1415_021_0	8	08/25/2010	2011.01	08/25/2010 04:15:19 PM Central Daylight Time	08/20/2010 04:09:21 PM Central Daylight Time	08/19/2010 02:36:38 PM Central Daylight Time		08/25/2010 04:17:28 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	HealthyAdvantage Preferred (HMO-POS)	01	02		1			H1415	021	0	2011	Cook, DuPage, Kane, Lake and Will		2	4043	2				2							www.healthspring.com	www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-886-1993		(800)-331-6293		(800)-331-6293		(888)-299-3582		(888)-299-3582		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
H1415	802	0	1	01	01	H1415_802_0	4	07/20/2010	2011.01	07/20/2010 12:28:30 PM Central Daylight Time	06/01/2010 06:54:52 PM Central Daylight Time			08/04/2010 05:56:57 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	Retiree Advantage (HMO)	01	01		1			H1415	802	0	2011	Illinois		1	159	2				2							www.healthspring.com	www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-886-1993										(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565										1
H1415	804	0	1	01	01	H1415_804_0	4	07/20/2010	2011.01	07/20/2010 12:29:26 PM Central Daylight Time	06/01/2010 06:40:38 PM Central Daylight Time			08/04/2010 05:56:57 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	HealthSpring, Inc.	www.healthspring.com	Retiree Advantage Plus (HMO)	01	01		1			H1415	804	0	2011	Illinois		1	159	2				2							www.healthspring.com	www.healthspring.com	(888)-588-4827		(888)-588-4827		(888)-886-1993		(888)-886-1993		(800)-331-6293		(800)-331-6293		(888)-299-3582		(888)-299-3582		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
H1416	007	0	1	01	01	H1416_007_0	5	06/07/2010	2011.01	06/07/2010 08:07:39 AM Eastern Daylight Time	08/20/2010 05:00:58 PM Eastern Daylight Time	08/20/2010 05:04:32 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H1416	007	0	2011	Chicago, St. Louis Areas and Champaign, Verm, Doug		2		2		2		1	3		1	1			www.wellcare.com	www.wellcare.com	(866)-439-1190		(866)-439-1190		(877)-232-7119		(877)-232-7119		(866)-439-1190		(866)-439-1190		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1416	009	0	1	02	01	H1416_009_0	5	08/20/2010	2011.01	08/20/2010 09:39:51 AM Eastern Daylight Time	08/20/2010 05:01:20 PM Eastern Daylight Time	08/20/2010 05:04:50 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1416	009	0	2011	Cook, Will Counties		2		2				2							www.wellcare.com	www.wellcare.com	(866)-334-6876		(866)-334-6876		(877)-232-7119		(877)-232-7119		(866)-334-6876		(866)-334-6876		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1416	018	0	1	02	01	H1416_018_0	6	08/20/2010	2011.01	08/20/2010 09:58:19 AM Eastern Daylight Time	08/20/2010 05:01:40 PM Eastern Daylight Time	08/20/2010 05:05:05 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1416	018	0	2011	St. Louis Area and Vermillion, Douglas, Champaign		2		2				2							www.wellcare.com	www.wellcare.com	(866)-334-6876		(866)-334-6876		(877)-232-7119		(877)-232-7119		(866)-334-6876		(866)-334-6876		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1416	019	0	1	01	01	H1416_019_0	5	08/10/2010	2011.01	08/10/2010 10:21:06 AM Eastern Daylight Time	08/20/2010 05:02:01 PM Eastern Daylight Time	08/20/2010 05:05:23 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Rx (HMO)	01	01		1			H1416	019	0	2011	Chicago, St. Louis Areas and Champaign, Verm, Doug		2		2				2							www.wellcare.com	www.wellcare.com	(866)-334-6876		(866)-334-6876		(877)-232-7119		(877)-232-7119		(866)-334-6876		(866)-334-6876		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1416	022	0	1	01	01	H1416_022_0	6	08/20/2010	2011.01	08/20/2010 09:59:24 AM Eastern Daylight Time	08/20/2010 05:02:22 PM Eastern Daylight Time	08/20/2010 05:05:39 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	HARMONY HEALTH PLAN OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H1416	022	0	2011	Chicago, St. Louis Areas and Champaign, Verm, Doug		2		2				2							www.wellcare.com	www.wellcare.com	(866)-334-6876		(866)-334-6876		(877)-232-7119		(877)-232-7119		(866)-334-6876		(866)-334-6876		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1417	001	0	1	04	01	H1417_001_0	4	08/30/2010	2011.01	08/30/2010 02:35:02 PM Central Daylight Time	07/29/2010 12:02:57 PM Central Daylight Time			08/30/2010 02:43:22 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO10 (PPO)	01	04		1			H1417	001	0	2011	Central Illinois		2	349	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1
H1417	002	0	1	04	01	H1417_002_0	5	08/30/2010	2011.01	08/30/2010 02:35:40 PM Central Daylight Time	08/19/2010 01:55:06 PM Central Daylight Time	08/20/2010 09:26:30 AM Central Daylight Time		08/30/2010 02:43:22 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO10 Rx (PPO)	01	04		1			H1417	002	0	2011	Central Illinois		2	3695	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
H1417	003	0	1	04	01	H1417_003_0	4	07/29/2010	2011.01	07/29/2010 11:44:08 AM Central Daylight Time	07/22/2010 05:23:51 PM Central Daylight Time			08/04/2010 10:43:39 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO30 (PPO)	01	04		1			H1417	003	0	2011	Central Illinois		2	76	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1
H1417	004	0	1	04	01	H1417_004_0	5	08/23/2010	2011.01	08/23/2010 10:14:33 AM Central Daylight Time	08/19/2010 01:55:30 PM Central Daylight Time	08/20/2010 09:49:06 AM Central Daylight Time		08/23/2010 11:32:23 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO30 Rx (PPO)	01	04		1			H1417	004	0	2011	Central Illinois		2	466	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
H1417	005	0	1	04	01	H1417_005_0	6	08/30/2010	2011.01	08/30/2010 02:37:13 PM Central Daylight Time	08/19/2010 01:56:28 PM Central Daylight Time	08/20/2010 09:27:54 AM Central Daylight Time		08/30/2010 02:43:22 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare PPO10 Rx Plus (PPO)	01	04		1			H1417	005	0	2011	Central Illinois		2	431	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
H1417	801	0	1	04	01	H1417_801_0	2	07/01/2010	2011.01	07/01/2010 03:11:45 PM Central Daylight Time	06/03/2010 06:59:30 PM Central Daylight Time			07/02/2010 09:25:22 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Medicare Employer PPO (PPO)	01	04		1			H1417	801	0	2011	Illinois		1	5	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1
H1417	802	0	1	04	01	H1417_802_0	3	07/01/2010	2011.01	07/01/2010 03:12:07 PM Central Daylight Time	07/29/2010 12:17:50 PM Central Daylight Time			08/02/2010 03:20:50 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Medicare Employer PPO Rx (PPO)	01	04		1			H1417	802	0	2011	Illinois		1	600	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
H1418	002	0	1	04	01	H1418_002_0	6	08/20/2010	2011.01	08/20/2010 01:48:58 PM Eastern Daylight Time	08/20/2010 04:44:50 PM Eastern Daylight Time	08/20/2010 03:54:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-002 (PPO)	01	04		1			H1418	002	0	2011	Chicago		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1418	007	0	1	04	01	H1418_007_0	5	08/20/2010	2011.01	08/20/2010 01:49:19 PM Eastern Daylight Time	08/20/2010 04:33:50 PM Eastern Daylight Time	08/20/2010 03:54:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-007 (PPO)	01	04		1			H1418	007	0	2011	Central Illinois		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1418	008	0	1	04	01	H1418_008_0	6	08/21/2010	2011.01	08/21/2010 03:57:41 PM Eastern Daylight Time	08/20/2010 03:17:22 PM Eastern Daylight Time	08/26/2010 10:43:03 AM Eastern Daylight Time		08/26/2010 02:20:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-008 (PPO)	01	04		1			H1418	008	0	2011	Scott County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1418	009	0	1	04	01	H1418_009_0	4	06/05/2010	2011.01	06/05/2010 11:01:43 AM Eastern Daylight Time	07/24/2010 09:44:28 AM Eastern Daylight Time			07/26/2010 06:24:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-009 (PPO)	01	04		1			H1418	009	0	2011	Scott County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H1418	016	0	1	04	01	H1418_016_0	4	08/20/2010	2011.01	08/20/2010 01:49:39 PM Eastern Daylight Time	08/20/2010 04:46:58 PM Eastern Daylight Time	08/20/2010 03:55:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-016 (PPO)	01	04		1			H1418	016	0	2011	Southern Illinois		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1418	017	0	1	04	01	H1418_017_0	9	08/21/2010	2011.01	08/21/2010 03:15:36 PM Eastern Daylight Time	08/20/2010 03:19:52 PM Eastern Daylight Time	08/20/2010 03:55:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1418-017 (PPO)	01	04		1			H1418	017	0	2011	Scott County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1419	001	0	1	01	01	H1419_001_0	3	08/20/2010	2011.01	08/20/2010 03:34:00 PM Central Daylight Time	08/19/2010 01:52:37 PM Central Daylight Time	08/19/2010 12:59:56 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H1419	001	0	2011	Cook County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H1419	801	0	1	01	01	H1419_801_0	1	05/10/2010	2011.01	05/10/2010 11:33:35 PM Eastern Daylight Time	06/02/2010 02:13:33 PM Eastern Daylight Time			06/04/2010 02:46:16 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H1419	801	0	2011	Illinois		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H1419	802	0	1	01	01	H1419_802_0	1	05/10/2010	2011.01	05/10/2010 11:34:30 PM Eastern Daylight Time	06/02/2010 02:16:42 PM Eastern Daylight Time			06/04/2010 02:46:16 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H1419	802	0	2011	Illinois		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H1463	001	0	1	01	01	H1463_001_0	4	08/30/2010	2011.01	08/30/2010 02:37:46 PM Central Daylight Time	06/03/2010 07:00:36 PM Central Daylight Time			08/31/2010 08:01:38 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare HMO20 (HMO)	01	01		1			H1463	001	0	2011	East Central Illinois		2	1220	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1
H1463	003	0	1	01	01	H1463_003_0	4	08/30/2010	2011.01	08/30/2010 02:37:55 PM Central Daylight Time	08/19/2010 01:57:50 PM Central Daylight Time	08/20/2010 09:28:10 AM Central Daylight Time		08/30/2010 02:53:07 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare HMO20 Rx (HMO)	01	01		1			H1463	003	0	2011	East Central Illinois		2	4344	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
H1463	005	0	1	01	01	H1463_005_0	6	08/30/2010	2011.01	08/30/2010 02:38:06 PM Central Daylight Time	08/19/2010 01:58:12 PM Central Daylight Time	08/20/2010 09:28:30 AM Central Daylight Time		08/30/2010 02:53:07 PM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Health Alliance Medicare HMO20 Rx Plus (HMO)	01	01		1			H1463	005	0	2011	East Central Illinois		2	212	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
H1463	801	0	1	01	01	H1463_801_0	1	05/27/2010	2011.01	05/27/2010 04:08:23 PM Central Daylight Time	06/03/2010 07:02:04 PM Central Daylight Time			06/04/2010 10:59:15 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Medicare Employer HMO (HMO)	01	01		1			H1463	801	0	2011	Illinois		1	27	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551										1
H1463	802	0	1	01	01	H1463_802_0	1	05/27/2010	2011.01	05/27/2010 04:42:52 PM Central Daylight Time	06/03/2010 07:03:22 PM Central Daylight Time			06/04/2010 10:59:15 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medical Plans	www.healthalliancemedicare.org	Medicare Employer HMO Rx (HMO)	01	01		1			H1463	802	0	2011	Illinois		1	197	2				2						www.healthalliancemedicare.org	www.healthalliancemedicare.org	www.healthalliancemedicare.org	(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
H1468	007	0	1	01	01	H1468_007_0	4	08/20/2010	2011.01	08/20/2010 01:48:35 PM Eastern Daylight Time	08/20/2010 04:39:00 PM Eastern Daylight Time	08/20/2010 03:55:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA BENEFIT PLAN OF ILLINOIS, INC	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	Humana Gold Plus H1468-007 (HMO)	01	01		1			H1468	007	0	2011	Peoria Illinois		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1468	802	0	1	01	01	H1468_802_0	3	06/03/2010	2011.01	06/03/2010 05:39:15 PM Eastern Daylight Time	07/26/2010 01:51:33 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA BENEFIT PLAN OF ILLINOIS, INC	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1468	802	0	2011	Peoria Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-2364		(800)-833-2364		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(877)-833-4486		(877)-833-4486		(877)-833-4486		(877)-833-4486		1
H1468	803	0	1	01	01	H1468_803_0	3	06/03/2010	2011.01	06/03/2010 05:39:32 PM Eastern Daylight Time	07/26/2010 01:51:59 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA BENEFIT PLAN OF ILLINOIS, INC	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1468	803	0	2011	Peoria Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H1468	804	0	1	01	01	H1468_804_0	3	06/03/2010	2011.01	06/03/2010 05:39:46 PM Eastern Daylight Time	07/26/2010 01:52:26 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA BENEFIT PLAN OF ILLINOIS, INC	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H1468	804	0	2011	Peoria Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-2364		(800)-833-2364		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(877)-833-4486		(877)-833-4486		(877)-833-4486		(877)-833-4486		1
H1500	001	0	1	20	08	H1500_001_0	7	04/19/2011	2011.01	04/19/2011 01:12:35 PM Mountain Daylight Time		04/19/2011 12:53:07 PM Mountain Daylight Time		04/19/2011 01:13:37 PM Mountain Daylight Time	LIFE ST. JOSEPH OF THE PINES, INC.	LIFE St. Joseph of the Pines	www.sjp.org	LIFE St. Joseph of the Pines (PACE)	08	20		1			H1500	001	0	2011	LIFE St. Joseph of the Pines		2		2				2							www.sjp.org	www.sjp.org									(800)-246-1000		(910)-246-1000		(800)-246-1000		(910)-246-1000										(800)-246-1000		(910)-246-1000		(800)-246-1000		(910)-246-1000		1
H1500	002	0	1	20	08	H1500_002_0	7	04/19/2011	2011.01	04/19/2011 01:12:45 PM Mountain Daylight Time		04/19/2011 12:53:07 PM Mountain Daylight Time		04/19/2011 01:13:37 PM Mountain Daylight Time	LIFE ST. JOSEPH OF THE PINES, INC.	LIFE St. Joseph of the Pines	www.sjp.org	LIFE St. Joseph of the Pines (PACE)	08	20		1			H1500	002	0	2011	LIFE St. Joseph of the Pines		2		2				2							www.sjp.org	www.sjp.org									(800)-246-1000		(910)-246-1000		(800)-246-1000		(910)-246-1000										(800)-246-1000		(910)-246-1000		(800)-246-1000		(910)-246-1000		1
H1509	001	0	1	04	01	H1509_001_0	5	06/02/2010	2011.01	06/02/2010 12:41:58 PM Central Daylight Time	08/19/2010 02:28:04 PM Central Daylight Time	08/18/2010 04:45:18 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H1509	001	0	2011	Northern Indiana		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	004	0	1	04	01	H1509_004_0	4	06/01/2010	2011.01	06/01/2010 08:32:35 PM Central Daylight Time	08/19/2010 02:28:31 PM Central Daylight Time	08/18/2010 04:28:15 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H1509	004	0	2011	Indianapolis, Fort Wayne, South Bend areas		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	006	0	1	04	01	H1509_006_0	4	08/20/2010	2011.01	08/20/2010 11:11:20 AM Central Daylight Time	08/19/2010 03:03:58 PM Central Daylight Time	08/18/2010 04:28:20 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H1509	006	0	2011	Indianapolis area		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	007	0	1	04	01	H1509_007_0	4	05/31/2010	2011.01	05/31/2010 01:59:58 PM Central Daylight Time	08/19/2010 02:27:40 PM Central Daylight Time	08/18/2010 04:45:23 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H1509	007	0	2011	Indianapolis area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	009	0	1	04	01	H1509_009_0	4	05/31/2010	2011.01	05/31/2010 02:32:35 PM Central Daylight Time	08/19/2010 02:26:03 PM Central Daylight Time	08/18/2010 04:45:28 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H1509	009	0	2011	Select Counties in IN		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	801	0	1	04	01	H1509_801_0	1	06/02/2010	2011.01	06/02/2010 09:37:18 AM Central Daylight Time	06/03/2010 02:40:03 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	801	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	803	0	1	04	01	H1509_803_0	1	06/02/2010	2011.01	06/02/2010 09:38:01 AM Central Daylight Time	06/03/2010 02:38:39 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	803	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506										(711)		(711)		(711)		(711)										1
H1509	804	0	1	04	01	H1509_804_0	1	06/02/2010	2011.01	06/02/2010 09:38:05 AM Central Daylight Time	06/03/2010 02:36:26 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	804	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	806	0	2	04	01	H1509_806_0	1	06/02/2010	2011.01	06/02/2010 09:38:09 AM Central Daylight Time	06/03/2010 02:35:30 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H1509	806	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	807	0	2	04	01	H1509_807_0	1	06/02/2010	2011.01	06/02/2010 09:38:16 AM Central Daylight Time	06/03/2010 02:34:32 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H1509	807	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506										(711)		(711)		(711)		(711)										1
H1509	808	0	2	04	01	H1509_808_0	1	06/02/2010	2011.01	06/02/2010 09:38:20 AM Central Daylight Time	06/03/2010 02:33:20 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		2	2		H1509	808	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	809	0	1	04	01	H1509_809_0	1	06/03/2010	2011.01	06/03/2010 04:06:09 PM Central Daylight Time	06/03/2010 02:32:18 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	809	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	810	0	1	04	01	H1509_810_0	1	06/02/2010	2011.01	06/02/2010 09:38:30 AM Central Daylight Time	06/03/2010 02:31:02 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	810	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506										(711)		(711)		(711)		(711)										1
H1509	811	0	1	04	01	H1509_811_0	1	06/02/2010	2011.01	06/02/2010 09:38:33 AM Central Daylight Time	06/03/2010 02:30:34 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	811	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	812	0	1	04	01	H1509_812_0	1	06/02/2010	2011.01	06/02/2010 09:38:37 AM Central Daylight Time	06/03/2010 02:30:07 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	812	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	813	0	1	04	01	H1509_813_0	1	06/02/2010	2011.01	06/02/2010 09:38:42 AM Central Daylight Time	06/03/2010 02:29:46 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	813	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	814	0	1	04	01	H1509_814_0	1	06/02/2010	2011.01	06/02/2010 09:38:46 AM Central Daylight Time	06/03/2010 02:29:22 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	814	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	815	0	1	04	01	H1509_815_0	1	06/02/2010	2011.01	06/02/2010 09:38:50 AM Central Daylight Time	06/03/2010 02:28:55 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	815	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	816	0	1	04	01	H1509_816_0	1	06/02/2010	2011.01	06/02/2010 09:38:55 AM Central Daylight Time	06/03/2010 02:27:17 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	816	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1509	817	0	1	04	01	H1509_817_0	1	06/02/2010	2011.01	06/02/2010 09:38:59 AM Central Daylight Time	06/03/2010 02:26:52 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	UnitedHealthcare Group Medicare Advantage (PPO)	01	04		1			H1509	817	0	2011	National Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(800)-457-8506		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1510	001	0	1	04	01	H1510_001_0	6	08/20/2010	2011.01	08/20/2010 12:54:27 PM Eastern Daylight Time	08/19/2010 06:35:38 PM Eastern Daylight Time	08/20/2010 03:55:00 PM Eastern Daylight Time		08/21/2010 11:42:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1510-001 (PPO)	01	04		1			H1510	001	0	2011	Central Indiana Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1510	004	0	1	04	01	H1510_004_0	5	08/20/2010	2011.01	08/20/2010 12:55:22 PM Eastern Daylight Time	08/19/2010 06:24:10 PM Eastern Daylight Time	08/20/2010 03:55:00 PM Eastern Daylight Time		08/21/2010 11:42:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1510-004 (PPO)	01	04		1			H1510	004	0	2011	Evansville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1510	005	0	1	04	01	H1510_005_0	4	08/20/2010	2011.01	08/20/2010 12:55:51 PM Eastern Daylight Time	08/19/2010 06:24:42 PM Eastern Daylight Time	08/20/2010 03:56:00 PM Eastern Daylight Time		08/21/2010 11:42:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1510-005 (PPO)	01	04		1			H1510	005	0	2011	Northern Indiana Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1510	007	0	1	04	01	H1510_007_0	4	08/20/2010	2011.01	08/20/2010 12:57:14 PM Eastern Daylight Time	08/19/2010 06:36:10 PM Eastern Daylight Time	08/20/2010 03:56:00 PM Eastern Daylight Time		08/21/2010 11:42:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1510-007 (PPO)	01	04		1			H1510	007	0	2011	Brown and Monroe Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1510	008	0	1	04	01	H1510_008_0	5	08/20/2010	2011.01	08/20/2010 12:57:02 PM Eastern Daylight Time	08/19/2010 06:37:34 PM Eastern Daylight Time	08/20/2010 03:56:00 PM Eastern Daylight Time		08/21/2010 11:42:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1510-008 (PPO)	01	04		1			H1510	008	0	2011	Southern Indiana Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1517	003	0	1	04	01	H1517_003_0	7	08/23/2010	2011.01	08/23/2010 09:29:45 PM Eastern Daylight Time	08/23/2010 08:55:17 PM Eastern Daylight Time	08/23/2010 06:10:43 PM Eastern Daylight Time		08/23/2010 09:55:41 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H1517	003	0	2011	Select Counties in Missouri		2	616	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-6427		(800)-797-6427		(800)-467-1199		(800)-467-1199		(800)-797-6427		(800)-797-6427		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1517	004	0	1	04	01	H1517_004_0	9	08/23/2010	2011.01	08/23/2010 09:32:38 PM Eastern Daylight Time	08/23/2010 08:55:43 PM Eastern Daylight Time	08/23/2010 06:11:04 PM Eastern Daylight Time		08/23/2010 09:55:41 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Core (PPO)	01	04		1			H1517	004	0	2011	Select Counties in Missouri		2	845	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-6427		(800)-797-6427		(800)-467-1199		(800)-467-1199		(800)-797-6427		(800)-797-6427		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1517	801	0	1	04	01	H1517_801_0	4	08/20/2010	2011.01	08/20/2010 02:38:59 PM Eastern Daylight Time	06/07/2010 10:19:20 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H1517	801	0	2011	Missouri		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1517	802	0	1	04	01	H1517_802_0	4	08/20/2010	2011.01	08/20/2010 02:39:20 PM Eastern Daylight Time	06/07/2010 10:18:54 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H1517	802	0	2011	Missouri		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H1517	803	0	1	04	01	H1517_803_0	4	08/20/2010	2011.01	08/20/2010 02:39:11 PM Eastern Daylight Time	06/07/2010 10:18:02 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H1517	803	0	2011	Missouri		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1518	001	0	1	20	08	H1518_001_0	3	05/24/2010	2011.01	05/24/2010 12:57:23 PM Eastern Daylight Time		05/19/2010 04:27:33 PM Eastern Daylight Time		05/24/2010 01:21:57 PM Eastern Daylight Time	CATHOLIC HEALTH SYSTEM BUFFALO PACE	Catholic Health LIFE	www.chsbuffalo.org	CHS Buffalo - Dual (PACE)	08	20		1			H1518	001	0	2011	CHS Lackawanna  Erie County		2		2				2							www.chsbuffalo.org	www.chsbuffalo.org									(888)-845-0247		(716)-819-5433		(888)-845-0247		(716)-819-5433										(888)-845-0247		(716)-819-5433		(888)-845-0247		(716)-819-5433		1
H1518	002	0	1	20	08	H1518_002_0	4	05/24/2010	2011.01	05/24/2010 12:58:41 PM Eastern Daylight Time		05/19/2010 04:27:33 PM Eastern Daylight Time		05/24/2010 01:21:57 PM Eastern Daylight Time	CATHOLIC HEALTH SYSTEM BUFFALO PACE	Catholic Health LIFE	www.chsbuffalo.org	CHS Buffalo - Medicare only (PACE)	08	20		1			H1518	002	0	2011	CHS Lackawanna Erie County		2		2				2							www.chsbuffalo.org	www.chsbuffalo.org									(888)-845-0247		(716)-819-5433		(888)-845-0247		(716)-819-5433										(888)-845-0247		(716)-819-5433		(888)-845-0247		(716)-819-5433		1
H1558	004	0	1	18	06	H1558_004_0	3	06/07/2010	2011.01	06/07/2010 11:01:19 AM Central Daylight Time				06/07/2010 11:03:05 AM Central Daylight Time	WELBORN HEALTH PLAN	Welborn Health Plans	www.welbornhealthplans.com	Medicare Plus Plan (Cost)	06	18		1			H1558	004	0	2011	Gibson,Posey,Spencer,Warrick, Vanderburgh counties		2	900	1	1			2						www.welbornhealthplans.com			(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										2
H1595	001	0	1	04	01	H1595_001_0	9	08/25/2010	2011.01	08/25/2010 12:40:07 PM Eastern Daylight Time	08/23/2010 01:04:33 PM Eastern Daylight Time	08/23/2010 01:04:33 PM Eastern Daylight Time		08/25/2010 12:42:50 PM Eastern Daylight Time	HEALTHPLUS INSURANCE COMPANY	HealthPlus	www.healthplus.org	HealthPlus MedicarePlus - AdvantagePPO Basic (PPO)	01	04		1			H1595	001	0	2011	Genesee and Saginaw Counties		2	500	2				2						www.healthplus.org	www.healthplus.org	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1
H1595	002	0	1	04	01	H1595_002_0	9	08/23/2010	2011.01	08/23/2010 11:21:39 AM Eastern Daylight Time	08/23/2010 01:04:32 PM Eastern Daylight Time	08/23/2010 01:04:32 PM Eastern Daylight Time		08/23/2010 02:14:33 PM Eastern Daylight Time	HEALTHPLUS INSURANCE COMPANY	HealthPlus	www.healthplus.org	HealthPlus MedicarePlus -  AdvantagePPO Enhanced (PPO)	01	04		1			H1595	002	0	2011	Genesee and Saginaw Counties		2	500	2				2						www.healthplus.org	www.healthplus.org	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1
H1595	801	0	1	04	01	H1595_801_0	6	07/07/2010	2011.01	07/07/2010 03:41:13 PM Eastern Daylight Time	06/07/2010 03:42:00 AM Eastern Daylight Time			07/08/2010 09:41:39 AM Eastern Daylight Time	HEALTHPLUS INSURANCE COMPANY	HealthPlus	www.healthplus.org	HealthPlus MedicarePlus - AdvantagePPO EG MA-Only (PPO)	01	04		1			H1595	801	0	2011	United States EG Area		1	100	2				2						www.healthplus.org	www.healthplus.org	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161										(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070										1
H1595	802	0	1	04	01	H1595_802_0	5	07/07/2010	2011.01	07/07/2010 03:40:52 PM Eastern Daylight Time	06/07/2010 03:45:00 AM Eastern Daylight Time			07/08/2010 09:41:39 AM Eastern Daylight Time	HEALTHPLUS INSURANCE COMPANY	HealthPlus	www.healthplus.org	HealthPlus MedicarePlus - AdvantagePPO EG MA-PD (PPO)	01	04		1			H1595	802	0	2011	United States EG Area		1	100	2				2						www.healthplus.org	www.healthplus.org	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1
H1607	001	0	1	04	01	H1607_001_0	10	08/23/2010	2011.01	08/23/2010 09:58:45 AM Eastern Daylight Time	08/24/2010 09:18:21 AM Eastern Daylight Time	08/24/2010 09:13:56 AM Eastern Daylight Time		08/24/2010 09:42:33 AM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H1607	001	0	2011	Select Counties in Indiana		2	2505	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-6421		(800)-797-6421		(800)-467-1199		(800)-467-1199		(800)-797-6421		(800)-797-6421		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1607	004	0	1	04	01	H1607_004_0	9	08/23/2010	2011.01	08/23/2010 09:59:14 AM Eastern Daylight Time	08/24/2010 09:19:32 AM Eastern Daylight Time	08/24/2010 09:15:38 AM Eastern Daylight Time		08/24/2010 09:42:33 AM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H1607	004	0	2011	Select Counties in Indiana		2	353	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-6421		(800)-797-6421		(800)-467-1199		(800)-467-1199		(800)-797-6421		(800)-797-6421		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1607	804	0	1	04	01	H1607_804_0	4	08/20/2010	2011.01	08/20/2010 02:39:34 PM Eastern Daylight Time	06/07/2010 10:10:06 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1607	804	0	2011	Indiana - Select counties		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1607	805	0	1	04	01	H1607_805_0	4	08/20/2010	2011.01	08/20/2010 02:39:59 PM Eastern Daylight Time	06/07/2010 10:09:30 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1607	805	0	2011	Indiana - Select Counties		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H1607	806	0	1	04	01	H1607_806_0	4	08/20/2010	2011.01	08/20/2010 02:40:14 PM Eastern Daylight Time	06/07/2010 10:08:58 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H1607	806	0	2011	Indiana - Select Counties		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(800)-467-1199		(800)-467-1199		(888)-811-2095		(888)-811-2095		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1608	001	0	1	04	01	H1608_001_0	11	08/23/2010	2011.01	08/23/2010 01:12:50 PM Central Daylight Time	08/23/2010 02:37:49 PM Central Daylight Time	08/23/2010 03:24:19 PM Central Daylight Time		08/23/2010 03:56:51 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.ia.chcadvantra.com	Advantra Platinum (PPO)	01	04		1			H1608	001	0	2011	Partial State of Iowa		2	798	2				2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1608	801	0	1	04	01	H1608_801_0	7	08/03/2010	2011.01	08/03/2010 03:41:21 PM Central Daylight Time	06/06/2010 05:15:08 AM Central Daylight Time			08/05/2010 02:26:39 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health Care	www.ia.chcadvantra.com	PPO-EmGp/No Rx/Cyear (PPO)	01	04		1			H1608	801	0	2011	Iowa		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845										(711)		(711)		(711)		(711)										1
H1608	802	0	1	04	01	H1608_802_0	7	08/03/2010	2011.01	08/03/2010 03:41:48 PM Central Daylight Time	06/06/2010 04:46:32 AM Central Daylight Time			08/05/2010 02:26:39 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health Care	www.ia.chcadvantra.com	PPO-EmGp/Comm4/Cyear (PPO)	01	04		1			H1608	802	0	2011	Iowa		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1608	803	0	1	04	01	H1608_803_0	6	08/03/2010	2011.01	08/03/2010 03:42:16 PM Central Daylight Time	06/06/2010 04:53:00 AM Central Daylight Time			08/05/2010 02:26:39 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS COMPANY	Coventry Health Care	www.ia.chcadvantra.com	PPO-EmGp/Comm4/NonCyear (PPO)	01	04		1			H1608	803	0	2011	Iowa		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-293-4748		(866)-293-4748		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1609	001	0	1	01	01	H1609_001_0	11	08/23/2010	2011.01	08/23/2010 01:13:10 PM Central Daylight Time	08/21/2010 11:15:19 AM Central Daylight Time	08/19/2010 01:42:25 PM Central Daylight Time		08/23/2010 03:56:51 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care	www.ia.chcadvantra.com	Advantra Silver (HMO)	01	01		1			H1609	001	0	2011	Partial State of Iowa		2	4611	2				2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-294-1211		(866)-294-1211		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1609	801	0	1	01	01	H1609_801_0	5	08/03/2010	2011.01	08/03/2010 03:37:43 PM Central Daylight Time	06/05/2010 11:37:18 PM Central Daylight Time			08/05/2010 02:29:11 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care	www.ia.chcadvantra.com	HMO-EmGp/No Rx/Cyear (HMO)	01	01		1			H1609	801	0	2011	Iowa		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845										(711)		(711)		(711)		(711)										1
H1609	802	0	1	01	01	H1609_802_0	5	08/03/2010	2011.01	08/03/2010 03:37:32 PM Central Daylight Time	06/05/2010 11:31:40 PM Central Daylight Time			08/05/2010 02:29:11 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care	www.ia.chcadvantra.com	HMO-EmGp/Comm4/Cyear (HMO)	01	01		1			H1609	802	0	2011	Iowa		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-294-1211		(866)-294-1211		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1609	803	0	1	01	01	H1609_803_0	4	08/03/2010	2011.01	08/03/2010 03:37:22 PM Central Daylight Time	06/05/2010 11:26:42 PM Central Daylight Time			08/05/2010 02:29:11 PM Central Daylight Time	COVENTRY HEALTH CARE OF IOWA, INC.	Coventry Health Care	www.ia.chcadvantra.com	HMO-EmGp/Comm4/NonCyear (HMO)	01	01		1			H1609	803	0	2011	Iowa		1	0	1	1			2						www.ia.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-iowa/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-901-4692		(866)-901-4692		(866)-983-7845		(866)-983-7845		(866)-294-1211		(866)-294-1211		(866)-983-7845		(866)-983-7845		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H1651	001	0	1	18	06	H1651_001_0	2	08/20/2010	2011.01	08/20/2010 07:23:46 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates SmartPlan (Cost)	06	18		1			H1651	001	0	2011	Northeast Iowa		2	5100	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H1651	002	0	1	18	06	H1651_002_0	2	08/20/2010	2011.01	08/20/2010 07:24:08 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Basic Plan (Cost)	06	18		1			H1651	002	0	2011	Northeast Iowa		2	0	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H1651	003	0	1	18	06	H1651_003_0	2	08/20/2010	2011.01	08/20/2010 07:24:31 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates SmartPlan (Cost)	06	18		1			H1651	003	0	2011	Northwest Illinois		2	1000	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H1651	004	0	1	18	06	H1651_004_0	2	08/20/2010	2011.01	08/20/2010 07:24:50 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Community Plan (Cost)	06	18		1			H1651	004	0	2011	Northeast Iowa		2	2136	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H1651	005	0	1	18	06	H1651_005_0	2	08/20/2010	2011.01	08/20/2010 07:25:05 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Community Plan (Cost)	06	18		1			H1651	005	0	2011	Northwest Illinois		2	226	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H1651	008	0	1	18	06	H1651_008_0	2	08/20/2010	2011.01	08/20/2010 08:08:34 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Freedom Plan (Cost)	06	18		1			H1651	008	0	2011	Northeast Iowa		2	213	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H1651	009	0	1	18	06	H1651_009_0	2	08/20/2010	2011.01	08/20/2010 08:09:10 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES HEALTH PLAN, INC.	Medical Associates Health Plan, Inc.	mahealthcare.com	Medical Associates Freedom Plan (Cost)	06	18		1			H1651	009	0	2011	Northwest Illinois		2	45	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H1657	002	0	1	02	01	H1657_002_0	8	08/20/2010	2011.01	08/20/2010 10:26:42 AM Eastern Daylight Time	08/20/2010 05:02:42 PM Eastern Daylight Time	08/20/2010 05:05:56 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	HARMONY HEALTH PLANS OF ILLINOIS, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1657	002	0	2011	Lake County		2		2				2							www.wellcare.com	www.wellcare.com	(866)-424-4963		(866)-424-4963		(877)-232-7119		(877)-232-7119		(866)-424-4963		(866)-424-4963		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1659	001	0	1	04	01	H1659_001_0	8	10/06/2010	2011.01	10/06/2010 03:54:32 PM Eastern Daylight Time	08/23/2010 08:43:51 AM Eastern Daylight Time	08/23/2010 09:37:21 AM Eastern Daylight Time		10/06/2010 04:36:32 PM Eastern Daylight Time	PIEDMONT COMMUNITY HEALTHCARE, INC.	Piedmont Medicare Advantage	www.pchp.net	Piedmont Select Medicare Option One (PPO)	01	04		1			H1659	001	0	2011	Lynchburg, Counties:AM,APP,BED,CAMP,CLT,HAL,PR ED		2	750	2				2						www.pchp.net	www.caremark.com	www.caremark.com	(877)-210-1719		(434)-947-3671		(877)-210-1719		(434)-947-3671		(866)-494-9927		(866)-494-9927		(877)-210-1719		(434)-947-3671		(877)-295-1454		(877)-295-1454		(877)-295-1454		(877)-295-1454		(866)-236-1069		(866)-236-1069		(877)-295-1454		(877)-295-1454		1
H1659	002	0	1	04	01	H1659_002_0	9	08/12/2010	2011.01	08/12/2010 12:29:28 PM Eastern Daylight Time	08/23/2010 08:45:40 AM Eastern Daylight Time	08/23/2010 09:37:21 AM Eastern Daylight Time		08/23/2010 02:22:28 PM Eastern Daylight Time	PIEDMONT COMMUNITY HEALTHCARE, INC.	Piedmont Medicare Advantage	www.pchp.net	Piedmont Select Medicare Option Two (PPO)	01	04		1			H1659	002	0	2011	Lynchburg, Counties:AM,APP,BED,CAMP,CLT,HAL,PR ED		2	750	2				2						www.pchp.net	www.caremark.com	www.caremark.com	(800)-400-7247	235	(434)-947-4463	235	(800)-400-7247	235	(434)-947-4463	235	(800)-400-7247	235	(434)-947-4463	235	(800)-400-7247	235	(434)-947-4463	235	(800)-400-7247	300	(434)-947-4463	300	(800)-400-7247	300	(434)-947-4463	300	(800)-400-7247	300	(434)-947-4463	300	(800)-400-7247	300	(434)-947-4463	300	1
H1681	001	0	1	04	01	H1681_001_0	6	08/20/2010	2011.01	08/20/2010 01:53:37 PM Eastern Daylight Time	08/20/2010 09:16:50 AM Eastern Daylight Time	08/20/2010 03:56:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-001 (PPO)	01	04		1			H1681	001	0	2011	Huntsville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1681	002	0	1	04	01	H1681_002_0	5	08/20/2010	2011.01	08/20/2010 01:52:43 PM Eastern Daylight Time	08/20/2010 09:14:58 AM Eastern Daylight Time	08/20/2010 03:56:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-002 (PPO)	01	04		1			H1681	002	0	2011	Birmingham Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1681	003	0	1	04	01	H1681_003_0	4	08/20/2010	2011.01	08/20/2010 01:52:07 PM Eastern Daylight Time	08/20/2010 09:16:22 AM Eastern Daylight Time	08/20/2010 03:56:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-003 (PPO)	01	04		1			H1681	003	0	2011	Mobile Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1681	004	0	1	04	01	H1681_004_0	4	08/20/2010	2011.01	08/20/2010 01:51:33 PM Eastern Daylight Time	08/20/2010 09:20:26 AM Eastern Daylight Time	08/20/2010 03:57:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-004 (PPO)	01	04		1			H1681	004	0	2011	Cherokee County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1681	005	0	1	04	01	H1681_005_0	4	08/20/2010	2011.01	08/20/2010 01:54:27 PM Eastern Daylight Time	08/20/2010 09:17:42 AM Eastern Daylight Time	08/20/2010 03:57:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-005 (PPO)	01	04		1			H1681	005	0	2011	Montgomery Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(800)-833-3301		(800)-833-3301		(711)		(711)		1
H1681	006	0	1	04	01	H1681_006_0	4	08/20/2010	2011.01	08/20/2010 01:58:42 PM Eastern Daylight Time	08/20/2010 09:17:18 AM Eastern Daylight Time	08/20/2010 03:57:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-006 (PPO)	01	04		1			H1681	006	0	2011	Henry and Houston Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1681	007	0	1	04	01	H1681_007_0	4	08/20/2010	2011.01	08/20/2010 02:00:16 PM Eastern Daylight Time	08/20/2010 09:19:34 AM Eastern Daylight Time	08/20/2010 03:57:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1681-007 (PPO)	01	04		1			H1681	007	0	2011	Limestone and Madison Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1689	012	0	1	09	04	H1689_012_0	7	08/30/2010	2011.01	08/30/2010 07:38:49 PM Eastern Daylight Time	08/07/2010 05:31:59 PM Eastern Daylight Time			08/30/2010 07:46:01 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com/medicare	SmartValue Classic (PFFS)	04	09	2	1			H1689	012	0	2011	Select Counties in GA, NH, VA, and WI		2	954	2				2							www.anthem.com	www.anthem.com	(888)-445-8916		(888)-445-8916		(800)-797-6419		(800)-797-6419										(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894										1
H1689	013	0	1	09	04	H1689_013_0	9	08/30/2010	2011.01	08/30/2010 07:38:49 PM Eastern Daylight Time	08/23/2010 09:50:19 AM Eastern Daylight Time	08/23/2010 09:51:55 AM Eastern Daylight Time		08/30/2010 07:46:01 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Insurance Companies, Inc.	www.anthem.com/medicare	SmartValue Plus (PFFS)	04	09	2	1			H1689	013	0	2011	Select Counties in GA, NH, VA, and WI		2	2856	2				2							www.anthem.com	www.anthem.com	(888)-445-8916		(888)-445-8916		(800)-797-6419		(800)-797-6419		(888)-445-8916		(888)-445-8916		(800)-797-6419		(800)-797-6419		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1
H1714	001	0	1	20	08	H1714_001_0	1	05/27/2010	2011.01	05/27/2010 09:48:28 AM Central Daylight Time		05/19/2010 02:59:30 PM Central Daylight Time		05/27/2010 09:54:08 AM Central Daylight Time	VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS	Via Christi HOPE	www.viachristihope.com	Via Christi HOPE (PACE)	08	20		1			H1714	001	0	2011	Via Christi HOPE		2		2				2							www.viachristihope.com	www.viachristihope.com									(316)-858-1111		(316)-858-1111		(316)-858-1111		(316)-858-1111										(316)-858-1111		(316)-858-1111		(316)-858-1111		(316)-858-1111		1
H1714	002	0	1	20	08	H1714_002_0	1	05/27/2010	2011.01	05/27/2010 09:53:36 AM Central Daylight Time		05/19/2010 02:59:30 PM Central Daylight Time		05/27/2010 09:54:08 AM Central Daylight Time	VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS	Via Christi HOPE	www.viachristihope.com	Via Christi HOPE (PACE)	08	20		1			H1714	002	0	2011	Sedgwick Co, KS		2		2				2							www.viachristihope.com	www.viachristihope.com									(316)-858-1111		(316)-858-1111		(316)-858-1111		(316)-858-1111										(316)-858-1111		(316)-858-1111		(316)-858-1111		(316)-858-1111		1
H1716	001	0	1	04	01	H1716_001_0	4	08/20/2010	2011.01	08/20/2010 03:08:45 PM Eastern Daylight Time	08/20/2010 11:15:02 AM Eastern Daylight Time	08/20/2010 03:57:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-001 (PPO)	01	04		1			H1716	001	0	2011	Kansas City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1716	002	0	1	04	01	H1716_002_0	4	08/20/2010	2011.01	08/20/2010 03:09:11 PM Eastern Daylight Time	08/20/2010 05:02:36 PM Eastern Daylight Time	08/20/2010 03:57:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-002 (PPO)	01	04		1			H1716	002	0	2011	Wichita Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1716	004	0	1	04	01	H1716_004_0	6	08/20/2010	2011.01	08/20/2010 03:09:41 PM Eastern Daylight Time	08/20/2010 12:01:58 PM Eastern Daylight Time	08/20/2010 03:57:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-004 (PPO)	01	04		1			H1716	004	0	2011	Southwest Missouri Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1716	006	0	1	04	01	H1716_006_0	6	08/20/2010	2011.01	08/20/2010 03:10:10 PM Eastern Daylight Time	08/20/2010 11:35:50 AM Eastern Daylight Time	08/20/2010 03:58:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-006 (PPO)	01	04		1			H1716	006	0	2011	St. Louis Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1716	019	0	1	04	01	H1716_019_0	3	08/20/2010	2011.01	08/20/2010 03:10:32 PM Eastern Daylight Time	08/20/2010 12:21:14 PM Eastern Daylight Time	08/20/2010 03:58:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1716-019 (PPO)	01	04		1			H1716	019	0	2011	St. Charles and St. Louis Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1717	001	0	1	04	01	H1717_001_0	4	06/01/2010	2011.01	06/01/2010 07:21:21 PM Central Daylight Time	08/19/2010 01:32:32 PM Central Daylight Time	08/18/2010 04:45:33 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice Plan 1 (PPO)	01	04		1			H1717	001	0	2011	Sedgwick County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1717	007	0	1	04	01	H1717_007_0	4	06/01/2010	2011.01	06/01/2010 08:33:15 PM Central Daylight Time	08/19/2010 01:32:54 PM Central Daylight Time	08/18/2010 04:28:26 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H1717	007	0	2011	Johnson and Wyandotte Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1717	009	0	1	04	01	H1717_009_0	4	06/02/2010	2011.01	06/02/2010 01:56:38 PM Central Daylight Time	08/19/2010 01:33:16 PM Central Daylight Time	08/18/2010 04:28:32 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H1717	009	0	2011	Johnson and Wyandotte Counties		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1777	007	0	1	01	01	H1777_007_0	9	08/23/2010	2011.01	08/23/2010 07:56:16 PM Eastern Daylight Time	08/23/2010 05:09:00 PM Eastern Daylight Time	08/19/2010 10:38:00 AM Eastern Daylight Time		08/23/2010 08:35:40 PM Eastern Daylight Time	CATHOLIC SPECIAL NEEDS PLAN, LLC	ArchCare Advantage,HMO	www.archcareadvantage.org	ArchCare - Institutional SNP - NYC (HMO SNP)	01	01		1			H1777	007	0	2011	NYC boros		2	940	2				1	1	1	1				www.archcareadvantage.org	www.archcareadvantage.org	(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H1777	008	0	1	01	01	H1777_008_0	8	08/23/2010	2011.01	08/23/2010 08:18:48 PM Eastern Daylight Time	08/23/2010 05:11:00 PM Eastern Daylight Time	08/19/2010 10:36:00 AM Eastern Daylight Time		08/23/2010 08:52:00 PM Eastern Daylight Time	CATHOLIC SPECIAL NEEDS PLAN, LLC	ArchCare Advantage,HMO	www.ArchCareAdvantage.org	ArchCare - Institutional SNP - NonNYC (HMO SNP)	01	01		1			H1777	008	0	2011	Westchester, Orange, Dutchess		2	251	2				1	1	1	1				www.archcareadvantage.org	www.archcareadvantage.org	(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H1777	009	0	1	01	01	H1777_009_0	9	08/26/2010	2011.01	08/26/2010 04:31:56 PM Eastern Daylight Time	08/26/2010 01:42:01 PM Eastern Daylight Time	08/19/2010 10:45:00 AM Eastern Daylight Time		08/26/2010 05:33:58 PM Eastern Daylight Time	CATHOLIC SPECIAL NEEDS PLAN, LLC	ArchCare Advantage,HMO	www.ArchCareAdvantage.org	ArchCare - Institutional Equiv SNP - NYC (HMO SNP)	01	01		1			H1777	009	0	2011	NYC boros		2	25	2				1	1	2	1				www.archcareadvantage.org	www.archcareadvantage.org	(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H1777	010	0	1	01	01	H1777_010_0	9	08/26/2010	2011.01	08/26/2010 04:32:35 PM Eastern Daylight Time	08/26/2010 01:42:01 PM Eastern Daylight Time	08/19/2010 10:47:00 AM Eastern Daylight Time		08/26/2010 05:43:12 PM Eastern Daylight Time	CATHOLIC SPECIAL NEEDS PLAN, LLC	ArchCare Advantage,HMO	www.ArchCareAdvantage.org	ArchCare - Institutional Equiv SNP - NonNYC (HMO SNP)	01	01		1			H1777	010	0	2011	Westchester, Dutchess, Orange		2	20	2				1	1	2	1				www.archcareadvantage.org	www.archcareadvantage.org	(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-373-3177		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H1804	128	0	1	09	04	H1804_128_0	3	08/20/2010	2011.01	08/20/2010 01:37:35 PM Eastern Daylight Time	08/20/2010 05:41:30 PM Eastern Daylight Time	08/20/2010 03:59:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H1804-128 (PFFS)	04	09	2	1			H1804	128	0	2011	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1806	001	0	1	04	01	H1806_001_0	5	08/20/2010	2011.01	08/20/2010 12:57:38 PM Eastern Daylight Time	08/20/2010 02:54:50 PM Eastern Daylight Time	08/20/2010 03:59:00 PM Eastern Daylight Time		08/21/2010 11:42:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1806-001 (PPO)	01	04		1			H1806	001	0	2011	Louisville Metro Area		2		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1806	002	0	1	04	01	H1806_002_0	7	08/20/2010	2011.01	08/20/2010 12:58:03 PM Eastern Daylight Time	08/19/2010 06:51:08 PM Eastern Daylight Time	08/20/2010 03:59:00 PM Eastern Daylight Time		08/21/2010 11:42:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1806-002 (PPO)	01	04		1			H1806	002	0	2011	Lexington Metro Area		2		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1806	005	0	1	04	01	H1806_005_0	6	08/20/2010	2011.01	08/20/2010 01:01:39 PM Eastern Daylight Time	08/19/2010 06:28:42 PM Eastern Daylight Time	08/20/2010 03:59:00 PM Eastern Daylight Time		08/21/2010 11:42:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H1806-005 (PPO)	01	04		1			H1806	005	0	2011	Warren and Barren Counties		2		2				2						www.humana.com/members/tools	http//www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H1807	001	0	1	01	01	H1807_001_0	7	08/23/2010	2011.01	08/23/2010 03:34:16 PM Eastern Daylight Time	08/20/2010 10:59:58 AM Eastern Daylight Time	08/24/2010 01:58:35 PM Eastern Daylight Time		08/24/2010 02:00:16 PM Eastern Daylight Time	UNIVERSITY HEALTH CARE, INC.	Passport Advantage	www.passportadvantage.org	Passport Advantage (HMO SNP)	01	01		1			H1807	001	0	2011	Louisville Metro Area and 15 surrounding counties		2	9654	2		2		1	3		1	3		www.passportadvantage.org	www.passportadvantage.org	www.passportadvantage.org	(800)-578-0603	1	(800)-578-0603	1	(800)-578-0603	1	(800)-578-0603	1	(800)-578-0603	1	(800)-578-0603	1	(800)-578-0603	1	(800)-578-0603	1	(800)-648-6056		(800)-648-6056		(800)-648-6056		(800)-648-6056		(800)-648-6056		(800)-648-6056		(800)-648-6056		(800)-648-6056		1
H1837	001	0	1	01	01	H1837_001_0	8	08/20/2010	2011.01	08/20/2010 02:07:38 PM Central Daylight Time	08/20/2010 09:07:07 AM Central Daylight Time	08/20/2010 09:07:28 AM Central Daylight Time		08/21/2010 08:31:41 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H1837	001	0	2011	Central Puget Sound Service Area		2	2545	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1837	002	0	1	01	01	H1837_002_0	9	08/25/2010	2011.01	08/25/2010 02:03:02 PM Central Daylight Time	08/25/2010 10:05:24 AM Central Daylight Time	08/25/2010 12:50:54 PM Central Daylight Time		08/25/2010 02:06:33 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H1837	002	0	2011	North Puget Sound Service Area		2	3149	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1837	003	0	1	01	01	H1837_003_0	7	08/20/2010	2011.01	08/20/2010 07:54:21 AM Central Daylight Time	08/20/2010 09:15:34 AM Central Daylight Time	08/20/2010 09:15:57 AM Central Daylight Time		08/21/2010 08:35:53 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Plus (HMO)	01	01		1			H1837	003	0	2011	Central Puget Sound Service Area		2	644	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1837	005	0	1	01	01	H1837_005_0	7	08/20/2010	2011.01	08/20/2010 02:08:11 PM Central Daylight Time	08/20/2010 09:19:29 AM Central Daylight Time	08/20/2010 01:48:15 PM Central Daylight Time		08/21/2010 08:37:47 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H1837	005	0	2011	Spokane Service Area		2	2315	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1837	006	0	1	01	01	H1837_006_0	8	08/20/2010	2011.01	08/20/2010 07:54:21 AM Central Daylight Time	08/20/2010 11:19:48 AM Central Daylight Time	08/20/2010 09:24:14 AM Central Daylight Time		08/21/2010 08:40:20 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Plus (HMO)	01	01		1			H1837	006	0	2011	Spokane Service Area		2	354	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1837	007	0	1	01	01	H1837_007_0	7	08/20/2010	2011.01	08/20/2010 02:08:55 PM Central Daylight Time	08/20/2010 09:26:18 AM Central Daylight Time	08/20/2010 09:27:20 AM Central Daylight Time		08/21/2010 08:42:16 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Special Needs Plan (HMO SNP)	01	01		1			H1837	007	0	2011	Central Puget Sound Service Area		2	234	2				1	4		1		00000010000000000000	www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1837	009	0	1	01	01	H1837_009_0	6	08/20/2010	2011.01	08/20/2010 02:09:30 PM Central Daylight Time	08/20/2010 09:19:26 AM Central Daylight Time	08/20/2010 09:20:42 AM Central Daylight Time		08/21/2010 08:44:22 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Special Needs Plan (HMO SNP)	01	01		1			H1837	009	0	2011	Spokane Service Area		2	331	2				1	4		1		00000010000000000000	www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1837	801	0	1	01	01	H1837_801_0	5	08/13/2010	2011.01	08/13/2010 01:49:35 PM Central Daylight Time	07/26/2010 07:41:50 AM Central Daylight Time			08/13/2010 01:52:30 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan non-calendar (HMO)	01	01		1			H1837	801	0	2011	North Puget Sound Service Area		1	100	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1837	803	0	1	01	01	H1837_803_0	5	08/13/2010	2011.01	08/13/2010 01:50:05 PM Central Daylight Time	07/26/2010 07:43:06 AM Central Daylight Time			08/13/2010 01:52:30 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan (HMO)	01	01		1			H1837	803	0	2011	North Puget Sound Service Area		1	100	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(877)-392-3849		(425)-697-8300		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H1846	001	0	1	04	01	H1846_001_0	6	08/20/2010	2011.01	08/20/2010 10:17:03 AM Eastern Daylight Time	08/23/2010 02:12:44 PM Eastern Daylight Time	08/23/2010 02:01:40 PM Eastern Daylight Time		08/23/2010 06:13:32 PM Eastern Daylight Time	MOUNT CARMEL HEALTH INSURANCE COMPANY	MediGold	medigold.com	MediGold Network Choice (PPO)	01	04		1			H1846	001	0	2011	Greater Central Ohio and Dayton Area		2	300	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H1846	003	0	1	04	01	H1846_003_0	7	08/20/2010	2011.01	08/20/2010 10:22:09 AM Eastern Daylight Time	08/23/2010 02:09:00 PM Eastern Daylight Time	08/23/2010 02:02:08 PM Eastern Daylight Time		08/23/2010 06:13:32 PM Eastern Daylight Time	MOUNT CARMEL HEALTH INSURANCE COMPANY	MediGold	medigold.com	MediGold Value Choice (PPO)	01	04		1			H1846	003	0	2011	Greater Dayton, Richland and Knox Counties		2	100	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H1846	801	0	1	04	01	H1846_801_0	4	08/04/2010	2011.01	08/04/2010 08:06:26 AM Eastern Daylight Time	08/02/2010 03:59:26 PM Eastern Daylight Time			08/04/2010 11:49:54 AM Eastern Daylight Time	MOUNT CARMEL HEALTH INSURANCE COMPANY	MediGold	medigold.com	EGWP MediGold Network Choice (PPO)	01	04		1			H1846	801	0	2011	Greater Central Ohio and Dayton Area		1	25	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H1846	802	0	1	04	01	H1846_802_0	3	08/04/2010	2011.01	08/04/2010 08:06:36 AM Eastern Daylight Time	08/02/2010 04:00:06 PM Eastern Daylight Time			08/04/2010 11:49:54 AM Eastern Daylight Time	MOUNT CARMEL HEALTH INSURANCE COMPANY	MediGold	medigold.com	EGWP MediGold Network Choice Medical Only (PPO)	01	04		1			H1846	802	0	2011	Greater Central Ohio and Dayton Area		1	25	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1
H1849	005	0	1	01	01	H1849_005_0	11	08/23/2010	2011.01	08/23/2010 01:50:21 PM Eastern Daylight Time	08/24/2010 09:20:08 AM Eastern Daylight Time	08/24/2010 09:15:50 AM Eastern Daylight Time		08/24/2010 09:42:33 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Basic (HMO)	01	01		1			H1849	005	0	2011	Select Counties in Kentucky		2	2276	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-6406		(800)-797-6406		(800)-467-1199		(800)-467-1199		(800)-797-6406		(800)-797-6406		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1849	015	0	1	01	01	H1849_015_0	11	08/23/2010	2011.01	08/23/2010 01:52:02 PM Eastern Daylight Time	08/24/2010 09:20:38 AM Eastern Daylight Time	08/24/2010 09:16:00 AM Eastern Daylight Time		08/24/2010 09:42:33 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Value (HMO)	01	01		1			H1849	015	0	2011	Louisville Metro Area in Kentucky		2	3127	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-6406		(800)-797-6406		(800)-467-1199		(800)-467-1199		(800)-797-6406		(800)-797-6406		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1849	801	0	1	01	01	H1849_801_0	6	08/20/2010	2011.01	08/20/2010 11:57:40 AM Pacific Daylight Time	07/22/2010 04:43:51 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H1849	801	0	2011	Kentucky		1	1074	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1849	803	0	1	01	01	H1849_803_0	6	08/20/2010	2011.01	08/20/2010 12:20:00 PM Pacific Daylight Time	07/22/2010 04:44:37 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H1849	803	0	2011	Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H1849	804	0	1	01	01	H1849_804_0	6	08/20/2010	2011.01	08/20/2010 12:21:23 PM Pacific Daylight Time	07/22/2010 04:45:20 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H1849	804	0	2011	Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H1903	005	0	1	01	01	H1903_005_0	4	08/10/2010	2011.01	08/10/2010 10:58:54 AM Eastern Daylight Time	06/07/2010 09:58:02 PM Eastern Daylight Time			08/10/2010 03:59:35 PM Eastern Daylight Time	WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	WellCare Advance (HMO)	01	01		1			H1903	005	0	2011	Alexandria, New Orleans, Baton Rouge, Lafayette		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-804-5926		(866)-804-5926		(877)-232-7119		(877)-232-7119										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1
H1903	011	0	1	01	01	H1903_011_0	6	06/07/2010	2011.01	06/07/2010 09:54:32 PM Eastern Daylight Time	08/20/2010 05:03:26 PM Eastern Daylight Time	08/20/2010 05:06:12 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H1903	011	0	2011	Alexandria, New Orleans, Baton Rouge, Lafayette		2		2		2		1	3		1	1		www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-530-9488		(866)-530-9488		(877)-232-7119		(877)-232-7119		(866)-530-9488		(866)-530-9488		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1903	022	0	1	02	01	H1903_022_0	5	08/20/2010	2011.01	08/20/2010 10:28:28 AM Eastern Daylight Time	08/20/2010 05:03:47 PM Eastern Daylight Time	08/20/2010 05:06:28 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	WellCare Value (HMO-POS)	01	02		1			H1903	022	0	2011	Alexandria, New Orleans, Baton Rouge, Lafayette		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-804-5926		(866)-804-5926		(877)-232-7119		(877)-232-7119		(866)-804-5926		(866)-804-5926		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1903	024	0	1	02	01	H1903_024_0	7	08/10/2010	2011.01	08/10/2010 10:59:16 AM Eastern Daylight Time	08/20/2010 05:04:07 PM Eastern Daylight Time	08/20/2010 05:06:43 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE OF LOUISIANA, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO-POS)	01	02		1			H1903	024	0	2011	Alexandria, New Orleans, Baton Rouge, Lafayette		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(866)-804-5926		(866)-804-5926		(877)-232-7119		(877)-232-7119		(866)-804-5926		(866)-804-5926		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H1904	001	0	1	20	08	H1904_001_0	1	05/27/2010	2011.01	05/27/2010 11:23:25 AM Central Daylight Time		05/20/2010 10:57:28 AM Central Daylight Time		05/27/2010 11:27:41 AM Central Daylight Time	PACE GREATER NEW ORLEANS	Pace Greater New Orleans	http://pacegno.org/	PACE GREATER NEW ORLEANS (PACE)	08	20		1			H1904	001	0	2011	PACE GREATER NEW ORLEANS		2		2				2							http://www.ccano.org/pace.htm	http://www.ccano.org/pace.htm									(866)-395-8509		(504)-945-1531		(866)-395-8509		(504)-861-6380										(800)-846-5277		(800)-846-5277		(800)-846-5277		(800)-846-5277		1
H1904	002	0	1	20	08	H1904_002_0	1	05/27/2010	2011.01	05/27/2010 11:23:40 AM Central Daylight Time		05/20/2010 10:57:29 AM Central Daylight Time		05/27/2010 11:27:41 AM Central Daylight Time	PACE GREATER NEW ORLEANS	Pace Greater New Orleans	http://pacegno.org/	PACE GREATER NEW ORLEANS (PACE)	08	20		1			H1904	002	0	2011	PACE GREATER NEW ORLEANS		2		2				2							http://www.ccano.org/pace.htm	http://www.ccano.org/pace.htm									(866)-395-8509		(504)-945-1531		(866)-395-8509		(504)-861-6380										(800)-846-5277		(800)-846-5277		(800)-846-5277		(800)-846-5277		1
H1906	001	0	1	09	04	H1906_001_0	5	08/20/2010	2011.01	08/20/2010 01:38:04 PM Eastern Daylight Time	08/20/2010 05:43:30 PM Eastern Daylight Time	08/20/2010 03:59:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Gold Choice H1906-001 (PFFS)	04	09	2	1			H1906	001	0	2011	Select Parishes in Louisiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1906	010	0	1	09	04	H1906_010_0	1	05/27/2010	2011.01	05/27/2010 03:01:16 PM Eastern Daylight Time	06/02/2010 10:25:00 AM Eastern Daylight Time			06/04/2010 01:48:05 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Gold Choice H1906-010 (PFFS)	04	09	2	1			H1906	010	0	2011	Select Parishes in Louisiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H1944	001	0	1	02	01	H1944_001_0	6	06/01/2010	2011.01	06/01/2010 10:18:27 AM Central Daylight Time	08/19/2010 03:25:58 PM Central Daylight Time	08/18/2010 04:45:37 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H1944	001	0	2011	Middlesex and Suffolk counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1944	801	0	1	02	01	H1944_801_0	1	05/27/2010	2011.01	05/27/2010 08:19:21 AM Central Daylight Time	06/03/2010 12:22:37 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1944	801	0	2011	MA Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1944	802	0	1	02	01	H1944_802_0	1	05/27/2010	2011.01	05/27/2010 08:19:46 AM Central Daylight Time	06/03/2010 12:23:04 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1944	802	0	2011	MA Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H1944	803	0	1	02	01	H1944_803_0	1	05/27/2010	2011.01	05/27/2010 08:20:06 AM Central Daylight Time	06/03/2010 12:23:29 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H1944	803	0	2011	MA Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	001	0	1	01	01	H1951_001_0	4	08/20/2010	2011.01	08/20/2010 03:17:23 PM Eastern Daylight Time	08/20/2010 01:51:42 PM Eastern Daylight Time	08/20/2010 03:59:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-001 (HMO)	01	01		1			H1951	001	0	2011	New Orleans Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	005	0	1	01	01	H1951_005_0	5	08/20/2010	2011.01	08/20/2010 01:39:09 PM Eastern Daylight Time	08/20/2010 01:47:20 PM Eastern Daylight Time	08/20/2010 03:59:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-005 (HMO)	01	01		1			H1951	005	0	2011	Baton Rouge Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	013	0	1	01	01	H1951_013_0	5	08/20/2010	2011.01	08/20/2010 01:39:36 PM Eastern Daylight Time	08/20/2010 01:57:18 PM Eastern Daylight Time	08/20/2010 04:00:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-013 (HMO)	01	01		1			H1951	013	0	2011	Shreveport Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	017	0	1	01	01	H1951_017_0	6	08/20/2010	2011.01	08/20/2010 01:40:08 PM Eastern Daylight Time	08/20/2010 01:46:40 PM Eastern Daylight Time	08/20/2010 04:00:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus SNP-DE H1951-017 (HMO SNP)	01	01		1			H1951	017	0	2011	New Orleans Area		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	019	0	1	01	01	H1951_019_0	7	08/20/2010	2011.01	08/20/2010 01:40:32 PM Eastern Daylight Time	08/20/2010 03:17:36 PM Eastern Daylight Time	08/20/2010 04:00:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus SNP-DE H1951-019 (HMO SNP)	01	01		1			H1951	019	0	2011	Baton Rouge Area		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	024	0	1	01	01	H1951_024_0	5	08/20/2010	2011.01	08/20/2010 03:20:36 PM Eastern Daylight Time	08/20/2010 01:53:08 PM Eastern Daylight Time	08/26/2010 10:43:03 AM Eastern Daylight Time		08/26/2010 12:04:02 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-024 (HMO)	01	01		1			H1951	024	0	2011	Tangipahoa Parish		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	025	0	1	01	01	H1951_025_0	3	08/20/2010	2011.01	08/20/2010 01:41:22 PM Eastern Daylight Time	08/20/2010 01:53:58 PM Eastern Daylight Time	08/20/2010 04:00:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-025 (HMO)	01	01		1			H1951	025	0	2011	Select Louisiana Parishes		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	028	0	1	01	01	H1951_028_0	3	08/20/2010	2011.01	08/20/2010 03:22:56 PM Eastern Daylight Time	08/20/2010 01:54:28 PM Eastern Daylight Time	08/20/2010 04:00:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-028 (HMO)	01	01		1			H1951	028	0	2011	Washington and St. Tammany Parishes		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H1951	030	0	1	01	01	H1951_030_0	3	06/02/2010	2011.01	06/02/2010 02:35:31 PM Eastern Daylight Time	06/02/2010 10:22:52 AM Eastern Daylight Time			07/26/2010 06:33:32 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Gold Plus H1951-030 (HMO)	01	01		1			H1951	030	0	2011	Baton Rouge Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H1951	801	0	1	01	01	H1951_801_0	3	06/03/2010	2011.01	06/03/2010 05:33:27 PM Eastern Daylight Time	07/30/2010 11:29:12 AM Eastern Daylight Time			07/30/2010 03:27:00 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1951	801	0	2011	Louisiana Group		1	5351	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H1951	804	0	1	01	01	H1951_804_0	2	06/03/2010	2011.01	06/03/2010 05:40:03 PM Eastern Daylight Time	07/26/2010 01:32:03 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H1951	804	0	2011	Louisiana Group		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H1951	805	0	1	01	01	H1951_805_0	2	06/03/2010	2011.01	06/03/2010 05:40:17 PM Eastern Daylight Time	07/26/2010 01:32:27 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA INC	Humana Health Benefit Plan of Louisiana Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H1951	805	0	2011	Select Louisiana Counties		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H1961	001	0	1	01	01	H1961_001_0	7	08/23/2010	2011.01	08/23/2010 01:16:49 PM Central Daylight Time	08/23/2010 12:58:46 PM Central Daylight Time	08/23/2010 01:24:36 PM Central Daylight Time		08/23/2010 01:40:10 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Choices 65 (HMO)	01	01		1			H1961	001	0	2011	Metro New Orleans area		2	30000	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	www.peopleshealth.com	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1
H1961	002	0	1	02	01	H1961_002_0	8	08/23/2010	2011.01	08/23/2010 12:32:13 PM Central Daylight Time	08/23/2010 01:00:00 PM Central Daylight Time	08/23/2010 01:05:50 PM Central Daylight Time		08/23/2010 01:40:10 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Choices Plus (HMO-POS)	01	02		1			H1961	002	0	2011	Southeast Louisiana		2	10500	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	www.peopleshealth.com	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1
H1961	003	0	1	01	01	H1961_003_0	8	08/23/2010	2011.01	08/23/2010 05:54:46 PM Central Daylight Time	08/23/2010 05:47:34 PM Central Daylight Time	08/23/2010 05:58:46 PM Central Daylight Time		08/23/2010 06:04:03 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Secure Health (HMO SNP)	01	01		1			H1961	003	0	2011	New Orleans Metro and Southeast Louisiana		2	1800	2		2		1	3		1	2		www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	www.peopleshealth.com	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1
H1961	007	0	1	02	01	H1961_007_0	6	08/23/2010	2011.01	08/23/2010 12:33:16 PM Central Daylight Time	08/23/2010 01:00:46 PM Central Daylight Time	08/23/2010 01:05:22 PM Central Daylight Time		08/23/2010 01:40:10 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Choices Select (HMO-POS)	01	02		1			H1961	007	0	2011	Tangipahoa and Washington Parishes in Louisiana		2	300	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	www.peopleshealth.com	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1
H1961	801	0	1	02	01	H1961_801_0	2	06/07/2010	2011.01	06/07/2010 05:25:41 PM Central Daylight Time	06/07/2010 12:25:40 PM Central Daylight Time			06/07/2010 05:58:45 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Group Medicare (HMO-POS)	01	02		1			H1961	801	0	2011	Nationwide		1	300	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	www.peopleshealth.com	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1
H1961	802	0	1	02	01	H1961_802_0	2	06/07/2010	2011.01	06/07/2010 05:37:22 PM Central Daylight Time	06/07/2010 12:33:58 PM Central Daylight Time			06/07/2010 06:05:14 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Group Medicare (HMO-POS)	01	02		1			H1961	802	0	2011	Nationwide		1	150	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	www.peopleshealth.com	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1
H1961	803	0	1	01	01	H1961_803_0	2	06/07/2010	2011.01	06/07/2010 05:52:20 PM Central Daylight Time	06/07/2010 12:36:52 PM Central Daylight Time			06/07/2010 06:08:32 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Group Medicare (HMO)	01	01		1			H1961	803	0	2011	Nationwide		1	150	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	www.peopleshealth.com	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1
H1961	804	0	1	01	01	H1961_804_0	2	06/07/2010	2011.01	06/07/2010 05:52:41 PM Central Daylight Time	06/07/2010 12:39:20 PM Central Daylight Time			06/07/2010 06:11:39 PM Central Daylight Time	PEOPLES HEALTH, INC.	Peoples Health	www.peopleshealth.com	Peoples Health Group Medicare (HMO)	01	01		1			H1961	804	0	2011	Nationwide		1	150	2				2						www.peopleshealth.com	www.peopleshealth.com/formulary/index.jsp	www.peopleshealth.com	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(800)-631-8443	2	(504)-849-4500	2	(800)-631-8443	1	(504)-849-4500	1	(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		(888)-631-9979		1
H2001	001	0	1	04	01	H2001_001_0	5	06/01/2010	2011.01	06/01/2010 04:10:36 PM Central Daylight Time	08/19/2010 03:17:48 PM Central Daylight Time	08/18/2010 04:45:42 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H2001	001	0	2011	Cumberland, Kennebec, Sagadahoc and York Counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	001	0	1	01	01	H2012_001_0	5	08/20/2010	2011.01	08/20/2010 11:07:21 AM Eastern Daylight Time	08/20/2010 11:58:36 AM Eastern Daylight Time	08/20/2010 04:00:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-001 (HMO)	01	01		1			H2012	001	0	2011	NW Arkansas and River Valley Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	002	0	1	01	01	H2012_002_0	3	08/20/2010	2011.01	08/20/2010 12:51:18 PM Eastern Daylight Time	08/20/2010 11:31:46 AM Eastern Daylight Time	08/20/2010 04:01:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-002 (HMO)	01	01		1			H2012	002	0	2011	Birmingham Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	003	0	1	01	01	H2012_003_0	4	08/20/2010	2011.01	08/20/2010 12:51:56 PM Eastern Daylight Time	08/20/2010 11:30:54 AM Eastern Daylight Time	08/20/2010 04:01:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-003 (HMO)	01	01		1			H2012	003	0	2011	Mobile Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	006	0	1	01	01	H2012_006_0	4	08/20/2010	2011.01	08/20/2010 01:18:47 PM Eastern Daylight Time	08/20/2010 12:35:56 PM Eastern Daylight Time	08/20/2010 04:01:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-006 (HMO)	01	01		1			H2012	006	0	2011	Richland County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	007	0	1	01	01	H2012_007_0	5	08/20/2010	2011.01	08/20/2010 01:19:09 PM Eastern Daylight Time	08/20/2010 12:35:34 PM Eastern Daylight Time	08/20/2010 04:01:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-007 (HMO)	01	01		1			H2012	007	0	2011	Spartanburg / Greenville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	008	0	1	01	01	H2012_008_0	5	08/20/2010	2011.01	08/20/2010 03:04:06 PM Eastern Daylight Time	08/20/2010 02:35:56 PM Eastern Daylight Time	08/20/2010 04:01:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-008 (HMO)	01	01		1			H2012	008	0	2011	Richmond VA Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2012	009	0	1	01	01	H2012_009_0	3	08/20/2010	2011.01	08/20/2010 01:30:33 PM Eastern Daylight Time	08/19/2010 06:28:08 PM Eastern Daylight Time	08/20/2010 04:01:00 PM Eastern Daylight Time		08/21/2010 11:49:09 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-009 (HMO)	01	01		1			H2012	009	0	2011	Indianapolis Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2012	011	0	1	01	01	H2012_011_0	3	08/20/2010	2011.01	08/20/2010 01:07:24 PM Eastern Daylight Time	08/20/2010 10:59:24 AM Eastern Daylight Time	08/20/2010 04:01:00 PM Eastern Daylight Time		08/21/2010 11:49:09 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-011 (HMO)	01	01		1			H2012	011	0	2011	Lexington Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2012	012	0	1	01	01	H2012_012_0	3	08/20/2010	2011.01	08/20/2010 01:08:35 PM Eastern Daylight Time	08/20/2010 10:56:18 AM Eastern Daylight Time	08/20/2010 04:02:00 PM Eastern Daylight Time		08/21/2010 11:49:09 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-012 (HMO)	01	01		1			H2012	012	0	2011	Louisville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2012	013	0	1	01	01	H2012_013_0	6	08/26/2010	2011.01	08/26/2010 10:02:58 AM Eastern Daylight Time	08/26/2010 09:20:35 AM Eastern Daylight Time	08/20/2010 04:02:00 PM Eastern Daylight Time		08/26/2010 12:40:48 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-013 (HMO)	01	01		1			H2012	013	0	2011	Roanoke Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2012	014	0	1	01	01	H2012_014_0	3	08/20/2010	2011.01	08/20/2010 12:52:16 PM Eastern Daylight Time	08/20/2010 09:20:02 AM Eastern Daylight Time	08/20/2010 04:02:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-014 (HMO)	01	01		1			H2012	014	0	2011	Limestone and Madison Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	015	0	1	01	01	H2012_015_0	3	08/20/2010	2011.01	08/20/2010 12:52:43 PM Eastern Daylight Time	08/20/2010 09:20:50 AM Eastern Daylight Time	08/20/2010 04:02:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-015 (HMO)	01	01		1			H2012	015	0	2011	Select VA Counties in the Tri-Cities Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	016	0	1	01	01	H2012_016_0	3	08/20/2010	2011.01	08/20/2010 12:53:07 PM Eastern Daylight Time	08/20/2010 11:29:30 AM Eastern Daylight Time	08/20/2010 04:02:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-016 (HMO)	01	01		1			H2012	016	0	2011	Select VA Counties in the Tri-Cities Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	021	0	1	01	01	H2012_021_0	5	08/21/2010	2011.01	08/21/2010 03:29:11 PM Eastern Daylight Time	08/20/2010 03:27:24 PM Eastern Daylight Time	08/20/2010 04:02:00 PM Eastern Daylight Time		08/21/2010 07:34:29 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-021 (HMO)	01	01		1			H2012	021	0	2011	Douglas and Sarpy Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	022	0	1	01	01	H2012_022_0	3	08/20/2010	2011.01	08/20/2010 01:56:19 PM Eastern Daylight Time	08/20/2010 01:12:05 PM Eastern Daylight Time	08/20/2010 04:02:00 PM Eastern Daylight Time		08/21/2010 08:39:15 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-022 (HMO)	01	01		1			H2012	022	0	2011	Boise, ID		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	023	0	1	01	01	H2012_023_0	4	08/20/2010	2011.01	08/20/2010 01:59:55 PM Eastern Daylight Time	08/20/2010 01:11:23 PM Eastern Daylight Time	08/20/2010 04:03:00 PM Eastern Daylight Time		08/21/2010 08:39:15 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-023 (HMO)	01	01		1			H2012	023	0	2011	Twin Falls, ID		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	024	0	1	01	01	H2012_024_0	4	06/06/2010	2011.01	06/06/2010 01:52:26 PM Eastern Daylight Time	06/01/2010 11:41:56 AM Eastern Daylight Time			07/26/2010 08:46:13 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-024 (HMO)	01	01		1			H2012	024	0	2011	Richmond, VA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H2012	025	0	1	01	01	H2012_025_0	4	06/06/2010	2011.01	06/06/2010 01:53:15 PM Eastern Daylight Time	06/01/2010 11:41:05 AM Eastern Daylight Time			07/26/2010 08:46:13 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-025 (HMO)	01	01		1			H2012	025	0	2011	Roanoke, VA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H2012	026	0	1	01	01	H2012_026_0	4	08/20/2010	2011.01	08/20/2010 12:53:41 PM Eastern Daylight Time	08/20/2010 11:30:14 AM Eastern Daylight Time	08/20/2010 04:03:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Gold Plus H2012-026 (HMO)	01	01		1			H2012	026	0	2011	Limestone and Madison Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2012	801	0	1	01	01	H2012_801_0	3	06/03/2010	2011.01	06/03/2010 05:40:32 PM Eastern Daylight Time	07/26/2010 01:23:00 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2012	801	0	2011	Multi-State		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H2012	802	0	1	01	01	H2012_802_0	3	06/03/2010	2011.01	06/03/2010 05:40:48 PM Eastern Daylight Time	07/26/2010 01:26:48 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2012	802	0	2011	Multi-State		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H2012	803	0	1	01	01	H2012_803_0	2	06/03/2010	2011.01	06/03/2010 05:41:03 PM Eastern Daylight Time	07/26/2010 01:27:13 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H2012	803	0	2011	Multi-State		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H2029	001	0	1	04	01	H2029_001_0	5	08/20/2010	2011.01	08/20/2010 02:34:50 PM Eastern Daylight Time	08/21/2010 12:16:45 PM Eastern Daylight Time	08/20/2010 04:03:00 PM Eastern Daylight Time		08/21/2010 12:27:11 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	HumanaChoice H2029-001 (PPO)	01	04		1			H2029	001	0	2011	Puerto Rico Island Wide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(711)		(711)		(800)-218-2560		(800)-218-2560		(711)		(711)		1
H2029	801	0	1	04	01	H2029_801_0	4	06/05/2010	2011.01	06/05/2010 09:42:50 AM Eastern Daylight Time	07/27/2010 02:52:36 PM Eastern Daylight Time			07/30/2010 09:21:14 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H2029	801	0	2011	Puerto Rico		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1
H2029	802	0	1	04	01	H2029_802_0	4	06/05/2010	2011.01	06/05/2010 09:43:00 AM Eastern Daylight Time	07/27/2010 02:53:14 PM Eastern Daylight Time			07/30/2010 09:21:14 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H2029	802	0	2011	Puerto Rico		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850										1
H2029	803	0	1	04	01	H2029_803_0	4	06/05/2010	2011.01	06/05/2010 09:43:08 AM Eastern Daylight Time	07/27/2010 02:53:52 PM Eastern Daylight Time			07/30/2010 09:21:14 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H2029	803	0	2011	Puerto Rico		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1
H2029	805	0	2	04	01	H2029_805_0	6	06/05/2010	2011.01	06/05/2010 09:43:17 AM Eastern Daylight Time	07/27/2010 03:30:54 PM Eastern Daylight Time			07/30/2010 09:21:14 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		2	2		H2029	805	0	2011	Puerto Rico		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1
H2029	806	0	2	04	01	H2029_806_0	6	06/05/2010	2011.01	06/05/2010 09:43:29 AM Eastern Daylight Time	07/27/2010 03:31:32 PM Eastern Daylight Time			07/30/2010 09:21:14 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		2	2		H2029	806	0	2011	Puerto Rico		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850										1
H2029	807	0	2	04	01	H2029_807_0	6	06/05/2010	2011.01	06/05/2010 09:43:38 AM Eastern Daylight Time	07/27/2010 03:32:08 PM Eastern Daylight Time			07/30/2010 09:21:14 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC.	Humana Insurance of Puerto Rico, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		2	2		H2029	807	0	2011	Puerto Rico		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1
H2034	001	0	1	01	01	H2034_001_0	6	06/07/2010	2011.01	06/07/2010 02:02:00 PM Central Daylight Time	08/20/2010 01:12:29 PM Central Daylight Time	08/20/2010 01:12:04 PM Central Daylight Time		08/20/2010 01:17:03 PM Central Daylight Time	COMMUNITY CARE HEALTH PLAN, INC.	Community Care	www.communitycareinc.org	Community Care's Partnership Program (HMO SNP)	01	01		1			H2034	001	0	2011	Eastern Wisconsin		2	30	2		2		1	3		1	5		www.communitycareinc.org	www.communitycareinc.org/Assets/Formulary.pdf	www.communitycareinc.org/Assets/Pharmacy%20Directory.pdf	(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1
H2034	002	0	1	01	01	H2034_002_0	6	06/07/2010	2011.01	06/07/2010 02:20:57 PM Central Daylight Time	08/20/2010 01:12:38 PM Central Daylight Time	08/20/2010 01:12:05 PM Central Daylight Time		08/20/2010 01:17:03 PM Central Daylight Time	COMMUNITY CARE HEALTH PLAN, INC.	Community Care	www.communitycareinc.org	Community Care's Partnership Program Disabled (HMO SNP)	01	01		1			H2034	002	0	2011	Eastern Wisconsin		2	30	2		2		1	3		1	5		www.communitycareinc.org	www.communitycareinc.org/Assets/Formulary.pdf	www.communitycareinc.org/Assets/Pharmacy%20Directory.pdf	(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1
H2063	001	0	1	20	08	H2063_001_0	1	05/24/2010	2011.01	05/24/2010 11:08:31 AM Mountain Daylight Time		05/18/2010 04:03:08 PM Mountain Daylight Time		05/24/2010 11:10:41 AM Mountain Daylight Time	BILLINGS CLINIC	Billings Clinic PACE	www.billingsclinic.com	Billings Clinic - Dual (PACE)	08	20		1			H2063	001	0	2011	Yellowstone, MT and *Park, MT Counties		2		2				2							www.billingsclinic.org	www.billingsclinic.or									(800)-332-7156		(406)-247-6320		(800)-332-7156		(406)-247-6320										(800)-332-7156		(406)-247-6320		(800)-332-7156		(406)-247-6320		1
H2063	002	0	1	20	08	H2063_002_0	1	05/24/2010	2011.01	05/24/2010 11:09:00 AM Mountain Daylight Time		05/18/2010 04:03:08 PM Mountain Daylight Time		05/24/2010 11:10:41 AM Mountain Daylight Time	BILLINGS CLINIC	Billings Clinic PACE	www.billingsclinic.com	Billings Clinic - Medicare Only (PACE)	08	20		1			H2063	002	0	2011	Yellowstone, MT and *Park, MT Counties		2		2				2							www.billingsclinic.org	www.billingsclinic.or									(800)-332-7156		(406)-247-6320		(800)-332-7156		(406)-247-6320										(800)-332-7156		(406)-247-6320		(800)-332-7156		(406)-247-6320		1
H2064	001	0	1	20	08	H2064_001_0	1	05/24/2010	2011.01	05/24/2010 01:08:29 PM Eastern Daylight Time		05/20/2010 12:24:11 PM Eastern Daylight Time		05/24/2010 01:10:56 PM Eastern Daylight Time	GEISINGER COMMUNITY HEALTH SERVICES	LIFE Geisinger	www.lifegeisinger.org	LIFE Geisinger (PACE)	08	20		1			H2064	001	0	2011	LIFE Geisinger		2		2				2							www.lifegeisinger.org	www.lifegeisinger.org									(570)-214-9790		(570)-214-9791		(570)-214-9790		(570)-214-9791										(570)-214-9790		(570)-214-9790		(570)-214-9790		(570)-214-9790		1
H2064	002	0	1	20	08	H2064_002_0	1	05/24/2010	2011.01	05/24/2010 01:08:49 PM Eastern Daylight Time		05/20/2010 12:26:03 PM Eastern Daylight Time		05/24/2010 01:10:56 PM Eastern Daylight Time	GEISINGER COMMUNITY HEALTH SERVICES	LIFE Geisinger	www.lifegeisinger.org	LIFE Geisinger (PACE)	08	20		1			H2064	002	0	2011	LIFE Geisinger		2		2				2							www.lifegeisinger.org	www.lifegeisinger.org									(570)-214-9790		(570)-214-9791		(570)-214-9790		(570)-214-9791										(570)-214-9790		(570)-214-9790		(570)-214-9790		(570)-214-9790		1
H2108	001	0	1	01	01	H2108_001_0	5	09/24/2010	2011.01	09/24/2010 02:29:06 PM Eastern Daylight Time	08/20/2010 03:45:20 PM Eastern Daylight Time	08/19/2010 09:22:06 AM Eastern Daylight Time		09/24/2010 02:39:28 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO SNP)	01	01		1			H2108	001	0	2011	Maryland and Delaware Counties and Wash DC		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2108	020	0	1	01	01	H2108_020_0	2	08/20/2010	2011.01	08/20/2010 08:17:24 AM Eastern Daylight Time	08/20/2010 03:45:40 PM Eastern Daylight Time	08/19/2010 09:20:42 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Traditions (HMO SNP)	01	01		1			H2108	020	0	2011	Maryland, Delaware Counties and Wash DC		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2108	022	0	1	01	01	H2108_022_0	6	08/20/2010	2011.01	08/20/2010 08:19:28 AM Eastern Daylight Time	08/23/2010 11:32:10 AM Eastern Daylight Time	08/19/2010 09:19:26 AM Eastern Daylight Time		09/24/2010 02:39:28 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Classic (HMO)	01	01		1			H2108	022	0	2011	Maryland and Delaware Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2108	026	0	1	02	01	H2108_026_0	3	05/27/2010	2011.01	05/27/2010 01:35:07 PM Eastern Daylight Time	08/20/2010 02:58:46 PM Eastern Daylight Time	08/19/2010 09:19:04 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Premier Plus (HMO-POS)	01	02		1			H2108	026	0	2011	Maryland, Delaware Counties and Wash DC		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2108	028	0	1	01	01	H2108_028_0	3	08/20/2010	2011.01	08/20/2010 08:21:34 AM Eastern Daylight Time	08/20/2010 02:59:02 PM Eastern Daylight Time	08/19/2010 09:18:32 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Classic (HMO)	01	01		1			H2108	028	0	2011	District of Columbia		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2108	029	0	1	01	01	H2108_029_0	3	08/20/2010	2011.01	08/20/2010 08:22:16 AM Eastern Daylight Time	08/20/2010 02:59:22 PM Eastern Daylight Time	08/19/2010 09:18:04 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO SNP)	01	01		1			H2108	029	0	2011	District of Columbia		2		2				1	4		1		00000010000000000000	www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2108	030	0	1	01	01	H2108_030_0	5	08/20/2010	2011.01	08/20/2010 08:22:40 AM Eastern Daylight Time	08/20/2010 02:59:44 PM Eastern Daylight Time	08/19/2010 09:23:32 AM Eastern Daylight Time		09/24/2010 02:39:28 PM Eastern Daylight Time	BRAVO HEALTH MID- ATLANTIC INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO SNP)	01	01		1			H2108	030	0	2011	Maryland and Delaware Counties		2		2				1	4		1		00000010000000000000	www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2109	001	0	1	20	08	H2109_001_0	1	05/20/2010	2011.01	05/20/2010 09:19:03 AM Eastern Daylight Time		05/19/2010 10:30:12 AM Eastern Daylight Time		05/20/2010 09:21:47 AM Eastern Daylight Time	JOHNS HOPKINS HEALTH SYSTEM, INC.	Hopkins ElderPlus	http://www.hopkinsbayview.org/hopkinselderplus	The Johns Hopkins Health System Corporation. (PACE)	08	20		1			H2109	001	0	2011	Parts of Baltimore City and County, Maryland		2		2				2							karmaco1@jhmi.edu	karmaco1@jhmi.edu									(800)-550-7044		(410)-550-7044		(410)-550-7044		(410)-550-7044										(800)-735-2258		(410)-550-0316		(800)-735-2258		(410)-550-0316		1
H2109	002	0	1	20	08	H2109_002_0	1	05/20/2010	2011.01	05/20/2010 09:19:17 AM Eastern Daylight Time		05/19/2010 10:30:12 AM Eastern Daylight Time		05/20/2010 09:21:47 AM Eastern Daylight Time	JOHNS HOPKINS HEALTH SYSTEM, INC.	Hopkins ElderPlus	http://www.hopkinsbayview.org/hopkinselderplus	The Johns Hopkins Health System Corporation (PACE)	08	20		1			H2109	002	0	2011	Parts of Baltimore City and County, Maryland		2		2				2							karmaco1@jhmi.edu	karmaco1@jhmi.edu									(800)-550-7044		(410)-550-7044		(410)-550-7044		(410)-550-7044										(800)-735-2258		(410)-550-0316		(800)-735-2258		(410)-550-0316		1
H2111	001	0	1	04	01	H2111_001_0	4	06/03/2010	2011.01	06/03/2010 02:47:24 PM Central Daylight Time	08/19/2010 05:53:25 PM Central Daylight Time	08/18/2010 04:28:36 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H2111	001	0	2011	Baltimore,East Shore MD,DC,DE, surrounding areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2111	008	0	1	04	01	H2111_008_0	4	06/01/2010	2011.01	06/01/2010 08:36:20 PM Central Daylight Time	08/19/2010 05:53:57 PM Central Daylight Time	08/18/2010 04:28:42 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H2111	008	0	2011	Washington, DC		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2112	001	0	1	01	01	H2112_001_0	2	08/02/2010	2011.01	08/02/2010 08:08:12 AM Central Daylight Time	07/30/2010 02:56:03 PM Central Daylight Time			08/05/2010 04:30:17 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H2112	001	0	2011	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H2112	007	0	1	01	01	H2112_007_0	3	08/02/2010	2011.01	08/02/2010 01:07:39 PM Central Daylight Time	08/20/2010 07:08:42 AM Central Daylight Time	08/19/2010 01:00:00 PM Central Daylight Time		08/20/2010 05:23:32 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H2112	007	0	2011	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H2112	014	0	1	01	01	H2112_014_0	3	08/02/2010	2011.01	08/02/2010 01:09:59 PM Central Daylight Time	08/20/2010 07:13:52 AM Central Daylight Time	08/19/2010 01:00:03 PM Central Daylight Time		08/20/2010 05:23:32 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H2112	014	0	2011	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H2112	801	0	1	01	01	H2112_801_0	1	05/11/2010	2011.01	05/11/2010 09:39:01 AM Eastern Daylight Time	06/02/2010 02:28:48 PM Eastern Daylight Time			06/04/2010 02:46:16 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H2112	801	0	2011	Maryland		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H2112	802	0	1	01	01	H2112_802_0	1	05/11/2010	2011.01	05/11/2010 09:41:18 AM Eastern Daylight Time	06/02/2010 02:33:08 PM Eastern Daylight Time			06/04/2010 02:46:16 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H2112	802	0	2011	Maryland		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H2150	002	0	1	18	06	H2150_002_0	8	08/20/2010	2011.01	08/20/2010 06:59:49 PM Eastern Daylight Time		08/19/2010 03:26:02 PM Eastern Daylight Time		08/21/2010 12:57:28 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus High w/D AB (Cost)	06	18		1			H2150	002	0	2011	DC, MD, VA		2	15500	2				2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607		(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607		(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054		(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054		1
H2150	009	0	1	18	06	H2150_009_0	8	08/20/2010	2011.01	08/20/2010 07:52:44 PM Eastern Daylight Time		08/19/2010 03:26:47 PM Eastern Daylight Time		08/21/2010 12:57:28 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Std w/D AB (Cost)	06	18		1			H2150	009	0	2011	DC, MD, VA		2	6551	2				2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607		(888)-777-5536		(888)-777-5536		(877)-498-8607		(877)-498-8607		(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054		(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054		1
H2150	017	0	1	18	06	H2150_017_0	6	06/28/2010	2011.01	06/28/2010 12:24:25 PM Eastern Daylight Time				06/28/2010 01:26:09 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic no D AB (Cost)	06	18		1			H2150	017	0	2011	DC, MD, VA		2	50	2				2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607										(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054										1
H2150	021	0	1	18	06	H2150_021_0	6	06/28/2010	2011.01	06/28/2010 12:07:09 PM Eastern Daylight Time				06/28/2010 01:26:09 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus High w/o D AB (Cost)	06	18		1			H2150	021	0	2011	DC, MD, VA		2	773	2				2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607										(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054										1
H2150	022	0	1	18	06	H2150_022_0	7	08/23/2010	2011.01	08/23/2010 10:30:28 AM Eastern Daylight Time				08/23/2010 10:31:16 AM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Std w/o D AB (Cost)	06	18		1			H2150	022	0	2011	DC, MD, VA		2	493	2				2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607										(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054										1
H2150	028	0	2	18	06	H2150_028_0	6	08/19/2010	2011.01	08/19/2010 05:31:22 PM Eastern Daylight Time		08/19/2010 03:27:49 PM Eastern Daylight Time		08/21/2010 12:57:28 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus High Option w/D B (Cost)	06	18		2	1		H2150	028	0	2011	DC, MD, VA		2	73	2				2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607		(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607		(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054		(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054		1
H2150	029	0	2	18	06	H2150_029_0	7	08/20/2010	2011.01	08/20/2010 07:53:19 PM Eastern Daylight Time		08/19/2010 03:28:30 PM Eastern Daylight Time		08/20/2010 07:58:08 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Std Option w/D B (Cost)	06	18		2	1		H2150	029	0	2011	DC, MD, VA		2	14	2				2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607		(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607		(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054		(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054		1
H2150	030	0	2	18	06	H2150_030_0	6	06/28/2010	2011.01	06/28/2010 09:46:59 AM Eastern Daylight Time				06/28/2010 01:26:09 PM Eastern Daylight Time	KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Basic Option no D B (Cost)	06	18		2	1		H2150	030	0	2011	DC, MD, VA		2	10	2				2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(877)-408-8607		(877)-408-8607										(866)-513-0008		(866)-513-0008		(888)-758-6054		(888)-758-6054										1
H2150	801	0		18	06	H2150_801_0	4	05/17/2010	2011.01						KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus EGHP w Part D AB (Cost)	06	18					H2150	801	0	2011	DC, MD, VA		1						2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(888)-777-5536				(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1
H2150	805	0		18	06	H2150_805_0	4	05/17/2010	2011.01						KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus EGHP w/D B Only (Cost)	06	18					H2150	805	0	2011	DC, MD, VA		1						2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(888)-777-5536				(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1
H2150	806	0		18	06	H2150_806_0	4	05/16/2010	2011.01						KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus FEHB AB with D (Cost)	06	18					H2150	806	0	2011	DC, MD, VA		1						2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(888)-777-5536				(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1
H2150	807	0		18	06	H2150_807_0	4	05/16/2010	2011.01						KAISER FNDN HP OF THE MID-ATLANTIC STS	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus FEHB B Only with D (Cost)	06	18					H2150	807	0	2011	DC, MD, VA		1						2							http://kp.org/seniorrx	http://members.kaiserpermanente.org/kpweb/drugency/entrypage.doc	(888)-777-5536		(888)-777-5536		(888)-777-5536				(888)-777-5536		(888)-777-5536		(888)-777-5536		(888)-777-5536		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		(866)-513-0008		1
H2161	001	0	1	01	01	H2161_001_0	5	08/23/2010	2011.01	08/23/2010 09:37:32 AM Eastern Daylight Time	08/23/2010 10:24:01 AM Eastern Daylight Time	08/23/2010 09:31:23 AM Eastern Daylight Time		08/23/2010 10:25:36 AM Eastern Daylight Time	UPPER PENINSULA HEALTH PLAN, INC.	Upper Peninsula Health Plan Plus (HMO SNP)	www.uphp.com	Upper Peninsula Health Plan Plus (HMO SNP)	01	01		1			H2161	001	0	2011	Upper Peninsula of Michigan		2	200	2		2		1	3		1	4		http://www.uphp.com/Provider_/Provider_Lists/provider_lists.html	uphp.com	uphp.com	(800)-835-2556		(906)-225-7770		(800)-835-2556		(906)-225-7770		(877)-464-0073		(877)-464-0073		(800)-835-2556		(906)-225-7770		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		1
H2165	004	0	1	01	01	H2165_004_0	3	08/04/2010	2011.01	08/04/2010 10:12:48 AM Central Daylight Time	06/02/2010 09:55:17 AM Central Daylight Time			08/04/2010 05:42:10 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Life  Health	www.healthspring.com	HealthyAdvantage NGA (HMO)	01	01		1			H2165	004	0	2011	Northwest Georgia		2	2	2				2						healthspring.com	healthspring.com	healthspring.com	(888)-501-3965		(615)-401-4501		(866)-593-4468		(615)-401-4501										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1
H2165	005	0	1	01	01	H2165_005_0	6	08/20/2010	2011.01	08/20/2010 12:00:31 PM Central Daylight Time	08/20/2010 03:25:18 PM Central Daylight Time	08/19/2010 02:37:29 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Life  Health	www.healthspring.com	HealthyAdvantage Preferred NGA (HMO)	01	01		1			H2165	005	0	2011	Northwest Georgia		2	666	2				2						healthspring.com	healthspring.com	healthspring.com	(888)-501-3965		(615)-401-4501		(866)-593-4468		(615)-401-4501		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H2165	011	0	1	02	01	H2165_011_0	5	08/20/2010	2011.01	08/20/2010 11:50:04 AM Central Daylight Time	08/20/2010 03:26:34 PM Central Daylight Time	08/19/2010 02:38:29 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Life  Health	www.healthspring.com	HealthyAdvantage Premier NGA (HMO-POS)	01	02		1			H2165	011	0	2011	Northwest Georgia		2	3	2				2						healthspring.com	healthspring.com	healthspring.com	(888)-501-3965		(615)-401-4501		(866)-593-4468		(615)-401-4501		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H2169	002	0	1	01	01	H2169_002_0	5	08/09/2010	2011.01	08/09/2010 12:38:23 PM Eastern Daylight Time	08/19/2010 03:38:19 PM Eastern Daylight Time	08/20/2010 08:12:05 AM Eastern Daylight Time		08/20/2010 09:43:11 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx OH (HMO)	01	01		1			H2169	002	0	2011	Ohio		2	500	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H2169	005	0	1	01	01	H2169_005_0	5	08/09/2010	2011.01	08/09/2010 12:38:49 PM Eastern Daylight Time	08/19/2010 03:40:30 PM Eastern Daylight Time	08/20/2010 08:11:17 AM Eastern Daylight Time		08/20/2010 09:43:11 AM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx WV (HMO)	01	01		1			H2169	005	0	2011	West Virginia		2	500	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H2169	801	0	1	01	01	H2169_801_0	3	06/04/2010	2011.01	06/04/2010 12:12:38 PM Eastern Daylight Time	07/28/2010 02:36:04 PM Eastern Daylight Time			07/28/2010 02:59:34 PM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (HMO)	01	01		1			H2169	801	0	2011	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1
H2169	802	0	1	01	01	H2169_802_0	3	06/04/2010	2011.01	06/04/2010 08:37:45 AM Eastern Daylight Time	07/28/2010 02:42:28 PM Eastern Daylight Time			07/28/2010 02:59:34 PM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (HMO)	01	01		1			H2169	802	0	2011	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H2169	803	0	1	01	01	H2169_803_0	3	06/04/2010	2011.01	06/04/2010 08:38:49 AM Eastern Daylight Time	07/28/2010 02:44:28 PM Eastern Daylight Time			07/28/2010 02:59:34 PM Eastern Daylight Time	UPMC HEALTH PLAN INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (HMO)	01	01		1			H2169	803	0	2011	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H2174	001	0	1	01	01	H2174_001_0	8	08/09/2010	2011.01	08/09/2010 05:11:36 PM Pacific Daylight Time	08/18/2010 03:36:54 PM Pacific Daylight Time	08/18/2010 03:40:58 PM Pacific Daylight Time		08/20/2010 05:41:52 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Dual (HMO SNP)	01	01		1			H2174	001	0	2011	Lane County		2	3205	2		2		1	3		1	3		http://www.trilliumchp.com	http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1
H2174	002	0	1	01	01	H2174_002_0	7	08/30/2010	2011.01	08/30/2010 04:47:33 PM Pacific Daylight Time	08/18/2010 03:38:02 PM Pacific Daylight Time	08/18/2010 03:45:34 PM Pacific Daylight Time		08/31/2010 08:31:11 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Rx (HMO)	01	01		1			H2174	002	0	2011	Lane County		2	614	2				2						http://www.trilliumchp.com	http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1
H2174	003	0	1	01	01	H2174_003_0	8	08/09/2010	2011.01	08/09/2010 05:12:19 PM Pacific Daylight Time	08/18/2010 03:39:02 PM Pacific Daylight Time	08/18/2010 03:46:28 PM Pacific Daylight Time		08/20/2010 05:41:52 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage ISNP (HMO SNP)	01	01		1			H2174	003	0	2011	Lane County		2	87	2				1	1	1	1			http://www.trilliumchp.com	http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1
H2174	004	0	1	01	01	H2174_004_0	4	08/30/2010	2011.01	08/30/2010 04:47:01 PM Pacific Daylight Time	06/07/2010 05:27:34 PM Pacific Daylight Time			08/31/2010 08:31:11 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage (HMO)	01	01		1			H2174	004	0	2011	Lane County		2	161	2				2						http://www.trilliumchp.com	http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950										(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951										1
H2174	005	0	1	01	01	H2174_005_0	7	08/09/2010	2011.01	08/09/2010 05:12:30 PM Pacific Daylight Time	08/18/2010 03:39:50 PM Pacific Daylight Time	08/18/2010 03:47:36 PM Pacific Daylight Time		08/20/2010 05:41:52 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Choice Community ISNP (HMO SNP)	01	01		1			H2174	005	0	2011	Lane County		2	20	2				1	1	2	1			http://www.trilliumchp.com	http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1
H2174	801	0	1	01	01	H2174_801_0	6	08/09/2010	2011.01	08/09/2010 05:13:17 PM Pacific Daylight Time	06/07/2010 05:27:48 PM Pacific Daylight Time			08/09/2010 06:13:23 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Group Bronze (HMO)	01	01		1			H2174	801	0	2011	Oregon State Wide		1	63	2				2						http://www.trilliumchp.com	http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1
H2174	802	0	1	01	01	H2174_802_0	6	08/09/2010	2011.01	08/09/2010 05:14:17 PM Pacific Daylight Time	06/07/2010 05:27:55 PM Pacific Daylight Time			08/09/2010 06:13:23 PM Pacific Daylight Time	TRILLIUM COMMUNITY HEALTH PLAN	Trillium Advantage	www.trilliumchp.com	Trillium Advantage Group Gold (HMO)	01	01		1			H2174	802	0	2011	Oregon State Wide		1	28	2				2						http://www.trilliumchp.com	http://www.trilliumchp.com	http://www.trilliumchp.com	(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(800)-910-3906		(541)-431-1950		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		(866)-279-9750		(541)-431-1951		1
H2182	001	0	1	02	01	H2182_001_0	5	07/07/2010	2011.01	07/07/2010 09:31:57 AM Central Daylight Time	08/19/2010 06:08:25 PM Central Daylight Time	08/18/2010 04:45:47 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H2182	001	0	2011	Select Counties in GA		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2182	805	0	1	02	01	H2182_805_0	1	05/27/2010	2011.01	05/27/2010 08:20:25 AM Central Daylight Time	06/01/2010 11:35:02 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2182	805	0	2011	Select Counties in GA		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2182	806	0	1	02	01	H2182_806_0	1	05/27/2010	2011.01	05/27/2010 08:20:47 AM Central Daylight Time	06/01/2010 11:19:33 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2182	806	0	2011	Select Counties in GA		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H2182	807	0	1	02	01	H2182_807_0	1	05/27/2010	2011.01	05/27/2010 08:21:07 AM Central Daylight Time	06/01/2010 11:19:16 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2182	807	0	2011	Select Counties in GA		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2218	001	0	1	20	08	H2218_001_0	1	05/28/2010	2011.01	05/28/2010 11:07:32 AM Eastern Daylight Time		05/24/2010 09:47:00 AM Eastern Daylight Time		05/28/2010 11:12:31 AM Eastern Daylight Time	HARBOR HEALTH SERVICES	Elder Service Plan of Harbor Health Services, Inc	www.elderserviceplan.org	Harbor Health Elder Service Plan, Dual Eligible (PACE)	08	20		1			H2218	001	0	2011	Norfolk and Suffolk Counties		2		2				2							www.elderserviceplan.org	www.elderserviceplan.org									(866)-714-1277		(617)-533-2400		(866)-714-1277		(617)-533-2400										(866)-714-1277		(617)-533-2400		(866)-714-1277		(617)-533-2400		1
H2218	002	0	1	20	08	H2218_002_0	1	05/28/2010	2011.01	05/28/2010 11:08:00 AM Eastern Daylight Time		05/24/2010 09:47:00 AM Eastern Daylight Time		05/28/2010 11:12:31 AM Eastern Daylight Time	HARBOR HEALTH SERVICES	Elder Service Plan of Harbor Health Services, Inc	www.elderserviceplan.org	Harbor Health Elder Service Plan, Medicare only (PACE)	08	20		1			H2218	002	0	2011	Norfolk and Suffolk Counties		2		2				2							www.elderserviceplan.org	www.elderserviceplan.org									(866)-714-1277		(617)-533-2400		(866)-714-1277		(617)-533-2400										(866)-714-1277		(617)-533-2400		(866)-714-1277		(617)-533-2400		1
H2219	001	0	1	20	08	H2219_001_0	1	05/10/2010	2011.01	05/10/2010 03:52:22 PM Eastern Daylight Time		06/04/2010 03:35:24 PM Eastern Daylight Time		06/07/2010 10:14:43 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan - Summit ElderCare	www.summiteldercare.org	Summit ElderCare (PACE)	08	20		1			H2219	001	0	2011	Summit ElderCare - Worcester, Middlesex Counties		2	866	2				2							Not Applicable	Not Applicable									(800)-698-7566		(508)-852-2026		(800)-698-7566		(508)-368-9690										(800)-439-2370		(800)-439-2370		(800)-889-4106		(800)-889-4106		1
H2219	002	0	1	20	08	H2219_002_0	1	05/10/2010	2011.01	05/10/2010 03:49:28 PM Eastern Daylight Time		06/04/2010 03:35:15 PM Eastern Daylight Time		06/07/2010 10:14:43 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan - Summit ElderCare	www.summiteldercare.org	Summit ElderCare (PACE)	08	20		1			H2219	002	0	2011	Summit ElderCare - Worcester, Middlesex Counties		2	9	2				2							Not Applicable	Not Applicable									(800)-698-7566		(508)-852-2026		(800)-698-7566		(508)-368-9690										(800)-439-2370		(800)-439-2370		(800)-889-4106		(800)-889-4106		1
H2220	001	0	1	20	08	H2220_001_0	1	05/20/2010	2011.01	05/20/2010 12:09:25 PM Eastern Daylight Time		05/18/2010 03:26:06 PM Eastern Daylight Time		05/20/2010 12:14:02 PM Eastern Daylight Time	UPHAMS CORNER HEALTH COMMITTEE, INC.	Uphams Corner Health Committee, Inc.	www.uphamselderserviceplan.org	Uphams Corner Health Committee (PACE)	08	20		1			H2220	001	0	2011	Upham's Elder Service Plan		2		2				2							http://www.uphamscornerhealthctr.com/	http://www.uphamscornerhealthctr.com/									(617)-288-0970	11	(617)-288-0970	11	(617)-288-0970	16	(617)-288-0970	16									(617)-287-8000	8206	(617)-287-8000	8206	(617)-287-8000	8206	(617)-287-8000	8206	1
H2220	002	0	1	20	08	H2220_002_0	1	05/20/2010	2011.01	05/20/2010 12:09:53 PM Eastern Daylight Time		05/18/2010 03:26:06 PM Eastern Daylight Time		05/20/2010 12:14:02 PM Eastern Daylight Time	UPHAMS CORNER HEALTH COMMITTEE, INC.	Uphams Corner Health Committee, Inc.	www.uphamselderserviceplan.org	Uphams Corner Health Committee (PACE)	08	20		1			H2220	002	0	2011	Upham's Elder Service Plan		2		2				2							http://www.uphamscornerhealthctr.com/	http://www.uphamscornerhealthctr.com/									(617)-288-0970	11	(617)-288-0970	11	(617)-288-0970	16	(617)-288-0970	16									(617)-287-8000	8206	(617)-287-8000	8206	(617)-287-8000	8206	(617)-287-8000	8206	1
H2221	001	0	1	20	08	H2221_001_0	1	05/18/2010	2011.01	05/18/2010 04:54:55 PM Eastern Daylight Time		05/18/2010 03:46:43 PM Eastern Daylight Time		05/18/2010 04:56:31 PM Eastern Daylight Time	ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCE	Elder Srvc Pln/Cambridge Health Alliance	Challiance.org	Elder Service Plan of the Cambridge Health (PACE)	08	20		1			H2221	001	0	2011	Counties: Middlesex and Suffolk		2		1	1			2							none	none									(617)-575-5850		(617)-575-5850		(617)-575-5850		(617)-575-5850										(617)-575-5850		(617)-575-5850		(617)-575-5850		(617)-575-5850		1
H2221	002	0	1	20	08	H2221_002_0	1	05/18/2010	2011.01	05/18/2010 04:54:38 PM Eastern Daylight Time		05/18/2010 03:46:52 PM Eastern Daylight Time		05/18/2010 04:56:31 PM Eastern Daylight Time	ELDER SRVC PLN/CAMBRIDGE HEALTH ALLIANCE	Elder Srvc Pln/Cambridge Health Alliance	Challiance.org	Elder Service Plan of the Cambridge Health (PACE)	08	20		1			H2221	002	0	2011	Counties:  Middlesex and Suffolk		2		1	1			2							none	none									(617)-575-5850		(617)-575-5850		(617)-575-5850		(617)-575-5850										(617)-575-5850		(617)-575-5850		(617)-575-5850		(617)-575-5850		1
H2222	002	0	1	20	08	H2222_002_0	1	05/20/2010	2011.01	05/20/2010 12:21:27 PM Eastern Daylight Time		05/19/2010 11:54:01 AM Eastern Daylight Time		05/20/2010 12:23:54 PM Eastern Daylight Time	ELDER SERVICE PLAN OF THE NORTH SHORE	Elder Service Plan Of The North Shore	www.pacenorthshore.org	Elder Service Plan of the Northshore (PACE)	08	20		1			H2222	002	0	2011	Essex, Middlesex counties		2		2				2							None	www.eatonapothecary.com									(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650									(781)-715-6608		(781)-715-6608		(781)-715-6608		(781)-715-6608	6688	1
H2222	003	0	1	20	08	H2222_003_0	1	05/20/2010	2011.01	05/20/2010 12:21:58 PM Eastern Daylight Time		05/19/2010 11:54:01 AM Eastern Daylight Time		05/20/2010 12:23:54 PM Eastern Daylight Time	ELDER SERVICE PLAN OF THE NORTH SHORE	Elder Service Plan Of The North Shore	www.pacenorthshore.org	Elder Service Plan of the Northshore (PACE)	08	20		1			H2222	003	0	2011	Essex, Middlesex counties		2		2				2							None	www.eatonapothecary.com									(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650									(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650	(781)-715-6608	6650	1
H2223	001	0	1	20	08	H2223_001_0	1	05/20/2010	2011.01	05/20/2010 01:01:56 PM Eastern Daylight Time		05/20/2010 12:15:37 PM Eastern Daylight Time		05/20/2010 01:29:04 PM Eastern Daylight Time	ELDER SVC PLN/E BOSTON HEALTH CENTER	Elder Svc Pln/E Boston Health Center	www.ebnhc.org	ESP of East Boston Pharmacy Plan--Duals (PACE)	08	20		1			H2223	001	0	2011	Chelsea, Revere, East Boston, Everett, Winthrop MA		2		2				2							www.ebnhc.org	www.ebnhc.org									(617)-569-5800		(617)-569-5800		(617)-569-5800		(617)-569-5800										(617)-569-5800		(617)-569-5800		(617)-569-5800		(617)-569-5800		1
H2223	002	0	1	20	08	H2223_002_0	1	05/20/2010	2011.01	05/20/2010 01:02:09 PM Eastern Daylight Time		05/19/2010 08:23:18 AM Eastern Daylight Time		05/20/2010 01:29:04 PM Eastern Daylight Time	ELDER SVC PLN/E BOSTON HEALTH CENTER	Elder Svc Pln/E Boston Health Center	www.ebnhc.org	ESP of East Boston Pharmacy Plan--MCR Only (PACE)	08	20		1			H2223	002	0	2011	Chelsea, Revere, East Boston, Everett, Winthrop MA		2		2				2							www.ebnhc.org	www.ebnhc.org									(617)-569-5800		(617)-569-5800		(617)-569-5800		(617)-569-5800										(617)-569-5800		(617)-569-5800		(617)-569-5800		(617)-569-5800		1
H2224	001	0	1	01	01	H2224_001_0	8	08/25/2010	2011.01	08/25/2010 04:50:36 PM Eastern Daylight Time	08/23/2010 05:50:36 PM Eastern Daylight Time	08/23/2010 03:06:42 PM Eastern Daylight Time		08/25/2010 05:03:57 PM Eastern Daylight Time	SENIOR WHOLE HEALTH, LLC	Senior Whole Health	www.seniorwholehealth.com	Senior Whole Health (HMO SNP)	01	01		1			H2224	001	0	2011	Brstl, Essx, Midlsex, Nrfolk, Plymth, Sufolk, Worc		2	7300	2		2		1	3		1	5		www.seniorwholehealth.com	www.seniorwholehealth.com	www.seniorwholehealth.com	(888)-794-7268		(888)-794-7268		(888)-566-3526		(888)-566-3526		(888)-794-7268		(888)-794-7268		(888)-566-3526		(888)-566-3526		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		(888)-749-6455		1
H2225	001	0	1	01	01	H2225_001_0	4	06/07/2010	2011.01	06/07/2010 10:20:23 AM Eastern Daylight Time	08/30/2010 09:20:54 AM Eastern Daylight Time	08/23/2010 11:56:40 AM Eastern Daylight Time		08/30/2010 02:37:23 PM Eastern Daylight Time	COMMONWEALTH CARE ALLIANCE, INC.	Commonwealth Care Alliance, Inc.	http://www.commonwealthcare.org	Senior Care Options Program (HMO SNP)	01	01		1			H2225	001	0	2011	Greater Boston, Springfield, Merrimack Valley		2		2		2		1	3		1	5		www.commonwealthcare.org	http://www.commonwealthcare.org/pharmacy-program/formularies.html	http://www.commonwealthcare.org/pharmacy-program/index.html	(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-610-2273		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		(866)-322-7357		1
H2226	001	0	1	01	01	H2226_001_0	5	06/07/2010	2011.01	06/07/2010 03:58:48 PM Central Daylight Time	08/19/2010 06:08:53 PM Central Daylight Time	08/18/2010 04:28:48 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Senior Care Options (HMO SNP)	01	01		1			H2226	001	0	2011	Boston, Springfield and Worcester Metro Areas		2		2		2		1	3		1	5		www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(888)-867-5511		(888)-867-5511		(888)-834-3721		(888)-834-3721		(888)-867-5511		(888)-867-5511		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2228	001	0	1	04	01	H2228_001_0	6	06/01/2010	2011.01	06/01/2010 09:06:20 AM Central Daylight Time	08/19/2010 06:04:02 PM Central Daylight Time	08/18/2010 04:28:53 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H2228	001	0	2011	Boston, Springfield and Worcester Metro Areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2228	002	0	1	04	01	H2228_002_0	5	08/20/2010	2011.01	08/20/2010 11:05:54 AM Central Daylight Time	08/19/2010 06:04:52 PM Central Daylight Time	08/18/2010 04:28:57 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H2228	002	0	2011	Bristol, Kent, Providence and Washington Counties		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2230	002	0	1	04	01	H2230_002_0	11	09/01/2010	2011.01	09/01/2010 10:48:46 AM Eastern Daylight Time	08/20/2010 09:24:35 AM Eastern Daylight Time	08/20/2010 09:24:13 AM Eastern Daylight Time		09/01/2010 10:52:01 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare PPO Blue PlusRx (PPO)	01	04		1			H2230	002	0	2011	Massachusetts except Nantucket, Duke and Berkshire		2	14876	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		1
H2230	801	0	1	04	01	H2230_801_0	6	08/12/2010	2011.01	08/12/2010 08:35:14 PM Eastern Daylight Time	06/07/2010 12:04:36 PM Eastern Daylight Time			08/12/2010 08:44:54 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare PPO Blue (PPO)	01	04		1			H2230	801	0	2011	National Network		1	93	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		1
H2230	809	0	1	04	01	H2230_809_0	5	08/12/2010	2011.01	08/12/2010 08:38:06 PM Eastern Daylight Time	06/07/2010 11:59:26 AM Eastern Daylight Time			08/12/2010 08:51:24 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare PPO Blue (PPO)	01	04		1			H2230	809	0	2011	National Network		1	93	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265										(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254										1
H2237	001	0	1	01	01	H2237_001_0	5	08/25/2010	2011.01	08/25/2010 09:39:51 AM Central Daylight Time	08/20/2010 08:59:04 AM Central Daylight Time	08/20/2010 08:59:50 AM Central Daylight Time		08/25/2010 09:52:07 AM Central Daylight Time	INDEPENDENT CARE HEALTH PLAN, INC.	iCare	www.icare-wi.org	iCare Medicare Plan (HMO SNP)	01	01		1			H2237	001	0	2011	iCare Medicare Plan		2		2		2		1	3		1	2		www.icare-wi.org	www.icare-wi.org	www.icare-wi.org	(800)-777-4376		(414)-223-4847		(888)-241-9637		(414)-223-4847		(800)-777-4376		(414)-223-4847		(888)-241-9637		(414)-223-4847		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H2237	007	0	1	01	01	H2237_007_0	3	08/25/2010	2011.01	08/25/2010 09:40:06 AM Central Daylight Time	08/20/2010 08:59:31 AM Central Daylight Time	08/20/2010 09:00:01 AM Central Daylight Time		08/25/2010 09:52:07 AM Central Daylight Time	INDEPENDENT CARE HEALTH PLAN, INC.	iCare	www.icare-wi.org	iCare Family Care Partnership (HMO SNP)	01	01		1			H2237	007	0	2011	Milwaukee County		2		2		2		1	3		1	5		www.icare-wi.org	www.icare-wi.org	www.icare-wi.org	(800)-777-4376		(414)-223-4847		(888)-241-9637		(414)-223-4847		(800)-777-4376		(414)-223-4847		(888)-241-9637		(414)-223-4847		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H2241	001	0	1	01	01	H2241_001_0	5	08/23/2010	2011.01	08/23/2010 10:53:07 AM Pacific Daylight Time	06/07/2010 01:00:33 PM Pacific Daylight Time	06/07/2010 01:00:33 PM Pacific Daylight Time		08/23/2010 11:01:02 AM Pacific Daylight Time	GOLDEN STATE MEDICARE HEALTH PLAN	Golden State Medicare Health Plan, Golden (HMO)	www.GoldenStateMHP.com	Golden State Medicare Health Plan, Golden (HMO)	01	01		1			H2241	001	0	2011	Los Angeles and Orange Counties - Partial		2	750	2				2						http://www.goldenstatemhp.com/	www.goldenstatemhp.com	www.goldenstatemhp.com	(877)-541-4111		(562)-799-0319		(877)-541-4111		(562)-799-0319		(877)-541-4111		(562)-799-0319		(877)-541-4111		(562)-799-0319		(877)-551-4111		(877)-551-4111		(877)-551-4111		(877)-551-4111		(877)-551-4111		(877)-551-4111		(877)-551-4111		(877)-551-4111		1
H2256	001	1	1	01	01	H2256_001_1	7	08/04/2010	2011.01	08/04/2010 03:04:45 PM Eastern Daylight Time	08/20/2010 10:30:00 AM Eastern Daylight Time	08/19/2010 01:20:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime Rx Plus (HMO)	01	01		1			H2256	001	1	2011	Most of Massachusetts	Counties ESSEX, SUFFOLK, WORCESTER	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	001	2	1	01	01	H2256_001_2	7	08/03/2010	2011.01	08/03/2010 07:29:42 PM Eastern Daylight Time	08/20/2010 10:31:00 AM Eastern Daylight Time	08/19/2010 01:21:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime Rx Plus (HMO)	01	01		1			H2256	001	2	2011	Most of Massachusetts	Counties BRISTOL, MIDDLESEX, NORFOLK, PLYMOUTH	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	001	6	1	01	01	H2256_001_6	7	08/03/2010	2011.01	08/03/2010 07:29:42 PM Eastern Daylight Time	08/20/2010 10:31:00 AM Eastern Daylight Time	08/19/2010 01:21:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime Rx Plus (HMO)	01	01		1			H2256	001	6	2011	Most of Massachusetts	Counties HAMPDEN, HAMPSHIRE	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	001	7	1	01	01	H2256_001_7	7	08/03/2010	2011.01	08/03/2010 07:29:42 PM Eastern Daylight Time	08/20/2010 10:32:00 AM Eastern Daylight Time	08/19/2010 01:22:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime Rx Plus (HMO)	01	01		1			H2256	001	7	2011	Most of Massachusetts	County: BARNSTABLE	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	015	1	1	01	01	H2256_015_1	5	08/03/2010	2011.01	08/03/2010 06:56:00 PM Eastern Daylight Time	08/20/2010 10:32:00 AM Eastern Daylight Time	08/19/2010 01:22:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime Rx (HMO)	01	01		1			H2256	015	1	2011	Most of Massachusetts	Counties ESSEX, SUFFOLK, WORCESTER	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	015	2	1	01	01	H2256_015_2	5	08/03/2010	2011.01	08/03/2010 06:57:21 PM Eastern Daylight Time	08/20/2010 10:33:00 AM Eastern Daylight Time	08/19/2010 01:23:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime Rx (HMO)	01	01		1			H2256	015	2	2011	Most of Massachusetts	Counties BRISTOL, MIDDLESEX, NORFOLK, PLYMOUTH	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	015	6	1	01	01	H2256_015_6	5	08/03/2010	2011.01	08/03/2010 06:57:22 PM Eastern Daylight Time	08/20/2010 10:33:00 AM Eastern Daylight Time	08/19/2010 01:23:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime Rx (HMO)	01	01		1			H2256	015	6	2011	Most of Massachusetts	Counties HAMPDEN, HAMPSHIRE	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	015	7	1	01	01	H2256_015_7	5	08/03/2010	2011.01	08/03/2010 06:57:22 PM Eastern Daylight Time	08/20/2010 10:33:00 AM Eastern Daylight Time	08/19/2010 01:24:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime Rx (HMO)	01	01		1			H2256	015	7	2011	Most of Massachusetts	County: BARNSTABLE	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	016	1	1	01	01	H2256_016_1	4	08/03/2010	2011.01	08/03/2010 07:00:37 PM Eastern Daylight Time	08/06/2010 11:24:30 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime (HMO)	01	01		1			H2256	016	1	2011	Most of Massachusetts	Counties ESSEX, SUFFOLK, WORCESTER	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	016	2	1	01	01	H2256_016_2	4	08/03/2010	2011.01	08/03/2010 07:01:15 PM Eastern Daylight Time	07/01/2010 09:28:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime (HMO)	01	01		1			H2256	016	2	2011	Most of Massachusetts	Counties BRISTOL, MIDDLESEX, NORFOLK, PLYMOUTH	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	016	6	1	01	01	H2256_016_6	4	08/03/2010	2011.01	08/03/2010 07:01:16 PM Eastern Daylight Time	07/01/2010 09:28:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime (HMO)	01	01		1			H2256	016	6	2011	Most of Massachusetts	Counties HAMPDEN, HAMPSHIRE	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	016	7	1	01	01	H2256_016_7	4	08/03/2010	2011.01	08/03/2010 07:01:16 PM Eastern Daylight Time	07/01/2010 09:29:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Prime (HMO)	01	01		1			H2256	016	7	2011	Most of Massachusetts	County: BARNSTABLE	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	018	1	1	01	01	H2256_018_1	5	08/03/2010	2011.01	08/03/2010 07:04:22 PM Eastern Daylight Time	08/20/2010 10:34:00 AM Eastern Daylight Time	08/19/2010 01:24:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Value Rx (HMO)	01	01		1			H2256	018	1	2011	Most of Massachusetts	Counties ESSEX, SUFFOLK, WORCESTER	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	018	7	1	01	01	H2256_018_7	5	08/03/2010	2011.01	08/03/2010 07:04:59 PM Eastern Daylight Time	08/20/2010 10:34:00 AM Eastern Daylight Time	08/19/2010 01:25:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Value Rx (HMO)	01	01		1			H2256	018	7	2011	Most of Massachusetts	Counties BARN, BRIS, MIDD, NORF, PLYM	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	018	8	1	01	01	H2256_018_8	5	08/03/2010	2011.01	08/03/2010 07:05:00 PM Eastern Daylight Time	08/20/2010 10:35:00 AM Eastern Daylight Time	08/19/2010 01:25:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Value Rx (HMO)	01	01		1			H2256	018	8	2011	Most of Massachusetts	Counties HAMPDEN, HAMPSHIRE	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	019	1	1	01	01	H2256_019_1	4	08/03/2010	2011.01	08/03/2010 07:07:34 PM Eastern Daylight Time	07/01/2010 09:31:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Value (HMO)	01	01		1			H2256	019	1	2011	Most of Massachusetts	Counties ESSEX, SUFFOLK, WORCESTER	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	019	7	1	01	01	H2256_019_7	4	08/03/2010	2011.01	08/03/2010 07:08:03 PM Eastern Daylight Time	07/01/2010 09:31:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Value (HMO)	01	01		1			H2256	019	7	2011	Most of Massachusetts	Counties BARN, BRIS, MIDD, NORF, PLYM	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	019	8	1	01	01	H2256_019_8	4	08/03/2010	2011.01	08/03/2010 07:08:03 PM Eastern Daylight Time	07/01/2010 09:32:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Value (HMO)	01	01		1			H2256	019	8	2011	Most of Massachusetts	Counties HAMPDEN, HAMPSHIRE	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	026	1	1	01	01	H2256_026_1	5	08/03/2010	2011.01	08/03/2010 07:10:49 PM Eastern Daylight Time	08/20/2010 10:35:00 AM Eastern Daylight Time	08/19/2010 01:26:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Basic Rx (HMO)	01	01		1			H2256	026	1	2011	Most of Massachusetts	counties ESSEX, SUFFOLK, WORCESTER	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	026	2	1	01	01	H2256_026_2	5	08/03/2010	2011.01	08/03/2010 07:11:19 PM Eastern Daylight Time	08/20/2010 10:36:00 AM Eastern Daylight Time	08/19/2010 01:26:00 PM Eastern Daylight Time		08/20/2010 05:10:45 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Basic Rx (HMO)	01	01		1			H2256	026	2	2011	Most of Massachusetts	counties BARN, BRIS, HMPD, HMPS, MIDD, NORF, PLYM	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	027	1	1	01	01	H2256_027_1	4	08/03/2010	2011.01	08/03/2010 07:13:30 PM Eastern Daylight Time	07/01/2010 09:33:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Basic (HMO)	01	01		1			H2256	027	1	2011	Most of Massachusetts	counties ESSEX, SUFFOLK, WORCESTER	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	027	2	1	01	01	H2256_027_2	5	08/15/2010	2011.01	08/15/2010 02:53:08 PM Eastern Daylight Time	07/01/2010 09:33:00 AM Eastern Daylight Time			08/17/2010 03:03:59 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Basic (HMO)	01	01		1			H2256	027	2	2011	Most of Massachusetts	counties BARN, BRIS, HMPD, HMPS, MIDD, NORF, PLYM	2		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	801	0	1	01	01	H2256_801_0	4	08/03/2010	2011.01	08/03/2010 07:15:28 PM Eastern Daylight Time	07/01/2010 09:34:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Rx (HMO)	01	01		1			H2256	801	0	2011	Most of Massachusetts		1		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2256	802	0	1	01	01	H2256_802_0	4	08/03/2010	2011.01	08/03/2010 07:16:22 PM Eastern Daylight Time	07/01/2010 09:34:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO (HMO)	01	01		1			H2256	802	0	2011	Most of Massachusetts		1		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977										1
H2256	803	0	1	01	01	H2256_803_0	4	08/03/2010	2011.01	08/03/2010 07:17:35 PM Eastern Daylight Time	07/01/2010 09:35:00 AM Eastern Daylight Time			08/06/2010 05:29:39 PM Eastern Daylight Time	TUFTS ASSOCIATED HMO, INC.	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Medicare Preferred HMO Rx (HMO)	01	01		1			H2256	803	0	2011	Most of Massachusetts		1		2				2						tuftsmedicarepreferred.org	tuftsmedicarepreferred.org	tuftsmedicarepreferred.org/druglist.php	(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
H2261	005	0	1	01	01	H2261_005_0	11	09/01/2010	2011.01	09/01/2010 10:48:37 AM Eastern Daylight Time	08/20/2010 09:24:34 AM Eastern Daylight Time	08/20/2010 09:24:13 AM Eastern Daylight Time		09/01/2010 10:51:33 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare HMO Blue PlusRx (HMO)	01	01		1			H2261	005	0	2011	Massachusetts except Berkshire,Dukes and Nantucket		2	8097	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		1
H2261	801	0	1	01	01	H2261_801_0	4	08/09/2010	2011.01	08/09/2010 02:20:44 PM Eastern Daylight Time	07/29/2010 03:27:18 PM Eastern Daylight Time			08/09/2010 02:21:47 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare HMO Blue (HMO)	01	01		1			H2261	801	0	2011	Massachusetts except Berkshire,Dukes and Nantucket		1	2055	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254		1
H2261	809	0	1	01	01	H2261_809_0	3	08/09/2010	2011.01	08/09/2010 02:33:12 PM Eastern Daylight Time	07/29/2010 02:01:47 PM Eastern Daylight Time			08/09/2010 02:33:53 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF MA HMO BLUE, INC.	Blue Cross and Blue Shield of Massachusetts	www.bluecrossma.com/medicare	Medicare HMO Blue (HMO)	01	01		1			H2261	809	0	2011	Massachusetts except Berkshire,Dukes and Nantucket		1	25	2				2						www.bcbsma.com	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	http://www.bluecrossma.com/Medicare/audience/Already_A_Member/pharmacy/index.html	(800)-200-4255		(800)-200-4255		(800)-678-2265		(800)-678-2265										(800)-522-1254		(800)-522-1254		(800)-522-1254		(800)-522-1254										1
H2312	004	0	1	01	01	H2312_004_0	13	08/10/2010	2011.01	08/10/2010 01:11:19 PM Eastern Daylight Time	08/20/2010 02:06:10 PM Eastern Daylight Time	08/20/2010 01:58:14 PM Eastern Daylight Time		08/20/2010 05:14:38 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Henry Ford (HMO)	01	01		1			H2312	004	0	2011	Southeastern Michigan (3 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2312	006	0	1	01	01	H2312_006_0	9	08/10/2010	2011.01	08/10/2010 01:11:32 PM Eastern Daylight Time	08/06/2010 07:13:49 PM Eastern Daylight Time			08/10/2010 01:21:54 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Henry Ford (HMO)	01	01		1			H2312	006	0	2011	Southeastern Michigan (3 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1
H2312	007	0	1	02	01	H2312_007_0	11	08/10/2010	2011.01	08/10/2010 01:11:44 PM Eastern Daylight Time	08/20/2010 02:02:09 PM Eastern Daylight Time	08/20/2010 01:58:37 PM Eastern Daylight Time		08/20/2010 05:14:38 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Expanded Network (HMO-POS)	01	02		1			H2312	007	0	2011	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2312	008	0	1	02	01	H2312_008_0	8	08/10/2010	2011.01	08/10/2010 01:11:55 PM Eastern Daylight Time	08/06/2010 07:10:24 PM Eastern Daylight Time			08/10/2010 01:34:43 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Expanded Network (HMO-POS)	01	02		1			H2312	008	0	2011	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1
H2312	009	0	1	01	01	H2312_009_0	11	08/10/2010	2011.01	08/10/2010 01:12:09 PM Eastern Daylight Time	08/20/2010 02:02:33 PM Eastern Daylight Time	08/20/2010 01:59:01 PM Eastern Daylight Time		08/20/2010 05:14:38 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Henry Ford (HMO)	01	01		1			H2312	009	0	2011	Southeastern Michigan (3 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2312	010	0	1	02	01	H2312_010_0	10	08/10/2010	2011.01	08/10/2010 01:12:23 PM Eastern Daylight Time	08/20/2010 02:08:10 PM Eastern Daylight Time	08/20/2010 01:59:56 PM Eastern Daylight Time		08/20/2010 05:14:38 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Expanded Network (HMO-POS)	01	02		1			H2312	010	0	2011	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2312	801	0	1	01	01	H2312_801_0	7	07/27/2010	2011.01	07/27/2010 12:40:37 PM Eastern Daylight Time	06/06/2010 01:53:12 PM Eastern Daylight Time			07/27/2010 12:43:35 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Group Only (HMO)	01	01		1			H2312	801	0	2011	Macomb, Oakland and Wayne Counties		1		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1
H2312	803	0	1	01	01	H2312_803_0	7	07/27/2010	2011.01	07/27/2010 12:40:55 PM Eastern Daylight Time	06/06/2010 01:54:07 PM Eastern Daylight Time			07/27/2010 12:43:35 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Group Only (HMO)	01	01		1			H2312	803	0	2011	Macomb, Oakland and Wayne Counties		1		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2312	805	0	1	01	01	H2312_805_0	7	07/27/2010	2011.01	07/27/2010 12:41:12 PM Eastern Daylight Time	06/06/2010 01:54:33 PM Eastern Daylight Time			07/27/2010 12:43:35 PM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Group Only (HMO)	01	01		1			H2312	805	0	2011	Southeastern Michigan (9 Counties)		1		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1
H2312	807	0	1	01	01	H2312_807_0	8	07/27/2010	2011.01	07/27/2010 12:41:27 PM Eastern Daylight Time	08/04/2010 09:26:14 AM Eastern Daylight Time			08/04/2010 09:37:09 AM Eastern Daylight Time	HEALTH ALLIANCE PLAN OF MICHIGAN	HAP Senior Plus	www.hap.org	HAP Senior Plus - Group Only (HMO)	01	01		1			H2312	807	0	2011	Southeastern Michigan (9 Counties)		1		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-801-1770		(313)-664-7015		(800)-868-3153		(248)-443-8528		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2318	001	0	1	20	08	H2318_001_0	1	05/25/2010	2011.01	05/25/2010 01:45:46 PM Eastern Daylight Time		05/25/2010 11:38:47 AM Eastern Daylight Time		05/25/2010 01:53:30 PM Eastern Daylight Time	HENRY FORD HEALTH SYSTEM	Henry Ford Health System	hfhs.org	Henry Ford Health System-Center for Senior Indepen (PACE)	08	20		1			H2318	001	0	2011	Michigan, Wayne County Area		2		2				2							Milwaukee.PACE@milliman.com	None									(313)-653-2020		(313)-653-2020		(313)-653-2020		(313)-653-2020										(313)-653-2803		(313)-653-2803		(313)-653-2803		(313)-653-2803		1
H2318	002	0	1	20	08	H2318_002_0	1	05/25/2010	2011.01	05/25/2010 01:46:09 PM Eastern Daylight Time		05/25/2010 11:38:48 AM Eastern Daylight Time		05/25/2010 01:53:30 PM Eastern Daylight Time	HENRY FORD HEALTH SYSTEM	Henry Ford Health System	hfhs.org	Henry Ford Health System-Center for Senior Indepen (PACE)	08	20		1			H2318	002	0	2011	Michigan, Wayne County Area		2		2				2							Milwaukee.PACE@milliman.com	None									(313)-653-2020		(313)-653-2020		(313)-653-2020		(313)-653-2020										(313)-653-2803		(313)-653-2803		(313)-653-2803		(313)-653-2803		1
H2320	007	0	1	02	01	H2320_007_0	7	08/20/2010	2011.01	08/20/2010 03:02:15 PM Eastern Daylight Time	08/19/2010 03:58:04 PM Eastern Daylight Time	08/19/2010 01:50:50 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare (HMO-POS)	01	02		1			H2320	007	0	2011	10 West and NW MI counties		2	456	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	008	0	1	02	01	H2320_008_0	5	07/26/2010	2011.01	07/26/2010 10:59:24 AM Eastern Daylight Time	08/19/2010 04:03:08 PM Eastern Daylight Time	08/20/2010 11:57:52 AM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare (HMO-POS)	01	02		1			H2320	008	0	2011	9 NW MI co., 1 central MI co., and 3 SE MI co.		2	266	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	011	0	1	02	01	H2320_011_0	7	08/20/2010	2011.01	08/20/2010 03:02:39 PM Eastern Daylight Time	08/19/2010 04:03:36 PM Eastern Daylight Time	08/19/2010 01:53:56 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	011	0	2011	10 West and NW MI counties		2	351	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	012	0	1	02	01	H2320_012_0	5	07/26/2010	2011.01	07/26/2010 10:54:34 AM Eastern Daylight Time	08/19/2010 04:11:56 PM Eastern Daylight Time	08/19/2010 01:54:48 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	012	0	2011	9 NW MI co., 1 central MI co., and 3 SE MI co.		2	108	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	013	0	1	02	01	H2320_013_0	5	08/20/2010	2011.01	08/20/2010 03:03:01 PM Eastern Daylight Time	08/19/2010 04:12:28 PM Eastern Daylight Time	08/19/2010 01:55:30 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare (HMO-POS)	01	02		1			H2320	013	0	2011	Allegan, Barry, Kent, Newaygo, Ottawa, MI counties		2	1835	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	015	0	1	02	01	H2320_015_0	5	07/26/2010	2011.01	07/26/2010 11:00:07 AM Eastern Daylight Time	08/19/2010 04:12:58 PM Eastern Daylight Time	08/19/2010 01:56:38 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	015	0	2011	Allegan, Barry, Kent, Newaygo, Ottawa, MI counties		2	717	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	016	0	1	02	01	H2320_016_0	5	07/26/2010	2011.01	07/26/2010 11:03:03 AM Eastern Daylight Time	08/19/2010 04:13:26 PM Eastern Daylight Time	08/19/2010 01:58:42 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare (HMO-POS)	01	02		1			H2320	016	0	2011	Emmet, Jackson, Kalkaska, Roscommon, MI counties		2	90	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	018	0	1	02	01	H2320_018_0	5	07/26/2010	2011.01	07/26/2010 11:06:33 AM Eastern Daylight Time	08/19/2010 04:13:52 PM Eastern Daylight Time	08/19/2010 01:59:24 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	018	0	2011	Emmet, Jackson, Kalkaska, Roscommon, MI counties		2	44	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	019	0	1	02	01	H2320_019_0	5	07/26/2010	2011.01	07/26/2010 11:09:12 AM Eastern Daylight Time	08/19/2010 04:14:16 PM Eastern Daylight Time	08/19/2010 02:00:00 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare (HMO-POS)	01	02		1			H2320	019	0	2011	Macomb, Oakland, Washtenaw, Wayne, MI counties		2	117	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	021	0	1	02	01	H2320_021_0	5	07/26/2010	2011.01	07/26/2010 11:11:19 AM Eastern Daylight Time	08/19/2010 04:14:44 PM Eastern Daylight Time	08/19/2010 02:00:40 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Value (HMO-POS)	01	02		1			H2320	021	0	2011	Macomb, Oakland, Washtenaw, Wayne, MI counties		2	55	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	802	0	1	02	01	H2320_802_0	5	07/26/2010	2011.01	07/26/2010 11:18:28 AM Eastern Daylight Time	06/07/2010 01:45:16 PM Eastern Daylight Time			07/27/2010 03:16:08 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare EG Non-Calendar Year (HMO-POS)	01	02		1			H2320	802	0	2011	State of Michigan		1	115	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	803	0	1	02	01	H2320_803_0	3	07/26/2010	2011.01	07/26/2010 11:21:00 AM Eastern Daylight Time	06/07/2010 01:45:34 PM Eastern Daylight Time			07/27/2010 03:16:08 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare EG Calendar Year (HMO-POS)	01	02		1			H2320	803	0	2011	State of Michigan		1	532	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	804	0	1	01	01	H2320_804_0	3	07/26/2010	2011.01	07/26/2010 11:23:53 AM Eastern Daylight Time	06/07/2010 01:45:52 PM Eastern Daylight Time			07/27/2010 03:16:08 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare EG HMO w PD Non-Cal Year (HMO)	01	01		1			H2320	804	0	2011	State of Michigan		1	11	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2320	805	0	1	01	01	H2320_805_0	3	07/26/2010	2011.01	07/26/2010 11:26:19 AM Eastern Daylight Time	06/07/2010 01:46:16 PM Eastern Daylight Time			07/27/2010 03:16:08 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare EG HMO w PD Cal Year (HMO)	01	01		1			H2320	805	0	2011	State of Michigan		1	3	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H2322	001	0	1	04	01	H2322_001_0	10	08/10/2010	2011.01	08/10/2010 02:52:07 PM Eastern Daylight Time	08/20/2010 02:09:19 PM Eastern Daylight Time	08/20/2010 02:00:19 PM Eastern Daylight Time		08/20/2010 05:14:38 PM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	Alliance Medicare PPO (PPO)	01	04		1			H2322	001	0	2011	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2322	004	0	1	04	01	H2322_004_0	12	08/10/2010	2011.01	08/10/2010 02:52:18 PM Eastern Daylight Time	08/20/2010 02:09:45 PM Eastern Daylight Time	08/20/2010 02:00:40 PM Eastern Daylight Time		08/20/2010 05:14:38 PM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	Alliance Medicare PPO (PPO)	01	04		1			H2322	004	0	2011	Southeastern Michigan (9 Counties)		2		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2322	801	0	1	04	01	H2322_801_0	9	07/27/2010	2011.01	07/27/2010 12:41:44 PM Eastern Daylight Time	06/24/2010 10:55:19 AM Eastern Daylight Time			07/27/2010 12:43:35 PM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	Alliance Medicare PPO - Group Only (PPO)	01	04		1			H2322	801	0	2011	Southeastern Michigan (9 Counties)		1		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000										1
H2322	803	0	1	04	01	H2322_803_0	8	07/27/2010	2011.01	07/27/2010 12:41:58 PM Eastern Daylight Time	06/24/2010 10:55:33 AM Eastern Daylight Time			07/27/2010 12:43:35 PM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE, CO	Alliance Medicare PPO	www.hap.org	Alliance Medicare PPO - Group Only (PPO)	01	04		1			H2322	803	0	2011	Southeastern Michigan (9 Counties)		1		2				2						www.hap.org	www.hap.org/medicare	www.hap.org/medicare	(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(888)-658-2536		(313)-664-9050		(800)-868-3153		(800)-868-3153		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
H2323	005	0	1	01	01	H2323_005_0	7	08/30/2010	2011.01	08/30/2010 04:22:46 PM Central Daylight Time	08/23/2010 01:52:03 PM Central Daylight Time	08/23/2010 01:51:57 PM Central Daylight Time		08/30/2010 04:45:58 PM Central Daylight Time	FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	Fidelis Secure Comfort (HMO SNP)	01	01		1			H2323	005	0	2011	Michigan		2		2				1	1	1	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/m_partD.asp	http://www.fidelissc.com/pharmacy/index.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H2323	006	0	1	01	01	H2323_006_0	6	07/27/2010	2011.01	07/27/2010 01:51:30 PM Central Daylight Time	08/23/2010 01:52:05 PM Central Daylight Time	08/23/2010 01:52:01 PM Central Daylight Time		08/23/2010 05:39:44 PM Central Daylight Time	FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	Fidelis Secure Comfort Plus (HMO SNP)	01	01		1			H2323	006	0	2011	Michigan		2		2				1	1	1	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/m_partD.asp	http://www.fidelissc.com/pharmacy/index.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H2323	007	0	1	01	01	H2323_007_0	6	08/23/2010	2011.01	08/23/2010 02:15:32 PM Central Daylight Time	08/23/2010 01:52:14 PM Central Daylight Time	08/23/2010 01:52:02 PM Central Daylight Time		08/23/2010 05:39:44 PM Central Daylight Time	FIDELIS SECURECARE OF MICHIGAN	Fidelis SecureCare Of Michigan	www.fidelissc.com	Fidelis Secure Independence (HMO SNP)	01	01		1			H2323	007	0	2011	Michigan		2		2				1	1	2	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/m_partD.asp	http://www.fidelissc.com/pharmacy/index.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H2354	001	0	1	01	01	H2354_001_0	5	08/23/2010	2011.01	08/23/2010 11:21:52 AM Eastern Daylight Time	08/23/2010 01:04:45 PM Eastern Daylight Time	08/23/2010 01:04:45 PM Eastern Daylight Time		08/23/2010 02:14:33 PM Eastern Daylight Time	HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	HealthPlus MedicarePlus - AdvantageHMO Option 1 (HMO)	01	01		1			H2354	001	0	2011	Mid-Michigan		2	2325	2				2						www.healthplus.org	http://www.healthplus.org/pdfs/drug_formularies/medicareformularyweb4nov05draft1.pwww.healthplus.com	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1
H2354	013	0	1	01	01	H2354_013_0	9	08/23/2010	2011.01	08/23/2010 11:22:10 AM Eastern Daylight Time	08/23/2010 02:41:06 PM Eastern Daylight Time	08/23/2010 02:41:06 PM Eastern Daylight Time		08/23/2010 03:11:08 PM Eastern Daylight Time	HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	HealthPlus MedicarePlus - AdvantageHMO Option 2 (HMO)	01	01		1			H2354	013	0	2011	Mid-Michigan		2	2325	2				2						www.healthplus.org	http://www.healthplus.org/pdfs/drug_formularies/medicareformularyweb4nov05draft1.pwww.healthplus.com	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1
H2354	801	0	1	01	01	H2354_801_0	4	06/04/2010	2011.01	06/04/2010 06:55:47 PM Eastern Daylight Time	06/07/2010 03:51:00 AM Eastern Daylight Time			06/07/2010 08:43:51 AM Eastern Daylight Time	HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	HealthPlus MedicarePlus - AdvantageHMO EG MA-Only (HMO)	01	01		1			H2354	801	0	2011	United States EG Area		1	9500	2				2						www.healthplus.org	http://www.healthplus.org/pdfs/drug_formularies/medicareformularyweb4nov05draft1.pwww.healthplus.com	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161										(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070										1
H2354	802	0	1	01	01	H2354_802_0	4	06/04/2010	2011.01	06/04/2010 06:56:46 PM Eastern Daylight Time	06/07/2010 07:49:00 AM Eastern Daylight Time			06/07/2010 09:00:42 AM Eastern Daylight Time	HEALTHPLUS OF MICHIGAN	HealthPlus of Michigan	www.healthplus.org	HealthPlus MedicarePlus - AdvantageHMO EG MA-PD (HMO)	01	01		1			H2354	802	0	2011	United States EG Area		1	50	2				2						www.healthplus.org	http://www.healthplus.org/pdfs/drug_formularies/medicareformularyweb4nov05draft1.pwww.healthplus.com	www.healthplus.org	(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-332-9161		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		(800)-992-5070		1
H2386	001	0	1	20	08	H2386_001_0	1	05/20/2010	2011.01	05/20/2010 12:13:13 PM Eastern Daylight Time		05/19/2010 03:35:24 PM Eastern Daylight Time		05/20/2010 12:17:35 PM Eastern Daylight Time	APPALACHIAN AENCY FOR SENIOR CITIZENS, INC.	Appalachian Agency for Senior Citizens, Inc,	www.aasc.org	AllCARE for Seniors - Duals (PACE)	08	20		1			H2386	001	0	2011	Counties:  Buchanan, Dickenson, Russell, Tazewell		2		2				2							www.aasc.org	www.seniorscript.com									(800)-656-2272	7152	(276)-964-4915	7152	(800)-656-2272	7152	(276)-964-4915	7152									(800)-656-2272	7152	(276)-964-4915		(800)-656-2272	7152	(276)-964-4915		1
H2386	002	0	1	20	08	H2386_002_0	1	05/20/2010	2011.01	05/20/2010 12:13:54 PM Eastern Daylight Time		05/19/2010 03:35:24 PM Eastern Daylight Time		05/20/2010 12:17:35 PM Eastern Daylight Time	APPALACHIAN AENCY FOR SENIOR CITIZENS, INC.	Appalachian Agency for Senior Citizens, Inc,	www.aasc.org	AllCARE for Seniors - Medicare only (PACE)	08	20		1			H2386	002	0	2011	Counties:  Buchanan, Dickenson, Russell, Tazewell		2	0	2				2							www.aasc.org	www.seniorscript.com									(800)-656-2272	7152	(276)-964-4915	7152	(800)-656-2272	7152	(276)-964-4915	7152									(800)-656-2272	7152	(276)-964-4915		(800)-656-2272	7152	(276)-964-4915		1
H2406	001	0	1	04	01	H2406_001_0	4	08/20/2010	2011.01	08/20/2010 03:44:35 PM Central Daylight Time	08/20/2010 02:05:36 PM Central Daylight Time	08/18/2010 04:29:02 PM Central Daylight Time		08/23/2010 09:22:47 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H2406	001	0	2011	Cleveland, Cincinnati and Columbus Areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2410	016	0	1	09	04	H2410_016_0	9	08/23/2010	2011.01	08/23/2010 01:53:46 PM Central Daylight Time	08/23/2010 09:13:33 AM Central Daylight Time	08/23/2010 09:11:07 AM Central Daylight Time		08/23/2010 02:09:57 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Advantage Solution Standard with Thrift Rx (PFFS)	04	09	2	1			H2410	016	0	2011	Select Counties in North Dakota and South Dakota		2	2214	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2410	017	0	1	09	04	H2410_017_0	4	08/12/2010	2011.01	08/12/2010 03:50:37 PM Central Daylight Time	07/29/2010 05:06:47 PM Central Daylight Time			08/12/2010 03:58:32 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Advantage Solution Standard (PFFS)	04	09	2	1			H2410	017	0	2011	Select Counties in North Dakota and South Dakota		2	3172	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345										(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880										1
H2410	018	0	1	09	04	H2410_018_0	6	08/12/2010	2011.01	08/12/2010 03:50:56 PM Central Daylight Time	08/23/2010 03:52:37 PM Central Daylight Time	08/23/2010 03:51:45 PM Central Daylight Time		08/23/2010 04:19:30 PM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Advantage Sol. Standard with Enhanced Rx (PFFS)	04	09	2	1			H2410	018	0	2011	Select Counties in North Dakota and South Dakota		2	3045	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2411	801	0	1	04	01	H2411_801_0	4	08/07/2010	2011.01	08/07/2010 09:22:45 AM Eastern Daylight Time	08/07/2010 09:13:53 AM Eastern Daylight Time			08/07/2010 09:44:23 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	PPO MA Only (PPO)	01	04		1			H2411	801	0	2011	Full Service Area - Employer Groups		1	66	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1
H2411	803	0	1	04	01	H2411_803_0	4	08/07/2010	2011.01	08/07/2010 09:22:51 AM Eastern Daylight Time	08/07/2010 09:14:03 AM Eastern Daylight Time			08/07/2010 09:44:23 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	PPO MA RX Coinsurance - Calendar Year (PPO)	01	04		1			H2411	803	0	2011	Full Service Area - Employer Groups		1	204	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H2416	001	0	1	01	01	H2416_001_0	3	06/06/2010	2011.01	06/06/2010 06:22:22 PM Central Daylight Time	08/23/2010 10:26:40 AM Central Daylight Time	08/23/2010 10:27:44 AM Central Daylight Time		08/23/2010 04:27:57 PM Central Daylight Time	PRIMEWEST HEALTH SYSTEM	PrimeWest Health	http://www.primewest.org	PrimeWest Senior Health Complete (HMO SNP)	01	01		1			H2416	001	0	2011	Northern, West Central and Southwest Minnesota		2	2596	2		2		1	3		1	5		http://www.primewest.org/find_doctor.xml	http://www.primewest.org/members/4175.xml	http://www.primewest.org/members/4175.xml	(800)-366-2906		(320)-335-5219		(800)-366-2906		(320)-335-5219		(800)-366-2906		(320)-335-5219		(800)-366-2906		(320)-335-5219		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1
H2417	001	0	1	01	01	H2417_001_0	3	08/23/2010	2011.01	08/23/2010 04:00:50 PM Central Daylight Time	08/23/2010 10:35:58 AM Central Daylight Time	08/23/2010 10:37:08 AM Central Daylight Time		08/23/2010 04:24:26 PM Central Daylight Time	ITASCA MEDICAL CARE	Itasca Medical Care	http://www.imcare.org	IMCare Classic (HMO SNP)	01	01		1			H2417	001	0	2011	Itasca County		2	466	2		2		1	3		1	5		http://www.imcare.org/documents/Combined%20Provider%20Directory%20and%20PCNL%202009.pdf	https://www.advancerx.com/advpcsrx_pmwroot/pmwroot/Formulary/00717/IndexForm.jsp	http://www.caremark.com/wps/portal	(800)-843-9536	2188	(218)-327-6188		(800)-843-9536	2188	(218)-327-6188		(800)-843-9536		(218)-327-6188		(800)-843-9536	2188	(218)-327-6188		(800)-422-0312	2549	(218)-327-5549		(800)-422-0312	2549	(218)-327-5549		(800)-422-0312	2549	(218)-327-5549		(800)-422-0312	2549	(218)-327-5549		1
H2419	001	0	1	01	01	H2419_001_0	3	06/07/2010	2011.01	06/07/2010 12:33:20 PM Central Daylight Time	08/19/2010 05:59:31 PM Central Daylight Time	08/19/2010 05:59:31 PM Central Daylight Time		08/23/2010 12:36:44 AM Central Daylight Time	SOUTH COUNTRY HEALTH ALLIANCE	South Country Health Alliance	www.mnscha.org	SeniorCare Complete (HMO SNP)	01	01		1			H2419	001	0	2011	Select Counties in Minnesota		2	2269	1	1	2		1	3		1	5		www.mnscha.org	https://www.myprime.com	www.primetherapeutics.com	(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		1
H2422	002	0	1	01	01	H2422_002_0	8	08/23/2010	2011.01	08/23/2010 09:23:38 AM Central Daylight Time	08/23/2010 09:48:27 AM Central Daylight Time	08/20/2010 09:18:32 AM Central Daylight Time		08/23/2010 01:09:24 PM Central Daylight Time	HEALTHPARTNERS, INC.	HealthPartners Classic MN Senior Health Options	healthpartners.com	Classic Minnesota Senior Health Options (HMO SNP)	01	01		1			H2422	002	0	2011	Twin Cities Metropolitian Area		2	2650	2		2		1	3		1	5		www.healthpartners.com/medicare	httpp://medicare.healthpartners.com/formularyandpharmacy.php	http://www.healthpartners.com/medicare	(888)-820-4285		(952)-967-7029		(877)-207-1214		(952)-883-5050		(888)-820-4285		(952)-967-7029		(877)-207-1214		(952)-883-5050		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
H2425	001	0	1	01	01	H2425_001_0	9	08/27/2010	2011.01	08/27/2010 04:34:03 PM Central Daylight Time	06/07/2010 08:32:52 AM Central Daylight Time	06/04/2010 12:28:00 PM Central Daylight Time		08/27/2010 04:47:07 PM Central Daylight Time	BLUE PLUS	Blue Plus	www.bluecrossmn.com	SecureBlue (HMO SNP)	01	01		1			H2425	001	0	2011	62 Counties within the State of Minnesota		2	10859	2		2		1	3		1	5		www.bluecrossmn.com	www.bluecrossmn.com	www.bluecrossmn.com	(888)-740-6013		(651)-662-6013		(866)-477-1584		(651)-662-3584		(888)-740-6013		(651)-662-6013		(866)-477-1584		(651)-662-3584		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		(888)-878-0137		(651)-662-8700		1
H2450	001	0	1	18	06	H2450_001_0	3	08/03/2010	2011.01	08/03/2010 08:50:31 AM Central Daylight Time		06/03/2010 03:24:27 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic with Standard Rx - MN (Cost)	06	18		1			H2450	001	0	2011	All Counties in Minnesota		2	189370	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	002	0	1	18	06	H2450_002_0	3	08/23/2010	2011.01	08/23/2010 10:24:21 AM Central Daylight Time		08/23/2010 02:31:52 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Standard Rx - MN (Cost)	06	18		1			H2450	002	0	2011	All Counties in Minnesota		2	281547	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	005	0	1	18	06	H2450_005_0	3	08/03/2010	2011.01	08/03/2010 08:54:12 AM Central Daylight Time		06/03/2010 03:27:26 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Enhanced Rx - MN (Cost)	06	18		1			H2450	005	0	2011	All Counties in Minnesota		2	7063	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	006	0	1	18	06	H2450_006_0	3	08/23/2010	2011.01	08/23/2010 10:23:55 AM Central Daylight Time		08/23/2010 02:36:44 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Enhanced Rx- MN (Cost)	06	18		1			H2450	006	0	2011	All Counties in Minnesota		2	45049	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	007	0	1	18	06	H2450_007_0	4	08/23/2010	2011.01	08/23/2010 11:00:15 AM Central Daylight Time		08/23/2010 04:08:19 PM Central Daylight Time		08/23/2010 04:12:44 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Value Thrift with Rx (Cost)	06	18		1			H2450	007	0	2011	All of MN, plus select counties in ND, SD and WI		2	74326	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	008	0	1	18	06	H2450_008_0	3	08/03/2010	2011.01	08/03/2010 08:57:47 AM Central Daylight Time		06/03/2010 03:33:17 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic with Standard Rx - WI (Cost)	06	18		1			H2450	008	0	2011	Select Counties in Wisconsin		2	6208	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	009	0	1	18	06	H2450_009_0	3	08/23/2010	2011.01	08/23/2010 10:30:42 AM Central Daylight Time		08/23/2010 02:47:26 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Enhanced Rx - WI (Cost)	06	18		1			H2450	009	0	2011	Select counties in Wisconsin		2	1974	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	010	0	1	18	06	H2450_010_0	4	08/03/2010	2011.01	08/03/2010 08:59:16 AM Central Daylight Time		07/29/2010 05:24:41 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic with Enhanced Rx - WI (Cost)	06	18		1			H2450	010	0	2011	Select Counties in Wisconsin		2	210	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	011	0	1	18	06	H2450_011_0	3	08/23/2010	2011.01	08/23/2010 10:33:00 AM Central Daylight Time		08/23/2010 02:50:13 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Standard Rx - WI (Cost)	06	18		1			H2450	011	0	2011	Select Counties in Wisconsin		2	12655	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	012	0	1	18	06	H2450_012_0	3	08/03/2010	2011.01	08/03/2010 08:59:41 AM Central Daylight Time		06/03/2010 03:39:39 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Standard Rx - ND/SD (Cost)	06	18		1			H2450	012	0	2011	Select Counties in North Dakota and South Dakota		2	2999	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	013	0	1	18	06	H2450_013_0	4	08/03/2010	2011.01	08/03/2010 09:01:28 AM Central Daylight Time		07/29/2010 05:23:04 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic w/Enhanced Rx - ND/SD (Cost)	06	18		1			H2450	013	0	2011	Select Counties in North Dakota and South Dakota		2	75	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	014	0	1	18	06	H2450_014_0	3	08/23/2010	2011.01	08/23/2010 10:37:02 AM Central Daylight Time		08/23/2010 02:53:33 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced with Std Rx - ND/SD (Cost)	06	18		1			H2450	014	0	2011	Select counties in North Dakota and South Dakota		2	3454	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	015	0	1	18	06	H2450_015_0	3	08/23/2010	2011.01	08/23/2010 10:38:51 AM Central Daylight Time		08/23/2010 02:54:35 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Sol. Enhanced w/Enhanced Rx - ND/SD (Cost)	06	18		1			H2450	015	0	2011	Select Counties in North Dakota and South Dakota		2	573	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	016	0	1	18	06	H2450_016_0	4	08/03/2010	2011.01	08/03/2010 09:03:10 AM Central Daylight Time		07/27/2010 12:37:05 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic with Thrift Rx - MN (Cost)	06	18		1			H2450	016	0	2011	All Counties in Minnesota		2	417	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	017	0	1	18	06	H2450_017_0	4	08/23/2010	2011.01	08/23/2010 10:43:33 AM Central Daylight Time		08/23/2010 02:57:53 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced with Thrift Rx - MN (Cost)	06	18		1			H2450	017	0	2011	All Counties in Minnesota		2	417	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	018	0	1	18	06	H2450_018_0	4	08/03/2010	2011.01	08/03/2010 09:04:16 AM Central Daylight Time		07/27/2010 12:39:37 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic with Thrift Rx - WI (Cost)	06	18		1			H2450	018	0	2011	Select Counties in Wisconsin		2	250	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	019	0	1	18	06	H2450_019_0	4	08/23/2010	2011.01	08/23/2010 10:54:02 AM Central Daylight Time		08/23/2010 02:59:20 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced with Thrift Rx - WI (Cost)	06	18		1			H2450	019	0	2011	Select Counties in Wisconsin		2	250	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	020	0	1	18	06	H2450_020_0	4	08/03/2010	2011.01	08/03/2010 09:05:26 AM Central Daylight Time		07/27/2010 12:41:40 PM Central Daylight Time		08/03/2010 09:53:05 AM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Basic with Thrift Rx - ND/SD (Cost)	06	18		1			H2450	020	0	2011	Select Counties in North Dakota and South Dakota		2	100	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	021	0	1	18	06	H2450_021_0	4	08/23/2010	2011.01	08/23/2010 10:56:24 AM Central Daylight Time		08/23/2010 03:14:52 PM Central Daylight Time		08/23/2010 04:07:15 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Enhanced w/Thrift Rx - ND/SD (Cost)	06	18		1			H2450	021	0	2011	Select Counties in North Dakota and South Dakota		2	100	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	022	0	1	18	06	H2450_022_0	4	08/23/2010	2011.01	08/23/2010 11:07:37 AM Central Daylight Time		08/23/2010 03:16:21 PM Central Daylight Time		08/23/2010 04:19:30 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Value Plus w/Thrift Rx - MN (Cost)	06	18		1			H2450	022	0	2011	All Counties in Minnesota		2	18000	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	023	0	1	18	06	H2450_023_0	4	08/23/2010	2011.01	08/23/2010 11:13:07 AM Central Daylight Time		08/23/2010 03:19:28 PM Central Daylight Time		08/23/2010 04:19:30 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Value Plus with Std Rx - MN (Cost)	06	18		1			H2450	023	0	2011	All Counties in Minnesota		2	6000	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	024	0	1	18	06	H2450_024_0	4	08/23/2010	2011.01	08/23/2010 11:13:57 AM Central Daylight Time		08/23/2010 03:17:40 PM Central Daylight Time		08/23/2010 04:19:30 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Value Plus w/Thrift Rx - WI (Cost)	06	18		1			H2450	024	0	2011	Select Counties in Wisconsin		2	6000	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	025	0	1	18	06	H2450_025_0	3	08/23/2010	2011.01	08/23/2010 11:23:03 AM Central Daylight Time		08/23/2010 03:59:08 PM Central Daylight Time		08/23/2010 04:19:30 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Value Plus with Std Rx - WI (Cost)	06	18		1			H2450	025	0	2011	Select Counties in Wisconsin		2	4800	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	026	0	1	18	06	H2450_026_0	4	08/23/2010	2011.01	08/23/2010 11:24:30 AM Central Daylight Time		08/23/2010 04:00:35 PM Central Daylight Time		08/23/2010 04:19:30 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Sol. Value Plus w/Thrift Rx - ND/SD (Cost)	06	18		1			H2450	026	0	2011	Select Counties in North Dakota and South Dakota		2	4200	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	027	0	1	18	06	H2450_027_0	3	08/23/2010	2011.01	08/23/2010 11:25:51 AM Central Daylight Time		08/23/2010 04:01:46 PM Central Daylight Time		08/23/2010 04:19:30 PM Central Daylight Time	MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Prime Solution Value Plus w/Std Rx - ND/SD (Cost)	06	18		1			H2450	027	0	2011	Select Counties in North Dakota and South Dakota		2	3600	2				2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-234-8755		(952)-992-2300		(800)-906-5432		(952)-992-2345		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	801	0		18	06	H2450_801_0	3	05/24/2010	2011.01						MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Group Prime Solution - Calendar with Rx (Cost)	06	18					H2450	801	0	2011	All of MN, plus select Counties in ND , SD and WI		1						2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330				(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2450	802	0		18	06	H2450_802_0	3	05/24/2010	2011.01						MEDICA INSURANCE COMPANY	Medica Insurance Company	www.medica.com	Medica Group Prime Solution - Contract with Rx (Cost)	06	18					H2450	802	0	2011	All of MN, plus select Counties in ND , SD and WI		1						2							http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-575-2330		(952)-992-2330		(800)-575-2330				(800)-575-2330		(952)-992-2330		(800)-575-2330		(952)-992-2330		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2456	002	0	1	01	01	H2456_002_0	9	08/13/2010	2011.01	08/13/2010 08:22:25 AM Central Daylight Time	08/23/2010 11:00:41 AM Central Daylight Time	08/20/2010 11:16:49 AM Central Daylight Time		08/23/2010 03:12:43 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare's Minnesota Senior Health Options (HMO SNP)	01	01		1			H2456	002	0	2011	Minneapolis, St. Paul, and Greater Minnesota Area		2		2		2		1	3		1	5		www.ucare.org	www.ucare.org	www.ucare.org	(866)-280-7202		(612)-676-6868		(800)-707-1711		(612)-676-3554		(866)-280-7202		(612)-676-6868		(800)-707-1711		(612)-676-3554		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H2457	002	0	1	01	01	H2457_002_0	5	07/29/2010	2011.01	07/29/2010 11:34:05 AM Central Daylight Time	08/19/2010 03:10:44 PM Central Daylight Time	08/19/2010 03:10:46 PM Central Daylight Time		08/19/2010 04:47:56 PM Central Daylight Time	METROPOLITAN HEALTH PLAN	Metropolitan Health Plan MSHO	www.mhp4life.org	MHP MSHO (HMO SNP)	01	01		1			H2457	002	0	2011	Minnesota		2	1000	2		2		1	3		1	5		www.mhp4life.org	http//www.mhp4life.org	http://www.caremark.com/wps/portal	(888)-562-8000		(888)-562-8000		(866)-897-9958		(866)-897-9958		(888)-562-8000		(888)-562-8000		(866)-897-9958		(866)-897-9958		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1
H2458	002	0	1	01	01	H2458_002_0	8	08/23/2010	2011.01	08/23/2010 12:24:40 PM Central Daylight Time	08/24/2010 04:41:13 PM Central Daylight Time	08/23/2010 09:47:12 AM Central Daylight Time		08/25/2010 10:34:59 AM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica DUAL Solution (HMO SNP)	01	01		1			H2458	002	0	2011	Specific Minnesota Counties		2	112874	2		2		1	3		1	5		https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H2459	001	0	1	02	01	H2459_001_0	6	08/09/2010	2011.01	08/09/2010 02:57:02 PM Central Daylight Time	07/28/2010 03:17:38 PM Central Daylight Time			08/09/2010 02:58:30 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Value (HMO-POS)	01	02		1			H2459	001	0	2011	Minnesota		2		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500										(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810										1
H2459	002	0	1	02	01	H2459_002_0	9	08/04/2010	2011.01	08/04/2010 12:35:06 PM Central Daylight Time	08/20/2010 10:54:47 AM Central Daylight Time	08/20/2010 10:55:06 AM Central Daylight Time		08/20/2010 01:14:43 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Classic (HMO-POS)	01	02		1			H2459	002	0	2011	Minnesota		2		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H2459	013	0	1	02	01	H2459_013_0	7	08/04/2010	2011.01	08/04/2010 12:35:21 PM Central Daylight Time	08/20/2010 10:57:08 AM Central Daylight Time	08/20/2010 10:56:18 AM Central Daylight Time		08/20/2010 01:14:43 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Value Plus (HMO-POS)	01	02		1			H2459	013	0	2011	Minnesota		2		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H2459	016	0	1	01	01	H2459_016_0	9	08/11/2010	2011.01	08/11/2010 05:00:48 PM Central Daylight Time	08/20/2010 11:09:54 AM Central Daylight Time	08/20/2010 11:09:08 AM Central Daylight Time		08/20/2010 01:14:43 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare Connect (HMO SNP)	01	01		1			H2459	016	0	2011	Minneapolis, St. Paul, and Greater Minnesota Area		2		2		2		1	3		1	5		www.ucare.org	www.ucare.org	www.ucare.org	(866)-280-7202		(612)-676-6868		(800)-707-1711		(612)-676-3554		(866)-280-7202		(612)-676-6868		(800)-707-1711		(612)-676-3554		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H2459	018	0	1	02	01	H2459_018_0	7	08/10/2010	2011.01	08/10/2010 05:10:43 PM Central Daylight Time	08/20/2010 11:10:41 AM Central Daylight Time	08/20/2010 11:10:54 AM Central Daylight Time		08/20/2010 01:14:43 PM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	UCare for Seniors Standard D (HMO-POS)	01	02		1			H2459	018	0	2011	Minnesota		2		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H2459	801	0	1	02	01	H2459_801_0	4	07/28/2010	2011.01	07/28/2010 01:20:58 PM Central Daylight Time	07/28/2010 03:21:52 PM Central Daylight Time			07/29/2010 09:00:29 AM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	Group UCare for Seniors (HMO-POS)	01	02		1			H2459	801	0	2011	Minnesota and 26 Wisconsin Counties		1		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H2459	804	0	1	02	01	H2459_804_0	4	07/28/2010	2011.01	07/28/2010 01:21:12 PM Central Daylight Time	07/28/2010 03:21:29 PM Central Daylight Time			07/29/2010 09:00:29 AM Central Daylight Time	UCARE MINNESOTA	UCare	www.ucare.org	Group UCare for Seniors MA Only (HMO-POS)	01	02		1			H2459	804	0	2011	Minnesota and 26 Wisconsin Counties		1		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900										(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810										1
H2461	005	0	1	18	06	H2461_005_0	9	08/23/2010	2011.01	08/23/2010 09:03:34 AM Central Daylight Time				08/23/2010 11:18:32 AM Central Daylight Time	BLUE CROSS BLUE SHIELD OF MINNESOTA	Blue Cross Blue Shield of Minnesota	www.bluecrossmn.com	Platinum Blue Core Plan (Cost)	06	18		1			H2461	005	0	2011	State of Minnesota		2	3000	2				2							www.bluecrossmn.com	www.primetherapeutics.com	(866)-340-8654		(651)-662-5654		(877)-662-2583		(651)-662-2583										(888)-878-0137		(651)-662-8700		(866)-582-1158		(866)-582-1158										2
H2461	006	0	1	18	06	H2461_006_0	7	08/23/2010	2011.01	08/23/2010 09:03:06 AM Central Daylight Time				08/23/2010 11:18:32 AM Central Daylight Time	BLUE CROSS BLUE SHIELD OF MINNESOTA	Blue Cross Blue Shield of Minnesota	www.bluecrossmn.com	Platinum Blue Choice Plan (Cost)	06	18		1			H2461	006	0	2011	State of Minnesota		2	5000	2				2							www.bluecrossmn.com	www.primetherapeutics.com	(866)-340-8654		(651)-662-5654		(877)-662-2583		(651)-662-2583										(888)-878-0137		(651)-662-8700		(866)-582-1158		(866)-582-1158										2
H2461	007	0	1	18	06	H2461_007_0	3	06/07/2010	2011.01	06/07/2010 08:25:00 AM Central Daylight Time				06/07/2010 08:31:27 AM Central Daylight Time	BLUE CROSS BLUE SHIELD OF MINNESOTA	Blue Cross Blue Shield of Minnesota	www.bluecrossmn.com	Platinum Blue Complete Plan (Cost)	06	18		1			H2461	007	0	2011	State of Minnesota		2	25000	2				2							www.bluecrossmn.com	www.primetherapeutics.com	(866)-340-8654		(651)-662-5654		(877)-662-2583		(651)-662-2583										(888)-878-0137		(651)-662-8700		(866)-582-1158		(866)-582-1158										2
H2462	004	0	1	18	06	H2462_004_0	2	08/09/2010	2011.01	08/09/2010 05:07:59 PM Central Daylight Time				08/09/2010 05:12:11 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Freedom Plan I (Cost)	06	18		1			H2462	004	0	2011	State of Minnesota		2		2				2							https://medicare.healthpartners.com/formularyandpharmacy.php	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1
H2462	007	0	1	18	06	H2462_007_0	3	08/09/2010	2011.01	08/09/2010 05:18:38 PM Central Daylight Time				08/09/2010 05:22:11 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Freedom Plan II (Cost)	06	18		1			H2462	007	0	2011	State of Minnesota		2		2				2							https://medicare.healthpartners.com/formularyandpharmacy.php	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1
H2462	008	0	1	18	06	H2462_008_0	8	09/13/2010	2011.01	09/13/2010 01:00:05 PM Central Daylight Time		08/20/2010 09:23:32 AM Central Daylight Time		09/13/2010 01:06:14 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	healthpartners.com/medicare	HealthPartners Freedom Plan II Standard Rx (Cost)	06	18		1			H2462	008	0	2011	State of Minnesota		2		2				2							healthpartners.com/medicarerx	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
H2462	010	0	1	18	06	H2462_010_0	1	06/04/2010	2011.01	06/04/2010 01:56:48 PM Central Daylight Time				06/04/2010 02:06:13 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Freedom Plan III (Cost)	06	18		1			H2462	010	0	2011	State of Minnesota		2		2				2							https://medicare.healthpartners.com/formularyandpharmacy.php	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1
H2462	011	0	1	18	06	H2462_011_0	5	08/23/2010	2011.01	08/23/2010 09:52:05 AM Central Daylight Time		08/20/2010 10:09:48 AM Central Daylight Time		08/23/2010 01:23:46 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Freedom Plan III StandardRx (Cost)	06	18		1			H2462	011	0	2011	State of Minnesota		2		2				2							https://medicare.healthpartners.com/formularyandpharmacy.php	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
H2462	012	0	1	18	06	H2462_012_0	4	08/23/2010	2011.01	08/23/2010 09:54:31 AM Central Daylight Time		08/20/2010 09:28:37 AM Central Daylight Time		08/23/2010 01:29:03 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Freedom Plan III EnhancedRx (Cost)	06	18		1			H2462	012	0	2011	State of Minnesota		2		2				2							https://medicare.healthpartners.com/formularyandpharmacy.php	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
H2462	015	0	1	18	06	H2462_015_0	2	08/09/2010	2011.01	08/09/2010 05:33:38 PM Central Daylight Time				08/09/2010 05:36:23 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Wisconsin Freedom Plan I (Cost)	06	18		1			H2462	015	0	2011	Western Wisconsin		2		2				2							https://medicare.healthpartners.com/formularyandpharmacy.php	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1
H2462	016	0	1	18	06	H2462_016_0	1	06/03/2010	2011.01	06/03/2010 11:57:15 AM Central Daylight Time				06/04/2010 03:38:42 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Wisconsin Freedom Plan II (Cost)	06	18		1			H2462	016	0	2011	Western Wisconsin		2		2				2							https://medicare.healthpartners.com/formularyandpharmacy.php	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060										1
H2462	017	0	1	18	06	H2462_017_0	3	08/23/2010	2011.01	08/23/2010 09:55:11 AM Central Daylight Time		08/20/2010 10:11:55 AM Central Daylight Time		08/23/2010 01:33:13 PM Central Daylight Time	GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Wisconsin Freedom Plan II Std Rx (Cost)	06	18		1			H2462	017	0	2011	Western Wisconsin		2		2				2							https://medicare.healthpartners.com/formularyandpharmacy.php	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-233-9645		(952)-883-7979		(800)-247-7015		(952)-883-5601		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
H2462	801	0		18	06	H2462_801_0	2	05/28/2010	2011.01						GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Freedom Calendar Year (Cost)	06	18					H2462	801	0	2011	State of MN Western Wisconsin		1						2							Healthpartners.com/partdpharmacy	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(866)-993-7428				(800)-233-9645		(952)-883-7979		(866)-993-7428		(952)-883-7428		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
H2462	802	0		18	06	H2462_802_0	1	05/28/2010	2011.01						GROUP HEALTH INC,	HealthPartners Freedom Plan	medicare.healthpartners.com	HealthPartners Freedom Non-Calendar Year (Cost)	06	18					H2462	802	0	2011	State of MN Western Wisconsin		1						2							Healthpartners.com/partdpharmacy	healthpartners.com/medicare	(800)-233-9645		(952)-883-7979		(866)-993-7428				(800)-233-9645		(952)-883-7979		(866)-993-7428		(952)-883-7428		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
H2486	002	0	1	01	01	H2486_002_0	3	08/20/2010	2011.01	08/20/2010 04:50:17 PM Eastern Daylight Time	08/20/2010 12:44:09 PM Eastern Daylight Time	08/20/2010 04:03:00 PM Eastern Daylight Time		08/21/2010 08:27:39 AM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Gold Plus H2486-002 (HMO)	01	01		1			H2486	002	0	2011	Davis, Salt Lake, Utah, and Weber Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2486	003	0	1	02	01	H2486_003_0	4	08/20/2010	2011.01	08/20/2010 01:58:29 PM Eastern Daylight Time	08/20/2010 01:17:26 PM Eastern Daylight Time	08/20/2010 04:03:00 PM Eastern Daylight Time		08/21/2010 08:27:39 AM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Gold Plus H2486-003 (HMO-POS)	01	02		1			H2486	003	0	2011	Salt Lake City, UT		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2486	801	0	1	01	01	H2486_801_0	2	06/03/2010	2011.01	06/03/2010 05:41:17 PM Eastern Daylight Time	07/26/2010 01:20:06 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2486	801	0	2011	Utah		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H2486	802	0	1	01	01	H2486_802_0	2	06/03/2010	2011.01	06/03/2010 05:41:34 PM Eastern Daylight Time	07/26/2010 01:32:51 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2486	802	0	2011	Utah		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H2486	803	0	1	01	01	H2486_803_0	2	06/03/2010	2011.01	06/03/2010 05:41:48 PM Eastern Daylight Time	07/26/2010 01:33:14 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA MEDICAL PLAN OF UTAH	Humana Medical Plan of Utah	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H2486	803	0	2011	Utah		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H2491	001	0	1	02	01	H2491_001_0	7	08/20/2010	2011.01	08/20/2010 10:31:23 AM Eastern Daylight Time	08/20/2010 05:04:27 PM Eastern Daylight Time	08/20/2010 05:07:00 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	WellCare	www.wellcare.com	'Ohana Reserve (HMO-POS)	01	02		1			H2491	001	0	2011	Honolulu County		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(888)-505-1201		(888)-505-1201		(877)-231-2632		(877)-231-2632		(888)-505-1201		(888)-505-1201		(877)-231-2632		(877)-231-2632		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H2491	002	0	1	02	01	H2491_002_0	8	08/20/2010	2011.01	08/20/2010 10:33:07 AM Eastern Daylight Time	08/20/2010 05:04:47 PM Eastern Daylight Time	08/20/2010 05:07:15 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	WellCare	www.wellcare.com	'Ohana Value (HMO-POS)	01	02		1			H2491	002	0	2011	Honolulu County		2		2				2						www.wellcare.com	www.wellcare.com	www.wellcare.com	(888)-505-1201		(888)-505-1201		(877)-231-2632		(877)-231-2632		(888)-505-1201		(888)-505-1201		(877)-231-2632		(877)-231-2632		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H2491	004	0	1	02	01	H2491_004_0	8	08/20/2010	2011.01	08/20/2010 10:31:40 AM Eastern Daylight Time	08/20/2010 05:35:32 PM Eastern Daylight Time	08/20/2010 05:07:31 PM Eastern Daylight Time		08/20/2010 05:36:50 PM Eastern Daylight Time	WELLCARE HEALTH INSURANCE OF ARIZONA, INC.	WellCare	www.wellcare.com	'Ohana Liberty (HMO-POS SNP)	01	02		1			H2491	004	0	2011	Honolulu County		2		2		2		1	3		1	5		www.wellcare.com	www.wellcare.com	www.wellcare.com	(877)-457-7621		(877)-457-7621		(877)-231-2632		(877)-231-2632		(877)-457-7621		(877)-457-7621		(877)-231-2632		(877)-231-2632		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H2537	001	0	1	20	08	H2537_001_0	1	05/24/2010	2011.01	05/24/2010 01:08:30 PM Eastern Daylight Time		05/21/2010 01:21:44 PM Eastern Daylight Time		05/24/2010 01:46:02 PM Eastern Daylight Time	LIFE LUTHERAN	LIFE Lutheran Services, Inc.	www.lifelutheranservices.org	LIFE Lutheran - Dual (PACE)	08	20		1			H2537	001	0	2011	Franklin County		2		2				2							www.lifelutheranservices.org	www.lifelutheranservices.org									(877)-840-8408		(717)-264-5433		(877)-840-8408		(717)-264-5433										(877)-840-8408		(717)-264-5433		(877)-840-8408		(717)-264-5433		1
H2537	002	0	1	20	08	H2537_002_0	1	05/24/2010	2011.01	05/24/2010 01:09:07 PM Eastern Daylight Time		05/21/2010 01:21:35 PM Eastern Daylight Time		05/24/2010 01:46:02 PM Eastern Daylight Time	LIFE LUTHERAN	LIFE Lutheran Services, Inc.	www.lifelutheranservices.org	LIFE Lutheran - Medicare Only (PACE)	08	20		1			H2537	002	0	2011	Franklin County		2		2				2							www.lifelutheranservices.org	www.lifelutheranservices.org									(877)-543-0000		(717)-264-5433		(877)-840-8408		(717)-264-5433										(877)-840-8408		(717)-264-5433		(877)-840-8408		(717)-264-5433		1
H2542	001	0	1	04	01	H2542_001_0	5	08/20/2010	2011.01	08/20/2010 01:25:26 PM Eastern Daylight Time	08/19/2010 06:25:16 PM Eastern Daylight Time	08/20/2010 04:03:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H2542-001 (PPO)	01	04		1			H2542	001	0	2011	Richmond Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2542	002	0	1	04	01	H2542_002_0	5	08/20/2010	2011.01	08/20/2010 01:25:51 PM Eastern Daylight Time	08/19/2010 06:25:52 PM Eastern Daylight Time	08/20/2010 04:03:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H2542-002 (PPO)	01	04		1			H2542	002	0	2011	Tide Water/Norfolk Metro Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2542	003	0	1	04	01	H2542_003_0	5	08/20/2010	2011.01	08/20/2010 01:26:13 PM Eastern Daylight Time	08/19/2010 06:36:38 PM Eastern Daylight Time	08/20/2010 04:04:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H2542-003 (PPO)	01	04		1			H2542	003	0	2011	Northern VA Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2542	004	0	1	04	01	H2542_004_0	5	08/20/2010	2011.01	08/20/2010 01:26:49 PM Eastern Daylight Time	08/19/2010 06:37:04 PM Eastern Daylight Time	08/20/2010 04:04:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H2542-004 (PPO)	01	04		1			H2542	004	0	2011	Roanoke Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2593	001	0	1	01	01	H2593_001_0	4	08/22/2010	2011.01	08/22/2010 02:09:50 PM Pacific Daylight Time	08/22/2010 06:22:29 PM Pacific Daylight Time	08/18/2010 07:35:19 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H2593	001	0	2011	Pima County		2	3564	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	003	0	1	01	01	H2593_003_0	6	08/22/2010	2011.01	08/22/2010 11:40:07 AM Pacific Daylight Time	08/22/2010 06:24:12 PM Pacific Daylight Time	08/18/2010 07:35:19 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Touch (HMO SNP)	01	01		1			H2593	003	0	2011	Pima County		2	303	2				1	1	3	1			www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	005	0	1	01	01	H2593_005_0	4	08/22/2010	2011.01	08/22/2010 11:40:19 AM Pacific Daylight Time	08/22/2010 06:23:43 PM Pacific Daylight Time	08/18/2010 07:35:19 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Breathe (HMO SNP)	01	01		1			H2593	005	0	2011	Pima County		2	563	2				1	4		1		00000000000100000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	006	0	1	01	01	H2593_006_0	4	08/22/2010	2011.01	08/22/2010 11:40:40 AM Pacific Daylight Time	08/22/2010 06:22:55 PM Pacific Daylight Time	08/18/2010 07:36:02 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Diabetes (HMO SNP)	01	01		1			H2593	006	0	2011	Pima County		2	1414	2				1	4		1		00000010000000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	007	0	1	01	01	H2593_007_0	5	08/22/2010	2011.01	08/22/2010 02:09:36 PM Pacific Daylight Time	08/22/2010 06:27:13 PM Pacific Daylight Time	08/18/2010 07:36:02 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H2593	007	0	2011	Maricopa County		2	2530	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	009	0	1	01	01	H2593_009_0	5	08/22/2010	2011.01	08/22/2010 11:41:05 AM Pacific Daylight Time	08/22/2010 06:27:37 PM Pacific Daylight Time	08/18/2010 07:36:02 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Touch (HMO SNP)	01	01		1			H2593	009	0	2011	Maricopa County		2	137	2				1	1	3	1			www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	010	0	1	01	01	H2593_010_0	3	08/22/2010	2011.01	08/22/2010 11:41:21 AM Pacific Daylight Time		08/18/2010 07:36:02 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore ESRD (HMO SNP)	01	01		1			H2593	010	0	2011	Maricopa County		2	206	2				1	4		1		00000000100000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(888)-357-4177		(888)-357-4177		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	011	0	1	01	01	H2593_011_0	4	08/22/2010	2011.01	08/22/2010 11:41:37 AM Pacific Daylight Time	08/22/2010 06:28:31 PM Pacific Daylight Time	08/18/2010 07:42:57 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Diabetes (HMO SNP)	01	01		1			H2593	011	0	2011	Maricopa County		2	535	2				1	4		1		00000010000000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	013	0	1	01	01	H2593_013_0	4	08/22/2010	2011.01	08/22/2010 11:41:58 AM Pacific Daylight Time	08/22/2010 06:23:19 PM Pacific Daylight Time	08/18/2010 07:42:57 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Heart (HMO SNP)	01	01		1			H2593	013	0	2011	Pima County		2	70	2				1	4		1		00000000000000010000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-494-8280		(888)-494-8280		(866)-622-2820		(866)-622-2820		(888)-494-8280		(888)-494-8280		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2593	014	0	1	01	01	H2593_014_0	4	08/22/2010	2011.01	08/22/2010 11:42:04 AM Pacific Daylight Time	08/22/2010 06:28:03 PM Pacific Daylight Time	08/18/2010 07:42:57 PM Pacific Daylight Time		08/23/2010 02:50:04 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF ARIZONA, INC.	CareMore Health Plan of Arizona, Inc.	http://www.caremore.com	CareMore Heart (HMO SNP)	01	01		1			H2593	014	0	2011	Maricopa County		2	387	2				1	4		1		00000000000000010000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-494-8280		(888)-494-8280		(866)-622-2820		(866)-622-2820		(888)-494-8280		(888)-494-8280		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H2609	001	0	1	20	08	H2609_001_0	1	05/27/2010	2011.01	05/27/2010 06:47:38 PM Eastern Daylight Time		05/27/2010 06:36:21 PM Eastern Daylight Time		05/27/2010 06:54:16 PM Eastern Daylight Time	ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	rboerner@alexianbrothers.net	Dual Eligibles (PACE)	08	20		1			H2609	001	0	2011	St. Louis City and St. Louis County		2		2				2							None	None									(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159									(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159	1
H2609	002	0	1	20	08	H2609_002_0	1	05/27/2010	2011.01	05/27/2010 06:48:08 PM Eastern Daylight Time		05/27/2010 06:36:31 PM Eastern Daylight Time		05/27/2010 06:54:16 PM Eastern Daylight Time	ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	rboerner@alexianbrothers.net	Medicare Only (PACE)	08	20		1			H2609	002	0	2011	St. Louis City and St. Louis County		2		2				2							None	None									(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159									(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159	(314)-771-5800	159	1
H2610	005	0	1	01	01	H2610_005_0	9	08/20/2010	2011.01	08/20/2010 02:10:20 PM Central Daylight Time	08/20/2010 09:16:32 AM Central Daylight Time	08/20/2010 09:17:23 AM Central Daylight Time		08/21/2010 08:46:35 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H2610	005	0	2011	St. Louis Metropolitan Area		2	24404	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H2610	006	0	1	01	01	H2610_006_0	9	08/20/2010	2011.01	08/20/2010 08:56:35 AM Central Daylight Time	08/20/2010 09:13:53 AM Central Daylight Time	08/20/2010 09:14:48 AM Central Daylight Time		08/21/2010 08:48:33 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Plus (HMO)	01	01		1			H2610	006	0	2011	St. Louis Metropolitan Area		2	1393	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H2610	010	0	1	01	01	H2610_010_0	8	08/20/2010	2011.01	08/20/2010 02:44:16 PM Central Daylight Time	08/20/2010 09:11:11 AM Central Daylight Time	08/20/2010 09:12:00 AM Central Daylight Time		08/21/2010 08:50:33 AM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Special Needs Plan (HMO SNP)	01	01		1			H2610	010	0	2011	St. Louis Metropolitan Area		2	2059	2				1	4		1		00000010000000000000	www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H2610	011	0	1	01	01	H2610_011_0	7	08/20/2010	2011.01	08/20/2010 02:11:27 PM Central Daylight Time	08/20/2010 09:08:15 AM Central Daylight Time	08/20/2010 09:09:24 AM Central Daylight Time		08/20/2010 03:22:52 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage (HMO)	01	01		1			H2610	011	0	2011	Columbia Metropolitan Area		2	701	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H2610	803	0	1	01	01	H2610_803_0	5	08/13/2010	2011.01	08/13/2010 01:50:46 PM Central Daylight Time	07/26/2010 07:44:17 AM Central Daylight Time			08/13/2010 01:52:30 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan (HMO)	01	01		1			H2610	803	0	2011	St. Louis Metropolitan Area		1		2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H2610	804	0	1	01	01	H2610_804_0	5	08/13/2010	2011.01	08/13/2010 01:51:17 PM Central Daylight Time	07/26/2010 07:45:12 AM Central Daylight Time			08/13/2010 01:52:30 PM Central Daylight Time	ESSENCE HEALTHCARE, INC.	Essence Healthcare	www.essencehealthcare.com	Essence Advantage Employer Group Plan non-calendar (HMO)	01	01		1			H2610	804	0	2011	St. Louis Metropolitan Area		1	100	2				2						www.essencehealthcare.com	www.essencehealthcare.com	www.essencehealthcare.com	(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9560		(314)-209-2700		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		(866)-597-9561		1
H2611	001	0	1	04	01	H2611_001_0	11	08/06/2010	2011.01	08/06/2010 06:17:39 PM Central Daylight Time	08/20/2010 03:13:00 PM Central Daylight Time	08/19/2010 05:07:00 PM Central Daylight Time		08/23/2010 03:18:39 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE (PPO)	01	04		1			H2611	001	0	2011	St. Louis Metro		2		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1
H2611	002	0	1	04	01	H2611_002_0	9	08/20/2010	2011.01	08/20/2010 07:32:25 AM Central Daylight Time	08/20/2010 03:13:00 PM Central Daylight Time	08/19/2010 05:07:00 PM Central Daylight Time		08/20/2010 04:34:03 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE Gold (PPO)	01	04		1			H2611	002	0	2011	Southwest Missouri		2		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1
H2611	008	0	1	04	01	H2611_008_0	10	08/24/2010	2011.01	08/24/2010 04:54:49 PM Central Daylight Time	08/24/2010 04:16:26 PM Central Daylight Time	08/19/2010 05:07:00 PM Central Daylight Time		08/24/2010 04:58:35 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE AR (PPO)	01	04		1			H2611	008	0	2011	NW and Central Arkansas		2		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(866)-875-0189		(866)-875-0189		(800)-330-8449		(866)-875-0189		(866)-875-0189		(866)-875-0189		(800)-330-8449		(866)-875-0189		(800)-446-1468		(800)-446-1468		(800)-446-1468		(800)-446-1468		(800)-446-1468		(800)-446-1468		(800)-446-1468		(800)-446-1468		1
H2611	018	0	1	04	01	H2611_018_0	9	08/06/2010	2011.01	08/06/2010 02:15:52 PM Central Daylight Time	08/20/2010 03:15:00 PM Central Daylight Time	08/19/2010 05:07:00 PM Central Daylight Time		08/20/2010 04:34:03 PM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareAdvantage Silver (PPO)	01	04		1			H2611	018	0	2011	Southwest Missouri		2		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-837-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1
H2611	807	0	1	04	01	H2611_807_0	9	08/19/2010	2011.01	08/19/2010 09:08:53 AM Central Daylight Time	08/02/2010 10:23:08 AM Central Daylight Time			08/20/2010 07:22:37 AM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE Emp w Rx CY (PPO)	01	04		1			H2611	807	0	2011	Mercy MedicareADVANTA for Empl (St. L Metro) Rx CY		1		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-919-6459		(314)-810-8300		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1
H2611	809	0	1	04	01	H2611_809_0	8	08/19/2010	2011.01	08/19/2010 09:09:26 AM Central Daylight Time	08/02/2010 10:23:42 AM Central Daylight Time			08/20/2010 07:22:37 AM Central Daylight Time	MERCY HEALTH PLANS	Mercy Health Plans	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Emp RX CY (PPO)	01	04		1			H2611	809	0	2011	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(866)-875-0189		(417)-836-0429		(800)-330-8449		(417)-837-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1
H2613	001	0	1	09	04	H2613_001_0	6	08/30/2010	2011.01	08/30/2010 07:39:03 PM Eastern Daylight Time	08/07/2010 05:32:42 PM Eastern Daylight Time			08/30/2010 07:46:01 PM Eastern Daylight Time	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	http://www.anthem.com/medicare	SmartValue Classic (PFFS)	04	09	2	1			H2613	001	0	2011	Select Counties in Missouri		2	149	2				2							www.anthem.com	www.anthem.com	(866)-865-9330		(866)-865-9330		(800)-797-6405		(800)-797-6405										(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894										1
H2613	004	0	1	09	04	H2613_004_0	10	08/30/2010	2011.01	08/30/2010 07:38:49 PM Eastern Daylight Time	08/23/2010 09:50:53 AM Eastern Daylight Time	08/23/2010 09:52:12 AM Eastern Daylight Time		08/30/2010 07:46:01 PM Eastern Daylight Time	HEALTHY ALLIANCE LIFE INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	http://www.anthem.com/medicare	SmartValue Plus (PFFS)	04	09	2	1			H2613	004	0	2011	Select Counties in Missouri		2	402	2				2							www.anthem.com	www.anthem.com	(866)-865-9330		(866)-865-9330		(800)-797-6405		(800)-797-6405		(866)-865-9330		(866)-865-9330		(800)-797-6405		(800)-797-6405		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		(800)-425-5705		(800)-425-5705		(800)-241-6894		(800)-241-6894		1
H2643	001	0	1	01	01	H2643_001_0	8	08/23/2010	2011.01	08/23/2010 04:56:46 PM Eastern Daylight Time	08/23/2010 04:58:58 PM Eastern Daylight Time	08/23/2010 01:55:10 PM Eastern Daylight Time		08/23/2010 05:30:50 PM Eastern Daylight Time	L. A. CARE HEALTH PLAN	L.A. Care Health Plan Medicare Advantage	www.lacare.org	L.A. Care Health Plan Medicare Advantage (HMO SNP)	01	01		1			H2643	001	0	2011	Los Angeles County		2	2222	2		2		1	3		1	5		www.lacare.org	www.lacare.org	www.lacare.org	(888)-839-9909		(888)-839-9909		(888)-452-2273		(888)-452-2273		(888)-839-9909		(888)-839-9909		(888)-452-2273		(888)-452-2273		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		(866)-522-2731		1
H2649	004	0	1	01	01	H2649_004_0	3	08/20/2010	2011.01	08/20/2010 11:20:41 AM Eastern Daylight Time	08/20/2010 11:20:16 AM Eastern Daylight Time	08/20/2010 04:04:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2649-004 (HMO)	01	01		1			H2649	004	0	2011	Kansas City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2649	012	0	1	01	01	H2649_012_0	3	07/26/2010	2011.01	07/26/2010 01:40:29 PM Eastern Daylight Time	07/30/2010 02:26:34 PM Eastern Daylight Time			08/02/2010 03:25:12 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2649-012 (HMO)	01	01		1			H2649	012	0	2011	Kansas City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2649	020	0	1	01	01	H2649_020_0	4	08/20/2010	2011.01	08/20/2010 11:24:42 AM Eastern Daylight Time	08/20/2010 12:14:58 PM Eastern Daylight Time	08/20/2010 04:04:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2649-020 (HMO)	01	01		1			H2649	020	0	2011	Southwest Missouri Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2649	801	0	1	01	01	H2649_801_0	3	06/03/2010	2011.01	06/03/2010 05:42:02 PM Eastern Daylight Time	07/30/2010 11:27:58 AM Eastern Daylight Time			07/30/2010 03:27:00 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2649	801	0	2011	Kansas City Area		1	2331	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H2649	802	0	1	01	01	H2649_802_0	5	06/03/2010	2011.01	06/03/2010 05:42:19 PM Eastern Daylight Time	07/26/2010 01:33:39 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2649	802	0	2011	Kansas City Area		1	110	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H2649	803	0	1	01	01	H2649_803_0	2	06/03/2010	2011.01	06/03/2010 05:42:33 PM Eastern Daylight Time	07/26/2010 01:34:02 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H2649	803	0	2011	Kansas City Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H2654	004	0	1	01	01	H2654_004_0	5	06/06/2010	2011.01	06/06/2010 12:02:11 PM Central Daylight Time	08/19/2010 03:26:46 PM Central Daylight Time	08/18/2010 04:45:52 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H2654	004	0	2011	St. Louis Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	010	0	1	02	01	H2654_010_0	4	06/01/2010	2011.01	06/01/2010 03:10:46 PM Central Daylight Time	08/19/2010 03:27:11 PM Central Daylight Time	08/18/2010 04:45:57 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H2654	010	0	2011	Springfield, Missouri Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	013	0	1	02	01	H2654_013_0	5	08/03/2010	2011.01	08/03/2010 03:17:39 PM Central Daylight Time	08/19/2010 03:27:34 PM Central Daylight Time	08/18/2010 04:46:02 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H2654	013	0	2011	St. Louis Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	020	0	1	01	01	H2654_020_0	2	06/02/2010	2011.01	06/02/2010 08:42:37 AM Central Daylight Time	06/03/2010 02:17:12 PM Central Daylight Time			06/04/2010 11:47:18 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H2654	020	0	2011	St. Louis Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H2654	024	0	1	01	01	H2654_024_0	4	06/01/2010	2011.01	06/01/2010 06:46:08 PM Central Daylight Time	08/19/2010 03:28:20 PM Central Daylight Time	08/18/2010 04:29:07 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H2654	024	0	2011	St. Louis, MO, IL area		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	801	0	1	01	01	H2654_801_0	1	06/03/2010	2011.01	06/03/2010 06:21:04 PM Central Daylight Time	06/03/2010 02:17:51 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	801	0	2011	St Louis Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	802	0	1	01	01	H2654_802_0	1	06/03/2010	2011.01	06/03/2010 06:21:21 PM Central Daylight Time	06/03/2010 02:18:12 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	802	0	2011	St Louis Area Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H2654	803	0	1	01	01	H2654_803_0	1	05/26/2010	2011.01	05/26/2010 04:42:21 PM Central Daylight Time	06/03/2010 02:18:31 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	803	0	2011	Springfield Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	804	0	1	01	01	H2654_804_0	1	05/25/2010	2011.01	05/25/2010 08:37:21 AM Central Daylight Time	06/03/2010 02:18:50 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	804	0	2011	Springfield Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H2654	805	0	1	01	01	H2654_805_0	1	06/03/2010	2011.01	06/03/2010 06:21:37 PM Central Daylight Time	06/03/2010 02:19:09 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	805	0	2011	St. Louis Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	807	0	1	01	01	H2654_807_0	1	05/25/2010	2011.01	05/25/2010 08:37:29 AM Central Daylight Time	06/03/2010 02:19:29 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H2654	807	0	2011	Springfield Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	809	0	1	02	01	H2654_809_0	1	06/03/2010	2011.01	06/03/2010 06:22:26 PM Central Daylight Time	06/03/2010 02:19:48 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2654	809	0	2011	St. Louis Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	810	0	1	02	01	H2654_810_0	1	06/03/2010	2011.01	06/03/2010 06:22:46 PM Central Daylight Time	06/03/2010 02:20:07 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2654	810	0	2011	St. Louis Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H2654	811	0	1	02	01	H2654_811_0	1	05/27/2010	2011.01	05/27/2010 08:21:26 AM Central Daylight Time	06/03/2010 02:20:27 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2654	811	0	2011	Springfield Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	812	0	1	02	01	H2654_812_0	1	05/27/2010	2011.01	05/27/2010 08:21:47 AM Central Daylight Time	06/03/2010 02:20:47 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2654	812	0	2011	Springfield Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H2654	813	0	1	02	01	H2654_813_0	1	06/03/2010	2011.01	06/03/2010 06:24:28 PM Central Daylight Time	06/03/2010 02:21:06 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2654	813	0	2011	St. Louis Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2654	814	0	1	02	01	H2654_814_0	1	05/27/2010	2011.01	05/27/2010 08:22:06 AM Central Daylight Time	06/03/2010 02:21:27 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDWEST, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2654	814	0	2011	Springfield Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2663	002	0	1	02	01	H2663_002_0	13	08/23/2010	2011.01	08/23/2010 08:04:34 AM Central Daylight Time	08/20/2010 01:54:00 PM Central Daylight Time	08/19/2010 01:43:00 PM Central Daylight Time		08/23/2010 11:45:50 AM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Advantra Option 2 (HMO-POS)	01	02		1			H2663	002	0	2011	St. Louis MO Metro Area		2	3927	2				2						www.ghpmedicare.com	www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(800)-533-0362		(800)-533-0362		(866)-291-8628		(866)-291-8628		(800)-533-0362		(800)-533-0362		(711)		(711)		(877)-231-0573		(877)-231-0573		(711)		(711)		(877)-231-0573		(877)-231-0573		1
H2663	005	0	1	01	01	H2663_005_0	10	08/23/2010	2011.01	08/23/2010 11:37:23 AM Central Daylight Time	08/20/2010 04:11:00 PM Central Daylight Time	08/19/2010 01:43:00 PM Central Daylight Time		08/23/2010 11:45:50 AM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Gold Advantage Option 1 (HMO)	01	01		1			H2663	005	0	2011	St. Louis MO Metro Area		2	6753	2				2						www.ghpmedicare.com	www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(800)-533-0362		(800)-533-0362		(866)-291-8628		(866)-291-8628		(800)-533-0362		(800)-533-0362		(711)		(711)		(877)-231-0573		(877)-231-0573		(711)		(711)		(877)-231-0573		(877)-231-0573		1
H2663	006	0	1	01	01	H2663_006_0	12	08/12/2010	2011.01	08/12/2010 11:29:31 AM Central Daylight Time	08/20/2010 02:26:00 PM Central Daylight Time	08/19/2010 01:44:00 PM Central Daylight Time		08/23/2010 11:45:50 AM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Advantra Option 1 (HMO)	01	01		1			H2663	006	0	2011	St. Louis MO Metro Area		2	7830	2				2						www.ghpmedicare.com	www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(800)-533-0362		(800)-533-0362		(866)-291-8628		(866)-291-8628		(800)-533-0362		(800)-533-0362		(711)		(711)		(877)-231-0573		(877)-231-0573		(711)		(711)		(877)-231-0573		(877)-231-0573		1
H2663	802	0	1	01	01	H2663_802_0	4	07/23/2010	2011.01	07/23/2010 08:23:10 AM Central Daylight Time	06/06/2010 11:57:00 AM Central Daylight Time			08/10/2010 04:34:35 PM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Employer Group Calendar Rx Premier (HMO)	01	01		1			H2663	802	0	2011	St. Louis MO Metro Area - Employer Group		1	3981	2				2						www.ghpmedicare.com	www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(800)-533-0362		(800)-533-0362		(866)-291-8628		(866)-291-8628		(800)-533-0362		(800)-533-0362		(711)		(711)		(877)-231-0573		(877)-231-0573		(711)		(711)		(877)-231-0573		(877)-231-0573		1
H2663	804	0	1	01	01	H2663_804_0	4	07/23/2010	2011.01	07/23/2010 08:23:23 AM Central Daylight Time	06/06/2010 11:52:00 AM Central Daylight Time			08/10/2010 04:34:35 PM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Employer Group Non Calendar Rx Premier (HMO)	01	01		1			H2663	804	0	2011	St. Louis MO Metro Area - Employer Group		1	3981	2				2						www.ghpmedicare.com	www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(800)-533-0362		(800)-533-0362		(866)-291-8628		(866)-291-8628		(800)-533-0362		(800)-533-0362		(711)		(711)		(877)-231-0573		(877)-231-0573		(711)		(711)		(877)-231-0573		(877)-231-0573		1
H2663	805	0	1	01	01	H2663_805_0	4	07/23/2010	2011.01	07/23/2010 08:23:37 AM Central Daylight Time	06/06/2010 12:08:00 PM Central Daylight Time			08/10/2010 04:34:35 PM Central Daylight Time	GROUP HEALTH PLAN, INC.	Group Health Plan, Inc.	www.advantraplans.com	Employer Group Calendar No Rx (HMO)	01	01		1			H2663	805	0	2011	St. Louis MO Metro Area - Employer Group		1	3981	2				2						www.ghpmedicare.com	www.ghpmedicare.com	www.ghpmedicare.com	(800)-533-0367		(800)-533-0367		(800)-533-0362		(800)-533-0362										(711)		(711)		(877)-231-0573		(877)-231-0573										1
H2667	001	0	1	01	01	H2667_001_0	11	08/10/2010	2011.01	08/10/2010 04:29:11 PM Central Daylight Time	08/20/2010 03:16:00 PM Central Daylight Time	08/19/2010 05:06:00 PM Central Daylight Time		08/20/2010 04:34:03 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE (HMO)	01	01		1			H2667	001	0	2011	Southwest MO		2		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1
H2667	003	0	1	01	01	H2667_003_0	10	08/24/2010	2011.01	08/24/2010 03:28:22 PM Central Daylight Time	08/20/2010 03:17:00 PM Central Daylight Time	08/19/2010 05:06:00 PM Central Daylight Time		08/24/2010 04:02:56 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE (HMO)	01	01		1			H2667	003	0	2011	St. Louis Metro		2		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1
H2667	012	0	1	01	01	H2667_012_0	7	08/10/2010	2011.01	08/10/2010 04:33:14 PM Central Daylight Time	07/29/2010 01:46:39 PM Central Daylight Time			08/10/2010 04:41:26 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE (no drug) (HMO)	01	01		1			H2667	012	0	2011	Southwest Missouri		2		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-481-4466		(417)-837-0266		(800)-481-4466		(417)-837-0266										(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249										1
H2667	803	0	1	01	01	H2667_803_0	5	08/06/2010	2011.01	08/06/2010 02:33:42 PM Central Daylight Time	07/29/2010 01:56:17 PM Central Daylight Time			08/06/2010 02:37:55 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers (HMO)	01	01		1			H2667	803	0	2011	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200		(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1
H2667	807	0	1	01	01	H2667_807_0	8	08/06/2010	2011.01	08/06/2010 02:34:05 PM Central Daylight Time	07/29/2010 01:56:42 PM Central Daylight Time			08/06/2010 02:37:55 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers RX CY (HMO)	01	01		1			H2667	807	0	2011	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200		(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249		1
H2667	808	0	1	01	01	H2667_808_0	5	08/06/2010	2011.01	08/06/2010 02:34:06 PM Central Daylight Time	07/29/2010 01:56:09 PM Central Daylight Time			08/06/2010 02:37:55 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Emp no RX CY (HMO)	01	01		1			H2667	808	0	2011	Southwest Missouri		1		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-481-4466		(417)-837-0266		(800)-330-8449		(417)-836-0200										(800)-446-1468		(417)-837-0249		(800)-446-1468		(417)-837-0249										1
H2667	809	0	1	01	01	H2667_809_0	5	08/06/2010	2011.01	08/06/2010 02:34:07 PM Central Daylight Time	08/02/2010 10:28:56 AM Central Daylight Time			08/06/2010 02:37:55 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers RX CY (HMO)	01	01		1			H2667	809	0	2011	St. Louis Metro		1		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094		1
H2667	810	0	1	01	01	H2667_810_0	5	08/06/2010	2011.01	08/06/2010 02:34:08 PM Central Daylight Time	07/29/2010 01:47:12 PM Central Daylight Time			08/06/2010 02:37:55 PM Central Daylight Time	MERCY HEALTH PLANS OF MISSOURI INC.	Mercy Health Plans of Missouri, Inc.	www.mercyhealthplans.com	Mercy MedicareADVANTAGE for Employers no RX CY (HMO)	01	01		1			H2667	810	0	2011	St. Louis Metro		1		2				2						www.mercyhealthplans.com	http://www.mercyhealthplans.com/products/medicare/2010-Formulary_4_tier.pdf	www.mercyhealthplans.com	(800)-280-1602		(314)-214-8040		(800)-280-1602		(314)-214-8040										(800)-468-4418		(314)-214-8094		(800)-468-4418		(314)-214-8094										1
H2672	001	0	1	01	01	H2672_001_0	9	08/31/2010	2011.01	08/31/2010 04:19:21 PM Central Daylight Time	08/20/2010 03:41:49 PM Central Daylight Time	08/19/2010 01:44:51 PM Central Daylight Time		08/31/2010 04:36:30 PM Central Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care	www.kc.chcadvantra.com	Advantra Advantage (HMO)	01	01		1			H2672	001	0	2011	Kansas City Metro Area		2	7126	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H2672	008	0	1	01	01	H2672_008_0	10	08/31/2010	2011.01	08/31/2010 04:19:58 PM Central Daylight Time	08/20/2010 04:23:49 PM Central Daylight Time	08/19/2010 01:45:42 PM Central Daylight Time		08/31/2010 04:36:30 PM Central Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care	www.kc.chcadvantra.com	Advantra Advantage (HMO)	01	01		1			H2672	008	0	2011	Wyandotte County		2	1313	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H2672	009	0	1	01	01	H2672_009_0	8	08/31/2010	2011.01	08/31/2010 04:20:28 PM Central Daylight Time	08/20/2010 04:34:58 PM Central Daylight Time	08/19/2010 01:46:17 PM Central Daylight Time		08/31/2010 04:36:30 PM Central Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care	www.kc.chcadvantra.com	Advantra Total Care (HMO)	01	01		1			H2672	009	0	2011	Sedgwick County		2	2078	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H2672	801	0	1	01	01	H2672_801_0	4	08/10/2010	2011.01	08/10/2010 01:08:11 PM Central Daylight Time	06/06/2010 10:51:11 AM Central Daylight Time			08/11/2010 07:34:18 AM Central Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care	www.kc.chcadvantra.com	Advantra Employer Group (HMO)	01	01		1			H2672	801	0	2011	Coventry Healthcare of Kansas, Inc		1	1021	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H2672	802	0	1	01	01	H2672_802_0	4	07/23/2010	2011.01	07/23/2010 12:02:15 PM Central Daylight Time	06/06/2010 11:13:55 AM Central Daylight Time			08/11/2010 07:34:18 AM Central Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care	www.kc.chcadvantra.com	Advantra Employer Group (HMO)	01	01		1			H2672	802	0	2011	Coventry Health Care of Kansas, Inc		1	317	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H2672	803	0	1	01	01	H2672_803_0	3	08/10/2010	2011.01	08/10/2010 01:09:25 PM Central Daylight Time	06/07/2010 01:48:12 PM Central Daylight Time			08/10/2010 01:11:31 PM Central Daylight Time	COVENTRY HEALTH CARE OF KANSAS, INC.	Coventry Health Care	www.kc.chcadvantra.com	Advantra Employer Group (HMO)	01	01		1			H2672	803	0	2011	Coventry Health Care of Kansas, Inc.		1	68	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125										(711)		(711)		(711)		(711)										1
H2699	001	0	1	20	08	H2699_001_0	1	05/19/2010	2011.01	05/19/2010 03:04:28 PM Eastern Daylight Time		05/18/2010 03:39:22 PM Eastern Daylight Time		05/19/2010 03:07:06 PM Eastern Daylight Time	LIFE AT HOME, LLC	Life at Home, LLC	www.genesishcc.com	Life at Home LLC (PACE)	08	20		1			H2699	001	0	2011	Chester and Delaware Counties, PA		2		2				2							www.genesishcc.com	www.genesishcc.com									(888)-843-0443		(610)-461-3593		(888)-843-0443		(610)-461-3593										(800)-855-2880		(800)-654-5984		(800)-855-2880		(800)-654-5984		1
H2699	002	0	1	20	08	H2699_002_0	1	05/19/2010	2011.01	05/19/2010 03:04:52 PM Eastern Daylight Time		05/18/2010 03:39:05 PM Eastern Daylight Time		05/19/2010 03:07:06 PM Eastern Daylight Time	LIFE AT HOME, LLC	Life at Home, LLC	www.genesishcc.com	Life at Home LLC (PACE)	08	20		1			H2699	002	0	2011	Delaware and Chester Counties, PA		2		2				2							www.genesishcc.com	www.genesishcc.com									(888)-843-0443		(610)-461-3593		(866)-745-2273		(610)-461-3593										(800)-855-2880		(800)-654-5984		(800)-855-2880		(800)-654-5984		1
H2701	001	0	1	04	01	H2701_001_0	12	07/21/2010	2011.01	07/21/2010 12:41:37 PM Mountain Daylight Time	08/20/2010 03:18:26 PM Mountain Daylight Time	08/20/2010 03:15:51 PM Mountain Daylight Time		08/20/2010 05:04:51 PM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	www.newwesthealth.com	New West Medicare Enhanced (PPO)	01	04		1			H2701	001	0	2011	Selected Counties Montana		2	4158	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	WWW.EXPRESS-SCRIPTS.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		1
H2701	003	0	1	04	01	H2701_003_0	12	07/21/2010	2011.01	07/21/2010 12:42:21 PM Mountain Daylight Time	08/20/2010 03:18:20 PM Mountain Daylight Time	08/25/2010 12:37:08 PM Mountain Daylight Time		08/26/2010 09:08:28 AM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	www.newwesthealth.com	New West Medicare (PPO)	01	04		1			H2701	003	0	2011	Selected Counties Montana		2	1648	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	WWW.EXPRESS-SCRIPTS.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		1
H2701	806	0	1	04	01	H2701_806_0	3	07/21/2010	2011.01	07/21/2010 11:58:31 AM Mountain Daylight Time	06/07/2010 12:39:16 PM Mountain Daylight Time			07/23/2010 09:46:53 AM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	www.newwesthealth.com	New West Medicare Group Plus (PPO)	01	04		1			H2701	806	0	2011	National		1	104	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	WWW.EXPRESS-SCRIPTS.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		1
H2701	807	0	1	04	01	H2701_807_0	3	07/21/2010	2011.01	07/21/2010 11:59:59 AM Mountain Daylight Time	06/07/2010 12:52:10 PM Mountain Daylight Time			07/23/2010 09:46:53 AM Mountain Daylight Time	NEW WEST HEALTH SERVICES	New West Health Services	www.newwesthealth.com	New West Medicare Group Plus (PPO)	01	04		1			H2701	807	0	2011	National		1	606	2				2						www.newwesthealth.com	WWW.NEWWESTHEALTH.COM	WWW.EXPRESS-SCRIPTS.COM	(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-873-8049		(406)-751-3375		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		(888)-290-3658		(406)-751-3365		1
H2773	001	0	1	01	01	H2773_001_0	4	08/23/2010	2011.01	08/23/2010 01:03:07 PM Eastern Daylight Time	08/24/2010 12:40:40 PM Eastern Daylight Time	08/19/2010 05:09:10 PM Eastern Daylight Time		08/24/2010 01:28:21 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Platinum NY (HMO)	01	01		1			H2773	001	0	2011	Nassau, Queens, Staten Island and Suffolk Counties		2	740	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	http://www.qualityhealthplans.com/	(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1
H2773	002	0	1	01	01	H2773_002_0	7	08/26/2010	2011.01	08/26/2010 12:19:20 PM Eastern Daylight Time	08/24/2010 12:41:11 PM Eastern Daylight Time	08/19/2010 05:09:52 PM Eastern Daylight Time		08/26/2010 12:28:04 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Silver NY (HMO)	01	01		1			H2773	002	0	2011	Nassau, Queens, Staten Island and Suffolk Counties		2	710	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	http://www.qualityhealthplans.com/	(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1
H2773	003	0	1	01	01	H2773_003_0	6	08/23/2010	2011.01	08/23/2010 08:53:10 PM Eastern Daylight Time	08/24/2010 12:41:39 PM Eastern Daylight Time	08/19/2010 05:14:18 PM Eastern Daylight Time		08/24/2010 01:28:21 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Health NY - SNP (HMO SNP)	01	01		1			H2773	003	0	2011	Nassau, Queens, Staten Island and Suffolk Counties		2	700	2				1	4		1		00000000000000000010	www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	http://www.qualityhealthplans.com/	(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1
H2773	004	0	1	01	01	H2773_004_0	6	08/23/2010	2011.01	08/23/2010 09:06:20 PM Eastern Daylight Time	08/24/2010 12:42:12 PM Eastern Daylight Time	08/19/2010 05:11:38 PM Eastern Daylight Time		08/24/2010 01:28:21 PM Eastern Daylight Time	QUALITY HEALTH PLANS OF NEW YORK, INC.	QUALITY HEALTH PLANS	www.qualityhealthplans.com	Advantage Value One NY - Dual (HMO SNP)	01	01		1			H2773	004	0	2011	Nassau, Queens, Staten Island and Suffolk Counties		2	750	2		2		1	3		1	5		www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	http://www.qualityhealthplans.com/	(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-233-7058		(631)-403-4265		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		(877)-681-4984		1
H2775	082	0	1	04	01	H2775_082_0	10	07/26/2010	2011.01	07/26/2010 12:19:54 PM Central Daylight Time	08/20/2010 07:09:10 AM Central Daylight Time	08/19/2010 01:34:46 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 150 A powered by CCRx (PPO)	01	04		1			H2775	082	0	2011	Select counties in the Northeast		2	50717	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2775	083	0	1	04	01	H2775_083_0	11	07/26/2010	2011.01	08/13/2010 07:07:09 PM Central Daylight Time	08/20/2010 07:11:50 AM Central Daylight Time	08/19/2010 01:35:18 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 150 A powered by CCRx (PPO)	01	04		1			H2775	083	0	2011	Select counties in the Northeast		2	13486	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2775	084	0	1	04	01	H2775_084_0	12	08/31/2010	2011.01	08/31/2010 03:36:59 PM Central Daylight Time	08/20/2010 07:14:00 AM Central Daylight Time	08/19/2010 01:45:56 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 850 B powered by CCRx (PPO)	01	04		1			H2775	084	0	2011	Select counties in the Northeast		2	2290	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2775	085	0	1	04	01	H2775_085_0	9	07/30/2010	2011.01	07/30/2010 10:50:14 AM Central Daylight Time	08/20/2010 07:16:09 AM Central Daylight Time	08/19/2010 01:35:50 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 450 A powered by CCRx (PPO)	01	04		1			H2775	085	0	2011	Select counties in the Northeast		2	3299	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2775	088	0	1	04	01	H2775_088_0	8	08/19/2010	2011.01	08/19/2010 04:02:04 PM Central Daylight Time	08/20/2010 07:18:17 AM Central Daylight Time	08/19/2010 01:36:22 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 550 B powered by CCRx (PPO)	01	04		1			H2775	088	0	2011	Select counties in the Northeast		2	41342	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2775	089	0	1	04	01	H2775_089_0	10	08/19/2010	2011.01	08/19/2010 05:03:15 PM Central Daylight Time	08/20/2010 07:21:07 AM Central Daylight Time	08/19/2010 03:42:08 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 1050 B powered by CCRx (PPO)	01	04		1			H2775	089	0	2011	Select counties in the Northeast		2	32201	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2775	091	0	1	04	01	H2775_091_0	9	07/30/2010	2011.01	07/30/2010 10:51:28 AM Central Daylight Time	08/20/2010 07:22:49 AM Central Daylight Time	08/19/2010 01:37:20 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 950 C powered by CCRx (PPO)	01	04		1			H2775	091	0	2011	Select counties in the Northeast		2	5914	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2775	094	0	1	04	01	H2775_094_0	7	07/23/2010	2011.01	07/23/2010 04:26:03 PM Central Daylight Time	07/27/2010 02:01:13 PM Central Daylight Time			07/30/2010 04:25:17 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 500 (PPO)	01	04		1			H2775	094	0	2011	Select counties in the Northeast		2	930	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2775	095	0	1	04	01	H2775_095_0	7	07/30/2010	2011.01	07/30/2010 10:51:51 AM Central Daylight Time	07/29/2010 03:26:40 PM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 900 (PPO)	01	04		1			H2775	095	0	2011	Select counties in the Northeast		2	461	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2775	096	0	1	04	01	H2775_096_0	7	07/30/2010	2011.01	07/30/2010 10:52:00 AM Central Daylight Time	07/30/2010 09:37:22 AM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 900 (PPO)	01	04		1			H2775	096	0	2011	Select counties in the Northeast		2	156	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2775	097	0	1	04	01	H2775_097_0	8	07/30/2010	2011.01	07/30/2010 10:52:13 AM Central Daylight Time	07/29/2010 03:28:53 PM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 900 (PPO)	01	04		1			H2775	097	0	2011	Select counties in the Northeast		2	93	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2775	801	0	1	04	01	H2775_801_0	6	07/13/2010	2011.01	07/19/2010 04:51:17 PM Central Daylight Time	06/06/2010 04:46:42 PM Central Daylight Time			07/30/2010 04:25:17 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MA Group Plan (PPO)	01	04		1			H2775	801	0	2011	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2775	802	0	1	04	01	H2775_802_0	6	07/13/2010	2011.01	07/19/2010 04:51:18 PM Central Daylight Time	06/06/2010 05:16:45 PM Central Daylight Time			07/30/2010 04:25:17 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MAPD Group Plan (PPO)	01	04		1			H2775	802	0	2011	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2775	803	0	1	04	01	H2775_803_0	6	07/13/2010	2011.01	07/19/2010 04:51:19 PM Central Daylight Time	06/06/2010 05:18:33 PM Central Daylight Time			07/30/2010 04:25:17 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSURANCE OF NY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MAPD Group Plan - NCY (PPO)	01	04		1			H2775	803	0	2011	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2802	001	0	1	01	01	H2802_001_0	4	06/01/2010	2011.01	06/01/2010 06:41:36 PM Central Daylight Time	08/19/2010 04:34:55 PM Central Daylight Time	08/18/2010 04:46:07 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE OF THE MIDLANDS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H2802	001	0	2011	Douglas and Pottawattamie Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2803	001	0	1	02	01	H2803_001_0	4	05/31/2010	2011.01	05/31/2010 03:00:44 PM Central Daylight Time	08/19/2010 05:30:09 PM Central Daylight Time	08/18/2010 04:46:11 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H2803	001	0	2011	Douglas and Pottawattamie Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2803	002	0	1	02	01	H2803_002_0	4	05/31/2010	2011.01	05/31/2010 02:11:49 PM Central Daylight Time	08/19/2010 05:30:31 PM Central Daylight Time	08/18/2010 04:46:16 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H2803	002	0	2011	Select rural counties in Nebraska and Iowa		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2803	010	0	1	02	01	H2803_010_0	5	06/03/2010	2011.01	06/03/2010 01:58:56 PM Central Daylight Time	08/19/2010 05:30:56 PM Central Daylight Time	08/18/2010 04:29:12 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH-POS (HMO-POS SNP)	01	02		1			H2803	010	0	2011	Omaha, NE and Council Bluffs, IA area		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-480-2064		(866)-480-2064		(888)-834-3721		(888)-834-3721		(866)-480-2064		(866)-480-2064		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2803	012	0	1	02	01	H2803_012_0	5	08/20/2010	2011.01	08/20/2010 02:22:38 PM Central Daylight Time	08/19/2010 05:31:28 PM Central Daylight Time	08/18/2010 04:29:17 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH-POS (HMO-POS SNP)	01	02		1			H2803	012	0	2011	Polk, Dallas and Warren Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-480-1086		(866)-480-1086		(888)-834-3721		(888)-834-3721		(866)-480-1086		(866)-480-1086		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2803	801	0	1	02	01	H2803_801_0	1	05/27/2010	2011.01	05/27/2010 08:22:28 AM Central Daylight Time	06/03/2010 02:37:02 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2803	801	0	2011	Select Counties in Nebraska and Iowa		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2803	803	0	1	02	01	H2803_803_0	1	05/27/2010	2011.01	05/27/2010 08:22:50 AM Central Daylight Time	06/03/2010 02:37:39 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2803	803	0	2011	Select counties in Iowa and Nebraska		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H2803	804	0	1	02	01	H2803_804_0	1	05/27/2010	2011.01	05/27/2010 08:23:11 AM Central Daylight Time	06/03/2010 02:38:27 PM Central Daylight Time			06/03/2010 08:39:36 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H2803	804	0	2011	NE/IA Select Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2810	001	0	1	04	01	H2810_001_0	7	08/04/2010	2011.01	08/04/2010 12:13:25 PM Pacific Daylight Time	08/20/2010 07:48:53 AM Pacific Daylight Time	08/20/2010 07:48:44 AM Pacific Daylight Time		08/20/2010 09:43:02 AM Pacific Daylight Time	GROUP HEALTH OPTIONS	Group Health Options, Inc.	www.ghc.org/medicare	Group Health Options Clear Care Prestige (PPO)	01	04		1			H2810	001	0	2011	All Counties Servied by Group Health Options Inc.		2	1007	2				2						http://www.ghc.org/provider/index.jhtml	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1
H2810	002	0	1	04	01	H2810_002_0	7	08/04/2010	2011.01	08/04/2010 12:13:44 PM Pacific Daylight Time	08/20/2010 07:48:53 AM Pacific Daylight Time	08/20/2010 07:48:44 AM Pacific Daylight Time		08/20/2010 09:43:02 AM Pacific Daylight Time	GROUP HEALTH OPTIONS	Group Health Options, Inc.	www.ghc.org/medicare	Group Health Options Clear Care Elite (PPO)	01	04		1			H2810	002	0	2011	All Counties Servied by Group Health Options Inc.		2	2026	2				2						http://www.ghc.org/provider/index.jhtml	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1
H2815	001	0	1	20	08	H2815_001_0	1	05/20/2010	2011.01	05/20/2010 10:21:41 AM Mountain Daylight Time		05/20/2010 09:55:41 AM Mountain Daylight Time		05/20/2010 12:18:12 PM Mountain Daylight Time	VOLUNTEERS OF AMERICA NATIONAL SERVICES	Senior CommUnity Care of Colorado	www.seniorcommunitycare.org	Senior CommUnity Care of Colorado (PACE)	08	20		1			H2815	001	0	2011	Senior CommUnity Care of Colorado		2		2				2							www.voa.org	www.voa.org									(800)-901-5020		(970)-252-0522		(800)-901-5020		(970)-252-0522										(800)-901-5020		(970)-252-0522		(800)-901-5020		(970)-252-0522		1
H2815	002	0	1	20	08	H2815_002_0	1	05/20/2010	2011.01	05/20/2010 10:22:17 AM Mountain Daylight Time		05/20/2010 09:55:41 AM Mountain Daylight Time		05/20/2010 12:18:12 PM Mountain Daylight Time	VOLUNTEERS OF AMERICA NATIONAL SERVICES	Senior CommUnity Care of Colorado	www.seniorcommunitycare.org	Senior CommUnity Care of Colorado (PACE)	08	20		1			H2815	002	0	2011	Senior CommUnity Care of Colorado		2		2				2							www.voa.org	www.voa.org									(800)-901-5020		(970)-252-0522		(800)-901-5020		(970)-252-0522										(800)-901-5020		(970)-252-0522		(800)-901-5020		(970)-252-0522		1
H2816	001	0	1	09	04	H2816_001_0	6	07/15/2010	2011.01	07/15/2010 10:55:06 AM Central Daylight Time	06/06/2010 01:36:43 PM Central Daylight Time			07/19/2010 12:17:27 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 100 (PFFS)	04	09	1	1			H2816	001	0	2011	Select counties in the Northeast		2	204719	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2816	002	0	1	09	04	H2816_002_0	7	08/13/2010	2011.01	08/13/2010 07:07:59 PM Central Daylight Time	08/17/2010 06:45:55 PM Central Daylight Time			08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 100 (PFFS)	04	09	1	1			H2816	002	0	2011	Select counties in the Northeast		2	69978	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2816	007	0	1	09	04	H2816_007_0	5	07/13/2010	2011.01	07/13/2010 04:33:39 PM Central Daylight Time	06/06/2010 01:42:14 PM Central Daylight Time			07/19/2010 12:17:27 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 400 (PFFS)	04	09	1	1			H2816	007	0	2011	Select counties in the Northeast		2	8043	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2816	008	0	1	09	04	H2816_008_0	8	08/31/2010	2011.01	08/31/2010 03:44:31 PM Central Daylight Time	08/17/2010 07:11:24 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	1	1			H2816	008	0	2011	Select counties in the Northeast		2	17075	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2816	009	0	1	09	04	H2816_009_0	8	08/31/2010	2011.01	08/31/2010 03:47:06 PM Central Daylight Time	07/29/2010 11:04:33 AM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	1	1			H2816	009	0	2011	Select counties in the Northeast		2	8092	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2816	010	0	1	09	04	H2816_010_0	8	08/31/2010	2011.01	08/31/2010 03:47:13 PM Central Daylight Time	07/29/2010 08:40:48 AM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	1	1			H2816	010	0	2011	Select counties in the Northeast		2	12922	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2816	013	0	1	09	04	H2816_013_0	6	07/23/2010	2011.01	07/23/2010 04:29:21 PM Central Daylight Time	08/20/2010 05:55:34 AM Central Daylight Time	08/19/2010 01:14:36 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 150 A powered by CCRx (PFFS)	04	09	1	1			H2816	013	0	2011	Select counties in the Northeast		2	52077	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2816	014	0	1	09	04	H2816_014_0	7	08/13/2010	2011.01	08/13/2010 07:08:06 PM Central Daylight Time	08/20/2010 05:57:46 AM Central Daylight Time	08/19/2010 01:17:32 PM Central Daylight Time		08/20/2010 08:29:36 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 150 A powered by CCRx (PFFS)	04	09	1	1			H2816	014	0	2011	Select counties in the Northeast		2	20497	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2816	019	0	1	09	04	H2816_019_0	8	07/23/2010	2011.01	07/23/2010 04:29:24 PM Central Daylight Time	08/20/2010 06:08:42 AM Central Daylight Time	08/19/2010 01:28:38 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 450 B powered by CCRx (PFFS)	04	09	1	1			H2816	019	0	2011	Select counties in the Northeast		2	11120	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2816	020	0	1	09	04	H2816_020_0	10	08/31/2010	2011.01	08/31/2010 03:47:23 PM Central Daylight Time	08/20/2010 06:10:49 AM Central Daylight Time	08/19/2010 03:39:08 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 850 B powered by CCRx (PFFS)	04	09	1	1			H2816	020	0	2011	Select counties in the Northeast		2	13813	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2816	021	0	1	09	04	H2816_021_0	9	08/31/2010	2011.01	08/31/2010 03:47:29 PM Central Daylight Time	08/20/2010 06:13:29 AM Central Daylight Time	08/19/2010 01:44:32 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 850 B powered by CCRx (PFFS)	04	09	1	1			H2816	021	0	2011	Select counties in the Northeast		2	6251	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2816	022	0	1	09	04	H2816_022_0	9	08/31/2010	2011.01	08/31/2010 03:47:35 PM Central Daylight Time	08/20/2010 06:15:27 AM Central Daylight Time	08/19/2010 01:29:44 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options Premier 850 F powered by CCRx (PFFS)	04	09	1	1			H2816	022	0	2011	Select counties in the Northeast		2	6758	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2816	801	0	1	09	04	H2816_801_0	6	07/13/2010	2011.01	07/19/2010 04:51:00 PM Central Daylight Time	06/06/2010 04:50:22 PM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options PFFS - MA Group Plan (PFFS)	04	09	1	1			H2816	801	0	2011	National		1		2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H2816	802	0	1	09	04	H2816_802_0	6	07/13/2010	2011.01	07/19/2010 04:51:00 PM Central Daylight Time	06/06/2010 05:15:37 PM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options PFFS - MAPD Group Plan (PFFS)	04	09	1	1			H2816	802	0	2011	National		1		2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2816	803	0	1	09	04	H2816_803_0	6	07/13/2010	2011.01	07/19/2010 04:51:01 PM Central Daylight Time	06/06/2010 05:17:10 PM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE  HEALTH INSUR CO OF NY	Universal American	www.todaysoptions.com	Today's Options PFFS - MAPD Group Plan - NCY (PFFS)	04	09	1	1			H2816	803	0	2011	National		1		2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H2899	001	0	1	01	01	H2899_001_0	8	08/17/2010	2011.01	08/17/2010 01:50:00 PM Central Daylight Time	08/20/2010 10:40:17 PM Central Daylight Time	08/18/2010 05:52:10 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	001	0	2011	Eastern North Carolina		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H2899	002	0	1	01	01	H2899_002_0	7	08/11/2010	2011.01	08/11/2010 10:12:39 PM Central Daylight Time	08/23/2010 12:11:56 AM Central Daylight Time	08/18/2010 05:53:04 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Dual Plus (HMO SNP)	01	01		1			H2899	002	0	2011	Eastern North Carolina		2		2		2		1	3		1	1			http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H2899	003	0	1	01	01	H2899_003_0	5	08/21/2010	2011.01	08/21/2010 10:28:25 AM Central Daylight Time	08/21/2010 12:26:35 PM Central Daylight Time	08/18/2010 05:53:28 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	003	0	2011	Guilford		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H2899	006	0	1	01	01	H2899_006_0	7	08/21/2010	2011.01	08/21/2010 10:01:21 AM Central Daylight Time	08/20/2010 11:53:44 PM Central Daylight Time	08/18/2010 05:53:53 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	006	0	2011	Carteret		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H2899	009	0	1	01	01	H2899_009_0	6	08/20/2010	2011.01	08/20/2010 03:48:27 PM Central Daylight Time	08/20/2010 10:47:30 PM Central Daylight Time	08/18/2010 05:55:13 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H2899	009	0	2011	Beaufort		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H2899	801	0	1	01	01	H2899_801_0	3	08/06/2010	2011.01	08/06/2010 07:07:09 PM Central Daylight Time	07/26/2010 12:40:18 PM Central Daylight Time			08/06/2010 09:18:26 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NORTH CAROLINA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - EGWP (HMO)	01	01		1			H2899	801	0	2011	North Carolina		1		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(800)-573-8597		(800)-573-8597		(877)-268-3866		(919)-781-8000		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H2905	001	0	1	04	01	H2905_001_0	3	07/28/2010	2011.01	07/28/2010 08:48:03 AM Central Daylight Time	08/19/2010 06:55:47 PM Central Daylight Time	08/18/2010 04:29:21 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	www.sierraspectrumppo.com	Sierra Spectrum (PPO)	01	04		1			H2905	001	0	2011	Washington county, UT		2		2				2						http://www.sierraspectrumppo.com	http://www.sierraspectrumppo.com	http://www.sierraspectrumppo.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-880-0816		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1
H2906	003	0	1	04	01	H2906_003_0	11	09/01/2010	2011.01	09/01/2010 01:38:51 PM Pacific Daylight Time	08/31/2010 09:36:10 AM Pacific Daylight Time	08/25/2010 12:33:46 PM Pacific Daylight Time		09/01/2010 02:02:05 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Freedom Rx Premier Plan (PPO)	01	04		1			H2906	003	0	2011	Washoe County, NV		2	384	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/SCPlus/scp_m_prescriptions.asp	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(800)-372-0758		(775)-982-5703		(800)-372-0758		(775)-982-3240		(888)-206-8041		(775)-982-3240		(800)-372-0758		(775)-982-3240		1
H2906	801	0	1	04	01	H2906_801_0	5	08/12/2010	2011.01	08/12/2010 04:38:15 PM Pacific Daylight Time	08/03/2010 07:02:30 PM Pacific Daylight Time			08/12/2010 04:38:35 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Freedom Group (PPO)	01	04		1			H2906	801	0	2011	State of Nevada		1	25	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/SCPlus/scp_m_prescriptions.asp	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8579		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-206-8041		(775)-982-5703		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		(888)-206-8041		(775)-982-3240		1
H2926	001	0	1	01	01	H2926_001_0	2	06/06/2010	2011.01	06/06/2010 06:25:43 PM Central Daylight Time	08/23/2010 10:29:01 AM Central Daylight Time	08/23/2010 10:32:59 AM Central Daylight Time		08/23/2010 04:38:21 PM Central Daylight Time	PRIMEWEST HEALTH SYSTEM	PrimeWest Health	http://www.primewest.org	Prime Health Complete (HMO SNP)	01	01		1			H2926	001	0	2011	Northern, West Central and Southwest Minnesota		2	250	2		2		1	3		1	5		http://www.primewest.org/find_doctor.xml	www.primewest.org/members/4175.xml	www.primewest.org/members/4175.xml	(877)-600-4913		(320)-335-5243		(877)-600-4913		(320)-335-5243		(877)-600-4913		(320)-335-5243		(877)-600-4913		(320)-335-5243		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1
H2931	002	0	1	02	01	H2931_002_0	4	07/28/2010	2011.01	07/28/2010 04:39:05 PM Central Daylight Time	08/20/2010 09:05:45 AM Central Daylight Time	08/18/2010 04:29:26 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Senior Dimensions Southern Nevada (HMO-POS)	01	02		1			H2931	002	0	2011	Clark and Nye counties, NV		2		2				2						www.seniordimensions.com	www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-880-0816		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1
H2931	004	0	1	02	01	H2931_004_0	3	07/28/2010	2011.01	07/28/2010 08:49:37 AM Central Daylight Time	08/20/2010 09:23:51 AM Central Daylight Time	08/19/2010 10:04:53 AM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Senior Dimensions Greater Nevada (HMO-POS)	01	02		1			H2931	004	0	2011	Lyon, Mineral, Esmeralda, and portions of Washoe		2		2				2						www.seniordimensions.com	www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1
H2931	015	0	1	01	01	H2931_015_0	4	07/28/2010	2011.01	07/28/2010 04:39:20 PM Central Daylight Time		08/18/2010 04:29:36 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.sierravillagehealth.com	Sierra VillageHealth (HMO SNP)	01	01		1			H2931	015	0	2011	Clark, Nye and Portions of Washoe County		2		2				1	4		1		00000000100000000000	www.seniordimensions.com	www.seniordimensions.com	www.seniordimensions.com	(866)-421-4386		(866)-421-4386		(800)-274-6648		(702)-821-2300		(866)-421-4386		(866)-421-4386		(877)-586-1648		(877)-586-1648		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		1
H2931	801	0	1	01	01	H2931_801_0	1	06/03/2010	2011.01	06/03/2010 04:08:28 PM Central Daylight Time	06/06/2010 03:46:41 PM Central Daylight Time			06/07/2010 08:50:10 AM Central Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Basic Group (with Drug) Coverage (HMO)	01	01		1			H2931	801	0	2011	Counties: Clk, Esmrld, Ny, Lyn, Mnrl, parts of Wsh		1		2				2						www.seniordimensions.com	www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1
H2931	803	0	1	01	01	H2931_803_0	1	06/03/2010	2011.01	06/03/2010 04:09:06 PM Central Daylight Time	06/06/2010 03:46:59 PM Central Daylight Time			06/07/2010 08:50:10 AM Central Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	Basic Group MA Only Coverage (HMO)	01	01		1			H2931	803	0	2011	Counties: Clk, Esmrld, Ny, Lyn, Mnrl, parts of Wsh		1		2				2						www.seniordimensions.com	www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300										(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214										1
H2931	804	0	1	01	01	H2931_804_0	1	06/03/2010	2011.01	06/03/2010 04:09:07 PM Central Daylight Time	06/06/2010 03:47:16 PM Central Daylight Time			06/07/2010 08:50:10 AM Central Daylight Time	HEALTH PLAN OF NEVADA, INC.	Health Plan of Nevada, Inc.	www.seniordimensions.com	(NCY) Basic Group (With Drug) Coverage (HMO)	01	01		1			H2931	804	0	2011	Counties: Clk, Esmrld, Ny, Lyn, Mnrl, parts of Wsh		1		2				2						www.seniordimensions.com	www.seniordimensions.com	www.seniordimensions.com	(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-650-6232		(702)-242-7301		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1
H2936	001	0	1	20	08	H2936_001_0	1	05/20/2010	2011.01	05/20/2010 12:45:39 PM Eastern Daylight Time		05/20/2010 11:35:54 AM Eastern Daylight Time		05/20/2010 02:28:24 PM Eastern Daylight Time	LIFECIRCLES	LIFECIRCLES	http:\www.lifecircles-pace.org	LifeCircles (PACE)	08	20		1			H2936	001	0	2011	Muskegon, Ottawa		2	160	2				2							www.lifecircles-pace.org	www.lifecircles-pace.org									(888)-204-8626		(231)-733-8686		(888)-204-8626		(231)-733-8686										(888)-204-8626		(231)-733-8686		(888)-204-8626		(231)-733-8686		1
H2936	002	0	1	20	08	H2936_002_0	1	05/20/2010	2011.01	05/20/2010 12:35:14 PM Eastern Daylight Time		05/20/2010 11:35:54 AM Eastern Daylight Time		05/20/2010 02:28:24 PM Eastern Daylight Time	LIFECIRCLES	LIFECIRCLES	www.lifecircles-pace.org	002 - Medicare Only (PACE)	08	20		1			H2936	002	0	2011	002 - Medicare Only		2	160	2				2							www.lifecircles-pace.org	www.lifecircles-pace.org									(888)-204-8626		(231)-733-8686		(888)-204-8626		(231)-733-8686										(888)-204-8626		(231)-733-8686		(888)-204-8626		(231)-733-8686		1
H2941	001	0	1	20	08	H2941_001_0	1	06/04/2010	2011.01	06/04/2010 12:19:06 PM Eastern Daylight Time		06/04/2010 11:05:46 AM Eastern Daylight Time		06/04/2010 12:24:18 PM Eastern Daylight Time	SENTARA LIFE CARE CORPORATION, INC	Sentara Senior Community Care	www.sentara.com	Sentara Senior Community Care Dual (PACE)	08	20		1			H2941	001	0	2011	Chesapeake, Norfolk, Portsmouth, Suffolk, VA Beach		2		2				2							www.sentara.com	www.sentara.com									(800)-736-8272		(757)-502-7800		(800)-736-8272		(757)-502-7800										(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		1
H2941	002	0	1	20	08	H2941_002_0	1	06/04/2010	2011.01	06/04/2010 12:19:46 PM Eastern Daylight Time		06/04/2010 11:05:46 AM Eastern Daylight Time		06/04/2010 12:24:18 PM Eastern Daylight Time	SENTARA LIFE CARE CORPORATION, INC	Sentara Senior Community Care	www.sentara.com	Sentara Senior Community Care Private (PACE)	08	20		1			H2941	002	0	2011	Chesapeake, Norfolk, Portsmouth, Suffolk, VA Beach		2		2				2							www.sentara.com	www.sentara.com									(800)-736-8272		(757)-502-7800		(800)-736-8272		(757)-502-7800										(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		1
H2944	004	0	1	09	04	H2944_004_0	8	08/21/2010	2011.01	08/21/2010 03:16:24 PM Eastern Daylight Time	08/25/2010 11:59:30 AM Eastern Daylight Time	08/20/2010 04:04:00 PM Eastern Daylight Time		08/25/2010 02:20:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-004 (PFFS)	04	09	3	1			H2944	004	0	2011	Iowa Metro Area		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	009	0	1	09	04	H2944_009_0	8	08/20/2010	2011.01	08/20/2010 03:12:18 PM Eastern Daylight Time	08/25/2010 02:23:42 PM Eastern Daylight Time	08/20/2010 04:04:00 PM Eastern Daylight Time		08/25/2010 04:15:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-009 (PFFS)	04	09	3	1			H2944	009	0	2011	Select Counties in Arkansas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	011	0	1	09	04	H2944_011_0	8	08/20/2010	2011.01	08/20/2010 03:13:19 PM Eastern Daylight Time	08/25/2010 02:07:56 PM Eastern Daylight Time	08/20/2010 04:04:00 PM Eastern Daylight Time		08/25/2010 04:15:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-011 (PFFS)	04	09	3	1			H2944	011	0	2011	Select Counties in Kansas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	013	0	1	09	04	H2944_013_0	8	08/20/2010	2011.01	08/20/2010 03:15:04 PM Eastern Daylight Time	08/20/2010 12:33:58 PM Eastern Daylight Time	08/20/2010 04:05:00 PM Eastern Daylight Time		08/25/2010 04:15:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-013 (PFFS)	04	09	3	1			H2944	013	0	2011	Select Counties in Missouri		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	017	0	1	09	04	H2944_017_0	8	08/21/2010	2011.01	08/21/2010 03:13:19 PM Eastern Daylight Time	08/25/2010 12:00:06 PM Eastern Daylight Time	08/20/2010 04:05:00 PM Eastern Daylight Time		08/25/2010 02:27:04 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-017 (PFFS)	04	09	3	1			H2944	017	0	2011	Select Counties in Nebraska		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	019	0	1	09	04	H2944_019_0	7	08/21/2010	2011.01	08/21/2010 02:53:22 PM Eastern Daylight Time	08/25/2010 12:01:54 PM Eastern Daylight Time	08/20/2010 04:05:00 PM Eastern Daylight Time		08/25/2010 02:27:04 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-019 (PFFS)	04	09	3	1			H2944	019	0	2011	Select Counties in North Dakota and South Dakota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	022	0	1	09	04	H2944_022_0	8	08/20/2010	2011.01	08/20/2010 03:15:36 PM Eastern Daylight Time	08/25/2010 02:09:04 PM Eastern Daylight Time	08/20/2010 04:05:00 PM Eastern Daylight Time		08/25/2010 04:15:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-022 (PFFS)	04	09	3	1			H2944	022	0	2011	Select Counties in Oklahoma		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	024	0	1	09	04	H2944_024_0	7	08/20/2010	2011.01	08/20/2010 01:36:23 PM Eastern Daylight Time	08/25/2010 12:55:12 PM Eastern Daylight Time	08/20/2010 04:05:00 PM Eastern Daylight Time		08/25/2010 06:05:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-024 (PFFS)	04	09	3	1			H2944	024	0	2011	Select Counties in Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	031	0	1	09	04	H2944_031_0	7	08/20/2010	2011.01	08/20/2010 02:04:11 PM Eastern Daylight Time	08/25/2010 01:49:06 PM Eastern Daylight Time	08/20/2010 04:05:00 PM Eastern Daylight Time		08/26/2010 09:10:35 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-031 (PFFS)	04	09	3	1			H2944	031	0	2011	Select Counties in Arizona		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	041	0	1	09	04	H2944_041_0	5	08/20/2010	2011.01	08/20/2010 01:48:11 PM Eastern Daylight Time	08/25/2010 03:19:24 PM Eastern Daylight Time	08/20/2010 04:05:00 PM Eastern Daylight Time		08/25/2010 03:42:52 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-041 (PFFS)	04	09	3	1			H2944	041	0	2011	Select Counties in Illinois		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	044	0	1	09	04	H2944_044_0	6	08/20/2010	2011.01	08/20/2010 01:35:09 PM Eastern Daylight Time	08/25/2010 01:47:26 PM Eastern Daylight Time	08/20/2010 04:06:00 PM Eastern Daylight Time		08/25/2010 03:47:01 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-044 (PFFS)	04	09	3	1			H2944	044	0	2011	Select Counties in Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	052	0	1	09	04	H2944_052_0	8	08/20/2010	2011.01	08/20/2010 02:02:46 PM Eastern Daylight Time	08/27/2010 02:05:00 PM Eastern Daylight Time	08/20/2010 04:06:00 PM Eastern Daylight Time		08/30/2010 10:38:14 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-052 (PFFS)	04	09	3	1			H2944	052	0	2011	Montana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	053	0	1	09	04	H2944_053_0	6	08/20/2010	2011.01	08/20/2010 02:04:26 PM Eastern Daylight Time	08/25/2010 01:49:44 PM Eastern Daylight Time	08/20/2010 04:06:00 PM Eastern Daylight Time		08/26/2010 09:10:35 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-053 (PFFS)	04	09	3	1			H2944	053	0	2011	Nevada		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	065	0	1	09	04	H2944_065_0	7	08/20/2010	2011.01	08/20/2010 01:35:25 PM Eastern Daylight Time	08/25/2010 01:48:08 PM Eastern Daylight Time	08/20/2010 04:06:00 PM Eastern Daylight Time		08/25/2010 03:47:01 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-065 (PFFS)	04	09	3	1			H2944	065	0	2011	Select Counties in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	071	0	1	09	04	H2944_071_0	6	08/20/2010	2011.01	08/20/2010 02:04:36 PM Eastern Daylight Time	08/26/2010 11:55:48 AM Eastern Daylight Time	08/20/2010 04:06:00 PM Eastern Daylight Time		08/26/2010 12:59:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-071 (PFFS)	04	09	3	1			H2944	071	0	2011	Wyoming		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	073	0	1	09	04	H2944_073_0	5	08/21/2010	2011.01	08/21/2010 01:11:37 PM Eastern Daylight Time	08/25/2010 01:13:38 PM Eastern Daylight Time	08/20/2010 04:06:00 PM Eastern Daylight Time		08/26/2010 01:14:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-073 (PFFS)	04	09	3	1			H2944	073	0	2011	New Hampshire and Vermont Statewide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2944	078	0	1	09	04	H2944_078_0	7	08/20/2010	2011.01	08/20/2010 01:54:45 PM Eastern Daylight Time	08/25/2010 01:08:56 PM Eastern Daylight Time	08/20/2010 04:06:00 PM Eastern Daylight Time		08/26/2010 12:40:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-078 (PFFS)	04	09	3	1			H2944	078	0	2011	Select Counties in Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2944	085	0	1	09	04	H2944_085_0	6	08/20/2010	2011.01	08/20/2010 01:43:59 PM Eastern Daylight Time	08/25/2010 04:48:40 PM Eastern Daylight Time	08/20/2010 04:07:00 PM Eastern Daylight Time		08/26/2010 10:57:11 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-085 (PFFS)	04	09	3	1			H2944	085	0	2011	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	090	0	1	09	04	H2944_090_0	6	08/20/2010	2011.01	08/20/2010 02:01:24 PM Eastern Daylight Time	08/25/2010 04:47:57 PM Eastern Daylight Time	08/20/2010 04:07:00 PM Eastern Daylight Time		08/26/2010 11:12:58 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-090 (PFFS)	04	09	3	1			H2944	090	0	2011	Select Counties in Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	106	0	1	09	04	H2944_106_0	6	08/21/2010	2011.01	08/21/2010 01:11:59 PM Eastern Daylight Time	08/25/2010 01:50:08 PM Eastern Daylight Time	08/20/2010 04:07:00 PM Eastern Daylight Time		08/26/2010 01:14:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-106 (PFFS)	04	09	3	1			H2944	106	0	2011	New Hampshire and Vermont Statewide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2944	114	0	1	09	04	H2944_114_0	6	08/20/2010	2011.01	08/20/2010 12:54:12 PM Eastern Daylight Time	08/25/2010 04:49:25 PM Eastern Daylight Time	08/20/2010 04:07:00 PM Eastern Daylight Time		08/26/2010 10:38:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-114 (PFFS)	04	09	3	1			H2944	114	0	2011	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	124	0	1	09	04	H2944_124_0	4	08/20/2010	2011.01	08/20/2010 01:31:00 PM Eastern Daylight Time	08/25/2010 01:12:04 PM Eastern Daylight Time	08/20/2010 04:07:00 PM Eastern Daylight Time		08/26/2010 11:29:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-124 (PFFS)	04	09	3	1			H2944	124	0	2011	Select Counties in Indiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2944	125	0	1	09	04	H2944_125_0	4	08/20/2010	2011.01	08/20/2010 01:31:27 PM Eastern Daylight Time	08/25/2010 01:11:12 PM Eastern Daylight Time	08/20/2010 04:07:00 PM Eastern Daylight Time		08/26/2010 11:29:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-125 (PFFS)	04	09	3	1			H2944	125	0	2011	Select Counties in Indiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2944	127	0	1	09	04	H2944_127_0	7	08/20/2010	2011.01	08/20/2010 01:32:33 PM Eastern Daylight Time	08/25/2010 01:45:46 PM Eastern Daylight Time	08/20/2010 04:08:00 PM Eastern Daylight Time		08/26/2010 11:29:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-127 (PFFS)	04	09	3	1			H2944	127	0	2011	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2944	128	0	1	09	04	H2944_128_0	5	08/20/2010	2011.01	08/20/2010 01:32:20 PM Eastern Daylight Time	08/25/2010 01:46:46 PM Eastern Daylight Time	08/20/2010 04:08:00 PM Eastern Daylight Time		08/26/2010 11:29:54 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-128 (PFFS)	04	09	3	1			H2944	128	0	2011	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H2944	133	0	1	09	04	H2944_133_0	6	08/20/2010	2011.01	08/20/2010 03:00:27 PM Eastern Daylight Time	08/25/2010 04:50:09 PM Eastern Daylight Time	08/20/2010 04:08:00 PM Eastern Daylight Time		08/26/2010 10:29:58 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-133 (PFFS)	04	09	3	1			H2944	133	0	2011	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	137	0	1	09	04	H2944_137_0	4	08/20/2010	2011.01	08/20/2010 03:00:42 PM Eastern Daylight Time	08/25/2010 04:50:53 PM Eastern Daylight Time	08/20/2010 04:08:00 PM Eastern Daylight Time		08/26/2010 10:29:58 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-137 (PFFS)	04	09	3	1			H2944	137	0	2011	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	138	0	1	09	04	H2944_138_0	7	08/23/2010	2011.01	08/23/2010 11:02:08 AM Eastern Daylight Time	08/25/2010 01:38:42 PM Eastern Daylight Time	08/20/2010 04:08:00 PM Eastern Daylight Time		08/26/2010 09:25:05 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-138 (PFFS)	04	09	3	1			H2944	138	0	2011	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	163	0	1	09	04	H2944_163_0	4	08/20/2010	2011.01	08/20/2010 01:43:05 PM Eastern Daylight Time	08/25/2010 01:48:14 PM Eastern Daylight Time			08/26/2010 01:14:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-163 (PFFS)	04	09	3	1			H2944	163	0	2011	New Hampshire and Vermont Statewide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H2944	166	0	1	09	04	H2944_166_0	5	07/26/2010	2011.01	07/26/2010 01:42:06 PM Eastern Daylight Time	08/25/2010 12:02:32 PM Eastern Daylight Time			08/25/2010 02:27:04 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-166 (PFFS)	04	09	3	1			H2944	166	0	2011	Select Counties in North Dakota and South Dakota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	169	0	1	09	04	H2944_169_0	5	06/07/2010	2011.01	06/07/2010 10:16:44 AM Eastern Daylight Time	08/25/2010 01:40:32 PM Eastern Daylight Time			08/26/2010 09:25:05 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-169 (PFFS)	04	09	3	1			H2944	169	0	2011	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	171	0	1	09	04	H2944_171_0	5	07/26/2010	2011.01	07/26/2010 01:42:44 PM Eastern Daylight Time	08/25/2010 12:01:18 PM Eastern Daylight Time			08/25/2010 02:27:04 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-171 (PFFS)	04	09	3	1			H2944	171	0	2011	Select Counties in Nebraska		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	178	0	1	09	04	H2944_178_0	7	08/21/2010	2011.01	08/21/2010 05:08:33 PM Eastern Daylight Time	08/25/2010 12:00:42 PM Eastern Daylight Time			08/25/2010 02:20:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-178 (PFFS)	04	09	3	1			H2944	178	0	2011	Iowa		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	180	0	1	09	04	H2944_180_0	5	08/20/2010	2011.01	08/20/2010 02:03:34 PM Eastern Daylight Time	08/26/2010 11:57:14 AM Eastern Daylight Time	08/20/2010 04:08:00 PM Eastern Daylight Time		08/26/2010 12:59:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-180 (PFFS)	04	09	3	1			H2944	180	0	2011	Montana Plan A		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	184	0	1	09	04	H2944_184_0	5	08/20/2010	2011.01	08/20/2010 02:05:18 PM Eastern Daylight Time	08/26/2010 11:57:56 AM Eastern Daylight Time	08/20/2010 04:08:00 PM Eastern Daylight Time		08/26/2010 12:59:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-184 (PFFS)	04	09	3	1			H2944	184	0	2011	Wyoming MLA Plan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	185	0	1	09	04	H2944_185_0	5	08/20/2010	2011.01	08/20/2010 02:10:43 PM Eastern Daylight Time	08/25/2010 01:55:54 PM Eastern Daylight Time			08/26/2010 08:57:00 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-185 (PFFS)	04	09	3	1			H2944	185	0	2011	Wyoming MA Plan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	189	0	1	09	04	H2944_189_0	5	08/20/2010	2011.01	08/20/2010 02:01:08 PM Eastern Daylight Time	08/26/2010 11:56:30 AM Eastern Daylight Time	08/20/2010 04:09:00 PM Eastern Daylight Time		08/26/2010 12:59:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-189 (PFFS)	04	09	3	1			H2944	189	0	2011	Idaho MLA		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2944	192	0	1	09	04	H2944_192_0	4	08/20/2010	2011.01	08/20/2010 03:34:12 PM Eastern Daylight Time	08/25/2010 04:51:29 PM Eastern Daylight Time			08/26/2010 11:12:58 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-192 (PFFS)	04	09	3	1			H2944	192	0	2011	Select Counties in Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	193	0	1	09	04	H2944_193_0	3	08/20/2010	2011.01	08/20/2010 03:01:55 PM Eastern Daylight Time	08/25/2010 04:53:19 PM Eastern Daylight Time			08/26/2010 10:38:53 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-193 (PFFS)	04	09	3	1			H2944	193	0	2011	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	194	0	1	09	04	H2944_194_0	4	08/20/2010	2011.01	08/20/2010 03:01:04 PM Eastern Daylight Time	08/25/2010 04:52:05 PM Eastern Daylight Time			08/26/2010 10:29:58 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-194 (PFFS)	04	09	3	1			H2944	194	0	2011	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	195	0	1	09	04	H2944_195_0	4	08/20/2010	2011.01	08/20/2010 03:01:21 PM Eastern Daylight Time	08/25/2010 04:52:43 PM Eastern Daylight Time			08/26/2010 10:29:58 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-195 (PFFS)	04	09	3	1			H2944	195	0	2011	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	197	0	1	09	04	H2944_197_0	7	07/26/2010	2011.01	07/26/2010 02:30:36 PM Eastern Daylight Time	08/12/2010 09:43:08 AM Eastern Daylight Time			08/13/2010 11:07:08 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-197 (PFFS)	04	09	3	1			H2944	197	0	2011	Select counties in AR, CO, KS, MO and OK		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2944	198	0	1	09	04	H2944_198_0	5	08/20/2010	2011.01	08/20/2010 01:47:48 PM Eastern Daylight Time	08/25/2010 01:48:54 PM Eastern Daylight Time			08/25/2010 03:42:52 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H2944-198 (PFFS)	04	09	3	1			H2944	198	0	2011	Select Counties in Illinois, Michigan, Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2949	009	0	1	01	01	H2949_009_0	4	06/06/2010	2011.01	06/06/2010 04:09:00 PM Eastern Daylight Time	07/28/2010 03:13:56 PM Eastern Daylight Time			08/09/2010 09:22:19 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2949-009 (HMO)	01	01		1			H2949	009	0	2011	Clark (Partial)  and Nye (Partial) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H2949	012	0	1	01	01	H2949_012_0	5	08/23/2010	2011.01	08/23/2010 12:27:01 PM Eastern Daylight Time	08/23/2010 11:57:41 AM Eastern Daylight Time	08/20/2010 04:09:00 PM Eastern Daylight Time		08/23/2010 01:50:08 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2949-012 (HMO)	01	01		1			H2949	012	0	2011	Clark (Partial) County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2949	013	0	1	01	01	H2949_013_0	4	08/23/2010	2011.01	08/23/2010 12:31:00 PM Eastern Daylight Time	08/23/2010 11:56:45 AM Eastern Daylight Time	08/20/2010 04:09:00 PM Eastern Daylight Time		08/23/2010 01:50:08 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-CVD/CHF/DM H2949-013 (HMO SNP)	01	01		1			H2949	013	0	2011	Clark (Partial) and Nye (Partial) counties		2		2				1	4		1		00000000000000000010	www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2949	014	0	1	01	01	H2949_014_0	4	08/23/2010	2011.01	08/23/2010 12:34:31 PM Eastern Daylight Time	08/23/2010 11:57:13 AM Eastern Daylight Time	08/20/2010 04:09:00 PM Eastern Daylight Time		08/23/2010 01:50:08 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-CL H2949-014 (HMO SNP)	01	01		1			H2949	014	0	2011	Clark (Partial) and Nye (Partial) counties		2		2				1	4		1		00000000000100000000	www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2949	015	0	1	02	01	H2949_015_0	6	08/20/2010	2011.01	08/20/2010 02:14:10 PM Eastern Daylight Time	08/20/2010 06:23:13 PM Eastern Daylight Time	08/20/2010 04:09:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H2949-015 (HMO-POS)	01	02		1			H2949	015	0	2011	Clark (Partial) and Nye (Partial) counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H2949	805	0	1	01	01	H2949_805_0	2	06/03/2010	2011.01	06/03/2010 05:42:47 PM Eastern Daylight Time	07/26/2010 01:20:32 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2949	805	0	2011	Select counties in Nevada		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H2949	807	0	1	01	01	H2949_807_0	2	06/03/2010	2011.01	06/03/2010 05:43:04 PM Eastern Daylight Time	07/26/2010 01:34:25 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H2949	807	0	2011	Select counties in Nevada		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H2949	808	0	1	01	01	H2949_808_0	2	06/03/2010	2011.01	06/03/2010 05:43:18 PM Eastern Daylight Time	07/26/2010 01:34:48 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H2949	808	0	2011	Select counties in Nevada		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H2960	004	0	1	01	01	H2960_004_0	12	09/01/2010	2011.01	09/01/2010 01:38:31 PM Pacific Daylight Time	08/31/2010 09:34:44 AM Pacific Daylight Time	08/25/2010 12:33:48 PM Pacific Daylight Time		09/01/2010 02:02:05 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Rx Enhanced Plan (HMO)	01	01		1			H2960	004	0	2011	Washoe County, NV		2	2501	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(800)-372-0758		(775)-982-5703		(800)-372-0758		(775)-982-3240		(888)-206-8041		(775)-982-3240		(800)-372-0758		(775)-982-3240		1
H2960	009	0	1	01	01	H2960_009_0	7	09/01/2010	2011.01	09/01/2010 01:35:40 PM Pacific Daylight Time	08/31/2010 09:34:59 AM Pacific Daylight Time			09/01/2010 02:02:05 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Basic Plan (HMO)	01	01		1			H2960	009	0	2011	Washoe County, NV		2	326	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158										(800)-372-0758		(775)-982-5703		(800)-372-0758		(775)-982-3240										1
H2960	010	0	1	01	01	H2960_010_0	12	09/01/2010	2011.01	09/01/2010 01:33:05 PM Pacific Daylight Time	08/31/2010 09:35:17 AM Pacific Daylight Time	08/25/2010 12:33:50 PM Pacific Daylight Time		09/01/2010 02:02:05 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Rx Premier Plan (HMO)	01	01		1			H2960	010	0	2011	Washoe County, NV		2	1065	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(800)-372-0758		(775)-982-5703		(800)-372-0758		(775)-982-3240		(888)-206-8041		(775)-982-3240		(800)-372-0758		(775)-982-3240		1
H2960	012	0	1	01	01	H2960_012_0	10	09/01/2010	2011.01	09/01/2010 01:31:39 PM Pacific Daylight Time	08/31/2010 09:35:34 AM Pacific Daylight Time	08/25/2010 12:33:51 PM Pacific Daylight Time		09/01/2010 02:02:05 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Rx Plan (HMO)	01	01		1			H2960	012	0	2011	Washoe County, NV		2	1576	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(800)-372-0758		(775)-982-5703		(800)-372-0758		(775)-982-3240		(888)-206-8041		(775)-982-3240		(800)-372-0758		(775)-982-3240		1
H2960	018	0	1	01	01	H2960_018_0	11	09/01/2010	2011.01	09/01/2010 01:32:20 PM Pacific Daylight Time	08/31/2010 09:35:48 AM Pacific Daylight Time	08/25/2010 12:33:53 PM Pacific Daylight Time		09/01/2010 02:02:05 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Rx Select (HMO)	01	01		1			H2960	018	0	2011	Washoe County, NV		2	417	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(800)-372-0758		(775)-982-5703		(800)-372-0758		(775)-982-3240		(888)-206-8041		(775)-982-3240		(800)-372-0758		(775)-982-3240		1
H2960	803	0	1	01	01	H2960_803_0	6	08/06/2010	2011.01	08/06/2010 05:10:29 PM Pacific Daylight Time	07/22/2010 02:28:05 PM Pacific Daylight Time			08/06/2010 05:11:14 PM Pacific Daylight Time	HOMETOWN HEALTH PLAN	Senior Care Plus	www.SeniorCarePlus.com	Senior Care Plus: Value Group Plan (HMO)	01	01		1			H2960	803	0	2011	State of Nevada		1	57	2				2						http://www.SeniorCarePlus.com	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	http://www.hometownhealth.com/scplus/scp_m_prescriptions.asp	(800)-336-0123		(775)-982-3112		(800)-336-0123		(775)-982-3158		(888)-341-8576		(775)-982-3112		(800)-336-0123		(775)-982-3158		(800)-372-0758		(775)-982-5703		(800)-372-0758		(775)-982-3240		(888)-206-8041		(775)-982-3240		(800)-372-0758		(775)-982-3240		1
H2992	001	0	1	20	08	H2992_001_0	1	05/25/2010	2011.01	05/25/2010 09:12:48 AM Eastern Daylight Time		05/24/2010 02:38:29 PM Eastern Daylight Time		05/25/2010 09:16:09 AM Eastern Daylight Time	SENIORLIFE WASHINGTON, INC.	Senior LIFE Washington / Uniontown / Green	www.seniorlifewashington.com	Senior Life Washington - Dual (PACE)	08	20		1			H2992	001	0	2011	Washington Greene Dual Eligible		2	60	2				2							None	None									(877)-998-5433		(724)-222-5433		(877)-998-5433		(724)-222-5433										(877)-998-5433		(724)-222-5433		(877)-998-5433		(724)-222-5433		1
H2992	002	0	1	20	08	H2992_002_0	1	05/25/2010	2011.01	05/25/2010 09:13:09 AM Eastern Daylight Time		05/24/2010 02:38:30 PM Eastern Daylight Time		05/25/2010 09:16:09 AM Eastern Daylight Time	SENIORLIFE WASHINGTON, INC.	Senior LIFE Washington / Uniontown / Green	www.seniorlifewashington.com	Senior Life Washington - Medicare Only (PACE)	08	20		1			H2992	002	0	2011	Washington Greene Medicare Only		2	1	2				2							None	None									(877)-998-5433		(724)-222-5433		(877)-998-5433		(724)-222-5433										(877)-998-5433		(724)-222-5433		(877)-998-5433		(724)-222-5433		1
H2992	003	0	1	20	08	H2992_003_0	1	05/25/2010	2011.01	05/25/2010 09:13:36 AM Eastern Daylight Time		05/24/2010 02:38:31 PM Eastern Daylight Time		05/25/2010 09:16:09 AM Eastern Daylight Time	SENIORLIFE WASHINGTON, INC.	Senior LIFE Washington / Uniontown / Green	www.seniorlifeuniontown.com	Senior LIFE Uniontown - Dual (PACE)	08	20		1			H2992	003	0	2011	Uniontown Greene Dual Eligible		2	75	2				2							None	None									(877)-998-5433		(724)-434-5433		(877)-998-5433		(724)-434-5433										(877)-998-5433		(724)-434-5433		(877)-998-5433		(724)-434-5433		1
H2992	004	0	1	20	08	H2992_004_0	1	05/25/2010	2011.01	05/25/2010 09:14:00 AM Eastern Daylight Time		05/24/2010 02:38:32 PM Eastern Daylight Time		05/25/2010 09:16:09 AM Eastern Daylight Time	SENIORLIFE WASHINGTON, INC.	Senior LIFE Washington / Uniontown / Green	www.seniorlifeuniontown.com	Senior Life Uniontown - Medicare Only (PACE)	08	20		1			H2992	004	0	2011	Uniontown Greene Medical Only		2	1	2				2							None	None									(877)-998-5433		(724)-434-5433		(877)-998-5433		(724)-434-5433										(877)-998-5433		(724)-434-5433		(877)-998-5433		(724)-434-5433		1
H2997	003	0	1	04	01	H2997_003_0	8	08/23/2010	2011.01	08/23/2010 04:26:00 PM Pacific Daylight Time	08/23/2010 03:59:36 PM Pacific Daylight Time	08/23/2010 04:06:49 PM Pacific Daylight Time		08/23/2010 04:28:51 PM Pacific Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred Core (PPO)	01	04		1			H2997	003	0	2011	Clark and Washoe Counties in Nevada		2	707	2				2							www.anthem.com	www.anthem.com	(866)-754-3077		(866)-754-3077		(800)-797-6403		(800)-797-6403		(866)-754-3077		(866)-754-3077		(800)-797-6403		(800)-797-6403		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H2997	803	0	1	04	01	H2997_803_0	7	08/20/2010	2011.01	08/20/2010 02:42:34 PM Eastern Daylight Time	07/22/2010 07:54:08 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H2997	803	0	2011	Nevada		1	13215	2				2							www.anthem.com	www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H2997	804	0	1	04	01	H2997_804_0	7	08/20/2010	2011.01	08/20/2010 02:42:25 PM Eastern Daylight Time	07/22/2010 07:55:07 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H2997	804	0	2011	Nevada		1	8200	2				2							www.anthem.com	www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1
H2997	805	0	1	04	01	H2997_805_0	7	08/20/2010	2011.01	08/20/2010 02:42:10 PM Eastern Daylight Time	07/22/2010 07:56:16 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H2997	805	0	2011	Nevada		1	50	2				2							www.anthem.com	www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H2997	806	0	1	04	01	H2997_806_0	7	08/20/2010	2011.01	08/20/2010 02:42:00 PM Eastern Daylight Time	07/22/2010 07:57:11 PM Eastern Daylight Time			08/20/2010 04:27:46 PM Eastern Daylight Time	ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H2997	806	0	2011	Nevada		1	50	2				2							www.anthem.com	www.anthem.com	(866)-754-3077		(866)-754-3077		(877)-831-3000		(877)-831-3000										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1
H3028	001	0	1	01	01	H3028_001_0	4	08/20/2010	2011.01	08/20/2010 01:36:42 PM Eastern Daylight Time	08/19/2010 10:19:56 PM Eastern Daylight Time	08/20/2010 04:09:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H3028-001 (HMO)	01	01		1			H3028	001	0	2011	Albuquerque Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3028	801	0	1	01	01	H3028_801_0	2	06/03/2010	2011.01	06/03/2010 05:43:32 PM Eastern Daylight Time	07/26/2010 01:24:15 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H3028	801	0	2011	Select counties in New Mexico		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H3028	803	0	1	01	01	H3028_803_0	2	06/03/2010	2011.01	06/03/2010 05:43:49 PM Eastern Daylight Time	07/26/2010 01:35:12 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H3028	803	0	2011	Select counties in New Mexico		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H3028	804	0	1	01	01	H3028_804_0	2	06/03/2010	2011.01	06/03/2010 05:44:03 PM Eastern Daylight Time	07/26/2010 01:35:35 PM Eastern Daylight Time			07/26/2010 04:41:05 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H3028	804	0	2011	Select counties in New Mexico		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H3044	001	0	1	01	01	H3044_001_0	9	08/23/2010	2011.01	08/23/2010 10:36:27 AM Central Daylight Time	08/23/2010 08:05:54 AM Central Daylight Time	08/23/2010 08:04:20 AM Central Daylight Time		08/23/2010 10:59:09 AM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	WHP Silver Rx (HMO)	01	01		1			H3044	001	0	2011	Eight Southwestern Indiana Counties		2	700	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	www.caremark.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(888)-816-7981		(888)-816-7981		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-236-1069		(866)-236-1069		(800)-743-3333		(800)-743-3333		1
H3044	002	0	1	01	01	H3044_002_0	7	08/05/2010	2011.01	08/05/2010 11:29:31 AM Central Daylight Time	06/07/2010 02:42:11 PM Central Daylight Time			08/05/2010 11:34:55 AM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	WHP Silver (HMO)	01	01		1			H3044	002	0	2011	Eight Southwestern Indiana Counties		2	340	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	www.caremark.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H3044	003	0	1	01	01	H3044_003_0	11	08/27/2010	2011.01	08/27/2010 08:03:12 AM Central Daylight Time	08/25/2010 03:31:24 PM Central Daylight Time	08/23/2010 08:04:20 AM Central Daylight Time		08/27/2010 08:14:52 AM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	WHP Platinum Rx (HMO)	01	01		1			H3044	003	0	2011	Eight Southwestern Indiana Counties		2	1800	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	www.caremark.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(888)-816-7981		(888)-816-7981		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-236-1069		(866)-236-1069		(800)-743-3333		(800)-743-3333		1
H3044	004	0	1	02	01	H3044_004_0	11	08/19/2010	2011.01	08/19/2010 12:30:45 PM Central Daylight Time	08/23/2010 08:05:54 AM Central Daylight Time	08/23/2010 08:04:20 AM Central Daylight Time		08/23/2010 10:36:43 AM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Platinum Select Rx (HMO-POS)	01	02		1			H3044	004	0	2011	Eight Southwestern Indiana Counties		2	350	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	www.caremark.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(888)-816-7981		(888)-816-7981		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-236-1069		(866)-236-1069		(800)-743-3333		(800)-743-3333		1
H3044	801	0	1	02	01	H3044_801_0	6	07/20/2010	2011.01	07/20/2010 05:41:33 PM Central Daylight Time	06/07/2010 02:42:19 PM Central Daylight Time			07/21/2010 04:41:55 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Access (HMO-POS)	01	02		1			H3044	801	0	2011	All contiguous United States		1	100	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	www.caremark.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H3044	802	0	1	02	01	H3044_802_0	4	07/20/2010	2011.01	07/20/2010 05:41:49 PM Central Daylight Time	06/07/2010 02:42:31 PM Central Daylight Time			07/21/2010 04:44:32 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Access Rx (HMO-POS)	01	02		1			H3044	802	0	2011	All contiguous United States		1	500	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	www.caremark.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(888)-816-7981		(888)-816-7981		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-236-1069		(866)-236-1069		(800)-743-3333		(800)-743-3333		1
H3044	803	0	1	02	01	H3044_803_0	4	07/20/2010	2011.01	07/20/2010 05:41:49 PM Central Daylight Time	06/07/2010 02:42:48 PM Central Daylight Time			07/21/2010 04:46:42 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Select (HMO-POS)	01	02		1			H3044	803	0	2011	All contiguous United States		1	100	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	www.caremark.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H3044	804	0	1	02	01	H3044_804_0	4	07/20/2010	2011.01	07/20/2010 05:41:49 PM Central Daylight Time	06/07/2010 02:42:57 PM Central Daylight Time			07/21/2010 04:49:12 PM Central Daylight Time	NHP OF INDIANA, LLC	Welborn Health Plans	www.welbornhealthplans.com	Select Rx (HMO-POS)	01	02		1			H3044	804	0	2011	All contiguous United States		1	500	2				2						www.welbornhealthplans.com	www.welbornhealthplans.com	www.caremark.com	(800)-521-0265		(812)-426-6600		(800)-521-0265		(812)-426-6600		(888)-816-7981		(888)-816-7981		(800)-521-0265		(812)-426-6600		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-236-1069		(866)-236-1069		(800)-743-3333		(800)-743-3333		1
H3107	004	0	1	02	01	H3107_004_0	6	06/01/2010	2011.01	06/01/2010 10:18:45 AM Central Daylight Time	08/19/2010 06:36:36 PM Central Daylight Time	08/18/2010 04:29:40 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3107	004	0	2011	Northern and Central New Jersey		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3107	008	0	1	02	01	H3107_008_0	1	06/01/2010	2011.01	06/01/2010 09:16:14 AM Central Daylight Time	06/01/2010 06:42:55 PM Central Daylight Time			06/04/2010 10:08:38 AM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H3107	008	0	2011	Northern and Central New Jersey		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H3107	801	0	1	01	01	H3107_801_0	1	05/25/2010	2011.01	05/25/2010 08:37:49 AM Central Daylight Time	06/01/2010 06:42:36 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3107	801	0	2011	State of New Jersey Counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3107	803	0	1	01	01	H3107_803_0	1	05/25/2010	2011.01	05/25/2010 08:37:56 AM Central Daylight Time	06/01/2010 06:42:20 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3107	803	0	2011	State of New Jersey Counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3107	804	0	1	01	01	H3107_804_0	1	05/25/2010	2011.01	05/25/2010 08:38:01 AM Central Daylight Time	06/01/2010 06:42:05 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3107	804	0	2011	Morris NJ		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3113	001	0	1	01	01	H3113_001_0	5	06/01/2010	2011.01	06/01/2010 12:08:36 PM Central Daylight Time	08/19/2010 06:38:52 PM Central Daylight Time	08/18/2010 04:29:45 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO SNP)	01	01		1			H3113	001	0	2011	Bergen,Essex,Hudson,Passaic,Union,Morris,Somerset		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3113	004	0	1	01	01	H3113_004_0	5	06/03/2010	2011.01	06/03/2010 09:23:25 AM Central Daylight Time	08/19/2010 06:39:28 PM Central Daylight Time	08/18/2010 04:29:51 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	OXFORD HEALTH PLANS (NJ), INC.	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO SNP)	01	01		1			H3113	004	0	2011	Bergen,Essex,Hudson,Passaic,Union,Morris,Somerset		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3132	001	0	1	01	01	H3132_001_0	5	08/21/2010	2011.01	08/21/2010 12:53:21 PM Pacific Daylight Time	08/20/2010 08:23:01 PM Pacific Daylight Time	08/20/2010 08:23:03 PM Pacific Daylight Time		08/21/2010 01:00:56 PM Pacific Daylight Time	AHF MCO OF FLORIDA, INC.	Positive Healthcare Partners	www.positivehealthcare.org	POSITIVE HEALTHCARE PARTNERS (HMO SNP)	01	01		1			H3132	001	0	2011	POSITIVE HEALTHCARE PARTNERS BROWARD AND DADE		2		2				1	4		1		00000000001000000000	http://www.positivehealthcare.org/florida/phcpartners/downloadabledocuments.html	https://www.catalystrx.com/www/MedicareD/index.jsp?src=ahf	http://www.positivehealthcare.org/california/pages-img/pharmacy.html	(888)-456-4715		(888)-456-4715		(888)-456-4715		(888)-456-4715		(888)-456-4715		(888)-456-4715		(888)-456-4715		(888)-456-4715		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3152	022	0	1	01	01	H3152_022_0	3	08/09/2010	2011.01	08/09/2010 12:42:45 PM Central Daylight Time	08/20/2010 09:44:50 AM Central Daylight Time	08/19/2010 01:00:07 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3152	022	0	2011	Southern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3152	041	0	1	01	01	H3152_041_0	2	08/02/2010	2011.01	08/02/2010 08:35:10 AM Central Daylight Time	07/30/2010 03:48:23 PM Central Daylight Time			08/05/2010 04:46:52 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3152	041	0	2011	Southern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3152	045	0	1	01	01	H3152_045_0	2	08/02/2010	2011.01	08/02/2010 08:36:55 AM Central Daylight Time	08/02/2010 09:03:18 AM Central Daylight Time			08/05/2010 04:46:52 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3152	045	0	2011	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3152	046	0	1	01	01	H3152_046_0	3	08/20/2010	2011.01	08/20/2010 03:35:38 PM Central Daylight Time	08/20/2010 09:42:29 AM Central Daylight Time	08/19/2010 01:00:11 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3152	046	0	2011	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3152	048	0	1	01	01	H3152_048_0	3	08/02/2010	2011.01	08/02/2010 08:51:00 AM Central Daylight Time	08/20/2010 09:43:40 AM Central Daylight Time	08/19/2010 01:00:15 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3152	048	0	2011	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3152	077	0	1	01	01	H3152_077_0	3	08/02/2010	2011.01	08/02/2010 08:52:56 AM Central Daylight Time	08/20/2010 09:45:59 AM Central Daylight Time	08/19/2010 01:00:19 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3152	077	0	2011	Mercer County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3152	801	0	1	01	01	H3152_801_0	3	06/23/2010	2011.01	06/23/2010 12:29:49 PM Central Daylight Time	07/16/2010 10:35:52 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3152	801	0	2011	New Jersey		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3152	804	0	1	01	01	H3152_804_0	2	05/11/2010	2011.01	05/11/2010 09:50:43 AM Eastern Daylight Time	07/16/2010 10:38:05 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH, INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3152	804	0	2011	New Jersey		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3154	004	0	1	01	01	H3154_004_0	6	08/19/2010	2011.01	08/19/2010 02:56:47 PM Eastern Daylight Time	08/20/2010 09:59:16 AM Eastern Daylight Time	08/20/2010 09:58:12 AM Eastern Daylight Time		08/20/2010 12:05:41 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Value w/ Rx Std (HMO)	01	01		1			H3154	004	0	2011	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
H3154	005	0	1	02	01	H3154_005_0	3	06/07/2010	2011.01	06/07/2010 02:28:42 PM Eastern Daylight Time	07/27/2010 09:30:38 AM Eastern Daylight Time			07/27/2010 09:49:49 AM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access (HMO-POS)	01	02		1			H3154	005	0	2011	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234										(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899										1
H3154	006	0	1	02	01	H3154_006_0	6	07/29/2010	2011.01	07/29/2010 08:35:18 AM Eastern Daylight Time	08/20/2010 10:22:55 AM Eastern Daylight Time	08/20/2010 10:20:31 AM Eastern Daylight Time		08/20/2010 12:05:41 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access w/Rx Enhanced (HMO-POS)	01	02		1			H3154	006	0	2011	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
H3154	012	0	1	02	01	H3154_012_0	6	08/18/2010	2011.01	08/18/2010 03:46:16 PM Eastern Daylight Time	08/20/2010 10:24:45 AM Eastern Daylight Time	08/20/2010 10:24:08 AM Eastern Daylight Time		08/20/2010 12:05:41 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access w/ Rx Std (HMO-POS)	01	02		1			H3154	012	0	2011	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
H3154	013	0	1	01	01	H3154_013_0	3	06/07/2010	2011.01	06/07/2010 02:32:04 PM Eastern Daylight Time	07/27/2010 09:36:37 AM Eastern Daylight Time			07/27/2010 09:49:49 AM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Value (HMO)	01	01		1			H3154	013	0	2011	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234										(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899										1
H3154	016	0	1	01	01	H3154_016_0	6	07/29/2010	2011.01	07/29/2010 08:39:20 AM Eastern Daylight Time	08/20/2010 10:27:16 AM Eastern Daylight Time	08/20/2010 10:26:50 AM Eastern Daylight Time		08/20/2010 12:05:41 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Value w/ Rx Enhanced (HMO)	01	01		1			H3154	016	0	2011	New Jersey		2		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
H3154	801	0	1	02	01	H3154_801_0	3	06/07/2010	2011.01	06/07/2010 02:33:07 PM Eastern Daylight Time	07/27/2010 09:40:45 AM Eastern Daylight Time			07/27/2010 01:00:44 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access Group (HMO-POS)	01	02		1			H3154	801	0	2011	New Jersey		1		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234										(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899										1
H3154	802	0	1	02	01	H3154_802_0	3	06/07/2010	2011.01	06/07/2010 02:33:48 PM Eastern Daylight Time	07/27/2010 09:41:33 AM Eastern Daylight Time			07/27/2010 01:00:44 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access Grp w/ Rx (HMO-POS)	01	02		1			H3154	802	0	2011	New Jersey		1		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
H3154	805	0	1	02	01	H3154_805_0	4	06/07/2010	2011.01	06/07/2010 02:37:59 PM Eastern Daylight Time	07/27/2010 09:43:22 AM Eastern Daylight Time			07/27/2010 01:00:44 PM Eastern Daylight Time	HORIZON HEALTHCARE OF NEW JERSEY, INC.	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Access Grp w/ Rx (HMO-POS)	01	02		1			H3154	805	0	2011	New Jersey		1		2				2						www.horizonblue.com	http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/	(800)-365-2223		(800)-365-2223		(800)-224-1234		(800)-224-1234		(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234		(800)-855-2881		(800)-855-2881		(800)-852-7899		(800)-852-7899		(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
H3156	027	0	1	01	01	H3156_027_0	4	06/04/2010	2011.01	06/04/2010 11:34:09 AM Eastern Daylight Time	07/30/2010 11:50:03 AM Eastern Daylight Time			07/30/2010 03:54:25 PM Eastern Daylight Time	AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealthmedicare.com	AmeriHealth 65 NJ Medical Only (HMO)	01	01		1			H3156	027	0	2011	Salem, Burlington, Camden, Cumberland, Gloucester		2	52	2				2							http://www.amerihealth.com/amerihealth65/2008/nj/drug_formulary/index.html	http://www.amerihealth.com/amerihealth65/2007/nj/rx_network.html	(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3156	028	0	1	01	01	H3156_028_0	4	06/04/2010	2011.01	06/04/2010 11:31:07 AM Eastern Daylight Time	08/19/2010 09:39:24 AM Eastern Daylight Time	08/18/2010 04:48:24 PM Eastern Daylight Time		08/19/2010 01:46:59 PM Eastern Daylight Time	AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealthmedicare.com	AmeriHealth 65 NJ Rx (HMO)	01	01		1			H3156	028	0	2011	Salem, Burlington, Camden, Cumberland, Gloucester		2	588	2				2							http://www.amerihealth.com/amerihealth65/2008/nj/drug_formulary/index.html	http://www.amerihealth.com/amerihealth65/2007/nj/rx_network.html	(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492		(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3156	801	0	1	01	01	H3156_801_0	3	07/28/2010	2011.01	07/28/2010 08:44:10 AM Eastern Daylight Time	07/30/2010 11:54:50 AM Eastern Daylight Time			07/30/2010 03:54:25 PM Eastern Daylight Time	AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealthmedicare.com	AmeriHealth 65 NJ Group Medical Only (HMO)	01	01		1			H3156	801	0	2011	State of New Jersey		1		2				2							http://www.amerihealth.com/amerihealth65/2008/nj/drug_formulary/index.html	http://www.amerihealth.com/amerihealth65/2007/nj/rx_network.html	(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3156	803	0	1	01	01	H3156_803_0	3	07/28/2010	2011.01	07/28/2010 08:44:31 AM Eastern Daylight Time	07/30/2010 11:55:59 AM Eastern Daylight Time			07/30/2010 03:54:25 PM Eastern Daylight Time	AMERIHEALTH HMO_INC	AmeriHealth 65	www.amerihealthmedicare.com	AmeriHealth 65 NJ Group Rx (HMO)	01	01		1			H3156	803	0	2011	State of New Jersey		1		2				2							http://www.amerihealth.com/amerihealth65/2008/nj/drug_formulary/index.html	http://www.amerihealth.com/amerihealth65/2007/nj/rx_network.html	(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492		(800)-645-3965		(800)-645-3965		(800)-898-3492		(800)-898-3492		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3164	003	0	1	01	01	H3164_003_0	5	08/20/2010	2011.01	08/20/2010 03:38:43 PM Central Daylight Time	08/20/2010 09:33:48 AM Central Daylight Time	08/18/2010 04:29:56 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	AMERICHOICE OF NEW JERSEY, INC	AmeriChoice Personal Care Plus	www.AmeriChoice.com	UnitedHealthcare Dual Complete (HMO SNP)	01	01		1			H3164	003	0	2011	Northern, Central, and Southern New Jersey		2		2		2		1	3		1	2		www.AmeriChoice.com	www.americhoice.com	www.prescriptionsolutions.com	(800)-514-4911		(800)-514-4911		(888)-565-8170		(888)-565-8170		(800)-514-4911		(800)-514-4911		(866)-291-9724		(866)-291-9724		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3204	001	0	1	01	01	H3204_001_0	5	08/23/2010	2011.01	08/23/2010 02:55:14 PM Mountain Daylight Time	08/21/2010 11:14:52 AM Mountain Daylight Time	08/21/2010 11:15:07 AM Mountain Daylight Time		08/23/2010 03:46:16 PM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care (HMO)	www.phs.org	Presbyterian Senior Care Plan 2 with Rx (HMO)	01	01		1			H3204	001	0	2011	Greater Albuquerque Area		2	12672	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1
H3204	007	0	1	01	01	H3204_007_0	4	08/23/2010	2011.01	08/23/2010 02:55:25 PM Mountain Daylight Time	08/21/2010 11:14:42 AM Mountain Daylight Time	08/21/2010 11:15:52 AM Mountain Daylight Time		08/23/2010 03:46:16 PM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care (HMO)	www.phs.org	Presbyterian Senior Care Plan 3 with Rx (HMO)	01	01		1			H3204	007	0	2011	Greater Albuquerque Area		2	5441	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1
H3204	008	0	1	01	01	H3204_008_0	2	07/13/2010	2011.01	07/13/2010 02:15:18 PM Mountain Daylight Time	06/05/2010 01:33:50 PM Mountain Daylight Time			07/13/2010 02:39:10 PM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care (HMO)	www.phs.org	Presbyterian Senior Care Plan 1 (HMO)	01	01		1			H3204	008	0	2011	Greater Albuquerque Area		2	1677	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458										(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429										1
H3204	801	0	1	01	01	H3204_801_0	5	07/30/2010	2011.01	07/30/2010 07:41:00 AM Mountain Daylight Time	06/05/2010 01:34:03 PM Mountain Daylight Time			07/30/2010 09:33:30 AM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care (HMO)	www.phs.org	Pres Senior Care Emp Group Plan 2 with Rx (HMO)	01	01		1			H3204	801	0	2011	Greater Albuquerque Area		1	2169	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1
H3204	802	0	1	01	01	H3204_802_0	5	07/30/2010	2011.01	07/30/2010 07:41:21 AM Mountain Daylight Time	06/05/2010 01:34:04 PM Mountain Daylight Time			07/30/2010 09:33:30 AM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care (HMO)	www.phs.org	Pres Senior Care Emp Group Plan 1 (HMO)	01	01		1			H3204	802	0	2011	Greater Albuquerque Area		1	0	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458										(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429										1
H3204	803	0	1	01	01	H3204_803_0	5	07/30/2010	2011.01	07/30/2010 07:41:45 AM Mountain Daylight Time	06/05/2010 01:34:23 PM Mountain Daylight Time			07/30/2010 09:33:30 AM Mountain Daylight Time	PRESBYTERIAN HEALTH PLAN	Presbyterian Senior Care (HMO)	www.phs.org	Pres Senior Care Emp Group Plan 2 w/ Rx NC (HMO)	01	01		1			H3204	803	0	2011	Greater Albuquerque Area		1	0	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1
H3206	001	0	1	04	01	H3206_001_0	5	08/23/2010	2011.01	08/23/2010 02:55:32 PM Mountain Daylight Time	08/21/2010 11:15:21 AM Mountain Daylight Time	08/21/2010 11:14:59 AM Mountain Daylight Time		08/23/2010 03:46:16 PM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Presbyterian MediCare PPO Plan 2 with Rx (PPO)	01	04		1			H3206	001	0	2011	New Mexico		2	2480	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1
H3206	002	0	1	04	01	H3206_002_0	4	08/23/2010	2011.01	08/23/2010 02:55:37 PM Mountain Daylight Time	08/21/2010 11:15:41 AM Mountain Daylight Time	08/21/2010 11:15:29 AM Mountain Daylight Time		08/23/2010 03:46:16 PM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Presbyterian MediCare PPO Plan 3 with Rx (PPO)	01	04		1			H3206	002	0	2011	New Mexico		2	1092	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1
H3206	003	0	1	04	01	H3206_003_0	2	07/13/2010	2011.01	07/13/2010 02:14:51 PM Mountain Daylight Time	06/05/2010 01:34:37 PM Mountain Daylight Time			07/13/2010 02:39:10 PM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Presbyterian MediCare PPO Plan 1 (PPO)	01	04		1			H3206	003	0	2011	New Mexico		2	429	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458										(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429										1
H3206	801	0	1	04	01	H3206_801_0	4	07/30/2010	2011.01	07/30/2010 07:42:03 AM Mountain Daylight Time	06/05/2010 01:34:50 PM Mountain Daylight Time			07/30/2010 09:33:30 AM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Pres MediCare PPO Emp Group Plan 2 with Rx (PPO)	01	04		1			H3206	801	0	2011	New Mexico		1	1341	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1
H3206	802	0	1	04	01	H3206_802_0	4	07/30/2010	2011.01	07/30/2010 07:42:18 AM Mountain Daylight Time	06/05/2010 01:34:56 PM Mountain Daylight Time			07/30/2010 09:33:30 AM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Pres Medicare PPO Employer Group Plan 1 (PPO)	01	04		1			H3206	802	0	2011	New Mexico		1	0	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458										(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429										1
H3206	803	0	1	04	01	H3206_803_0	4	07/30/2010	2011.01	07/30/2010 07:42:32 AM Mountain Daylight Time	06/05/2010 01:34:58 PM Mountain Daylight Time			07/30/2010 09:33:30 AM Mountain Daylight Time	PRESBYTERIAN INSURANCE COMPANY, INC.	Presbyterian MediCare PPO	www.phs.org	Pres MediCare PPO Empl Group Plan 2 +Rx NC (PPO)	01	04		1			H3206	803	0	2011	New Mexico		1	0	2				2							http://www.phs.org/idc/groups/public/@phs/@marketing/documents/phscontent/pel_00060161.pdf	http://www.phs.org/PHS/programs/pharmacy/index.htm	(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(800)-797-5343		(505)-923-6060		(800)-347-4766		(505)-923-8458		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		(888)-625-8818		(888)-625-8818		(888)-625-6429		(888)-625-6429		1
H3209	001	0	1	04	01	H3209_001_0	4	08/20/2010	2011.01	08/20/2010 04:34:51 PM Central Daylight Time	08/20/2010 01:44:57 PM Central Daylight Time	08/18/2010 04:30:01 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H3209	001	0	2011	Bernalillo County		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3209	002	0	1	04	01	H3209_002_0	4	06/02/2010	2011.01	06/02/2010 03:01:00 PM Central Daylight Time	08/19/2010 10:54:59 PM Central Daylight Time	08/18/2010 04:30:07 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H3209	002	0	2011	Bernalillo, Sandoval, Santa Fe,  Valencia Counties		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3240	010	0	1	01	01	H3240_010_0	6	08/21/2010	2011.01	08/21/2010 08:01:57 AM Eastern Daylight Time	08/20/2010 06:15:12 PM Eastern Daylight Time	08/20/2010 05:36:35 PM Eastern Daylight Time		08/23/2010 08:58:09 AM Eastern Daylight Time	AMERIGROUP NEW JERSEY, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Balance + Rx (HMO)	01	01		1			H3240	010	0	2011	Eastern / Central New Jersey		2	1674	2				2						http://www.myamerigroup.com/medicare	http://www.amerigroupcorp.com/Members/amerivantage/_documents	http://www.amerigroupcorp.com/Members/amerivantage	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H3240	013	0	1	01	01	H3240_013_0	4	08/20/2010	2011.01	08/20/2010 10:52:50 AM Eastern Daylight Time	08/22/2010 01:36:52 PM Eastern Daylight Time	08/20/2010 05:36:20 PM Eastern Daylight Time		08/23/2010 08:58:09 AM Eastern Daylight Time	AMERIGROUP NEW JERSEY, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Specialty + Rx (HMO SNP)	01	01		1			H3240	013	0	2011	Eastern / Central New Jersey		2	838	2		2		1	3		1	1		http://www.myamerigroup.com/medicare	http://www.amerigroupcorp.com/Members/amerivantage/_documents	http://www.amerigroupcorp.com/Members/amerivantage	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H3251	002	0	1	01	01	H3251_002_0	5	08/20/2010	2011.01	08/20/2010 01:53:03 PM Mountain Daylight Time	08/20/2010 10:49:00 AM Mountain Daylight Time	08/18/2010 06:39:00 PM Mountain Daylight Time		08/20/2010 02:08:48 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Senior Plan -- Standard Plan (HMO)	01	01		1			H3251	002	0	2011	Greater Albuquerque / Santa Fe Area		2	16868	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3251	021	0	1	02	01	H3251_021_0	5	08/20/2010	2011.01	08/20/2010 01:54:27 PM Mountain Daylight Time	08/20/2010 10:51:00 AM Mountain Daylight Time	08/18/2010 06:40:00 PM Mountain Daylight Time		08/20/2010 02:19:30 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Senior Plan -- Enhanced Plan (HMO-POS)	01	02		1			H3251	021	0	2011	Greater Albuquerque / Santa Fe Area		2	4840	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3251	023	0	1	01	01	H3251_023_0	4	08/06/2010	2011.01	08/06/2010 09:43:20 AM Mountain Daylight Time	06/05/2010 02:29:20 PM Mountain Daylight Time			08/10/2010 02:19:02 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Senior Plan - Medical Only (HMO)	01	01		1			H3251	023	0	2011	Greater Albuquerque / Santa Fe Area		2	270	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580										(711)		(711)		(711)		(711)										1
H3251	024	0	1	01	01	H3251_024_0	5	08/20/2010	2011.01	08/20/2010 01:53:24 PM Mountain Daylight Time	08/20/2010 10:52:00 AM Mountain Daylight Time	08/18/2010 06:40:00 PM Mountain Daylight Time		08/20/2010 02:25:15 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	San Juan County Plan (HMO)	01	01		1			H3251	024	0	2011	San Juan County Area		2	1500	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3251	025	0	1	02	01	H3251_025_0	6	08/20/2010	2011.01	08/20/2010 01:54:59 PM Mountain Daylight Time	08/20/2010 10:54:00 AM Mountain Daylight Time	08/18/2010 06:41:00 PM Mountain Daylight Time		08/20/2010 02:31:54 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	San Juan County Plan (HMO-POS)	01	02		1			H3251	025	0	2011	San Juan County Area		2	1500	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3251	804	0	1	01	01	H3251_804_0	7	09/01/2010	2011.01	09/01/2010 10:07:51 AM Mountain Daylight Time	07/29/2010 01:11:10 PM Mountain Daylight Time			09/01/2010 03:34:54 PM Mountain Daylight Time	LOVELACE HEALTH SYSTEM, INC.	Lovelace Senior Plan	www.lovelaceseniorplan.com	Lovelace Employer Group Senior Plan (HMO)	01	01		1			H3251	804	0	2011	New Mexico Statewide		1	6098	2				2						www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	www.lovelaceseniorplan.com	(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(800)-808-7363		(505)-727-5400		(800)-262-3757		(505)-727-5580		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3305	007	0	1	01	01	H3305_007_0	7	08/09/2010	2011.01	08/09/2010 05:14:15 PM Eastern Daylight Time	07/29/2010 12:37:04 PM Eastern Daylight Time			08/09/2010 05:21:13 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold (HMO)	01	01		1			H3305	007	0	2011	Rochester Area		2	12028	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1
H3305	011	0	1	01	01	H3305_011_0	10	08/09/2010	2011.01	08/09/2010 05:14:28 PM Eastern Daylight Time	08/21/2010 08:39:34 AM Eastern Daylight Time	08/21/2010 08:28:10 AM Eastern Daylight Time		08/21/2010 09:01:32 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold Rx (HMO)	01	01		1			H3305	011	0	2011	Rochester Area		2	19302	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3305	015	0	1	01	01	H3305_015_0	7	08/09/2010	2011.01	08/09/2010 05:14:42 PM Eastern Daylight Time	08/21/2010 08:38:58 AM Eastern Daylight Time	08/21/2010 08:28:10 AM Eastern Daylight Time		08/21/2010 09:01:32 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldValue Rx (HMO)	01	01		1			H3305	015	0	2011	Rochester Area		2	5229	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3305	016	0	1	01	01	H3305_016_0	5	08/09/2010	2011.01	08/09/2010 05:14:53 PM Eastern Daylight Time	07/29/2010 01:00:40 PM Eastern Daylight Time			08/09/2010 05:21:13 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold (HMO)	01	01		1			H3305	016	0	2011	Buffalo Area		2	180	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1
H3305	017	0	1	01	01	H3305_017_0	7	08/09/2010	2011.01	08/09/2010 05:15:06 PM Eastern Daylight Time	08/21/2010 08:39:14 AM Eastern Daylight Time	08/21/2010 08:28:10 AM Eastern Daylight Time		08/21/2010 09:10:00 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold Rx (HMO)	01	01		1			H3305	017	0	2011	Buffalo Area		2	620	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3305	018	0	1	01	01	H3305_018_0	6	08/09/2010	2011.01	08/09/2010 05:15:14 PM Eastern Daylight Time	08/21/2010 08:38:24 AM Eastern Daylight Time	08/21/2010 08:28:10 AM Eastern Daylight Time		08/21/2010 09:10:00 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldValue Rx (HMO)	01	01		1			H3305	018	0	2011	Buffalo Area		2	200	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3305	801	0	1	01	01	H3305_801_0	4	07/28/2010	2011.01	07/28/2010 12:58:47 PM Eastern Daylight Time	07/29/2010 01:01:53 PM Eastern Daylight Time			07/30/2010 02:04:19 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	Preferred Gold - Employer Group (HMO)	01	01		1			H3305	801	0	2011	Rochester and Western New York		1	2667	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1
H3305	803	0	1	01	01	H3305_803_0	6	07/28/2010	2011.01	07/28/2010 08:46:22 AM Eastern Daylight Time	07/29/2010 01:02:10 PM Eastern Daylight Time			07/30/2010 02:04:19 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	Preferred Gold Rx - Employer Group (HMO)	01	01		1			H3305	803	0	2011	Rochester and Western New York		1	7811	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3307	002	0	1	01	01	H3307_002_0	5	06/01/2010	2011.01	06/01/2010 10:18:59 AM Central Daylight Time	08/19/2010 06:41:58 PM Central Daylight Time	08/18/2010 04:30:12 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H3307	002	0	2011	New York City		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3307	012	0	1	01	01	H3307_012_0	5	06/01/2010	2011.01	06/01/2010 10:19:06 AM Central Daylight Time	08/19/2010 06:42:28 PM Central Daylight Time	08/18/2010 04:30:17 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H3307	012	0	2011	Rockland, Orange and Westchester		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3307	015	0	1	01	01	H3307_015_0	5	06/02/2010	2011.01	06/02/2010 11:02:09 AM Central Daylight Time	08/19/2010 06:43:06 PM Central Daylight Time	08/18/2010 04:30:21 PM Central Daylight Time		08/20/2010 01:12:48 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Mosaic (HMO)	01	01		1			H3307	015	0	2011	New York City		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3307	018	0	1	01	01	H3307_018_0	1	06/01/2010	2011.01	06/01/2010 09:18:28 AM Central Daylight Time	06/01/2010 07:43:05 PM Central Daylight Time			06/04/2010 08:57:05 AM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H3307	018	0	2011	NYC and Rockland, Orange, and Westchester Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-234-1228		(800)-234-1228		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H3307	020	0	1	01	01	H3307_020_0	4	06/01/2010	2011.01	06/01/2010 07:13:09 PM Central Daylight Time	08/19/2010 06:44:20 PM Central Daylight Time	08/18/2010 04:30:25 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H3307	020	0	2011	Bronx,Kings,New York,Queens and Richmond Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-234-1228		(800)-234-1228		(888)-834-3721		(888)-834-3721		(800)-234-1228		(800)-234-1228		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3307	802	0	1	01	01	H3307_802_0	1	05/25/2010	2011.01	05/25/2010 08:38:04 AM Central Daylight Time	06/01/2010 07:42:34 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3307	802	0	2011	New York Metropolitan Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3307	804	0	1	01	01	H3307_804_0	1	05/25/2010	2011.01	05/25/2010 08:38:12 AM Central Daylight Time	06/01/2010 07:42:19 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3307	804	0	2011	New York Metropolitan Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3307	805	0	1	01	01	H3307_805_0	1	05/25/2010	2011.01	05/25/2010 08:38:16 AM Central Daylight Time	06/01/2010 07:42:03 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	OXFORD HEALTH PLANS (NY), INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3307	805	0	2011	State of New York		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3312	002	0	1	01	01	H3312_002_0	3	08/20/2010	2011.01	08/20/2010 03:36:16 PM Central Daylight Time	08/20/2010 07:25:12 AM Central Daylight Time	08/19/2010 01:00:23 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	002	0	2011	Bronx and Kings Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3312	018	0	1	01	01	H3312_018_0	3	08/02/2010	2011.01	08/02/2010 09:16:13 AM Central Daylight Time	08/20/2010 07:27:28 AM Central Daylight Time	08/19/2010 01:00:27 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	018	0	2011	Rockland and Westchester Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3312	025	0	1	01	01	H3312_025_0	3	08/03/2010	2011.01	08/03/2010 02:36:36 PM Central Daylight Time	08/20/2010 07:29:29 AM Central Daylight Time	08/19/2010 01:00:31 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3312	025	0	2011	New York,  Queens and Richmond Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3312	040	0	1	01	01	H3312_040_0	2	08/02/2010	2011.01	08/02/2010 09:36:16 AM Central Daylight Time	07/30/2010 01:37:14 PM Central Daylight Time			08/05/2010 02:03:07 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3312	040	0	2011	Rockland and Westchester Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3312	043	0	1	01	01	H3312_043_0	3	08/02/2010	2011.01	08/02/2010 09:37:40 AM Central Daylight Time	08/20/2010 07:33:06 AM Central Daylight Time	08/19/2010 01:00:35 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	043	0	2011	New York, Queens and Richmond Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3312	048	0	1	01	01	H3312_048_0	3	08/20/2010	2011.01	08/20/2010 03:35:59 PM Central Daylight Time	08/20/2010 07:39:33 AM Central Daylight Time	08/19/2010 01:00:39 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3312	048	0	2011	Upstate New York		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3312	801	0	1	01	01	H3312_801_0	2	05/11/2010	2011.01	05/11/2010 09:51:31 AM Eastern Daylight Time	07/16/2010 10:42:11 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3312	801	0	2011	New York		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3312	804	0	1	01	01	H3312_804_0	2	05/11/2010	2011.01	05/11/2010 09:52:11 AM Eastern Daylight Time	07/16/2010 10:43:58 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3312	804	0	2011	New York		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3321	001	0	1	20	08	H3321_001_0	1	05/25/2010	2011.01	05/25/2010 04:25:16 PM Eastern Daylight Time		05/18/2010 07:04:05 PM Eastern Daylight Time		05/25/2010 04:28:46 PM Eastern Daylight Time	INDEPENDENT LIVING SRVCS OF CENTRAL NY	Independent Living Srvcs Of Central Ny	www.loretto-cny.org	Loretto Independent Living Services, Inc (PACE)	08	20		1			H3321	001	0	2011	Onondaga County		2		2				2							Independent Living Services of Central New York, Inc	www.loretto-cny.org									(877)-208-5284		(315)-452-5800		(877)-208-5284		(315)-452-5800										(877)-208-5284		(315)-452-5800		(877)-208-5284		(315)-452-5800		1
H3321	003	0	1	20	08	H3321_003_0	1	05/25/2010	2011.01	05/25/2010 04:25:07 PM Eastern Daylight Time		05/18/2010 07:04:05 PM Eastern Daylight Time		05/25/2010 04:28:46 PM Eastern Daylight Time	INDEPENDENT LIVING SRVCS OF CENTRAL NY	Independent Living Srvcs Of Central Ny	www.loretto-cny.org	Loretto Independent Living Services, Inc (PACE)	08	20		1			H3321	003	0	2011	Onondaga County		2		2				2							Independent Living Services of Central New York, Inc	www.loretto-cny.org									(877)-208-5284		(315)-452-5800		(877)-208-5284		(315)-452-5800										(877)-208-5284		(315)-452-5800		(877)-208-5284		(315)-452-5800		1
H3322	001	0	1	20	08	H3322_001_0	1	05/19/2010	2011.01	05/19/2010 09:58:13 AM Eastern Daylight Time		05/19/2010 09:52:09 AM Eastern Daylight Time		05/19/2010 09:58:50 AM Eastern Daylight Time	SENIOR CARE CONNECTION, INC.	Eddy Senior Care	www.nehealth.com	Senior Care Connection dba Eddy SeniorCare (PACE)	08	20		1			H3322	001	0	2011	Schenectady County, Albany County, NY		2	120	2				2							www.northeasthealth.com	www.northeasthealth.com									(518)-382-3290	6350	(518)-382-3290	6350	(518)-382-3290	6361	(518)-382-3290	6361									(518)-382-3290	6350	(518)-382-3290	6350	(518)-382-3290	6361	(518)-382-3290	6361	1
H3322	002	0	1	20	08	H3322_002_0	1	05/10/2010	2011.01	05/10/2010 11:15:02 AM Eastern Daylight Time		05/19/2010 09:52:38 AM Eastern Daylight Time		05/19/2010 09:58:50 AM Eastern Daylight Time	SENIOR CARE CONNECTION, INC.	Eddy Senior Care	www.nehealth.com	Senior Care Connection (PACE)	08	20		1			H3322	002	0	2011	Schenectady County, Albany County		2	10	2				2							www.northeasthealth.com	www.northeasthealth.com									(518)-382-3290	6350	(518)-382-3290	6350	(518)-382-3290	6361	(518)-382-3290	6361									(518)-382-3290	6350	(518)-382-3290	6350	(518)-382-3290	6361	(518)-382-3290	6361	1
H3327	001	0	1	01	01	H3327_001_0	5	08/23/2010	2011.01	08/23/2010 05:11:03 PM Eastern Daylight Time	08/23/2010 05:07:37 PM Eastern Daylight Time	08/23/2010 05:08:06 PM Eastern Daylight Time		08/23/2010 05:58:31 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Power (HMO)	01	01		1			H3327	001	0	2011	New York City and Hudson Counties		2	6723	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	002	0	1	01	01	H3327_002_0	5	08/23/2010	2011.01	08/23/2010 08:08:44 AM Eastern Daylight Time	08/23/2010 05:07:42 PM Eastern Daylight Time	08/23/2010 05:08:32 PM Eastern Daylight Time		08/23/2010 05:58:31 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Total (HMO)	01	01		1			H3327	002	0	2011	New York City, Westchester Counties		2	5772	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	021	0	1	01	01	H3327_021_0	4	08/23/2010	2011.01	08/23/2010 08:09:38 AM Eastern Daylight Time	08/23/2010 05:07:40 PM Eastern Daylight Time	08/23/2010 05:08:33 PM Eastern Daylight Time		08/23/2010 05:58:31 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Power (HMO)	01	01		1			H3327	021	0	2011	Central New York Counties		2	2180	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	022	0	1	02	01	H3327_022_0	3	06/30/2010	2011.01	06/30/2010 02:12:56 PM Eastern Daylight Time	07/06/2010 03:37:38 PM Eastern Daylight Time			07/06/2010 04:09:11 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Clear (HMO-POS)	01	02		1			H3327	022	0	2011	New York City, Hudson and Central Counties		2	1259	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872										(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813										1
H3327	023	0	1	02	01	H3327_023_0	5	08/04/2010	2011.01	08/04/2010 04:43:59 PM Eastern Daylight Time	08/23/2010 05:07:42 PM Eastern Daylight Time	08/23/2010 05:08:51 PM Eastern Daylight Time		08/23/2010 05:58:31 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Freedom (HMO-POS)	01	02		1			H3327	023	0	2011	New York City, Hudson and Central Counties		2	1549	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	026	0	1	01	01	H3327_026_0	4	08/23/2010	2011.01	08/23/2010 05:13:30 PM Eastern Daylight Time	08/23/2010 05:08:05 PM Eastern Daylight Time	08/23/2010 05:08:51 PM Eastern Daylight Time		08/23/2010 06:13:31 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Prestige (HMO SNP)	01	01		1			H3327	026	0	2011	Bronx, Queens, Kings, Richmond and Hudson Counties		2	727	2		2		1	3		1	5		http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	027	0	1	01	01	H3327_027_0	4	08/23/2010	2011.01	08/23/2010 05:09:51 PM Eastern Daylight Time	08/23/2010 05:08:36 PM Eastern Daylight Time	08/23/2010 05:08:54 PM Eastern Daylight Time		08/23/2010 06:13:31 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Prestige (HMO SNP)	01	01		1			H3327	027	0	2011	Central New York Counties		2	135	2		2		1	3		1	5		http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	036	0	1	01	01	H3327_036_0	5	08/23/2010	2011.01	08/23/2010 05:14:19 PM Eastern Daylight Time	08/23/2010 05:08:39 PM Eastern Daylight Time	08/23/2010 05:08:56 PM Eastern Daylight Time		08/23/2010 06:20:47 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Total (HMO)	01	01		1			H3327	036	0	2011	Central New York counties		2	25	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(866)-484-9872		(866)-484-9872		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5813		(877)-867-5813		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	801	0	1	01	01	H3327_801_0	3	06/21/2010	2011.01	06/21/2010 03:36:25 PM Eastern Daylight Time	06/07/2010 08:32:00 PM Eastern Daylight Time			06/22/2010 06:34:51 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Power (HMO)	01	01		1			H3327	801	0	2011	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	802	0	1	01	01	H3327_802_0	3	06/21/2010	2011.01	06/21/2010 03:36:51 PM Eastern Daylight Time	06/07/2010 08:42:00 PM Eastern Daylight Time			06/22/2010 06:34:51 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Clear (HMO)	01	01		1			H3327	802	0	2011	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872										(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813										1
H3327	803	0	1	01	01	H3327_803_0	3	06/21/2010	2011.01	06/21/2010 03:37:12 PM Eastern Daylight Time	06/07/2010 08:43:00 PM Eastern Daylight Time			06/22/2010 06:34:51 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Power (HMO)	01	01		1			H3327	803	0	2011	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	805	0	1	02	01	H3327_805_0	3	06/21/2010	2011.01	06/21/2010 03:37:38 PM Eastern Daylight Time	06/07/2010 08:44:00 PM Eastern Daylight Time			06/22/2010 06:34:51 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Freedom (HMO-POS)	01	02		1			H3327	805	0	2011	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3327	806	0	1	02	01	H3327_806_0	3	06/21/2010	2011.01	06/21/2010 03:38:56 PM Eastern Daylight Time	06/07/2010 08:45:00 PM Eastern Daylight Time			06/22/2010 06:34:51 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Clear (HMO-POS)	01	02		1			H3327	806	0	2011	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872										(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813										1
H3327	807	0	1	02	01	H3327_807_0	3	06/21/2010	2011.01	06/21/2010 03:38:36 PM Eastern Daylight Time	06/07/2010 08:45:00 PM Eastern Daylight Time			06/22/2010 06:34:51 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Health Medicare Freedom (HMO-POS)	01	02		1			H3327	807	0	2011	Employer - New York		1	42	2				2						http://www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/pharmacy/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3328	001	0	1	02	01	H3328_001_0	3	07/30/2010	2011.01	07/30/2010 03:54:25 PM Eastern Daylight Time	07/30/2010 03:29:58 PM Eastern Daylight Time			07/30/2010 04:12:08 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage without Rx (HMO-POS)	01	02		1			H3328	001	0	2011	NY Counties		2	257	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707										(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125										1
H3328	002	0	1	01	01	H3328_002_0	5	07/23/2010	2011.01	07/23/2010 08:50:57 AM Eastern Daylight Time	08/19/2010 08:22:14 AM Eastern Daylight Time	08/19/2010 07:03:12 AM Eastern Daylight Time		08/23/2010 10:41:39 AM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Dual Advantage (HMO SNP)	01	01		1			H3328	002	0	2011	NY Counties		2	503	2		2		1	3		1	3		http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1
H3328	003	0	1	02	01	H3328_003_0	8	08/19/2010	2011.01	08/19/2010 11:29:06 AM Eastern Daylight Time	08/22/2010 09:06:14 PM Eastern Daylight Time	08/19/2010 07:45:02 AM Eastern Daylight Time		08/23/2010 10:41:39 AM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Flex (HMO-POS)	01	02		1			H3328	003	0	2011	NY Counties		2	4464	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1
H3328	012	0	1	02	01	H3328_012_0	9	08/23/2010	2011.01	08/23/2010 08:09:52 AM Eastern Daylight Time	08/22/2010 09:09:38 PM Eastern Daylight Time	08/19/2010 08:09:56 AM Eastern Daylight Time		08/23/2010 10:41:39 AM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage (HMO-POS)	01	02		1			H3328	012	0	2011	NY Counties		2	2229	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1
H3328	013	0	1	01	01	H3328_013_0	6	07/30/2010	2011.01	07/30/2010 04:06:29 PM Eastern Daylight Time	08/19/2010 08:37:24 AM Eastern Daylight Time	08/19/2010 08:12:48 AM Eastern Daylight Time		08/23/2010 10:41:39 AM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Dual Advantage Flex (HMO SNP)	01	01		1			H3328	013	0	2011	NY Counties		2	1415	2		2		1	3		1	1		http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1
H3328	015	0	1	01	01	H3328_015_0	6	08/19/2010	2011.01	08/19/2010 11:29:52 AM Eastern Daylight Time	08/22/2010 09:13:18 PM Eastern Daylight Time	08/19/2010 08:15:36 AM Eastern Daylight Time		08/23/2010 10:41:39 AM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Flex (HMO)	01	01		1			H3328	015	0	2011	NY counties		2	52	2				2						http://www.fideliscare.org/en/providersearch.aspx	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1
H3328	801	0	1	02	01	H3328_801_0	2	06/05/2010	2011.01	06/05/2010 01:33:31 PM Eastern Daylight Time	09/02/2010 02:51:18 PM Eastern Daylight Time			09/02/2010 05:26:57 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Employer without RX (HMO-POS)	01	02		1			H3328	801	0	2011	New York Counties		1	10	2				2						www.fideliscare.org/apps/providersearch	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707										(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125										1
H3328	802	0	1	02	01	H3328_802_0	2	06/05/2010	2011.01	06/05/2010 01:34:31 PM Eastern Daylight Time	09/02/2010 02:56:10 PM Eastern Daylight Time			09/02/2010 05:26:57 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Employer (HMO-POS)	01	02		1			H3328	802	0	2011	New York Counties		1	20	2				2						www.fideliscare.org/apps/providersearch	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		1
H3328	803	0	1	02	01	H3328_803_0	2	06/05/2010	2011.01	06/05/2010 01:35:01 PM Eastern Daylight Time	09/02/2010 03:00:22 PM Eastern Daylight Time			09/02/2010 05:26:57 PM Eastern Daylight Time	NEW YORK STATE CATHOLIC HLTH PLAN INC	Fidelis Care	www.fideliscare.org	Fidelis Medicare Advantage Employer Non-calendar (HMO-POS)	01	02		1			H3328	803	0	2011	New York Counties		1	25	2				2						www.fideliscare.org/apps/providersearch	www.fideliscare.org	www.caremark.com	(800)-247-1447		(800)-247-1447		(800)-860-8707		(800)-860-8707		(800)-860-8707		(800)-860-8707		(800)-860-8707		(800)-860-8707		(800)-695-8544		(800)-695-8544		(800)-558-1125		(800)-558-1125		(800)-558-1125		(800)-558-1125		(800)-558-1125		(800)-558-1125		1
H3329	001	0	1	20	08	H3329_001_0	1	05/24/2010	2011.01	05/24/2010 04:36:43 PM Eastern Daylight Time		05/24/2010 03:14:36 PM Eastern Daylight Time		05/24/2010 04:38:33 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCMC PACE Dual Eligible (PACE)	08	20		1			H3329	001	0	2011	NYC  and Westchester Counties		2		2				2							N/A	N/A									(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600										(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1
H3329	002	0	1	20	08	H3329_002_0	1	05/20/2010	2011.01	05/20/2010 12:49:59 PM Eastern Daylight Time		05/24/2010 03:14:36 PM Eastern Daylight Time		05/24/2010 04:38:33 PM Eastern Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCMC - PACE - Medicare only (PACE)	08	20		1			H3329	002	0	2011	NYC and Westchester Counties		2		2				2							N/A	N/A									(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600										(800)-650-2774		(718)-515-8600		(800)-650-2774		(800)-650-2774		1
H3330	021	1	1	01	01	H3330_021_1	6	08/25/2010	2011.01	08/25/2010 10:09:35 AM Eastern Daylight Time	08/21/2010 10:06:22 AM Eastern Daylight Time	08/21/2010 10:06:38 AM Eastern Daylight Time		08/25/2010 10:24:52 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP (HMO)	01	01		1			H3330	021	1	2011	Counties of NYC, Westchester and Long Island	New York City	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	021	2	1	01	01	H3330_021_2	5	07/28/2010	2011.01	07/28/2010 02:14:15 PM Eastern Daylight Time	08/21/2010 10:06:56 AM Eastern Daylight Time	08/21/2010 10:07:09 AM Eastern Daylight Time		08/21/2010 10:24:11 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP (HMO)	01	01		1			H3330	021	2	2011	Counties of NYC, Westchester and Long Island	Nassau County	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	021	3	1	01	01	H3330_021_3	5	07/28/2010	2011.01	07/28/2010 02:15:05 PM Eastern Daylight Time	08/21/2010 10:07:21 AM Eastern Daylight Time	08/21/2010 10:07:33 AM Eastern Daylight Time		08/21/2010 10:24:11 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP (HMO)	01	01		1			H3330	021	3	2011	Counties of NYC, Westchester and Long Island	Suffolk and Westchester Counties	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	029	0	1	01	01	H3330_029_0	4	05/27/2010	2011.01	05/27/2010 04:27:27 PM Eastern Daylight Time	08/21/2010 10:08:00 AM Eastern Daylight Time	08/21/2010 10:08:11 AM Eastern Daylight Time		08/21/2010 10:24:11 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	Dual Eligible (HMO SNP)	01	01		1			H3330	029	0	2011	Counties of NYC, Westchester and Long Island		2		2		2		1	3		1	2			hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	032	1	1	01	01	H3330_032_1	5	08/21/2010	2011.01	08/21/2010 10:14:05 AM Eastern Daylight Time	08/21/2010 10:08:36 AM Eastern Daylight Time	08/21/2010 10:08:50 AM Eastern Daylight Time		08/21/2010 10:24:11 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP Essential (HMO)	01	01		1			H3330	032	1	2011	Counties of NYC, Westchester and Long Island	New York City	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	032	2	1	01	01	H3330_032_2	5	08/21/2010	2011.01	08/21/2010 10:04:17 AM Eastern Daylight Time	08/21/2010 10:09:04 AM Eastern Daylight Time	08/21/2010 10:09:29 AM Eastern Daylight Time		08/21/2010 10:24:11 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP Essential (HMO)	01	01		1			H3330	032	2	2011	Counties of NYC, Westchester and Long Island	Nassau	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	032	3	1	01	01	H3330_032_3	6	08/21/2010	2011.01	08/21/2010 10:04:51 AM Eastern Daylight Time	08/25/2010 10:11:09 AM Eastern Daylight Time	08/21/2010 10:10:46 AM Eastern Daylight Time		08/25/2010 10:24:52 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP Essential (HMO)	01	01		1			H3330	032	3	2011	Counties of NYC, Westchester and Long Island	Suffolk and Westchester	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	033	1	1	01	01	H3330_033_1	7	05/27/2010	2011.01	05/27/2010 03:48:34 PM Eastern Daylight Time	08/25/2010 10:55:55 AM Eastern Daylight Time	08/25/2010 10:11:33 AM Eastern Daylight Time		08/25/2010 11:01:16 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP High Option (HMO)	01	01		1			H3330	033	1	2011	Counties of NYC, Westchester and Long Island	New York City	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	033	2	1	01	01	H3330_033_2	7	05/27/2010	2011.01	05/27/2010 03:48:45 PM Eastern Daylight Time	08/25/2010 10:56:44 AM Eastern Daylight Time	08/25/2010 10:11:55 AM Eastern Daylight Time		08/25/2010 11:01:16 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP High Option (HMO)	01	01		1			H3330	033	2	2011	Counties of NYC, Westchester and Long Island	Nassau	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	033	3	1	01	01	H3330_033_3	8	05/27/2010	2011.01	05/27/2010 03:48:55 PM Eastern Daylight Time	08/25/2010 11:41:44 AM Eastern Daylight Time	08/25/2010 11:42:02 AM Eastern Daylight Time		08/25/2010 11:43:22 AM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP High Option (HMO)	01	01		1			H3330	033	3	2011	Counties of NYC, Westchester and Long Island	Suffolk and Westchester	2		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	808	0	2	01	01	H3330_808_0	3	05/26/2010	2011.01	05/26/2010 02:11:12 PM Eastern Daylight Time	07/28/2010 02:56:37 PM Eastern Daylight Time			07/28/2010 03:34:11 PM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	Part A Payers (HMO)	01	01		2	1		H3330	808	0	2011	Counties of NYC:, Westchester and Long Island		1		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	810	0	1	01	01	H3330_810_0	3	05/26/2010	2011.01	05/26/2010 02:11:35 PM Eastern Daylight Time	07/28/2010 02:57:04 PM Eastern Daylight Time			07/28/2010 03:34:11 PM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	Dual Eligible Group (HMO SNP)	01	01		1			H3330	810	0	2011	Counties of NYC, Westchester and Long Island		1		2		2		1	3		1	2			hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	814	0	1	01	01	H3330_814_0	3	05/26/2010	2011.01	05/26/2010 02:11:46 PM Eastern Daylight Time	07/28/2010 02:57:47 PM Eastern Daylight Time			07/28/2010 03:34:11 PM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP Premier (HMO)	01	01		1			H3330	814	0	2011	Counties of NYC, Nassau, Suffolk, Westchester		1		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169		(800)-447-8255		(800)-447-8255		(866)-447-6979		(866)-447-6979		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H3330	815	0	1	01	01	H3330_815_0	3	05/26/2010	2011.01	05/26/2010 02:11:58 PM Eastern Daylight Time	07/28/2010 02:58:29 PM Eastern Daylight Time			07/28/2010 03:34:11 PM Eastern Daylight Time	HEALTH INSURANCE PLAN OF GREATER NEW YORK	EmblemHealth Medicare HMO	www.emblemhealth.com	VIP Rx Carveout (HMO)	01	01		1			H3330	815	0	2011	Counties of NYC, Nassau, Suffolk, Westchester		1		2				2							hipusa.com	hipusa.com	(800)-447-8255		(800)-447-8255		(800)-447-9169		(800)-447-9169										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833										1
H3331	001	0	1	20	08	H3331_001_0	1	05/20/2010	2011.01	05/20/2010 12:36:16 PM Eastern Daylight Time		05/19/2010 10:18:04 AM Eastern Daylight Time		05/20/2010 03:23:13 PM Eastern Daylight Time	INDEPENDENT LIVING FOR SENIORS, INC.	Independent Living For Seniors, Inc.	www.independentlivingforseniors.org	Living for Seniors Dually Eligible (PACE)	08	20		1			H3331	001	0	2011	Monroe County		2		1	1			2							www.viahealth.org/body_senior.cfm?id=65	www.viahealth.org/hillhaven									(800)-896-0211		(585)-922-2831		(800)-896-0211		(585)-922-2831										(800)-896-0211		(585)-922-2831		(800)-896-0211		(585)-922-2831		1
H3331	002	0	1	20	08	H3331_002_0	1	05/20/2010	2011.01	05/20/2010 12:36:51 PM Eastern Daylight Time		05/19/2010 10:18:04 AM Eastern Daylight Time		05/20/2010 03:23:13 PM Eastern Daylight Time	INDEPENDENT LIVING FOR SENIORS, INC.	Independent Living For Seniors, Inc.	www.independentlivingforseniors.org	Independent Living for Seniors Care only (PACE)	08	20		1			H3331	002	0	2011	Monroe County		2		1	1			2							www.viahealth.org/body_senior.cfm?id=65	www.viahealth.org/hillhaven									(800)-896-0211		(585)-922-2831		(800)-896-0211		(585)-922-2831										(800)-896-0211		(585)-922-2831		(800)-896-0211		(585)-922-2831		1
H3333	037	0	1	09	04	H3333_037_0	9	07/23/2010	2011.01	07/23/2010 04:29:28 PM Central Daylight Time	07/29/2010 09:19:41 AM Central Daylight Time			08/06/2010 01:33:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	2	1			H3333	037	0	2011	Select counties in the Northeast		2	7396	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H3333	039	0	1	09	04	H3333_039_0	9	07/23/2010	2011.01	07/23/2010 04:29:29 PM Central Daylight Time	07/29/2010 09:24:17 AM Central Daylight Time			08/06/2010 01:33:06 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	2	1			H3333	039	0	2011	Select counties in the Northeast		2	13195	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H3333	055	0	1	09	04	H3333_055_0	11	07/23/2010	2011.01	07/23/2010 04:29:29 PM Central Daylight Time	08/20/2010 06:41:08 AM Central Daylight Time	08/19/2010 01:30:18 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier 850 B powered by CCRx (PFFS)	04	09	2	1			H3333	055	0	2011	Select counties in the Northeast		2	7300	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H3333	057	0	1	09	04	H3333_057_0	11	07/23/2010	2011.01	07/23/2010 04:29:30 PM Central Daylight Time	08/20/2010 06:42:42 AM Central Daylight Time	08/19/2010 01:30:44 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	AMERICAN PROGRESSIVE LIFE/HLTH INS.	Universal American	www.todaysoptions.com	Today's Options Premier 850 F powered by CCRx (PFFS)	04	09	2	1			H3333	057	0	2011	Select counties in the Northeast		2	10061	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H3335	002	0	1	04	01	H3335_002_0	7	08/12/2010	2011.01	08/12/2010 12:39:09 PM Eastern Daylight Time	08/23/2010 01:24:20 PM Eastern Daylight Time	08/23/2010 01:24:20 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	Univera Medicare PPO - Plan 102 (PPO)	01	04		1			H3335	002	0	2011	Western New York		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	005	0	1	04	01	H3335_005_0	8	08/17/2010	2011.01	08/17/2010 11:05:46 AM Eastern Daylight Time	08/23/2010 01:24:21 PM Eastern Daylight Time	08/23/2010 01:24:21 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - TWO (PPO)	01	04		1			H3335	005	0	2011	Utica-Rome Metro		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	006	0	1	04	01	H3335_006_0	7	08/17/2010	2011.01	08/17/2010 11:05:57 AM Eastern Daylight Time	08/23/2010 01:24:23 PM Eastern Daylight Time	08/23/2010 01:24:23 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - THREE (PPO)	01	04		1			H3335	006	0	2011	Utica-Rome Metro		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	008	0	1	04	01	H3335_008_0	8	07/30/2010	2011.01	07/30/2010 02:03:18 PM Eastern Daylight Time	08/23/2010 01:24:24 PM Eastern Daylight Time	08/23/2010 01:24:24 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - TWO (PPO)	01	04		1			H3335	008	0	2011	Southern Tier of NY State		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	009	0	1	04	01	H3335_009_0	7	07/14/2010	2011.01	07/14/2010 04:57:26 PM Eastern Daylight Time	08/23/2010 01:24:25 PM Eastern Daylight Time	08/23/2010 01:24:26 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - THREE (PPO)	01	04		1			H3335	009	0	2011	Southern Tier of NY State		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	014	0	1	04	01	H3335_014_0	8	07/30/2010	2011.01	07/30/2010 02:03:45 PM Eastern Daylight Time	08/23/2010 01:24:27 PM Eastern Daylight Time	08/23/2010 01:24:27 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - TWO (PPO)	01	04		1			H3335	014	0	2011	Metro Syracuse		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	015	0	1	04	01	H3335_015_0	7	07/15/2010	2011.01	07/15/2010 09:08:45 AM Eastern Daylight Time	08/23/2010 01:24:28 PM Eastern Daylight Time	08/23/2010 01:24:29 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - THREE (PPO)	01	04		1			H3335	015	0	2011	Metro Syracuse		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	018	0	1	04	01	H3335_018_0	7	07/15/2010	2011.01	07/15/2010 09:07:17 AM Eastern Daylight Time	08/23/2010 01:24:30 PM Eastern Daylight Time	08/23/2010 01:24:30 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - SIX (PPO)	01	04		1			H3335	018	0	2011	Central Leatherstocking		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	021	0	1	04	01	H3335_021_0	7	07/15/2010	2011.01	07/15/2010 09:09:57 AM Eastern Daylight Time	08/23/2010 01:24:31 PM Eastern Daylight Time	08/23/2010 01:24:32 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - SIX (PPO)	01	04		1			H3335	021	0	2011	North Country		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	032	0	1	04	01	H3335_032_0	8	07/15/2010	2011.01	07/15/2010 09:11:18 AM Eastern Daylight Time	08/23/2010 01:24:33 PM Eastern Daylight Time	08/23/2010 01:24:33 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO - Plan 201 (PPO)	01	04		1			H3335	032	0	2011	Rochester Metro Area		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	037	0	1	04	01	H3335_037_0	7	07/15/2010	2011.01	07/15/2010 09:12:24 AM Eastern Daylight Time	08/23/2010 01:24:34 PM Eastern Daylight Time	08/23/2010 01:24:35 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan ONE (PPO)	01	04		1			H3335	037	0	2011	Southern Tier of NY State		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	038	0	1	04	01	H3335_038_0	7	07/15/2010	2011.01	07/15/2010 09:13:48 AM Eastern Daylight Time	08/23/2010 01:24:36 PM Eastern Daylight Time	08/23/2010 01:24:19 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan ONE (PPO)	01	04		1			H3335	038	0	2011	Metro Syracuse		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	041	0	1	04	01	H3335_041_0	6	07/15/2010	2011.01	07/15/2010 09:14:58 AM Eastern Daylight Time	07/23/2010 07:26:00 AM Eastern Daylight Time			07/30/2010 01:51:40 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	041	0	2011	Utica-Rome Metro		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3335	042	0	1	04	01	H3335_042_0	6	07/15/2010	2011.01	07/15/2010 09:15:59 AM Eastern Daylight Time	07/23/2010 07:31:00 AM Eastern Daylight Time			07/30/2010 01:51:40 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	042	0	2011	Southern Tier of NY State		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3335	043	0	1	04	01	H3335_043_0	6	07/15/2010	2011.01	07/15/2010 09:17:32 AM Eastern Daylight Time	07/23/2010 07:30:00 AM Eastern Daylight Time			07/30/2010 01:51:40 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	043	0	2011	Metro Syracuse		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3335	044	0	1	04	01	H3335_044_0	6	07/15/2010	2011.01	07/15/2010 09:19:02 AM Eastern Daylight Time	07/23/2010 07:28:00 AM Eastern Daylight Time			07/30/2010 01:51:40 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	044	0	2011	Central Leatherstocking		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3335	045	0	1	04	01	H3335_045_0	5	07/15/2010	2011.01	07/15/2010 09:20:49 AM Eastern Daylight Time	07/23/2010 07:27:00 AM Eastern Daylight Time			07/30/2010 01:51:40 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Plan FOUR (PPO)	01	04		1			H3335	045	0	2011	North Country		2		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3335	801	0	1	04	01	H3335_801_0	6	08/03/2010	2011.01	08/03/2010 09:11:39 AM Eastern Daylight Time	07/23/2010 10:38:00 AM Eastern Daylight Time			08/03/2010 09:26:01 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	Univera Medicare PPO Group (PPO)	01	04		1			H3335	801	0	2011	Western New York		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	811	0	1	04	01	H3335_811_0	6	08/03/2010	2011.01	08/03/2010 09:10:05 AM Eastern Daylight Time	07/23/2010 10:40:00 AM Eastern Daylight Time			08/03/2010 09:26:01 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Group (PPO)	01	04		1			H3335	811	0	2011	Rochester Metro Area and Eastern New York Area		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	813	0	1	04	01	H3335_813_0	6	08/03/2010	2011.01	08/03/2010 09:10:18 AM Eastern Daylight Time	07/23/2010 10:39:00 AM Eastern Daylight Time			08/03/2010 09:26:01 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	Univera Medicare PPO Group (PPO)	01	04		1			H3335	813	0	2011	Western New York		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3335	819	0	1	04	01	H3335_819_0	6	08/03/2010	2011.01	08/03/2010 09:10:29 AM Eastern Daylight Time	07/23/2010 10:41:00 AM Eastern Daylight Time			08/03/2010 09:26:01 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Group (PPO)	01	04		1			H3335	819	0	2011	Rochester Metro Area and Eastern New York Area		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3335	820	0	1	04	01	H3335_820_0	6	08/03/2010	2011.01	08/03/2010 09:10:44 AM Eastern Daylight Time	07/23/2010 10:42:00 AM Eastern Daylight Time			08/03/2010 09:26:01 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue PPO Group Non-Calendar (PPO)	01	04		1			H3335	820	0	2011	Rochester Metro Area and Eastern New York Area		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(866)-846-8643		(866)-846-8643		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3335	822	0	1	04	01	H3335_822_0	6	08/03/2010	2011.01	08/03/2010 09:10:56 AM Eastern Daylight Time	07/23/2010 10:39:00 AM Eastern Daylight Time			08/03/2010 09:26:01 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	Univera Medicare PPO Group Non-Calendar (PPO)	01	04		1			H3335	822	0	2011	Western New York		1		2				2						www.excellusbcbs.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-509-6350		(800)-509-6350		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3337	001	0	1	01	01	H3337_001_0	5	08/04/2010	2011.01	08/04/2010 03:40:01 PM Pacific Daylight Time	08/20/2010 10:57:24 AM Pacific Daylight Time	08/20/2010 10:29:23 AM Pacific Daylight Time		08/20/2010 11:10:03 AM Pacific Daylight Time	LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage	http://libertyhealthadvantage.com/	Liberty Health Advantage Preferred Choice (HMO)	01	01		1			H3337	001	0	2011	Bronx, Kings, Nassau, New York, Queens, Richmond		2		2				2						www.libertyhealthadvantage.com	http://www.libertyhealthadvantage.com/	http://www.libertyhealthadvantage.com/	(866)-542-4269		(866)-542-4269		(866)-542-4269		(866)-542-4269		(800)-546-5677		(800)-546-5677		(866)-542-4269		(866)-542-4269		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(866)-706-4757		(866)-706-4757		(800)-662-1220		(800)-662-1220		1
H3337	003	0	1	01	01	H3337_003_0	5	08/20/2010	2011.01	08/20/2010 10:48:05 AM Pacific Daylight Time	08/20/2010 10:58:04 AM Pacific Daylight Time	08/20/2010 10:18:48 AM Pacific Daylight Time		08/20/2010 11:10:03 AM Pacific Daylight Time	LIBERTY HEALTH ADVANTAGE, INC.	Liberty Health Advantage	http://libertyhealthadvantage.com/	Liberty Health Advantage Dual Power (HMO SNP)	01	01		1			H3337	003	0	2011	Bronx, Kings, Nassau, New York, Queens, Richmond		2		2		2		1	3		1	3		www.libertyhealthadvantage.com	http://www.libertyhealthadvantage.com/	http://www.libertyhealthadvantage.com/	(866)-542-4269		(866)-542-4269		(866)-542-4269		(866)-542-4269		(800)-546-5677		(800)-546-5677		(866)-542-4269		(866)-542-4269		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(866)-706-4757		(866)-706-4757		(800)-662-1220		(800)-662-1220		1
H3342	001	0	1	04	01	H3342_001_0	6	08/22/2010	2011.01	08/22/2010 07:54:09 PM Eastern Daylight Time	08/22/2010 10:48:15 AM Eastern Daylight Time	08/22/2010 03:12:11 PM Eastern Daylight Time		08/23/2010 09:15:24 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Freedom III (PPO)	01	04		1			H3342	001	0	2011	New York City and Nassau County in New York		2	2736	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3342	002	0	1	04	01	H3342_002_0	7	08/22/2010	2011.01	08/22/2010 12:47:23 PM Eastern Daylight Time	08/24/2010 10:22:13 AM Eastern Daylight Time	08/22/2010 02:36:20 PM Eastern Daylight Time		08/24/2010 10:25:06 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Freedom III (PPO)	01	04		1			H3342	002	0	2011	Select Counties in New York		2	1551	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3342	012	0	1	04	01	H3342_012_0	8	08/22/2010	2011.01	08/22/2010 12:58:14 PM Eastern Daylight Time	08/22/2010 10:42:41 AM Eastern Daylight Time	08/22/2010 02:36:34 PM Eastern Daylight Time		08/22/2010 11:09:10 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Freedom I (PPO)	01	04		1			H3342	012	0	2011	Select Counties in New York		2	24752	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3342	013	0	1	04	01	H3342_013_0	8	08/22/2010	2011.01	08/22/2010 01:14:02 PM Eastern Daylight Time	08/22/2010 10:41:50 AM Eastern Daylight Time	08/22/2010 02:53:15 PM Eastern Daylight Time		08/23/2010 09:37:55 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Freedom II (PPO)	01	04		1			H3342	013	0	2011	New York City and Nassau County in New York		2	2214	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3342	014	0	1	04	01	H3342_014_0	6	08/22/2010	2011.01	08/22/2010 01:16:46 PM Eastern Daylight Time	08/22/2010 10:40:41 AM Eastern Daylight Time	08/22/2010 02:36:50 PM Eastern Daylight Time		08/23/2010 09:37:55 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Freedom II (PPO)	01	04		1			H3342	014	0	2011	Select Counties in New York		2	3352	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3342	015	0	1	04	01	H3342_015_0	6	08/22/2010	2011.01	08/22/2010 01:16:21 PM Eastern Daylight Time	08/22/2010 10:49:01 AM Eastern Daylight Time	08/22/2010 02:37:05 PM Eastern Daylight Time		08/23/2010 09:37:55 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Freedom II (PPO)	01	04		1			H3342	015	0	2011	Suffolk County in New York		2	2214	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(866)-395-5175		(866)-395-5175		(800)-797-6308		(800)-797-6308		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3342	808	0	1	04	01	H3342_808_0	6	08/20/2010	2011.01	08/20/2010 02:43:06 PM Eastern Daylight Time	07/22/2010 07:58:24 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue (PPO)	01	04		1			H3342	808	0	2011	New York		1	1952	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3342	809	0	1	04	01	H3342_809_0	6	08/20/2010	2011.01	08/20/2010 02:43:14 PM Eastern Daylight Time	07/22/2010 07:59:12 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue (PPO)	01	04		1			H3342	809	0	2011	New York		1	50	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1
H3342	810	0	1	04	01	H3342_810_0	6	08/20/2010	2011.01	08/20/2010 02:43:56 PM Eastern Daylight Time	07/22/2010 07:59:54 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue (PPO)	01	04		1			H3342	810	0	2011	New York		1	50	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3342	811	0	1	04	01	H3342_811_0	6	08/20/2010	2011.01	08/20/2010 02:44:10 PM Eastern Daylight Time	07/22/2010 08:00:41 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE ASSURANCE, INC.	Empire BlueCross BlueShield	www.empireblue.com	MediBlue (PPO)	01	04		1			H3342	811	0	2011	New York		1	50	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(866)-395-5175		(866)-395-5175		(800)-809-7328		(800)-809-7328										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1
H3344	003	0	1	04	01	H3344_003_0	6	08/20/2010	2011.01	08/20/2010 10:09:51 AM Eastern Daylight Time	08/23/2010 01:20:00 PM Eastern Daylight Time	08/23/2010 01:24:00 PM Eastern Daylight Time		08/23/2010 04:03:06 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Passport Premier (PPO)	01	04		1			H3344	003	0	2011	Western New York		2	750	2				2						www.independenthealth.com	www.independenthealth.com	www.independentheatlh.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3344	005	0	1	04	01	H3344_005_0	4	08/23/2010	2011.01	08/23/2010 03:27:17 PM Eastern Daylight Time	08/23/2010 01:18:00 PM Eastern Daylight Time	08/23/2010 01:24:00 PM Eastern Daylight Time		08/23/2010 04:03:06 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Passport Advantage (PPO)	01	04		1			H3344	005	0	2011	Western New York		2	2200	2				2						www.independenthealth.com	www.independenthealth.com	www.independentheatlh.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3344	006	0	1	04	01	H3344_006_0	4	08/23/2010	2011.01	08/23/2010 03:27:31 PM Eastern Daylight Time	08/23/2010 01:19:00 PM Eastern Daylight Time	08/23/2010 01:23:00 PM Eastern Daylight Time		08/23/2010 04:03:06 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare Passport Basic (PPO)	01	04		1			H3344	006	0	2011	Western New York		2	1633	2				2						www.independenthealth.com	www.independenthealth.com	www.independentheatlh.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3344	801	0	1	04	01	H3344_801_0	3	07/20/2010	2011.01	07/20/2010 11:43:53 AM Eastern Daylight Time	07/21/2010 09:15:38 AM Eastern Daylight Time			07/28/2010 06:30:24 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare PPO Base (PPO)	01	04		1			H3344	801	0	2011	IH Network and Medicare Deemed Network		1	1135	1	1			2						www.independenthealth.com	www.independenthealth.com	www.independentheatlh.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3344	803	0	1	04	01	H3344_803_0	4	07/20/2010	2011.01	07/20/2010 12:02:18 PM Eastern Daylight Time	07/21/2010 09:16:54 AM Eastern Daylight Time			07/28/2010 06:30:24 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare PPO Base (PPO)	01	04		1			H3344	803	0	2011	IH Network and Medicare Deemed Network		1	10	1	1			2						www.independenthealth.com	www.independenthealth.com	www.independentheatlh.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3344	804	0	1	04	01	H3344_804_0	5	07/20/2010	2011.01	07/20/2010 12:29:00 PM Eastern Daylight Time	07/21/2010 09:18:20 AM Eastern Daylight Time			07/28/2010 06:30:24 PM Eastern Daylight Time	INDEPENDENT HEALTH BENEFITS CORPORATION	Independent Health	www.independenthealth.com	Independent Health Medicare PPO Base (PPO)	01	04		1			H3344	804	0	2011	IH Network and Medicare Deemed Network		1	10	1	1			2						www.independenthealth.com	www.independenthealth.com	www.independentheatlh.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1
H3346	002	0	1	04	01	H3346_002_0	7	08/09/2010	2011.01	08/09/2010 05:15:32 PM Eastern Daylight Time	08/21/2010 08:38:08 AM Eastern Daylight Time	08/21/2010 08:28:20 AM Eastern Daylight Time		08/21/2010 09:16:10 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldAnywhere Rx (PPO)	01	04		1			H3346	002	0	2011	Rochester Area		2	1565	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3346	007	0	1	04	01	H3346_007_0	7	08/09/2010	2011.01	08/09/2010 05:15:42 PM Eastern Daylight Time	08/21/2010 08:37:54 AM Eastern Daylight Time	08/21/2010 08:28:20 AM Eastern Daylight Time		08/21/2010 09:16:10 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldAnywhere Rx (PPO)	01	04		1			H3346	007	0	2011	Buffalo Area		2	600	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3346	802	0	1	04	01	H3346_802_0	4	08/04/2010	2011.01	08/04/2010 07:49:09 AM Eastern Daylight Time	07/29/2010 01:05:36 PM Eastern Daylight Time			08/04/2010 07:55:47 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	GoldAnywhere Rx - Employer Group (PPO)	01	04		1			H3346	802	0	2011	Rochester and Western New York		1	1978	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3346	803	0	1	04	01	H3346_803_0	5	07/30/2010	2011.01	07/30/2010 03:22:24 PM Eastern Daylight Time	07/29/2010 01:06:04 PM Eastern Daylight Time			07/30/2010 03:41:46 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	Kodak GoldAnywhere Rx (PPO)	01	04		1			H3346	803	0	2011	Rochester and Western NY		1	21041	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3346	804	0	1	04	01	H3346_804_0	3	07/30/2010	2011.01	07/30/2010 03:23:06 PM Eastern Daylight Time	07/29/2010 01:06:56 PM Eastern Daylight Time			07/30/2010 03:41:46 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	Kodak USA Care Rx (PPO)	01	04		1			H3346	804	0	2011	United States and Puerto Rico		1	16430	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3346	805	0	1	04	01	H3346_805_0	4	08/02/2010	2011.01	08/02/2010 09:57:53 AM Eastern Daylight Time	07/29/2010 01:07:16 PM Eastern Daylight Time			08/02/2010 09:59:11 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	USA Care Rx - Employer Group (PPO)	01	04		1			H3346	805	0	2011	United States and Puerto Rico		1	65	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3347	002	0	1	01	01	H3347_002_0	5	08/12/2010	2011.01	08/12/2010 02:14:39 PM Eastern Daylight Time	08/20/2010 01:01:40 PM Eastern Daylight Time	08/20/2010 12:23:00 PM Eastern Daylight Time		08/23/2010 11:07:49 AM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan For Medicaid Beneficiaries (HMO SNP)	01	01		1			H3347	002	0	2011	New York Metropolitan Area		2	11292	2		2		1	3		1	2		www.Elderplan.org	www.elderplan.org	http://www.ipsrx.com	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3347	003	0	1	01	01	H3347_003_0	7	08/12/2010	2011.01	08/12/2010 02:09:07 PM Eastern Daylight Time	08/20/2010 01:04:42 PM Eastern Daylight Time	08/20/2010 12:24:44 PM Eastern Daylight Time		08/23/2010 11:07:49 AM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Advantage For Nursing Home Residents (HMO SNP)	01	01		1			H3347	003	0	2011	New York Metropolitan Area		2	3876	2				1	1	1	1			www.Elderplan.org	www.elderplan.org	http://www.ipsrx.com	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3347	005	0	1	01	01	H3347_005_0	7	08/23/2010	2011.01	08/23/2010 10:56:53 AM Eastern Daylight Time	08/20/2010 11:25:50 AM Eastern Daylight Time	08/20/2010 12:27:16 PM Eastern Daylight Time		08/23/2010 11:07:49 AM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Classic: Zero Premium (HMO)	01	01		1			H3347	005	0	2011	New York Metropolitan Area		2	158340	2				2						www.Elderplan.org	www.elderplan.org	http://www.ipsrx.com	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3347	007	0	1	01	01	H3347_007_0	5	08/12/2010	2011.01	08/12/2010 02:09:39 PM Eastern Daylight Time	08/20/2010 01:07:08 PM Eastern Daylight Time	08/20/2010 12:28:14 PM Eastern Daylight Time		08/23/2010 11:07:49 AM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Plus Long Term Care (HMO SNP)	01	01		1			H3347	007	0	2011	New York Metropolitan Area		2	12252	2		2		1	3		1	3		www.Elderplan.org	www.elderplan.org	http://www.ipsrx.com	(877)-891-6447		(718)-921-7898		(866)-695-8101		(866)-695-8101		(877)-891-6447		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3347	008	0	1	01	01	H3347_008_0	5	08/12/2010	2011.01	08/12/2010 02:10:09 PM Eastern Daylight Time	08/20/2010 01:01:08 PM Eastern Daylight Time	08/20/2010 12:22:06 PM Eastern Daylight Time		08/23/2010 11:07:49 AM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Medicaid Advantage (HMO SNP)	01	01		1			H3347	008	0	2011	New York Metropolitan Area		2	96	2		2		1	3		1	3		www.Elderplan.org	www.elderplan.org	http://www.ipsrx.com	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3347	009	0	1	01	01	H3347_009_0	8	08/12/2010	2011.01	08/12/2010 02:10:20 PM Eastern Daylight Time	08/20/2010 10:01:52 AM Eastern Daylight Time	08/20/2010 12:29:06 PM Eastern Daylight Time		08/23/2010 11:07:49 AM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Extra Help (HMO)	01	01		1			H3347	009	0	2011	New York Metropolitan Area		2	8892	2				2						www.Elderplan.org	www.elderplan.org	http://www.ipsrx.com	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3347	010	0	1	02	01	H3347_010_0	6	08/12/2010	2011.01	08/12/2010 02:10:27 PM Eastern Daylight Time	08/20/2010 10:02:06 AM Eastern Daylight Time	08/20/2010 12:29:28 PM Eastern Daylight Time		08/23/2010 11:07:49 AM Eastern Daylight Time	ELDERPLAN, INC.	Elderplan	www.Elderplan.org	Elderplan Independence Choice (HMO-POS)	01	02		1			H3347	010	0	2011	New York Metropolitan Area		2	1320	2				2						www.Elderplan.org	www.elderplan.org	http://www.ipsrx.com	(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-353-3765		(718)-921-7898		(866)-695-8101		(866)-695-8101		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3351	001	0	1	02	01	H3351_001_0	6	08/10/2010	2011.01	08/10/2010 08:53:53 AM Eastern Daylight Time	07/23/2010 07:19:00 AM Eastern Daylight Time			08/10/2010 09:06:49 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Select (HMO-POS)	01	02		1			H3351	001	0	2011	Western New York		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3351	002	0	1	02	01	H3351_002_0	7	08/10/2010	2011.01	08/10/2010 08:54:00 AM Eastern Daylight Time	08/23/2010 01:29:48 PM Eastern Daylight Time	08/23/2010 01:29:49 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Secure (HMO-POS)	01	02		1			H3351	002	0	2011	Western New York		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	006	0	1	02	01	H3351_006_0	7	08/10/2010	2011.01	08/10/2010 08:54:06 AM Eastern Daylight Time	08/23/2010 01:29:50 PM Eastern Daylight Time	08/23/2010 01:29:50 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Optimum (HMO-POS)	01	02		1			H3351	006	0	2011	Metro Rochester		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	007	0	1	02	01	H3351_007_0	6	08/10/2010	2011.01	08/10/2010 08:54:12 AM Eastern Daylight Time	07/23/2010 07:20:00 AM Eastern Daylight Time			08/10/2010 09:06:49 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Platinum (HMO-POS)	01	02		1			H3351	007	0	2011	Metro Rochester		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3351	010	0	1	01	01	H3351_010_0	7	08/10/2010	2011.01	08/10/2010 08:54:19 AM Eastern Daylight Time	08/23/2010 01:29:51 PM Eastern Daylight Time	08/23/2010 01:29:51 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Value (HMO)	01	01		1			H3351	010	0	2011	Western New York		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	011	0	1	01	01	H3351_011_0	8	08/10/2010	2011.01	08/10/2010 08:54:24 AM Eastern Daylight Time	08/23/2010 01:29:53 PM Eastern Daylight Time	08/23/2010 01:29:53 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Value (HMO)	01	01		1			H3351	011	0	2011	Metro Rochester		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	012	0	1	01	01	H3351_012_0	8	08/10/2010	2011.01	08/10/2010 08:54:30 AM Eastern Daylight Time	08/23/2010 01:29:54 PM Eastern Daylight Time	08/23/2010 01:29:54 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Value Plus (HMO)	01	01		1			H3351	012	0	2011	Western New York		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	013	0	1	01	01	H3351_013_0	8	08/10/2010	2011.01	08/10/2010 08:54:35 AM Eastern Daylight Time	08/23/2010 01:29:55 PM Eastern Daylight Time	08/23/2010 01:29:47 PM Eastern Daylight Time		08/23/2010 01:39:08 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Value Plus (HMO)	01	01		1			H3351	013	0	2011	Metro Rochester		2		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	801	0	1	02	01	H3351_801_0	3	06/07/2010	2011.01	06/07/2010 02:38:51 PM Eastern Daylight Time	07/23/2010 10:30:00 AM Eastern Daylight Time			07/29/2010 02:44:13 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice - Group (HMO-POS)	01	02		1			H3351	801	0	2011	Western New York		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	802	0	1	02	01	H3351_802_0	3	06/07/2010	2011.01	06/07/2010 02:39:22 PM Eastern Daylight Time	07/23/2010 10:29:00 AM Eastern Daylight Time			07/29/2010 02:44:13 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice - Group (HMO-POS)	01	02		1			H3351	802	0	2011	Metro Rochester		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	803	0	1	02	01	H3351_803_0	3	06/07/2010	2011.01	06/07/2010 02:40:16 PM Eastern Daylight Time	07/23/2010 10:34:00 AM Eastern Daylight Time			07/29/2010 02:44:13 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice - Group (HMO-POS)	01	02		1			H3351	803	0	2011	Western New York		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3351	804	0	1	02	01	H3351_804_0	3	06/07/2010	2011.01	06/07/2010 02:40:46 PM Eastern Daylight Time	07/23/2010 10:33:00 AM Eastern Daylight Time			07/29/2010 02:44:13 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice - Group (HMO-POS)	01	02		1			H3351	804	0	2011	Metro Rochester		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220										1
H3351	805	0	1	02	01	H3351_805_0	3	06/07/2010	2011.01	06/07/2010 02:41:27 PM Eastern Daylight Time	07/23/2010 10:32:00 AM Eastern Daylight Time			07/29/2010 02:44:13 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.univerahealthcare.com	SeniorChoice Group Non-Calendar (HMO-POS)	01	02		1			H3351	805	0	2011	Western New York		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-558-4320		(800)-558-4320		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3351	806	0	1	02	01	H3351_806_0	3	06/07/2010	2011.01	06/07/2010 02:41:57 PM Eastern Daylight Time	07/23/2010 10:31:00 AM Eastern Daylight Time			07/29/2010 02:44:13 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Medicare Blue Choice Group Non-Calendar (HMO-POS)	01	02		1			H3351	806	0	2011	Metro Rochester		1		2				2						www.excellusbcbs.com or www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	www.excellusbcbs.com and www.univerahealthcare.com	(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3356	001	0	1	18	06	H3356_001_0	6	08/24/2010	2011.01	08/24/2010 01:19:14 PM Eastern Daylight Time		08/23/2010 01:30:22 PM Eastern Daylight Time		08/24/2010 01:21:10 PM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Blue Choice Senior (Cost)	06	18		1			H3356	001	0	2011	Metro Rochester and Finger Lakes area		2		2				2							www.excellusbcbs.com	www.excellusbcbs.com	(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3356	801	0		18	06	H3356_801_0	1	06/01/2010	2011.01						EXCELLUS HEALTH PLAN, INC.	Excellus Health Plan, Inc	www.excellusbcbs.com	Blue Choice Senior - Group (Cost)	06	18					H3356	801	0	2011	Metro Rochester		1						2							www.excellusbcbs.com	www.excellusbcbs.com	(877)-883-9577		(877)-883-9577		(800)-659-1986				(877)-883-9577		(877)-883-9577		(800)-659-1986		(800)-659-1986		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
H3359	001	0	1	01	01	H3359_001_0	5	08/24/2010	2011.01	08/24/2010 02:03:56 PM Eastern Daylight Time	08/19/2010 07:15:34 PM Eastern Daylight Time	08/19/2010 07:17:22 PM Eastern Daylight Time		08/24/2010 04:21:10 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst 65 Plus Plan (HMO)	01	01		1			H3359	001	0	2011	New York City and Nassau County		2	22016	2				2						www.healthfirstny.org	www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3359	019	0	1	01	01	H3359_019_0	5	08/24/2010	2011.01	08/24/2010 02:10:02 PM Eastern Daylight Time	08/19/2010 07:10:52 PM Eastern Daylight Time	08/19/2010 07:18:59 PM Eastern Daylight Time		08/24/2010 04:21:10 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Increased Benefits Plan (HMO)	01	01		1			H3359	019	0	2011	New York City and Nassau County		2	19249	2				2						www.healthfirstny.org	www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3359	021	0	1	01	01	H3359_021_0	5	08/24/2010	2011.01	08/24/2010 02:13:41 PM Eastern Daylight Time	08/19/2010 07:03:40 PM Eastern Daylight Time	08/19/2010 07:41:32 PM Eastern Daylight Time		08/24/2010 04:21:10 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Life Improvement Plan (HMO SNP)	01	01		1			H3359	021	0	2011	New York City, Nassau and Westchester Counties		2	42979	2		2		1	3		1	2		www.healthfirstny.org	www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3359	027	0	1	01	01	H3359_027_0	4	08/24/2010	2011.01	08/24/2010 02:19:11 PM Eastern Daylight Time	07/30/2010 02:01:55 PM Eastern Daylight Time			08/24/2010 04:21:10 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Coordinated Benefits Plan (HMO)	01	01		1			H3359	027	0	2011	New York City and Nassau County		2	1087	2				2						www.healthfirstny.org	www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1
H3359	032	0	1	01	01	H3359_032_0	6	08/24/2010	2011.01	08/24/2010 02:21:35 PM Eastern Daylight Time	08/19/2010 06:58:04 PM Eastern Daylight Time	08/19/2010 07:21:56 PM Eastern Daylight Time		08/24/2010 04:21:10 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Jade Benefits Plan (HMO)	01	01		1			H3359	032	0	2011	New York, Kings, and Queens Counties		2	1083	2				2						www.healthfirstny.org	www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3359	033	0	1	01	01	H3359_033_0	5	08/24/2010	2011.01	08/24/2010 02:25:32 PM Eastern Daylight Time	08/19/2010 07:02:19 PM Eastern Daylight Time	08/19/2010 07:55:31 PM Eastern Daylight Time		08/24/2010 04:21:10 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Healthfirst Maximum Plan (HMO SNP)	01	01		1			H3359	033	0	2011	New York City, Nassau and Westchester Counties		2	27	2		2		1	3		1	5		www.healthfirstny.org	www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3359	804	0	1	01	01	H3359_804_0	5	08/24/2010	2011.01	08/24/2010 02:40:48 PM Eastern Daylight Time	07/30/2010 01:50:44 PM Eastern Daylight Time			08/24/2010 04:21:10 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Employer Group 1 (HMO)	01	01		1			H3359	804	0	2011	National		1	2	2				2						www.healthfirstny.org	www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H3359	805	0	1	01	01	H3359_805_0	5	08/24/2010	2011.01	08/24/2010 02:47:27 PM Eastern Daylight Time	07/30/2010 02:23:27 PM Eastern Daylight Time			08/24/2010 04:21:10 PM Eastern Daylight Time	MANAGED HEALTH, INC.	Healthfirst Medicare Plan	www.healthfirstny.org	Employer Group 2 (HMO)	01	01		1			H3359	805	0	2011	National		1	2	2				2						www.healthfirstny.org	www.healthfirstny.org	www.healthfirstny.org	(888)-260-1010		(888)-260-1010		(877)-237-1303		(877)-237-1303										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1
H3361	039	0	1	01	01	H3361_039_0	4	08/10/2010	2011.01	08/10/2010 10:22:11 AM Eastern Daylight Time	06/07/2010 09:59:24 PM Eastern Daylight Time			08/10/2010 03:04:56 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Dividend (HMO)	01	01		1			H3361	039	0	2011	Bronx, Kings, Queens, New York Counties		2		2				2							www.wellcare.com	www.wellcare.com	(800)-278-5155		(800)-278-5155		(877)-232-7119		(877)-232-7119										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1
H3361	043	0	1	01	01	H3361_043_0	7	08/20/2010	2011.01	08/20/2010 10:01:13 AM Eastern Daylight Time	08/20/2010 05:05:49 PM Eastern Daylight Time	08/20/2010 05:07:45 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Liberty (HMO SNP)	01	01		1			H3361	043	0	2011	Downstate NY and Erie, Onondaga Counties		2		2		2		1	3		1	5			www.wellcare.com	www.wellcare.com	(866)-491-5746		(866)-491-5746		(877)-232-7119		(877)-232-7119		(866)-491-5746		(866)-491-5746		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H3361	059	0	1	01	01	H3361_059_0	4	08/10/2010	2011.01	08/10/2010 10:22:32 AM Eastern Daylight Time	06/07/2010 09:59:46 PM Eastern Daylight Time			08/10/2010 03:04:56 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Advance (HMO)	01	01		1			H3361	059	0	2011	Upstate New York		2		2				2							www.wellcare.com	www.wellcare.com	(800)-278-5155		(800)-278-5155		(877)-232-7119		(877)-232-7119										(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272										1
H3361	065	0	1	01	01	H3361_065_0	5	06/07/2010	2011.01	06/07/2010 06:48:01 PM Eastern Daylight Time	08/20/2010 05:06:31 PM Eastern Daylight Time	08/20/2010 05:08:01 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H3361	065	0	2011	Upstate New York		2		2		2		1	3		1	1			www.wellcare.com	www.wellcare.com	(866)-482-3363		(866)-482-3363		(877)-232-7119		(877)-232-7119		(866)-482-3363		(866)-482-3363		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H3361	098	0	1	01	01	H3361_098_0	6	07/20/2010	2011.01	07/20/2010 10:14:00 AM Eastern Daylight Time	08/20/2010 05:06:51 PM Eastern Daylight Time	08/20/2010 05:08:15 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Liberty (HMO SNP)	01	01		1			H3361	098	0	2011	Upstate New York		2		2		2		1	3		1	5			www.wellcare.com	www.wellcare.com	(866)-491-5746		(866)-491-5746		(877)-232-7119		(877)-232-7119		(866)-491-5746		(866)-491-5746		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H3361	099	0	1	01	01	H3361_099_0	6	08/20/2010	2011.01	08/20/2010 02:26:47 PM Eastern Daylight Time	08/20/2010 05:07:11 PM Eastern Daylight Time	08/20/2010 05:08:31 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H3361	099	0	2011	Upstate New York		2		2				2							www.wellcare.com	www.wellcare.com	(800)-278-5155		(800)-278-5155		(877)-232-7119		(877)-232-7119		(800)-278-5155		(800)-278-5155		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H3361	105	0	1	01	01	H3361_105_0	7	08/10/2010	2011.01	08/10/2010 10:23:18 AM Eastern Daylight Time	08/20/2010 05:07:32 PM Eastern Daylight Time	08/20/2010 05:08:49 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Advocate Complete (HMO SNP)	01	01		1			H3361	105	0	2011	Bronx, Kings, Queens, New York Counties		2		2		2		1	3		1	4			www.wellcare.com	www.wellcare.com	(866)-661-1232		(866)-661-1232		(877)-232-7119		(877)-232-7119		(866)-661-1232		(866)-661-1232		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H3361	106	0	1	02	01	H3361_106_0	5	08/20/2010	2011.01	08/20/2010 10:08:38 AM Eastern Daylight Time	08/20/2010 05:07:51 PM Eastern Daylight Time	08/20/2010 05:09:05 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Choice (HMO-POS)	01	02		1			H3361	106	0	2011	Bronx, Kings, Queens, New York, Nassau Counties		2		2				2							www.wellcare.com	www.wellcare.com	(800)-278-5155		(800)-278-5155		(877)-232-7119		(877)-232-7119		(800)-278-5155		(800)-278-5155		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H3361	109	0	1	01	01	H3361_109_0	5	08/20/2010	2011.01	08/20/2010 10:09:41 AM Eastern Daylight Time	08/20/2010 05:08:11 PM Eastern Daylight Time	08/20/2010 05:09:25 PM Eastern Daylight Time		08/20/2010 05:28:09 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Access (HMO SNP)	01	01		1			H3361	109	0	2011	Bronx, Kings, Queens, New York, Nassau Counties		2		2		2		1	3		1	1			www.wellcare.com	www.wellcare.com	(866)-482-3363		(866)-482-3363		(877)-232-7119		(877)-232-7119		(866)-482-3363		(866)-482-3363		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H3361	127	0	1	01	01	H3361_127_0	7	08/24/2010	2011.01	08/24/2010 02:55:19 PM Eastern Daylight Time	08/24/2010 12:05:36 PM Eastern Daylight Time	08/20/2010 05:09:45 PM Eastern Daylight Time		08/24/2010 04:59:08 PM Eastern Daylight Time	WELLCARE_OF NEW YORK, INC.	WellCare	www.wellcare.com	WellCare Value (HMO)	01	01		1			H3361	127	0	2011	Rensselaer, Schenectady Counties		2		2				2							www.wellcare.com	www.wellcare.com	(800)-278-5155		(800)-278-5155		(877)-232-7119		(877)-232-7119		(800)-278-5155		(800)-278-5155		(877)-232-7119		(877)-232-7119		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		(877)-247-6272		1
H3362	003	0	1	01	01	H3362_003_0	8	08/13/2010	2011.01	08/13/2010 01:59:30 PM Eastern Daylight Time	08/23/2010 01:14:00 PM Eastern Daylight Time	08/23/2010 01:22:00 PM Eastern Daylight Time		08/23/2010 04:03:06 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Encompass 65 (HMO)	01	01		1			H3362	003	0	2011	Western New York		2	30500	2				2						www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3362	016	0	1	01	01	H3362_016_0	2	07/30/2010	2011.01	07/30/2010 02:00:36 PM Eastern Daylight Time	06/04/2010 05:28:28 PM Eastern Daylight Time			08/05/2010 05:27:29 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Encompass 65 (HMO)	01	01		1			H3362	016	0	2011	Western New York		2	2300	2				2						www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1
H3362	017	0	1	01	01	H3362_017_0	5	08/23/2010	2011.01	08/23/2010 03:28:42 PM Eastern Daylight Time	08/23/2010 01:14:00 PM Eastern Daylight Time	08/23/2010 01:21:00 PM Eastern Daylight Time		08/23/2010 04:03:06 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Encompass 65 Basic (HMO)	01	01		1			H3362	017	0	2011	Western New York		2	6750	2				2						www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3362	020	0	1	01	01	H3362_020_0	5	08/23/2010	2011.01	08/23/2010 03:28:51 PM Eastern Daylight Time	08/23/2010 01:20:00 PM Eastern Daylight Time	08/23/2010 01:25:00 PM Eastern Daylight Time		08/23/2010 04:03:06 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Family Choice (HMO SNP)	01	01		1			H3362	020	0	2011	Erie and Niagara Counties		2	1700	2				1	1	3	1			www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3362	801	0	1	01	01	H3362_801_0	2	06/04/2010	2011.01	06/04/2010 12:05:57 PM Eastern Daylight Time	06/05/2010 03:33:20 PM Eastern Daylight Time			06/06/2010 10:01:25 AM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass (HMO)	01	01		1			H3362	801	0	2011	New York State		1	2500	2				2						www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3362	807	0	1	02	01	H3362_807_0	3	07/20/2010	2011.01	07/20/2010 12:45:54 PM Eastern Daylight Time	06/04/2010 05:34:54 PM Eastern Daylight Time			07/28/2010 06:30:24 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass POS (HMO-POS)	01	02		1			H3362	807	0	2011	IH Network and Medicare Deemed Network		1	8625	1	1			2						www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3362	817	0	1	02	01	H3362_817_0	3	07/20/2010	2011.01	07/20/2010 12:53:56 PM Eastern Daylight Time	07/21/2010 09:24:48 AM Eastern Daylight Time			07/28/2010 06:30:24 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass POS (HMO-POS)	01	02		1			H3362	817	0	2011	IH Network and Medicare Deemed Network		1	10	1	1			2						www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840		1
H3362	819	0	1	02	01	H3362_819_0	3	07/20/2010	2011.01	07/20/2010 01:04:51 PM Eastern Daylight Time	06/05/2010 03:28:14 PM Eastern Daylight Time			07/28/2010 06:11:24 PM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass POS (HMO-POS)	01	02		1			H3362	819	0	2011	IH Network and Medicare Deemed Network		1	180	1	1			2						www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1
H3362	820	0	1	01	01	H3362_820_0	1	06/04/2010	2011.01	06/04/2010 01:14:53 PM Eastern Daylight Time	06/05/2010 03:35:08 PM Eastern Daylight Time			06/06/2010 09:43:35 AM Eastern Daylight Time	INDEPENDENT HEALTH ASSOCIATION, INC.	Independent Health	www.independenthealth.com	Independent Health Medicare Encompass (HMO)	01	01		1			H3362	820	0	2011	New York State		1	10	2				2						www.independenthealth.com	www.independenthealth.com	www.independenthealth.com	(800)-665-1502		(716)-250-4401		(800)-958-4405		(716)-635-4900										(800)-432-1110		(716)-631-3108		(888)-357-9167		(716)-635-4840										1
H3366	022	0	1	01	01	H3366_022_0	4	08/30/2010	2011.01	08/30/2010 01:04:42 PM Eastern Daylight Time	08/23/2010 05:08:40 PM Eastern Daylight Time	08/23/2010 05:08:57 PM Eastern Daylight Time		08/30/2010 05:24:14 PM Eastern Daylight Time	TOUCHSTONE HEALTH HMO, INC.	Touchstone Health	www.touchstone-health.com	Touchstone Grand (HMO SNP)	01	01		1			H3366	022	0	2011	New York City		2	170	2		2		1	3		1	2		www.touchstone-health.com	https://www.touchstone-health.com/search/formulary/	https://www.touchstone-health.com/search/formulary/	(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(888)-777-0204		(888)-777-0204		(866)-484-9872		(866)-484-9872		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		(877)-867-5814		(877)-867-5814		(877)-867-5813		(877)-867-5813		1
H3370	001	0	1	01	01	H3370_001_0	11	08/23/2010	2011.01	08/23/2010 04:28:41 PM Eastern Daylight Time	08/23/2010 04:38:29 PM Eastern Daylight Time	08/23/2010 04:43:11 PM Eastern Daylight Time		08/23/2010 04:50:35 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Plus (HMO)	01	01		1			H3370	001	0	2011	New York City Region in New York		2	29646	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3370	002	0	1	01	01	H3370_002_0	7	08/22/2010	2011.01	08/22/2010 01:27:29 PM Eastern Daylight Time	08/22/2010 10:59:16 AM Eastern Daylight Time	08/22/2010 02:37:30 PM Eastern Daylight Time		08/23/2010 10:07:13 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Select (HMO)	01	01		1			H3370	002	0	2011	Metro-North and Mid-Hudson Regions in New York		2	9318	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3370	003	0	1	01	01	H3370_003_0	6	08/22/2010	2011.01	08/22/2010 01:22:39 PM Eastern Daylight Time	08/22/2010 10:58:28 AM Eastern Daylight Time	08/22/2010 02:37:40 PM Eastern Daylight Time		08/23/2010 10:10:40 AM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Plus (HMO)	01	01		1			H3370	003	0	2011	Nassau County in New York		2	5589	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3370	004	0	1	01	01	H3370_004_0	6	08/22/2010	2011.01	08/22/2010 01:19:35 PM Eastern Daylight Time	08/22/2010 10:57:26 AM Eastern Daylight Time	08/22/2010 02:37:53 PM Eastern Daylight Time		08/22/2010 10:42:04 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Plus (HMO)	01	01		1			H3370	004	0	2011	Suffolk County in New York		2	10226	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3370	009	0	1	01	01	H3370_009_0	3	08/20/2010	2011.01	08/20/2010 01:16:32 PM Eastern Daylight Time	08/04/2010 10:25:37 PM Eastern Daylight Time			08/20/2010 01:28:55 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Essential (HMO)	01	01		1			H3370	009	0	2011	Suffolk County in New York		2	1211	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1
H3370	014	0	1	01	01	H3370_014_0	7	08/22/2010	2011.01	08/22/2010 01:19:08 PM Eastern Daylight Time	08/22/2010 10:56:41 AM Eastern Daylight Time	08/22/2010 02:38:17 PM Eastern Daylight Time		08/22/2010 10:42:04 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Plus (HMO)	01	01		1			H3370	014	0	2011	Capital Region in New York		2	667	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3370	019	0	1	01	01	H3370_019_0	3	08/20/2010	2011.01	08/20/2010 01:16:09 PM Eastern Daylight Time	08/04/2010 10:26:39 PM Eastern Daylight Time			08/20/2010 01:28:55 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Essential (HMO)	01	01		1			H3370	019	0	2011	Select Counties in New York		2	1105	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1
H3370	022	0	1	01	01	H3370_022_0	6	08/22/2010	2011.01	08/22/2010 01:18:33 PM Eastern Daylight Time	08/22/2010 10:55:52 AM Eastern Daylight Time	08/22/2010 02:38:40 PM Eastern Daylight Time		08/22/2010 10:42:04 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Select (HMO)	01	01		1			H3370	022	0	2011	Nassau County in New York		2	196	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3370	023	0	1	01	01	H3370_023_0	8	08/22/2010	2011.01	08/22/2010 01:18:03 PM Eastern Daylight Time	08/22/2010 11:01:02 AM Eastern Daylight Time	08/22/2010 10:56:37 PM Eastern Daylight Time		08/22/2010 11:01:39 PM Eastern Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	http://www.empireblue.com	Empire MediBlue Select (HMO)	01	01		1			H3370	023	0	2011	Capital Region in New York		2	225	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-499-9554		(800)-499-9554		(800)-797-6159		(800)-797-6159		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3370	801	0	1	01	01	H3370_801_0	8	08/20/2010	2011.01	08/20/2010 11:20:00 AM Pacific Daylight Time	07/22/2010 04:45:54 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	www.empireblue.com/medicare	MediBlue (HMO)	01	01		1			H3370	801	0	2011	New York State		1	2380	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3370	803	0	1	01	01	H3370_803_0	6	08/20/2010	2011.01	08/20/2010 11:21:02 AM Pacific Daylight Time	07/22/2010 04:46:38 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	www.empireblue.com/medicare	MediBlue (HMO)	01	01		1			H3370	803	0	2011	New York State		1	1962	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1
H3370	805	0	1	01	01	H3370_805_0	6	08/20/2010	2011.01	08/20/2010 11:21:56 AM Pacific Daylight Time	07/22/2010 04:47:20 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	EMPIRE HEALTHCHOICE HMO, INC.	Empire BlueCross BlueShield	www.empireblue.com/medicare	MediBlue (HMO)	01	01		1			H3370	805	0	2011	New York State		1	50	2				2						www.empireblue.com	www.empireblue.com	www.empireblue.com	(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-499-9554		(800)-499-9554		(800)-809-7328		(800)-809-7328		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H3379	001	0	1	01	01	H3379_001_0	4	06/01/2010	2011.01	06/01/2010 10:19:28 AM Central Daylight Time	08/19/2010 07:33:42 PM Central Daylight Time	08/18/2010 04:46:21 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H3379	001	0	2011	New York City		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3379	002	0	1	01	01	H3379_002_0	4	06/01/2010	2011.01	06/01/2010 09:09:38 AM Central Daylight Time	08/19/2010 07:34:12 PM Central Daylight Time	08/18/2010 04:30:31 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO SNP)	01	01		1			H3379	002	0	2011	New York Metropolitan Area		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3379	022	0	1	01	01	H3379_022_0	4	08/20/2010	2011.01	08/20/2010 02:53:37 PM Central Daylight Time	08/20/2010 12:46:27 PM Central Daylight Time	08/18/2010 04:30:37 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO SNP)	01	01		1			H3379	022	0	2011	Upstate New York		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3379	037	0	1	01	01	H3379_037_0	4	06/03/2010	2011.01	06/03/2010 09:24:03 AM Central Daylight Time	08/19/2010 07:35:15 PM Central Daylight Time	08/18/2010 04:30:43 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO SNP)	01	01		1			H3379	037	0	2011	New York Metropolitan Area		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3384	013	0	1	01	01	H3384_013_0	8	08/25/2010	2011.01	08/25/2010 11:05:52 AM Eastern Daylight Time	08/23/2010 05:40:00 AM Eastern Daylight Time	08/23/2010 05:34:00 AM Eastern Daylight Time		08/25/2010 02:13:39 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bsneny.com	BlueShield Senior Blue HMO 652 PartD (HMO)	01	01		1			H3384	013	0	2011	Northeastern New York		2	4656	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(877)-258-7453		(877)-258-7453		(800)-329-2792		(800)-329-2792		(877)-258-7453		(877)-258-7453		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1
H3384	015	0	1	01	01	H3384_015_0	6	08/25/2010	2011.01	08/25/2010 11:07:55 AM Eastern Daylight Time	08/08/2010 02:46:04 PM Eastern Daylight Time			08/25/2010 02:13:39 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bsneny.com	BlueShield Senior Blue HMO 601 (HMO)	01	01		1			H3384	015	0	2011	Northeastern New York		2	1125	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(877)-258-7453		(877)-258-7453										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										1
H3384	019	0	1	01	01	H3384_019_0	9	08/26/2010	2011.01	08/26/2010 04:00:55 PM Eastern Daylight Time	08/26/2010 11:12:32 AM Eastern Daylight Time	08/23/2010 05:36:00 AM Eastern Daylight Time		08/26/2010 04:08:17 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 651 PartD (HMO)	01	01		1			H3384	019	0	2011	Western New York		2	11396	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583		(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1
H3384	022	0	1	01	01	H3384_022_0	4	08/25/2010	2011.01	08/25/2010 11:13:02 AM Eastern Daylight Time	08/08/2010 04:05:15 PM Eastern Daylight Time			08/25/2010 02:13:39 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 601 (HMO)	01	01		1			H3384	022	0	2011	Western New York		2	2909	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1
H3384	041	0	1	01	01	H3384_041_0	8	08/25/2010	2011.01	08/25/2010 11:14:48 AM Eastern Daylight Time	08/23/2010 05:43:00 AM Eastern Daylight Time	08/23/2010 05:37:00 AM Eastern Daylight Time		08/25/2010 02:13:39 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 653 PartD (HMO)	01	01		1			H3384	041	0	2011	Western New York		2	9697	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583		(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1
H3384	051	0	1	01	01	H3384_051_0	4	08/25/2010	2011.01	08/25/2010 11:27:40 AM Eastern Daylight Time	08/08/2010 04:06:20 PM Eastern Daylight Time			08/25/2010 02:13:39 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com	BlueCross BlueShield Senior Blue HMO 602 (HMO)	01	01		1			H3384	051	0	2011	Western New York		2	511	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1
H3384	053	0	1	01	01	H3384_053_0	10	08/25/2010	2011.01	08/25/2010 11:32:41 AM Eastern Daylight Time	08/23/2010 05:44:00 AM Eastern Daylight Time	08/23/2010 05:33:00 AM Eastern Daylight Time		08/25/2010 02:13:39 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bsneny.com	BlueShield Senior Blue HMO 651 PartD (HMO)	01	01		1			H3384	053	0	2011	Northeastern New York		2	3502	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(877)-258-7453		(877)-258-7453		(800)-329-2792		(800)-329-2792		(877)-258-7453		(877)-258-7453		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1
H3384	805	0	1	01	01	H3384_805_0	3	08/07/2010	2011.01	08/07/2010 06:55:44 PM Eastern Daylight Time	08/12/2010 03:16:47 PM Eastern Daylight Time			08/12/2010 05:24:08 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	Senior Blue HMO MA Only Plan (HMO)	01	01		1			H3384	805	0	2011	Western and Northeastern New York		1	794	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1
H3384	806	0	1	01	01	H3384_806_0	3	08/08/2010	2011.01	08/08/2010 12:15:12 PM Eastern Daylight Time	08/12/2010 03:17:44 PM Eastern Daylight Time			08/12/2010 05:24:08 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	Senior Blue HMO (MA-PD) Calendar Year (HMO)	01	01		1			H3384	806	0	2011	Western and Northeastern New York		1	5500	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1
H3384	807	0	1	01	01	H3384_807_0	3	08/08/2010	2011.01	08/08/2010 12:15:36 PM Eastern Daylight Time	08/12/2010 03:18:21 PM Eastern Daylight Time			08/12/2010 05:24:08 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC	Senior Blue	www.bcbswny.com, www.bsneny.com	Senior Blue HMO Group (MA-PD) Non-Cal Year (HMO)	01	01		1			H3384	807	0	2011	Western and Northeastern New York		1	1700	2				2						http://www.bcbswny.com (for Western NY members) and http://www.bsneny.com (for Northeast NY member)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com   www.bsneny.com	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1
H3387	010	0	1	01	01	H3387_010_0	5	08/20/2010	2011.01	08/20/2010 03:53:37 PM Central Daylight Time	08/19/2010 05:59:41 PM Central Daylight Time	08/18/2010 04:30:47 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW YORK, INC.	AmeriChoice Personal Care Plus	www.americhoice.com	UnitedHealthcare Dual Complete (HMO SNP)	01	01		1			H3387	010	0	2011	New York Counties		2		2		2		1	3		1	5		www.americhoice.com	http://www.americhoice.com	www.prescriptionsolutions.com	(800)-514-4912		(800)-514-4912		(888)-565-8170		(888)-565-8170		(800)-514-4912		(800)-514-4912		(866)-365-2795		(866)-365-2795		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3388	001	0	1	01	01	H3388_001_0	4	08/10/2010	2011.01	08/10/2010 08:17:07 AM Eastern Daylight Time	07/28/2010 08:47:39 AM Eastern Daylight Time			08/10/2010 08:49:38 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Choice (HMO)	01	01		1			H3388	001	0	2011	Capital Region of New York State		2	3671	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1
H3388	002	0	1	01	01	H3388_002_0	7	08/10/2010	2011.01	08/10/2010 08:18:25 AM Eastern Daylight Time	08/19/2010 07:16:19 PM Eastern Daylight Time	08/19/2010 04:58:39 PM Eastern Daylight Time		08/23/2010 02:45:28 PM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Choice Rx (HMO)	01	01		1			H3388	002	0	2011	Capital Region of New York State		2	10038	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(866)-289-2319		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H3388	003	0	1	01	01	H3388_003_0	5	08/10/2010	2011.01	08/10/2010 08:18:37 AM Eastern Daylight Time	07/23/2010 05:38:22 PM Eastern Daylight Time			08/10/2010 08:49:38 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Value (HMO)	01	01		1			H3388	003	0	2011	Capital Region of New York State		2	235	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1
H3388	004	0	1	01	01	H3388_004_0	7	08/10/2010	2011.01	08/10/2010 08:18:49 AM Eastern Daylight Time	08/19/2010 07:20:38 PM Eastern Daylight Time	08/19/2010 04:58:49 PM Eastern Daylight Time		08/23/2010 02:45:28 PM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Value Rx (HMO)	01	01		1			H3388	004	0	2011	Capital Region of New York State		2	1640	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(866)-289-2319		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H3388	801	0	1	01	01	H3388_801_0	3	07/20/2010	2011.01	07/20/2010 07:39:46 AM Eastern Daylight Time	06/06/2010 03:55:42 PM Eastern Daylight Time			07/23/2010 12:50:45 PM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare Rx (HMO)	01	01		1			H3388	801	0	2011	Upstate New York Region		1	221	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(866)-289-2319		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H3388	803	0	1	01	01	H3388_803_0	4	07/22/2010	2011.01	07/22/2010 02:25:28 PM Eastern Daylight Time	07/28/2010 08:47:37 AM Eastern Daylight Time			07/28/2010 09:57:52 AM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare Rx (HMO)	01	01		1			H3388	803	0	2011	Upstate New York Region		1	6117	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(866)-289-2319		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H3388	804	0	1	01	01	H3388_804_0	3	07/20/2010	2011.01	07/20/2010 07:40:04 AM Eastern Daylight Time	06/06/2010 03:57:48 PM Eastern Daylight Time			07/23/2010 12:50:45 PM Eastern Daylight Time	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare (HMO)	01	01		1			H3388	804	0	2011	Upstate New York Region		1	671	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1
H3404	001	0	1	04	01	H3404_001_0	9	07/29/2010	2011.01	07/29/2010 06:33:11 AM Eastern Daylight Time	06/17/2010 05:15:58 PM Eastern Daylight Time	07/16/2010 03:16:21 PM Eastern Daylight Time		08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross and Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare PPO Enhanced (PPO)	01	04		1			H3404	001	0	2011	Select North Carolina Counties		2	3349	2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		1
H3404	002	0	1	04	01	H3404_002_0	13	08/20/2010	2011.01	08/20/2010 08:24:05 AM Eastern Daylight Time	08/19/2010 04:26:22 PM Eastern Daylight Time	08/19/2010 08:43:48 AM Eastern Daylight Time		08/24/2010 07:42:14 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross and Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare PPO Enhanced Freedom (PPO)	01	04		1			H3404	002	0	2011	Select North Carolina Counties		2	4747	2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		1
H3404	801	0	1	04	01	H3404_801_0	9	07/29/2010	2011.01	07/29/2010 06:31:10 AM Eastern Daylight Time	06/09/2010 09:31:08 AM Eastern Daylight Time			08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross and Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare PPO EGWP Medical Only (PPO)	01	04		1			H3404	801	0	2011	North Carolina Employer Groups		1		2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037										(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140										1
H3404	803	0	1	04	01	H3404_803_0	8	07/29/2010	2011.01	07/29/2010 06:31:47 AM Eastern Daylight Time	07/19/2010 08:22:29 PM Eastern Daylight Time			08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross and Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare PPO EGWP (PPO)	01	04		1			H3404	803	0	2011	North Carolina Employer Groups		1		2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		1
H3404	807	0	1	04	01	H3404_807_0	8	07/29/2010	2011.01	07/29/2010 06:32:02 AM Eastern Daylight Time	06/09/2010 09:28:14 AM Eastern Daylight Time			08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross and Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare PPO NC+ EGWP (PPO)	01	04		1			H3404	807	0	2011	South Atlantic		1		2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		1
H3404	808	0	1	04	01	H3404_808_0	8	07/29/2010	2011.01	07/29/2010 06:32:23 AM Eastern Daylight Time	06/09/2010 09:26:22 AM Eastern Daylight Time			08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross and Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare PPO NC+ EGWP Med Only (PPO)	01	04		1			H3404	808	0	2011	South Atlantic		1		2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(877)-494-7647		(877)-494-7647		(800)-665-8037		(800)-665-8037										(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140										1
H3405	001	0	1	04	01	H3405_001_0	7	08/20/2010	2011.01	08/20/2010 03:01:40 PM Eastern Daylight Time	08/20/2010 09:27:16 AM Eastern Daylight Time	08/20/2010 04:09:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3405-001 (PPO)	01	04		1			H3405	001	0	2011	Raleigh Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3405	002	0	1	04	01	H3405_002_0	5	08/20/2010	2011.01	08/20/2010 03:01:56 PM Eastern Daylight Time	08/20/2010 09:17:28 AM Eastern Daylight Time	08/20/2010 04:10:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3405-002 (PPO)	01	04		1			H3405	002	0	2011	Greensboro / Winston-Salem Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3405	005	0	1	04	01	H3405_005_0	4	08/20/2010	2011.01	08/20/2010 03:02:11 PM Eastern Daylight Time	08/20/2010 09:19:42 AM Eastern Daylight Time	08/20/2010 04:10:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3405-005 (PPO)	01	04		1			H3405	005	0	2011	Statesville Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3405	006	0	1	04	01	H3405_006_0	4	08/20/2010	2011.01	08/20/2010 03:02:29 PM Eastern Daylight Time	08/20/2010 09:24:44 AM Eastern Daylight Time	08/20/2010 04:10:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3405-006 (PPO)	01	04		1			H3405	006	0	2011	Charlotte Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3405	007	0	1	04	01	H3405_007_0	4	08/20/2010	2011.01	08/20/2010 03:02:46 PM Eastern Daylight Time	08/20/2010 09:25:12 AM Eastern Daylight Time	08/20/2010 04:10:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3405-007 (PPO)	01	04		1			H3405	007	0	2011	Select Western North Carolina Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3410	001	1	1	09	04	H3410_001_1	8	10/07/2010	2011.01	10/07/2010 01:24:16 PM Pacific Daylight Time	08/04/2010 01:29:35 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect Basic (PFFS)	04	09	1	1			H3410	001	1	2011	Nationwide	Segment 1	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	001	2	1	09	04	H3410_001_2	8	10/07/2010	2011.01	10/07/2010 01:26:22 PM Pacific Daylight Time	08/04/2010 01:32:29 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect Basic (PFFS)	04	09	1	1			H3410	001	2	2011	Nationwide	Segment 2	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	001	3	1	09	04	H3410_001_3	8	10/07/2010	2011.01	10/07/2010 01:26:34 PM Pacific Daylight Time	08/04/2010 01:35:08 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect Basic (PFFS)	04	09	1	1			H3410	001	3	2011	Nationwide	Segment 3	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	001	4	1	09	04	H3410_001_4	8	10/07/2010	2011.01	10/07/2010 01:26:46 PM Pacific Daylight Time	08/04/2010 01:38:35 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect Basic (PFFS)	04	09	1	1			H3410	001	4	2011	Nationwide	Segment 4	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	001	5	1	09	04	H3410_001_5	8	10/07/2010	2011.01	10/07/2010 01:35:57 PM Pacific Daylight Time	08/04/2010 01:41:56 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect Basic (PFFS)	04	09	1	1			H3410	001	5	2011	Nationwide	Segment 5	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	002	1	1	09	04	H3410_002_1	6	10/07/2010	2011.01	10/07/2010 01:31:41 PM Pacific Daylight Time	08/03/2010 01:02:32 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 1 (PFFS)	04	09	1	1			H3410	002	1	2011	Nationwide	Segment 1	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	002	2	1	09	04	H3410_002_2	6	10/07/2010	2011.01	10/07/2010 01:34:20 PM Pacific Daylight Time	08/03/2010 12:58:23 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 1 (PFFS)	04	09	1	1			H3410	002	2	2011	Nationwide	Segment 2	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	002	3	1	09	04	H3410_002_3	6	10/07/2010	2011.01	10/07/2010 01:34:49 PM Pacific Daylight Time	08/03/2010 01:01:05 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 1 (PFFS)	04	09	1	1			H3410	002	3	2011	Nationwide	Segment 3	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	002	4	1	09	04	H3410_002_4	6	10/07/2010	2011.01	10/07/2010 01:35:01 PM Pacific Daylight Time	08/03/2010 01:04:50 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 1 (PFFS)	04	09	1	1			H3410	002	4	2011	Nationwide	Segment 4	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	002	5	1	09	04	H3410_002_5	6	10/07/2010	2011.01	10/07/2010 01:35:36 PM Pacific Daylight Time	08/03/2010 01:06:24 PM Pacific Daylight Time			10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 1 (PFFS)	04	09	1	1			H3410	002	5	2011	Nationwide	Segment 5	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	003	1	1	09	04	H3410_003_1	9	10/07/2010	2011.01	10/07/2010 01:38:58 PM Pacific Daylight Time	09/24/2010 03:21:06 PM Pacific Daylight Time	08/19/2010 09:38:05 AM Pacific Daylight Time		10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 2 (PFFS)	04	09	1	1			H3410	003	1	2011	Nationwide	Segment 1	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H3410	003	2	1	09	04	H3410_003_2	9	10/07/2010	2011.01	10/07/2010 01:42:01 PM Pacific Daylight Time	09/24/2010 03:23:52 PM Pacific Daylight Time	08/19/2010 09:38:52 AM Pacific Daylight Time		10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 2 (PFFS)	04	09	1	1			H3410	003	2	2011	Nationwide	Segment 2	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H3410	003	3	1	09	04	H3410_003_3	9	10/07/2010	2011.01	10/07/2010 01:42:12 PM Pacific Daylight Time	09/24/2010 03:25:25 PM Pacific Daylight Time	08/19/2010 09:39:30 AM Pacific Daylight Time		10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 2 (PFFS)	04	09	1	1			H3410	003	3	2011	Nationwide	Segment 3	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H3410	003	4	1	09	04	H3410_003_4	9	10/07/2010	2011.01	10/07/2010 01:42:27 PM Pacific Daylight Time	09/24/2010 03:27:32 PM Pacific Daylight Time	08/19/2010 09:41:05 AM Pacific Daylight Time		10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 2 (PFFS)	04	09	1	1			H3410	003	4	2011	Nationwide	Segment 4	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H3410	003	5	1	09	04	H3410_003_5	9	10/07/2010	2011.01	10/07/2010 01:42:42 PM Pacific Daylight Time	09/24/2010 03:29:18 PM Pacific Daylight Time	08/19/2010 09:41:49 AM Pacific Daylight Time		10/07/2010 04:38:07 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Connect 2 (PFFS)	04	09	1	1			H3410	003	5	2011	Nationwide	Segment 5	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H3410	801	0	1	09	04	H3410_801_0	3	07/27/2010	2011.01	07/27/2010 04:00:32 PM Pacific Daylight Time	08/03/2010 10:38:52 AM Pacific Daylight Time			08/03/2010 04:27:04 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Retiree Options (PFFS)	04	09	1	1			H3410	801	0	2011	Nationwide		1		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H3410	802	0	1	09	04	H3410_802_0	3	07/27/2010	2011.01	07/27/2010 04:01:05 PM Pacific Daylight Time	08/03/2010 11:09:16 AM Pacific Daylight Time			08/03/2010 04:27:04 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Retiree Options Plus (PFFS)	04	09	1	1			H3410	802	0	2011	Nationwide		1		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H3421	001	0	1	09	04	H3421_001_0	3	08/05/2010	2011.01	08/05/2010 11:20:40 AM Eastern Daylight Time	08/13/2010 11:36:09 AM Eastern Daylight Time			08/13/2010 12:27:49 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	America's 1st Choice Health Plans	www.americas1stchoice.com	Patriot (PFFS)	04	09	1	1			H3421	001	0	2011	Select Counties in SC		2	743	2				2							www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583										1
H3421	002	0	1	09	04	H3421_002_0	6	08/23/2010	2011.01	08/23/2010 11:44:29 AM Eastern Daylight Time	08/22/2010 03:12:39 PM Eastern Daylight Time	08/22/2010 03:14:00 PM Eastern Daylight Time		08/23/2010 02:28:09 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	America's 1st Choice Health Plans	www.americas1stchoice.com	Patriot Plus (PFFS)	04	09	1	1			H3421	002	0	2011	Select Counties in SC		2	3294	2				2							www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		1
H3430	001	0	1	20	08	H3430_001_0	2	05/28/2010	2011.01	05/28/2010 08:35:32 AM Mountain Daylight Time		05/27/2010 03:57:29 PM Mountain Daylight Time		05/28/2010 10:31:48 AM Mountain Daylight Time	NEIGHBORLY CARE NETWORK, INC.	Neighborly Care PACE Center	www.neighborly.org	Neighborly Care PACE Center (PACE)	08	20		1			H3430	001	0	2011	Neighborly Care PACE Center		2		2				2							http://www.neighborly.org/	http://www.neighborly.org/									(266)-458-2933		(727)-289-0062		(866)-458-2933		(727)-289-0062										(866)-458-2933		(727)-289-0062		(866)-458-2933		(727)-289-0062		1
H3430	002	0	1	20	08	H3430_002_0	2	05/28/2010	2011.01	05/28/2010 08:35:45 AM Mountain Daylight Time		05/27/2010 03:57:29 PM Mountain Daylight Time		05/28/2010 10:31:48 AM Mountain Daylight Time	NEIGHBORLY CARE NETWORK, INC.	Neighborly Care PACE Center	www.neighborly.org	Neighborly Care PACE Center (PACE)	08	20		1			H3430	002	0	2011	Neighborly Plan PACE Center		2		2				2							http://www.neighborly.org/	http://www.neighborly.org/									(866)-458-2933		(727)-289-0062		(866)-458-2933		(727)-289-0062										(866)-458-2933		(727)-289-0062		(866)-458-2933		(727)-289-0062		1
H3449	005	0	1	01	01	H3449_005_0	10	07/29/2010	2011.01	07/29/2010 06:34:01 AM Eastern Daylight Time	06/17/2010 05:28:32 PM Eastern Daylight Time	07/16/2010 03:12:08 PM Eastern Daylight Time		08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare HMO Enhanced (HMO)	01	01		1			H3449	005	0	2011	Select North Carolina Counties		2	26432	2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		1
H3449	012	0	1	01	01	H3449_012_0	9	07/29/2010	2011.01	07/29/2010 06:34:37 AM Eastern Daylight Time	07/21/2010 09:19:29 AM Eastern Daylight Time			08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare HMO Medical Only (HMO)	01	01		1			H3449	012	0	2011	Select North Carolina Counties		2	5111	2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037										(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140										1
H3449	013	0	1	01	01	H3449_013_0	10	08/23/2010	2011.01	08/23/2010 01:31:27 PM Eastern Daylight Time	08/23/2010 01:22:50 PM Eastern Daylight Time	08/19/2010 08:51:01 AM Eastern Daylight Time		08/23/2010 05:40:54 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare HMO Standard (HMO)	01	01		1			H3449	013	0	2011	Select North Carolina Counties		2	7019	2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		1
H3449	801	0	1	01	01	H3449_801_0	6	07/29/2010	2011.01	07/29/2010 06:35:47 AM Eastern Daylight Time	06/07/2010 04:17:14 PM Eastern Daylight Time			08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare HMO EGWP (HMO)	01	01		1			H3449	801	0	2011	North Carolina Employer Groups		1		2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		1
H3449	805	0	1	01	01	H3449_805_0	5	07/29/2010	2011.01	07/29/2010 06:36:02 AM Eastern Daylight Time	06/07/2010 05:11:50 PM Eastern Daylight Time			08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare HMO EGWP Medical Only (HMO)	01	01		1			H3449	805	0	2011	North Carolina Employer Groups		1		2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037										(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140										1
H3449	810	0	1	01	01	H3449_810_0	5	07/29/2010	2011.01	07/29/2010 06:36:15 AM Eastern Daylight Time	06/07/2010 02:44:37 PM Eastern Daylight Time			08/03/2010 04:06:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF NORTH CAROLINA	Blue Cross Blue Shield of North Carolina	www.bcbsnc.com/medicare	Blue Medicare HMO (RAI) (HMO)	01	01		1			H3449	810	0	2011	North Carolina Empolyer Groups		1		2				2						www.bcbsnc.com/medicare	http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm	(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-310-4110		(888)-310-4110		(800)-665-8037		(800)-665-8037		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		(888)-451-9957		(888)-451-9957		(800)-922-3140		(800)-922-3140		1
H3456	001	0	1	02	01	H3456_001_0	5	07/07/2010	2011.01	07/07/2010 09:32:11 AM Central Daylight Time	08/19/2010 10:32:42 PM Central Daylight Time	08/18/2010 04:46:26 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3456	001	0	2011	Select Counties in North Carolina		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	010	0	1	01	01	H3456_010_0	5	08/20/2010	2011.01	08/20/2010 02:38:07 PM Central Daylight Time	08/20/2010 10:17:42 AM Central Daylight Time	08/18/2010 04:30:53 PM Central Daylight Time		08/20/2010 03:43:00 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO SNP)	01	01		1			H3456	010	0	2011	Select Counties in North Carolina		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	016	0	1	01	01	H3456_016_0	4	06/01/2010	2011.01	06/01/2010 07:14:54 PM Central Daylight Time	08/19/2010 10:41:16 PM Central Daylight Time	08/18/2010 04:30:58 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H3456	016	0	2011	Select Counties in North Carolina		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	020	0	1	02	01	H3456_020_0	2	06/02/2010	2011.01	06/02/2010 04:15:52 PM Central Daylight Time	06/01/2010 05:43:58 PM Central Daylight Time			07/07/2010 02:17:26 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H3456	020	0	2011	Select Counties in North Carolina		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H3456	023	0	1	02	01	H3456_023_0	6	07/07/2010	2011.01	07/07/2010 09:32:18 AM Central Daylight Time	08/19/2010 10:49:38 PM Central Daylight Time	08/18/2010 04:46:31 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3456	023	0	2011	Wake and Durham Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	801	0	1	01	01	H3456_801_0	1	05/25/2010	2011.01	05/25/2010 08:38:22 AM Central Daylight Time	06/03/2010 01:40:33 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3456	801	0	2011	Select Counties in North Carolina		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	803	0	1	01	01	H3456_803_0	1	05/25/2010	2011.01	05/25/2010 08:38:26 AM Central Daylight Time	06/03/2010 01:40:54 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3456	803	0	2011	Select Counties in NC		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	804	0	1	01	01	H3456_804_0	1	05/25/2010	2011.01	05/25/2010 08:38:33 AM Central Daylight Time	06/03/2010 01:41:26 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3456	804	0	2011	Select counties in NC		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3456	805	0	2	01	01	H3456_805_0	1	06/01/2010	2011.01	06/01/2010 04:12:57 PM Central Daylight Time	06/03/2010 01:41:47 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H3456	805	0	2011	Select counties in NC		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	806	0	2	01	01	H3456_806_0	1	06/01/2010	2011.01	06/01/2010 04:10:54 PM Central Daylight Time	06/03/2010 01:43:19 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H3456	806	0	2011	Select counties in NC		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	807	0	1	02	01	H3456_807_0	1	05/27/2010	2011.01	05/27/2010 08:23:32 AM Central Daylight Time	06/03/2010 01:43:36 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3456	807	0	2011	Select counties in NC		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	808	0	1	02	01	H3456_808_0	1	05/27/2010	2011.01	05/27/2010 08:23:55 AM Central Daylight Time	06/03/2010 01:43:55 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3456	808	0	2011	Select counties in NC		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3456	809	0	1	02	01	H3456_809_0	1	05/27/2010	2011.01	05/27/2010 08:24:20 AM Central Daylight Time	06/03/2010 01:44:15 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NORTH CAROLINA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3456	809	0	2011	Select counties in NC		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3493	001	0	1	20	08	H3493_001_0	1	05/27/2010	2011.01	05/27/2010 04:01:18 PM Mountain Daylight Time		05/28/2010 08:25:36 AM Mountain Daylight Time		05/28/2010 10:46:20 AM Mountain Daylight Time	LIFE AT LOURDES, INC.	LIFE at Lourdes	www.lourdesmed.org	LIFE at Lourdes, Inc (PACE)	08	20		1			H3493	001	0	2011	LIFE at Lourdes		2		2				2							www.lourdesmed.org	www.lourdesmed.org									(856)-675-3355		(856)-675-3355		(856)-675-3355		(856)-675-3355										(856)-675-3355		(856)-675-3355		(856)-675-3355		(856)-675-3355		1
H3493	002	0	1	20	08	H3493_002_0	1	05/27/2010	2011.01	05/27/2010 04:01:40 PM Mountain Daylight Time		05/28/2010 08:25:36 AM Mountain Daylight Time		05/28/2010 10:46:20 AM Mountain Daylight Time	LIFE AT LOURDES, INC.	LIFE at Lourdes	www.lourdesmed.org	LIFE at Lourdes, Inc (PACE)	08	20		1			H3493	002	0	2011	LIFE at Lourdes		2		2				2							www.lourdesmed.org	www.lourdesmed.org									(856)-675-3355		(856)-675-3355		(856)-675-3355		(856)-675-3355										(856)-675-3355		(856)-675-3355		(856)-675-3355		(856)-675-3355		1
H3528	001	0	1	01	01	H3528_001_0	7	09/01/2010	2011.01	09/01/2010 12:39:05 PM Eastern Daylight Time	08/20/2010 03:16:12 PM Eastern Daylight Time	08/20/2010 03:13:27 PM Eastern Daylight Time		09/01/2010 04:09:43 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Prime 1 (HMO)	01	01		1			H3528	001	0	2011	State of Connecticut		2	7073	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1
H3528	002	0	1	01	01	H3528_002_0	8	09/01/2010	2011.01	09/01/2010 12:39:34 PM Eastern Daylight Time	08/20/2010 03:12:44 PM Eastern Daylight Time	08/20/2010 03:11:20 PM Eastern Daylight Time		09/01/2010 04:09:43 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Prime 3 (HMO)	01	01		1			H3528	002	0	2011	State of Connecticut		2	3753	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1
H3528	003	0	1	01	01	H3528_003_0	4	09/14/2010	2011.01	09/14/2010 11:38:30 AM Eastern Daylight Time	07/27/2010 05:10:34 PM Eastern Daylight Time			09/14/2010 11:40:27 AM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Prime 4 (HMO)	01	01		1			H3528	003	0	2011	State of Connecticut		2	878	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220										(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710										1
H3528	006	0	1	02	01	H3528_006_0	6	09/01/2010	2011.01	09/01/2010 12:40:12 PM Eastern Daylight Time	08/20/2010 03:10:22 PM Eastern Daylight Time	08/20/2010 03:09:12 PM Eastern Daylight Time		09/01/2010 04:09:43 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP Option 1 (HMO-POS)	01	02		1			H3528	006	0	2011	State of Connecticut		2	588	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1
H3528	008	0	1	02	01	H3528_008_0	5	09/01/2010	2011.01	09/01/2010 12:40:30 PM Eastern Daylight Time	08/20/2010 03:07:30 PM Eastern Daylight Time	08/20/2010 03:08:19 PM Eastern Daylight Time		09/01/2010 04:09:43 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare Option 3 (HMO-POS)	01	02		1			H3528	008	0	2011	State of Connecticut		2	360	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1
H3528	801	0	1	01	01	H3528_801_0	5	08/06/2010	2011.01	08/06/2010 12:02:52 PM Eastern Daylight Time	08/10/2010 02:53:09 PM Eastern Daylight Time			08/10/2010 02:55:11 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP (HMO)	01	01		1			H3528	801	0	2011	State of Connecticut		1	500	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1
H3528	805	0	1	01	01	H3528_805_0	4	08/06/2010	2011.01	08/06/2010 12:03:04 PM Eastern Daylight Time	07/28/2010 09:57:39 AM Eastern Daylight Time			08/06/2010 12:22:57 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP (HMO)	01	01		1			H3528	805	0	2011	State of Connecticut		1	500	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220										(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710										1
H3528	806	0	1	02	01	H3528_806_0	4	08/06/2010	2011.01	08/06/2010 12:03:16 PM Eastern Daylight Time	07/28/2010 10:05:45 AM Eastern Daylight Time			08/06/2010 12:22:57 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP (HMO-POS)	01	02		1			H3528	806	0	2011	State of Connecticut		1	500	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710		1
H3528	807	0	1	02	01	H3528_807_0	4	08/06/2010	2011.01	08/06/2010 12:03:26 PM Eastern Daylight Time	07/28/2010 10:07:27 AM Eastern Daylight Time			08/06/2010 12:22:57 PM Eastern Daylight Time	CONNECTICARE, INC.	ConnectiCare, Inc.	www.connecticare.com	ConnectiCare VIP (HMO-POS)	01	02		1			H3528	807	0	2011	State of Connecticut		1	500	2				2						www.connecticare.com	www.connecticare.com	www.connecticare.com	(800)-224-2273		(800)-224-2273		(877)-224-8220		(877)-224-8220										(800)-842-9710		(800)-842-9710		(800)-842-9710		(800)-842-9710										1
H3533	001	0	1	01	01	H3533_001_0	8	08/21/2010	2011.01	08/21/2010 10:38:38 AM Central Daylight Time	08/20/2010 10:49:37 PM Central Daylight Time	08/18/2010 05:55:37 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NEW YORK, INC.	Northeast Community Care	www.NortheastCommunityCare.com	Northeast Community Care - Plus (HMO)	01	01		1			H3533	001	0	2011	Syracuse		2		2				2							http://www.northeastcommunitycare.com/formulary.html	ww.caremark.com	(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H3533	002	0	1	01	01	H3533_002_0	7	08/23/2010	2011.01	08/23/2010 11:24:04 AM Central Daylight Time	08/23/2010 01:04:06 AM Central Daylight Time	08/18/2010 05:56:31 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NEW YORK, INC.	Northeast Community Care	www.NortheastCommunityCare.com	Northeast Community Care - Dual Plus (HMO SNP)	01	01		1			H3533	002	0	2011	Madison, Oneida, Onondaga		2		2		2		1	3		1	5			http://www.northeastcommunitycare.com/formulary.html	ww.caremark.com	(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H3533	801	0	1	01	01	H3533_801_0	3	07/28/2010	2011.01	07/28/2010 04:28:49 PM Central Daylight Time	07/26/2010 12:50:03 PM Central Daylight Time			08/06/2010 09:18:26 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF NEW YORK, INC.	Northeast Community Care	www.NortheastCommunityCare.com	Northeast Community Care EGWP (NY) (HMO)	01	01		1			H3533	801	0	2011	New York		1		2				2							http://www.northeastcommunitycare.com/formulary.html	ww.caremark.com	(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(800)-573-8597		(800)-573-8597		(866)-395-4754		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H3597	001	0	1	01	01	H3597_001_0	3	08/20/2010	2011.01	08/20/2010 03:35:01 PM Central Daylight Time	08/20/2010 07:49:11 AM Central Daylight Time	08/19/2010 01:00:43 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3597	001	0	2011	Cumberland, Penobscot and York Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3597	002	0	1	01	01	H3597_002_0	4	08/02/2010	2011.01	08/02/2010 12:28:43 PM Central Daylight Time	08/20/2010 07:47:34 AM Central Daylight Time	08/19/2010 01:00:47 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3597	002	0	2011	Cumberland, Penobscot and York Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3597	801	0	1	01	01	H3597_801_0	2	05/11/2010	2011.01	05/11/2010 09:53:05 AM Eastern Daylight Time	07/16/2010 10:30:17 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3597	801	0	2011	Maine		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3597	802	0	1	01	01	H3597_802_0	2	05/11/2010	2011.01	05/11/2010 09:54:14 AM Eastern Daylight Time	07/16/2010 10:33:03 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3597	802	0	2011	Maine		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3613	001	0	1	20	08	H3613_001_0	1	05/20/2010	2011.01	05/20/2010 12:09:23 PM Eastern Daylight Time		05/20/2010 11:52:37 AM Eastern Daylight Time		05/20/2010 12:13:50 PM Eastern Daylight Time	CONCORDIA CARE	Concordia Care	concordiacareohio.org	Concordia Care Duel Eligibles (PACE)	08	20		1			H3613	001	0	2011	Concordia Care Cuyahoga County		2		2				2							concordiacareohio.org	concordiacareohio.org									(216)-791-3580		(216)-791-3580		(216)-791-3580		(216)-791-3580										(800)-325-2223		(800)-325-2223		(800)-325-2223		(800)-325-2223		1
H3613	002	0	1	20	08	H3613_002_0	1	05/20/2010	2011.01	05/20/2010 12:09:54 PM Eastern Daylight Time		05/20/2010 11:52:31 AM Eastern Daylight Time		05/20/2010 12:13:50 PM Eastern Daylight Time	CONCORDIA CARE	Concordia Care	concordiacareohio.org	Concordia Care Medicare Only Eligibles (PACE)	08	20		1			H3613	002	0	2011	Concordia Care Cuyahoga County		2		2				2							concordiacareohio.org	concordiacareohio.org									(216)-791-3580		(216)-791-3580		(216)-791-3580		(216)-791-3580										(800)-325-2223		(800)-325-2223		(800)-325-2223		(800)-325-2223		1
H3614	001	0	1	20	08	H3614_001_0	1	05/26/2010	2011.01	05/26/2010 11:17:30 AM Eastern Daylight Time		05/26/2010 09:23:43 AM Eastern Daylight Time		05/26/2010 11:22:15 AM Eastern Daylight Time	TRIHEALTH SENIORLINK	Trihealth Seniorlink	www.trihealthseniorshealth.com	Medicare Part D (PACE)	08	20		1			H3614	001	0	2011	Cincinnati Metropolitan Area		2		2				2							www.trihealthseniorshealth.com	www.trihealthseniorshealth.com									(513)-531-5110	0	(513)-531-5100	0	(000)-000-0000		(513)-531-5100										(513)-531-5110	0	(513)-531-5110	0	(180)-000-0000		(513)-531-5110		1
H3614	002	0	1	20	08	H3614_002_0	1	05/26/2010	2011.01	05/26/2010 11:18:10 AM Eastern Daylight Time		05/26/2010 09:23:43 AM Eastern Daylight Time		05/26/2010 11:22:15 AM Eastern Daylight Time	TRIHEALTH SENIORLINK	Trihealth Seniorlink	www.trihealthseniorshealth.com	Medicare Part D (PACE)	08	20		1			H3614	002	0	2011	Cincinnati Metropolitan Area		2		2				2							www.trihealthseniorshealth.com	www.trihealthseniorshealth.com									(000)-000-0000		(513)-531-5100		(000)-000-0000	0	(513)-531-5100	0									(000)-000-0000		(513)-531-5110		(100)-000-0000	0	(513)-862-1902	0	1
H3619	001	0	1	04	01	H3619_001_0	8	08/20/2010	2011.01	08/20/2010 01:33:04 PM Eastern Daylight Time	08/19/2010 06:22:58 PM Eastern Daylight Time	08/20/2010 04:10:00 PM Eastern Daylight Time		08/21/2010 11:54:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-001 (PPO)	01	04		1			H3619	001	0	2011	Cincinnati and Dayton Metro Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H3619	004	0	1	04	01	H3619_004_0	6	08/20/2010	2011.01	08/20/2010 01:33:30 PM Eastern Daylight Time	08/19/2010 06:51:36 PM Eastern Daylight Time	08/20/2010 04:10:00 PM Eastern Daylight Time		08/21/2010 11:54:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-004 (PPO)	01	04		1			H3619	004	0	2011	Cleveland Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H3619	012	0	1	04	01	H3619_012_0	5	08/20/2010	2011.01	08/20/2010 01:33:53 PM Eastern Daylight Time	08/19/2010 06:27:02 PM Eastern Daylight Time	08/20/2010 04:10:00 PM Eastern Daylight Time		08/21/2010 11:54:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-012 (PPO)	01	04		1			H3619	012	0	2011	Columbus Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H3619	013	0	1	04	01	H3619_013_0	5	08/20/2010	2011.01	08/20/2010 01:34:17 PM Eastern Daylight Time	08/20/2010 02:52:36 PM Eastern Daylight Time	08/20/2010 04:11:00 PM Eastern Daylight Time		08/21/2010 11:54:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-013 (PPO)	01	04		1			H3619	013	0	2011	Northwest Ohio Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H3619	014	0	1	04	01	H3619_014_0	5	08/20/2010	2011.01	08/20/2010 01:34:42 PM Eastern Daylight Time	08/19/2010 06:29:16 PM Eastern Daylight Time	08/20/2010 04:11:00 PM Eastern Daylight Time		08/21/2010 11:54:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-014 (PPO)	01	04		1			H3619	014	0	2011	Canton Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H3619	015	0	1	04	01	H3619_015_0	5	08/20/2010	2011.01	08/20/2010 01:35:06 PM Eastern Daylight Time	08/19/2010 06:29:50 PM Eastern Daylight Time	08/20/2010 04:11:00 PM Eastern Daylight Time		08/21/2010 11:54:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-015 (PPO)	01	04		1			H3619	015	0	2011	Hancock and Seneca Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H3619	016	0	1	04	01	H3619_016_0	4	08/20/2010	2011.01	08/20/2010 01:35:36 PM Eastern Daylight Time	08/19/2010 06:30:20 PM Eastern Daylight Time	08/20/2010 04:11:00 PM Eastern Daylight Time		08/21/2010 11:54:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-016 (PPO)	01	04		1			H3619	016	0	2011	Marion County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H3619	017	0	1	04	01	H3619_017_0	6	08/20/2010	2011.01	08/20/2010 01:35:58 PM Eastern Daylight Time	08/19/2010 06:32:36 PM Eastern Daylight Time	08/20/2010 04:11:00 PM Eastern Daylight Time		08/21/2010 11:54:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H3619-017 (PPO)	01	04		1			H3619	017	0	2011	Upper Ohio Valley Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H3620	001	0	1	04	01	H3620_001_0	8	08/23/2010	2011.01	08/23/2010 12:10:49 PM Eastern Daylight Time	08/23/2010 01:00:56 PM Eastern Daylight Time	08/23/2010 01:00:31 PM Eastern Daylight Time		08/23/2010 01:14:59 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Health Plan Prime PPO (PPO)	01	04		1			H3620	001	0	2011	Operating in 9 counties in Northeastern Ohio		2	300	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3620	801	0	1	04	01	H3620_801_0	3	06/04/2010	2011.01	06/04/2010 01:46:17 PM Eastern Daylight Time	07/28/2010 05:40:31 PM Eastern Daylight Time			07/30/2010 11:19:26 AM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	Employer Group PPO / CY (PPO)	01	04		1			H3620	801	0	2011	All Counties (Cont. US)		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3620	802	0	1	04	01	H3620_802_0	3	06/04/2010	2011.01	06/04/2010 01:47:17 PM Eastern Daylight Time	07/28/2010 05:40:31 PM Eastern Daylight Time			07/30/2010 11:19:26 AM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	Employer Group PPO / MA Only CY (PPO)	01	04		1			H3620	802	0	2011	All Ohio Counties		1	100	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1
H3620	803	0	1	04	01	H3620_803_0	2	06/04/2010	2011.01	06/04/2010 01:46:52 PM Eastern Daylight Time	06/07/2010 03:19:58 PM Eastern Daylight Time			06/07/2010 03:39:10 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	Employer Group PPO / Non CY (PPO)	01	04		1			H3620	803	0	2011	All Ohio Counties		1	100	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3620	805	0	2	04	01	H3620_805_0	2	06/04/2010	2011.01	06/04/2010 01:46:52 PM Eastern Daylight Time	06/07/2010 03:20:57 PM Eastern Daylight Time			06/07/2010 03:39:10 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	primetimehealthplan.com	Part B Only MA-PD (PPO)	01	04		2	2		H3620	805	0	2011	EGHP Part B Only MA-PD Ohio		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3620	806	0	2	04	01	H3620_806_0	2	06/04/2010	2011.01	06/04/2010 01:46:53 PM Eastern Daylight Time	06/07/2010 03:21:52 PM Eastern Daylight Time			06/07/2010 03:39:10 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	primetimehealthplan.com	Part B Only MA (PPO)	01	04		2	2		H3620	806	0	2011	Part B Only MA Ohio		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1
H3623	001	0	1	01	01	H3623_001_0	3	08/20/2010	2011.01	08/20/2010 03:34:10 PM Central Daylight Time	08/19/2010 02:03:25 PM Central Daylight Time	08/19/2010 01:00:51 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3623	001	0	2011	Delaware, Franklin, Hamilton and Lucas Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3623	003	0	1	01	01	H3623_003_0	3	08/20/2010	2011.01	08/20/2010 03:34:16 PM Central Daylight Time	08/19/2010 02:58:04 PM Central Daylight Time	08/19/2010 01:00:55 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3623	003	0	2011	Delaware, Franklin, Hamilton and Lucas Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3623	004	0	1	01	01	H3623_004_0	3	08/20/2010	2011.01	08/20/2010 03:34:23 PM Central Daylight Time	08/19/2010 02:31:04 PM Central Daylight Time	08/19/2010 01:00:59 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H3623	004	0	2011	Cuyahoga and Summit Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3623	801	0	1	01	01	H3623_801_0	1	05/11/2010	2011.01	05/11/2010 09:55:20 AM Eastern Daylight Time	06/02/2010 02:22:09 PM Eastern Daylight Time			06/04/2010 02:46:16 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3623	801	0	2011	Ohio		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3623	802	0	1	01	01	H3623_802_0	1	05/11/2010	2011.01	05/11/2010 09:56:50 AM Eastern Daylight Time	06/02/2010 02:25:48 PM Eastern Daylight Time			06/04/2010 02:46:16 PM Eastern Daylight Time	AETNA HEALTH,  INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3623	802	0	2011	Ohio		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3653	004	0	1	01	01	H3653_004_0	7	08/31/2010	2011.01	08/31/2010 07:47:37 AM Eastern Daylight Time	08/20/2010 11:13:19 AM Eastern Daylight Time	08/20/2010 11:10:53 AM Eastern Daylight Time		08/31/2010 11:22:28 AM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com/medicareplans	Paramount Elite - Enhanced Medical and Drug (HMO)	01	01		1			H3653	004	0	2011	Paramount Elite - Enhanced (NW Ohio / SE Mich)		2	12512	2				2						http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525		(800)-462-3589		(800)-462-3589		(800)-462-3589		(419)-887-2525		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1
H3653	015	0	1	01	01	H3653_015_0	7	08/31/2010	2011.01	08/31/2010 07:48:42 AM Eastern Daylight Time	08/20/2010 11:15:29 AM Eastern Daylight Time	08/20/2010 11:10:52 AM Eastern Daylight Time		08/31/2010 11:22:28 AM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com/medicareplans	Paramount Elite - Standard Medical and Drug (HMO)	01	01		1			H3653	015	0	2011	Paramount Elite - Standard (NW Ohio / SE Mich)		2	340	2				2						http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525		(800)-462-3589		(800)-462-3589		(800)-462-3589		(419)-887-2525		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1
H3653	018	0	1	01	01	H3653_018_0	3	08/31/2010	2011.01	08/31/2010 07:51:53 AM Eastern Daylight Time	07/23/2010 04:57:23 PM Eastern Daylight Time			08/31/2010 12:16:15 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com/medicareplans	Paramount Elite - Enhanced Medical Only (HMO)	01	01		1			H3653	018	0	2011	Paramount Elite - Medical Only (NW Ohio / SE Mich)		2	159	2				2						http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670										1
H3653	803	0	1	01	01	H3653_803_0	1	06/02/2010	2011.01	06/02/2010 12:04:24 PM Eastern Daylight Time	06/01/2010 11:51:12 AM Eastern Daylight Time			06/02/2010 01:36:33 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com/medicareplans	Paramount Elite - Emp Group A/B No Rx (HMO)	01	01		1			H3653	803	0	2011	Paramount Elite - Emp Group A/B No Rx		1	1341	2				2						http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670										1
H3653	806	0	2	01	01	H3653_806_0	3	08/03/2010	2011.01	08/03/2010 08:58:38 AM Eastern Daylight Time	06/01/2010 11:53:07 AM Eastern Daylight Time			08/03/2010 03:47:36 PM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com/medicareplans	Paramount Elite - Emp Group B only No Rx (HMO)	01	01		2	1		H3653	806	0	2011	Paramount Elite - Emp Group B only No Rx		1	44	2				2						http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670										1
H3653	809	0	1	01	01	H3653_809_0	2	06/03/2010	2011.01	06/03/2010 12:46:45 PM Eastern Daylight Time	07/22/2010 04:31:38 PM Eastern Daylight Time			07/23/2010 09:37:39 AM Eastern Daylight Time	PARAMOUNT CARE, INC	Paramount Elite	www.paramounthealthcare.com/medicareplans	Paramount Elite-Emp Group A/B Rx (HMO)	01	01		1			H3653	809	0	2011	Paramount Elite-Emp Group A/B Rx		1	125	2				2						http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	http://www.paramounthealthcare.com/medicareplans	(800)-462-3589		(419)-887-2525		(800)-462-3589		(419)-887-2525		(800)-462-3589		(800)-462-3589		(800)-462-3589		(419)-887-2525		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1
H3655	013	0	1	01	01	H3655_013_0	8	08/23/2010	2011.01	08/23/2010 09:33:14 PM Eastern Daylight Time	08/23/2010 08:56:12 PM Eastern Daylight Time	08/23/2010 06:42:47 PM Eastern Daylight Time		08/23/2010 09:55:41 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Basic (HMO)	01	01		1			H3655	013	0	2011	Select Counties in Ohio		2	67115	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-5957		(800)-797-5957		(800)-467-1199		(800)-467-1199		(800)-797-5957		(800)-797-5957		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H3655	030	0	1	01	01	H3655_030_0	9	08/23/2010	2011.01	08/23/2010 09:33:18 PM Eastern Daylight Time	08/27/2010 01:30:09 PM Eastern Daylight Time	08/23/2010 06:42:56 PM Eastern Daylight Time		08/27/2010 03:15:06 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Plus (HMO)	01	01		1			H3655	030	0	2011	Select Counties in Ohio		2	7622	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-5957		(800)-797-5957		(800)-467-1199		(800)-467-1199		(800)-797-5957		(800)-797-5957		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H3655	031	0	1	01	01	H3655_031_0	8	08/23/2010	2011.01	08/23/2010 09:33:23 PM Eastern Daylight Time	08/23/2010 08:56:42 PM Eastern Daylight Time	08/23/2010 06:43:05 PM Eastern Daylight Time		08/23/2010 09:55:41 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage Value (HMO)	01	01		1			H3655	031	0	2011	Select Counties in Ohio		2	4492	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-5957		(800)-797-5957		(800)-467-1199		(800)-467-1199		(800)-797-5957		(800)-797-5957		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H3655	801	0	1	01	01	H3655_801_0	5	08/20/2010	2011.01	08/20/2010 11:22:48 AM Pacific Daylight Time	07/22/2010 04:48:08 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H3655	801	0	2011	Ohio		1	4677	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H3655	803	0	1	01	01	H3655_803_0	5	08/20/2010	2011.01	08/20/2010 11:24:27 AM Pacific Daylight Time	07/22/2010 04:48:52 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H3655	803	0	2011	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H3655	804	0	1	01	01	H3655_804_0	5	08/20/2010	2011.01	08/20/2010 11:25:25 AM Pacific Daylight Time	07/22/2010 04:49:35 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Senior Advantage (HMO)	01	01		1			H3655	804	0	2011	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H3659	001	0	1	02	01	H3659_001_0	5	06/05/2010	2011.01	06/05/2010 04:15:58 PM Central Daylight Time	08/20/2010 11:58:20 AM Central Daylight Time	08/18/2010 04:46:36 PM Central Daylight Time		08/20/2010 05:12:50 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3659	001	0	2011	Cincinnati, Columbus and Dayton area Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3659	003	0	1	01	01	H3659_003_0	5	06/05/2010	2011.01	06/05/2010 04:16:22 PM Central Daylight Time	08/20/2010 11:59:29 AM Central Daylight Time	08/18/2010 04:46:40 PM Central Daylight Time		08/20/2010 05:12:50 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H3659	003	0	2011	Cuyahoga, Mahoning, Stark, Summit and Trumbull		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3659	031	0	1	01	01	H3659_031_0	5	06/05/2010	2011.01	06/05/2010 04:16:42 PM Central Daylight Time	08/20/2010 12:00:35 PM Central Daylight Time	08/18/2010 04:46:46 PM Central Daylight Time		08/20/2010 05:12:50 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H3659	031	0	2011	Select Counties in Ohio and Kentucky		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3659	054	0	1	01	01	H3659_054_0	3	06/05/2010	2011.01	06/05/2010 04:17:01 PM Central Daylight Time	06/02/2010 08:57:31 PM Central Daylight Time			06/05/2010 04:44:47 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H3659	054	0	2011	Select Ohio Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H3659	056	0	1	01	01	H3659_056_0	4	06/01/2010	2011.01	06/01/2010 07:15:09 PM Central Daylight Time	08/20/2010 12:01:16 PM Central Daylight Time	08/18/2010 04:31:04 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H3659	056	0	2011	Select Counties in Ohio		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3659	058	0	1	02	01	H3659_058_0	4	08/20/2010	2011.01	08/20/2010 02:36:14 PM Central Daylight Time	08/20/2010 12:19:29 PM Central Daylight Time	08/18/2010 04:31:09 PM Central Daylight Time		08/20/2010 05:12:50 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS SNP)	01	02		1			H3659	058	0	2011	Clark,Greene,Lake,Lorain,Lucas,and Warren Counties		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3659	801	0	1	01	01	H3659_801_0	1	05/25/2010	2011.01	05/25/2010 08:38:46 AM Central Daylight Time	06/02/2010 08:59:40 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3659	801	0	2011	OH Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3659	802	0	1	01	01	H3659_802_0	1	05/25/2010	2011.01	05/25/2010 08:38:53 AM Central Daylight Time	06/02/2010 09:00:12 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3659	802	0	2011	OH Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3659	803	0	1	01	01	H3659_803_0	1	05/25/2010	2011.01	05/25/2010 08:38:57 AM Central Daylight Time	06/02/2010 09:00:41 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3659	803	0	2011	OH Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3659	807	0	1	02	01	H3659_807_0	1	05/27/2010	2011.01	05/27/2010 08:24:43 AM Central Daylight Time	06/02/2010 09:01:14 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3659	807	0	2011	Select counties in KY/OH		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3659	808	0	1	02	01	H3659_808_0	1	05/27/2010	2011.01	05/27/2010 08:25:07 AM Central Daylight Time	06/02/2010 09:01:46 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3659	808	0	2011	Select counties in KY/OH		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3659	809	0	1	02	01	H3659_809_0	1	05/27/2010	2011.01	05/27/2010 08:25:29 AM Central Daylight Time	06/02/2010 09:02:11 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF OHIO, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3659	809	0	2011	Select counties in KY/OIH		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3660	028	0	1	02	01	H3660_028_0	8	08/23/2010	2011.01	08/23/2010 11:03:17 AM Eastern Daylight Time	08/23/2010 08:23:44 AM Eastern Daylight Time	08/23/2010 08:23:42 AM Eastern Daylight Time		08/23/2010 12:51:40 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Gold (HMO-POS)	01	02		1			H3660	028	0	2011	Northeastern Ohio		2	7288	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3660	029	0	1	02	01	H3660_029_0	8	08/23/2010	2011.01	08/23/2010 11:04:43 AM Eastern Daylight Time	08/23/2010 08:23:50 AM Eastern Daylight Time	08/23/2010 08:23:46 AM Eastern Daylight Time		08/23/2010 12:51:40 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Silver (HMO-POS)	01	02		1			H3660	029	0	2011	Northeastern Ohio Area		2	10734	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3660	032	0	1	02	01	H3660_032_0	8	08/10/2010	2011.01	08/10/2010 05:20:14 PM Eastern Daylight Time	08/23/2010 08:23:50 AM Eastern Daylight Time	08/23/2010 08:23:46 AM Eastern Daylight Time		08/23/2010 12:51:40 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Platinum (HMO-POS)	01	02		1			H3660	032	0	2011	Northeastern Ohio Area		2	379	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3660	043	0	1	02	01	H3660_043_0	7	08/10/2010	2011.01	08/10/2010 05:02:06 PM Eastern Daylight Time	07/23/2010 10:15:16 AM Eastern Daylight Time			08/10/2010 05:29:21 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Classic (HMO-POS)	01	02		1			H3660	043	0	2011	Northeastern Ohio		2	195	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1
H3660	044	0	1	01	01	H3660_044_0	8	08/23/2010	2011.01	08/23/2010 11:06:17 AM Eastern Daylight Time	08/23/2010 08:23:50 AM Eastern Daylight Time	08/23/2010 08:23:50 AM Eastern Daylight Time		08/23/2010 12:51:40 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Core (HMO)	01	01		1			H3660	044	0	2011	Northeastern Ohio Area		2	3413	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3660	801	0	1	01	01	H3660_801_0	4	06/06/2010	2011.01	06/06/2010 01:54:50 PM Eastern Daylight Time	06/06/2010 10:49:20 PM Eastern Daylight Time			06/06/2010 11:30:14 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Employer Plan HMO- PD (HMO)	01	01		1			H3660	801	0	2011	Northeastern Ohio Area		1	300	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3660	802	0	1	01	01	H3660_802_0	4	06/06/2010	2011.01	06/06/2010 01:56:26 PM Eastern Daylight Time	06/06/2010 10:49:20 PM Eastern Daylight Time			06/06/2010 11:30:14 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure Employer Plan -HMO- No D (HMO)	01	01		1			H3660	802	0	2011	Northeastern Ohio Area		1	300	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1
H3660	805	0	1	02	01	H3660_805_0	4	06/06/2010	2011.01	06/06/2010 02:00:20 PM Eastern Daylight Time	06/06/2010 10:49:24 PM Eastern Daylight Time			06/06/2010 11:30:14 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure POS Employer Plan with D (HMO-POS)	01	02		1			H3660	805	0	2011	Northeastern Ohio Area		1	300	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440		(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3660	806	0	1	02	01	H3660_806_0	4	06/06/2010	2011.01	06/06/2010 02:02:51 PM Eastern Daylight Time	06/06/2010 10:49:24 PM Eastern Daylight Time			06/06/2010 11:30:14 PM Eastern Daylight Time	SUMMACARE INC.	SummaCare	www.summacare.com	SummaCare Secure POS Employer Plan - No D (HMO-POS)	01	02		1			H3660	806	0	2011	Northeastern Ohio Area		1	300	2				2						www.summacare.com	www.medicare.summacare.com	www.medicare.summacare.com	(800)-996-6250		(330)-996-8885		(888)-464-8440		(330)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1
H3664	012	0	1	02	01	H3664_012_0	6	08/23/2010	2011.01	08/23/2010 09:25:28 AM Eastern Daylight Time	08/23/2010 01:00:42 PM Eastern Daylight Time	08/23/2010 01:00:34 PM Eastern Daylight Time		08/23/2010 01:14:59 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Health Plan Premier (HMO-POS)	01	02		1			H3664	012	0	2011	Operating in 9 counties in Northeastern Ohio		2	481	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3664	014	0	1	02	01	H3664_014_0	5	08/09/2010	2011.01	08/09/2010 10:51:27 AM Eastern Daylight Time	06/07/2010 03:23:15 PM Eastern Daylight Time			08/09/2010 11:08:21 AM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Health Plan Basic - MA Only (HMO-POS)	01	02		1			H3664	014	0	2011	Operating in 9 counties in Northeastern Ohio		2	1118	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1
H3664	017	0	1	02	01	H3664_017_0	6	08/23/2010	2011.01	08/23/2010 09:27:51 AM Eastern Daylight Time	08/23/2010 01:00:54 PM Eastern Daylight Time	08/23/2010 01:00:47 PM Eastern Daylight Time		08/23/2010 01:14:59 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Health Plan Plus (HMO-POS)	01	02		1			H3664	017	0	2011	Operating in 9 counties in Northeastern Ohio		2	12340	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3664	018	0	1	02	01	H3664_018_0	6	08/23/2010	2011.01	08/23/2010 09:29:59 AM Eastern Daylight Time	08/23/2010 01:01:01 PM Eastern Daylight Time	08/23/2010 01:01:03 PM Eastern Daylight Time		08/23/2010 01:14:59 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	Basic-Select (HMO-POS)	01	02		1			H3664	018	0	2011	9 Counties in NE Ohio		2	1118	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3664	801	0	1	02	01	H3664_801_0	1	06/04/2010	2011.01	06/04/2010 01:49:30 PM Eastern Daylight Time	06/06/2010 09:23:50 PM Eastern Daylight Time			06/06/2010 10:33:15 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	EGHP HMO  - CY (HMO-POS)	01	02		1			H3664	801	0	2011	All Ohio Counties		1	3400	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3664	802	0	1	02	01	H3664_802_0	1	06/04/2010	2011.01	06/04/2010 01:49:52 PM Eastern Daylight Time	06/06/2010 09:24:25 PM Eastern Daylight Time			06/06/2010 10:33:15 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime Employer Group HMO MA-Only (HMO-POS)	01	02		1			H3664	802	0	2011	All Ohio Counties		1	3400	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1
H3664	803	0	1	02	01	H3664_803_0	1	06/04/2010	2011.01	06/04/2010 01:49:52 PM Eastern Daylight Time	06/06/2010 09:24:55 PM Eastern Daylight Time			06/06/2010 10:33:15 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	www.primetimehealthplan.com	PrimeTime EGHP - Non CY (HMO-POS)	01	02		1			H3664	803	0	2011	All Ohio Counties		1	3400	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3664	805	0	2	02	01	H3664_805_0	1	06/04/2010	2011.01	06/04/2010 01:49:53 PM Eastern Daylight Time	06/06/2010 09:25:21 PM Eastern Daylight Time			06/06/2010 10:33:15 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	primetimehealthplan.com	Part B Only MA-PD (HMO-POS)	01	02		2	2		H3664	805	0	2011	Part B Only MA Ohio		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460		1
H3664	806	0	2	02	01	H3664_806_0	1	06/04/2010	2011.01	06/04/2010 01:49:54 PM Eastern Daylight Time	06/06/2010 09:25:46 PM Eastern Daylight Time			06/06/2010 10:33:15 PM Eastern Daylight Time	MCKINLEY LIFE INSURANCE COMPANY	PrimeTime Health Plan	primetimehealthplan.com	Part B Only MA (HMO-POS)	01	02		2	2		H3664	806	0	2011	Part B Only MA Ohio		1	200	2				2						www.primetimehealthplan.com	https://www.aultcare.com/pls/portal30/docs/folder/Medicare_RX/formulary.pdf	www.primetimehealthplan.com	(800)-577-5084		(330)-363-7407		(800)-577-5084		(330)-363-7407										(800)-617-7446		(330)-580-6460		(800)-617-7446		(330)-580-6460										1
H3668	005	0	1	01	01	H3668_005_0	4	08/20/2010	2011.01	08/20/2010 11:14:50 AM Eastern Daylight Time	08/23/2010 02:04:34 PM Eastern Daylight Time	08/23/2010 02:02:34 PM Eastern Daylight Time		08/23/2010 06:13:32 PM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	MediGold Classic Preferred (HMO)	01	01		1			H3668	005	0	2011	Greater Central Ohio and Dayton Area		2	25212	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3668	011	0	1	01	01	H3668_011_0	4	08/20/2010	2011.01	08/20/2010 11:11:49 AM Eastern Daylight Time	08/23/2010 02:13:36 PM Eastern Daylight Time	08/23/2010 02:00:50 PM Eastern Daylight Time		08/23/2010 06:13:32 PM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	MediGold Essential Care (HMO)	01	01		1			H3668	011	0	2011	Greater Central Ohio and Dayton Area		2	300	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3668	013	0	1	01	01	H3668_013_0	3	08/04/2010	2011.01	08/04/2010 03:33:56 PM Eastern Daylight Time	08/02/2010 03:05:30 PM Eastern Daylight Time			08/06/2010 04:27:19 PM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	MediGold Medical Only (HMO)	01	01		1			H3668	013	0	2011	Greater Central Ohio and Dayton Area		2	400	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1
H3668	801	0	1	01	01	H3668_801_0	2	08/04/2010	2011.01	08/04/2010 08:06:52 AM Eastern Daylight Time	08/02/2010 03:12:04 PM Eastern Daylight Time			08/04/2010 11:29:50 AM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	EGWP MediGold Medical Only (HMO)	01	01		1			H3668	801	0	2011	Greater Central Ohio and Dayton Area		1	25	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750										1
H3668	802	0	1	01	01	H3668_802_0	2	06/04/2010	2011.01	06/04/2010 12:07:03 PM Eastern Daylight Time	08/02/2010 03:07:28 PM Eastern Daylight Time			08/04/2010 11:29:50 AM Eastern Daylight Time	MT. CARMEL HEALTH PLAN, INC.	MediGold	medigold.com	EGWP MediGold (HMO)	01	01		1			H3668	802	0	2011	Greater Central Ohio and Dayton Area		1	550	2				2						www.medigold.com	www.medigold.com	www.caremark.com	(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-240-3851		(614)-546-3110		(800)-964-4525		(800)-964-4525		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H3672	013	0	1	01	01	H3672_013_0	4	08/11/2010	2011.01	08/11/2010 10:59:36 AM Eastern Daylight Time	08/19/2010 02:06:49 PM Eastern Daylight Time	08/19/2010 01:21:12 PM Eastern Daylight Time		08/20/2010 10:51:28 AM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	SecureCare - Option II (HMO)	01	01		1			H3672	013	0	2011	East Central Ohio		2	2360	2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290		(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		1
H3672	014	0	1	01	01	H3672_014_0	3	08/11/2010	2011.01	08/11/2010 10:59:55 AM Eastern Daylight Time	07/07/2010 09:56:27 AM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	SecureCare - Option I (HMO)	01	01		1			H3672	014	0	2011	East Central Ohio		2	260	2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290										(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291										1
H3672	016	0	1	01	01	H3672_016_0	6	08/11/2010	2011.01	08/11/2010 11:00:12 AM Eastern Daylight Time	08/19/2010 02:11:43 PM Eastern Daylight Time	08/19/2010 01:24:16 PM Eastern Daylight Time		08/20/2010 10:51:28 AM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	SecureCare - Option III (HMO)	01	01		1			H3672	016	0	2011	East Central Ohio		2	2620	2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290		(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		1
H3672	804	0	1	01	01	H3672_804_0	3	08/11/2010	2011.01	08/11/2010 11:00:32 AM Eastern Daylight Time	07/29/2010 02:03:14 PM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	SecureCare - Employer (HMO)	01	01		1			H3672	804	0	2011	East Central Ohio		1	10	2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290										(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291										1
H3672	805	0	1	01	01	H3672_805_0	4	08/11/2010	2011.01	08/11/2010 11:01:18 AM Eastern Daylight Time	07/29/2010 02:04:49 PM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	HOMETOWN HEALTH PLAN	The Health Plan	www.healthplan.org	SecureCare - Employer (HMO)	01	01		1			H3672	805	0	2011	East Central Ohio		1	410	2				2						www.healthplan.org	www.healthplan.org/pharmacy.shtml	www.healthplan.org/pharmacy.shtml	(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290		(877)-236-2296		(330)-837-6880		(877)-236-2290		(877)-236-2290		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		(877)-236-2291		1
H3706	001	0	1	01	01	H3706_001_0	7	08/20/2010	2011.01	08/20/2010 02:50:12 PM Central Daylight Time	08/20/2010 04:44:28 PM Central Daylight Time	08/19/2010 01:37:52 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare Classic powered by CCRx (HMO)	01	01		1			H3706	001	0	2011	Central Oklahoma		2	5949	2				2						www.generationshealthcare.cc	Http://www.generationshealthcare.cc/formulary	Http://www.generationshealthcare.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H3706	006	0	1	01	01	H3706_006_0	7	08/20/2010	2011.01	08/20/2010 02:51:20 PM Central Daylight Time	08/20/2010 05:57:45 PM Central Daylight Time	08/19/2010 01:38:20 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare Classic powered by CCRx (HMO)	01	01		1			H3706	006	0	2011	Tulsa Area		2	1377	2				2						www.generationshealthcare.cc	Http://www.generationshealthcare.cc/formulary	Http://www.generationshealthcare.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H3706	009	0	1	01	01	H3706_009_0	6	08/20/2010	2011.01	08/20/2010 02:52:45 PM Central Daylight Time	07/12/2010 05:06:21 PM Central Daylight Time			08/20/2010 07:21:12 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare Value (HMO)	01	01		1			H3706	009	0	2011	Central Oklahoma		2	5949	2				2						www.generationshealthcare.cc	Http://www.generationshealthcare.cc/formulary	Http://www.generationshealthcare.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H3706	010	0	1	01	01	H3706_010_0	6	08/20/2010	2011.01	08/20/2010 02:53:07 PM Central Daylight Time	08/02/2010 05:22:34 PM Central Daylight Time			08/20/2010 07:21:12 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare Value (HMO)	01	01		1			H3706	010	0	2011	Tulsa Area		2	1377	2				2						www.generationshealthcare.cc	Http://www.generationshealthcare.cc/formulary	Http://www.generationshealthcare.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H3706	017	0	1	01	01	H3706_017_0	8	08/20/2010	2011.01	08/20/2010 02:53:27 PM Central Daylight Time	08/20/2010 06:00:23 PM Central Daylight Time	08/19/2010 10:07:40 AM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare Premier powered by CCRx (HMO)	01	01		1			H3706	017	0	2011	Central Oklahoma		2	537	2				2						www.generationshealthcare.cc	Http://www.generationshealthcare.cc/formulary	Http://www.generationshealthcare.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H3706	803	0	1	01	01	H3706_803_0	9	08/27/2010	2011.01	08/27/2010 11:15:57 AM Central Daylight Time	08/06/2010 01:56:16 PM Central Daylight Time			08/27/2010 11:40:40 AM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare EGHP CY (HMO)	01	01		1			H3706	803	0	2011	Central Oklahoma and Tulsa Metro Areas		1	700	2				2						www.generationshealthcare.cc	Http://www.generationshealthcare.cc/formulary	Http://www.generationshealthcare.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H3706	804	0	1	01	01	H3706_804_0	8	08/27/2010	2011.01	08/27/2010 11:26:11 AM Central Daylight Time	08/06/2010 01:57:32 PM Central Daylight Time			08/27/2010 11:40:40 AM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare EGHP Non CY (HMO)	01	01		1			H3706	804	0	2011	Central Oklahoma and Tulsa Metro Areas		1	700	2				2						www.generationshealthcare.cc	Http://www.generationshealthcare.cc/formulary	Http://www.generationshealthcare.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H3706	807	0	1	01	01	H3706_807_0	8	08/27/2010	2011.01	08/27/2010 11:26:23 AM Central Daylight Time	06/06/2010 05:10:12 PM Central Daylight Time			08/27/2010 11:40:40 AM Central Daylight Time	GLOBALHEALTH, INC.	Universal American	www.generationshealthcare.cc	Generations Healthcare EGHP MA only (HMO)	01	01		1			H3706	807	0	2011	Central Oklahoma and Tulsa Metro Areas		1	700	2				2						www.generationshealthcare.cc	Http://www.generationshealthcare.cc/formulary	Http://www.generationshealthcare.cc/formulary	(866)-547-3060		(866)-547-3060		(866)-618-4074		(866)-618-4074										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H3708	001	0	1	01	01	H3708_001_0	9	09/01/2010	2011.01	09/01/2010 09:32:31 AM Central Daylight Time	08/20/2010 07:18:19 PM Central Daylight Time	08/19/2010 01:38:46 PM Central Daylight Time		09/01/2010 09:37:38 AM Central Daylight Time	SELECTCARE OF OKLAHOMA, INC.	Universal American	www.scoklahoma.com	Tribute powered by CCRx (HMO SNP)	01	01		1			H3708	001	0	2011	Greater Ardmore and Surrounding Area		2		2				1	1	2	1			www.scoklahoma.com	http://www.scoklahoma.com/PresentFormulary	http://www.scoklahoma.com/PresentFormulary	(800)-817-3515		(800)-817-3515		(800)-817-3515		(800)-817-3515		(800)-817-3515		(800)-817-3515		(800)-817-3515		(800)-817-3515		(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		1
H3749	001	0	1	01	01	H3749_001_0	4	06/01/2010	2011.01	06/01/2010 10:09:57 AM Central Daylight Time	08/19/2010 02:54:05 PM Central Daylight Time	08/18/2010 04:46:51 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H3749	001	0	2011	Oklahoma City Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3749	004	0	1	01	01	H3749_004_0	4	06/01/2010	2011.01	06/01/2010 03:18:29 PM Central Daylight Time	08/19/2010 02:54:39 PM Central Daylight Time	08/18/2010 04:46:55 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H3749	004	0	2011	Tulsa Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3749	011	0	1	01	01	H3749_011_0	4	06/01/2010	2011.01	06/01/2010 07:15:42 PM Central Daylight Time	08/19/2010 02:55:12 PM Central Daylight Time	08/18/2010 04:31:14 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H3749	011	0	2011	Oklahoma City Area		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3749	017	0	1	01	01	H3749_017_0	4	06/01/2010	2011.01	06/01/2010 03:26:46 PM Central Daylight Time	08/19/2010 02:55:51 PM Central Daylight Time	08/18/2010 04:47:00 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H3749	017	0	2011	Tulsa Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3749	801	0	1	01	01	H3749_801_0	1	05/25/2010	2011.01	05/25/2010 08:39:04 AM Central Daylight Time	06/01/2010 06:14:12 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3749	801	0	2011	OK Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3749	803	0	1	01	01	H3749_803_0	1	05/25/2010	2011.01	05/25/2010 08:39:09 AM Central Daylight Time	06/01/2010 06:13:57 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3749	803	0	2011	OK Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3749	804	0	1	01	01	H3749_804_0	1	05/25/2010	2011.01	05/25/2010 08:39:13 AM Central Daylight Time	06/01/2010 06:15:11 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	PACIFICARE OF OKLAHOMA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3749	804	0	2011	OK Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3755	001	0	1	01	01	H3755_001_0	7	08/20/2010	2011.01	08/20/2010 01:33:28 PM Central Daylight Time	08/20/2010 02:07:31 PM Central Daylight Time	08/20/2010 01:27:20 PM Central Daylight Time		08/20/2010 03:27:27 PM Central Daylight Time	COMMUNITY CARE HMO, INC	CommunityCare Senior Health Plan	www.ccok.com	Senior Health Plan Platinum (HMO)	01	01		1			H3755	001	0	2011	Tulsa Metro Area		2	15227	2				2						www.ccok.com	http://www.ccok.com/rxformulary?Switch=2	http://www.ccok.com/CommunityCare Medicare/Senior Health Plan.asp	(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1
H3755	002	0	1	01	01	H3755_002_0	5	08/10/2010	2011.01	08/10/2010 10:51:30 AM Central Daylight Time	06/07/2010 08:49:49 AM Central Daylight Time			08/10/2010 10:57:31 AM Central Daylight Time	COMMUNITY CARE HMO, INC	CommunityCare Senior Health Plan	www.ccok.com	Senior Health Plan Silver (HMO)	01	01		1			H3755	002	0	2011	Tulsa Metro Area		2	3057	2				2						www.ccok.com	http://www.ccok.com/rxformulary?Switch=2	http://www.ccok.com/CommunityCare Medicare/Senior Health Plan.asp	(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065										(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353										1
H3755	004	0	1	01	01	H3755_004_0	8	08/20/2010	2011.01	08/20/2010 01:34:04 PM Central Daylight Time	08/20/2010 02:09:15 PM Central Daylight Time	08/20/2010 01:30:12 PM Central Daylight Time		08/20/2010 03:27:27 PM Central Daylight Time	COMMUNITY CARE HMO, INC	CommunityCare Senior Health Plan	www.ccok.com	Senior Health Plan Platinum Plus (HMO)	01	01		1			H3755	004	0	2011	Tulsa Metro Area		2	7394	2				2						www.ccok.com	http://www.ccok.com/rxformulary?Switch=2	http://www.ccok.com/CommunityCare Medicare/Senior Health Plan.asp	(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1
H3755	801	0	1	01	01	H3755_801_0	3	07/29/2010	2011.01	07/29/2010 02:05:51 PM Central Daylight Time	06/07/2010 08:50:01 AM Central Daylight Time			07/29/2010 03:35:04 PM Central Daylight Time	COMMUNITY CARE HMO, INC	CommunityCare Senior Health Plan	www.ccok.com	Senior Health EGHP+D (HMO)	01	01		1			H3755	801	0	2011	Tulsa Metro Area		1	2622	2				2						www.ccok.com	http://www.ccok.com/rxformulary?Switch=2	http://www.ccok.com/CommunityCare Medicare/Senior Health Plan.asp	(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-642-8065		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		(800)-722-0353		1
H3805	001	0	1	01	01	H3805_001_0	4	06/02/2010	2011.01	06/02/2010 03:01:14 PM Central Daylight Time	08/19/2010 05:03:31 PM Central Daylight Time	08/18/2010 04:47:05 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	PACIFICARE OF OREGON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H3805	001	0	2011	Clackamas, Marion, Multnomah, Polk, Washington		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3805	007	0	1	01	01	H3805_007_0	4	05/31/2010	2011.01	05/31/2010 10:22:19 AM Central Daylight Time	08/19/2010 05:03:54 PM Central Daylight Time	08/18/2010 04:47:10 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	PACIFICARE OF OREGON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H3805	007	0	2011	Benton, Lane, Linn		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3805	801	0	1	01	01	H3805_801_0	1	05/27/2010	2011.01	05/27/2010 09:16:35 AM Central Daylight Time	06/02/2010 01:42:08 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF OREGON, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3805	801	0	2011	OR Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3805	803	0	1	01	01	H3805_803_0	1	05/27/2010	2011.01	05/27/2010 09:16:45 AM Central Daylight Time	06/02/2010 01:42:41 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF OREGON, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3805	803	0	2011	OR Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3805	804	0	1	01	01	H3805_804_0	1	05/27/2010	2011.01	05/27/2010 09:16:55 AM Central Daylight Time	06/02/2010 01:43:18 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF OREGON, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H3805	804	0	2011	OR Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3809	001	0	1	20	08	H3809_001_0	1	05/27/2010	2011.01	05/27/2010 07:19:49 AM Pacific Daylight Time		05/20/2010 07:20:33 AM Pacific Daylight Time		05/27/2010 07:22:36 AM Pacific Daylight Time	PROVIDENCE HEALTH  SERVICES - OREGON	Providence ElderPlace Portland	www.providence.org/elderplace	Providence ElderPlace Portland (dual) (PACE)	08	20		1			H3809	001	0	2011	Multnomah County		2		2				2							http://www.providence.org/oregon/Programs_and_Services/ElderPlace/formularies.htm	http://www.providence.org/oregon/Programs_and_Services/ElderPlace/default.htm									(503)-215-6556		(503)-215-6556		(503)-215-6556		(503)-215-6556										(503)-215-6556		(503)-215-6556		(503)-215-6556		(503)-215-6556		1
H3809	002	0	1	20	08	H3809_002_0	1	05/27/2010	2011.01	05/27/2010 07:20:08 AM Pacific Daylight Time		05/20/2010 07:20:33 AM Pacific Daylight Time		05/27/2010 07:22:36 AM Pacific Daylight Time	PROVIDENCE HEALTH  SERVICES - OREGON	Providence ElderPlace Portland	www.providence.org/elderplace	Providence ElderPlace Portland (pvt pay) (PACE)	08	20		1			H3809	002	0	2011	Multnomah County		2		2				2							http://www.providence.org/oregon/Programs_and_Services/ElderPlace/formularies.htm	http://www.providence.org/oregon/Programs_and_Services/ElderPlace/default.htm									(503)-215-6556		(503)-215-6556		(503)-215-6556		(503)-215-6556										(503)-215-6556		(503)-215-6556		(503)-215-6556		(503)-215-6556		1
H3810	001	0	1	01	01	H3810_001_0	7	08/10/2010	2011.01	08/10/2010 03:45:06 PM Pacific Standard Time	06/07/2010 05:58:26 PM Pacific Standard Time			08/11/2010 03:09:07 PM Pacific Standard Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Gold (HMO)	01	01		1			H3810	001	0	2011	Counties:  JO, JA, DO*, CU.		2	589	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	http://www.caresourcehp.com/plans/pharmacy/pharmacyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106										(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232										1
H3810	002	0	1	01	01	H3810_002_0	12	08/10/2010	2011.01	08/10/2010 04:02:56 PM Pacific Standard Time	08/23/2010 10:02:36 AM Pacific Standard Time	08/23/2010 10:02:36 AM Pacific Standard Time		08/23/2010 11:00:53 AM Pacific Standard Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource - SNP (HMO SNP)	01	01		1			H3810	002	0	2011	Counties: JO, JA, DO*.		2	1089	2		2		1	3		1	2		http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	http://www.caresourcehp.com/plans/pharmacy/pharmacyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1
H3810	003	0	1	01	01	H3810_003_0	11	08/23/2010	2011.01	08/23/2010 10:55:32 AM Pacific Standard Time	08/23/2010 10:02:56 AM Pacific Standard Time	08/23/2010 10:02:59 AM Pacific Standard Time		08/23/2010 11:00:53 AM Pacific Standard Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Gold Plus Rx (HMO)	01	01		1			H3810	003	0	2011	Counties: JO, JA, DO*, CU.		2	1594	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	http://www.caresourcehp.com/plans/pharmacy/pharmacyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1
H3810	004	0	1	02	01	H3810_004_0	6	08/10/2010	2011.01	08/10/2010 03:44:11 PM Pacific Standard Time	08/02/2010 09:53:32 AM Pacific Standard Time			08/11/2010 03:09:07 PM Pacific Standard Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Platinum (HMO-POS)	01	02		1			H3810	004	0	2011	Counties: JO, JA, DO*, CU.		2	78	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	http://www.caresourcehp.com/plans/pharmacy/pharmacyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106										(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232										1
H3810	005	0	1	02	01	H3810_005_0	9	08/23/2010	2011.01	08/23/2010 10:55:22 AM Pacific Standard Time	08/23/2010 10:03:03 AM Pacific Standard Time	08/23/2010 10:03:02 AM Pacific Standard Time		08/23/2010 11:00:53 AM Pacific Standard Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Platinum Plus Rx (HMO-POS)	01	02		1			H3810	005	0	2011	Counties: JO, JA, DO*, CU.		2	346	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	http://www.caresourcehp.com/plans/pharmacy/pharmacyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1
H3810	006	0	1	01	01	H3810_006_0	5	08/10/2010	2011.01	08/10/2010 03:44:49 PM Pacific Standard Time	06/07/2010 06:00:02 PM Pacific Standard Time			08/11/2010 03:09:07 PM Pacific Standard Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Silver (HMO)	01	01		1			H3810	006	0	2011	Counties: JO, JA, DO*, CU.		2	129	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	http://www.caresourcehp.com/plans/pharmacy/pharmacyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106										(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232										1
H3810	007	0	1	01	01	H3810_007_0	7	08/23/2010	2011.01	08/23/2010 10:55:11 AM Pacific Standard Time	08/23/2010 10:03:41 AM Pacific Standard Time	08/23/2010 10:03:41 AM Pacific Standard Time		08/23/2010 11:00:53 AM Pacific Standard Time	MID ROGUE INDEPENDENT PHYSICIAN ASSOCIATION	CareSource	http://www.caresourcehp.com	CareSource Silver Plus Rx (HMO)	01	01		1			H3810	007	0	2011	Counties: JO, JA, DO*, CU.		2	343	2				2						http://www.caresourcehp.com/prov_net/index.php	http://www.caresourcehp.com/plans/formularies/formularyindex.php	http://www.caresourcehp.com/plans/pharmacy/pharmacyindex.php	(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(888)-460-0185		(541)-471-4106		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		(800)-735-2900		(800)-735-1232		1
H3811	001	0	1	01	01	H3811_001_0	5	07/30/2010	2011.01	07/30/2010 10:44:58 AM Pacific Daylight Time	08/16/2010 03:22:15 PM Pacific Daylight Time			08/16/2010 03:25:00 PM Pacific Daylight Time	SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	Samaritan Advantage Conventional Plan (HMO)	01	01		1			H3811	001	0	2011	Benton, Lincoln and Linn county		2	554	2				2						www.samaritanadvantage.com	www.samaritanadvantage.com	www.samaritanadvantage.com	(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1
H3811	002	0	1	01	01	H3811_002_0	6	08/23/2010	2011.01	08/23/2010 10:54:00 AM Pacific Daylight Time	08/23/2010 10:52:51 AM Pacific Daylight Time	08/23/2010 10:53:13 AM Pacific Daylight Time		08/23/2010 11:45:13 AM Pacific Daylight Time	SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	Samaritan Advantage Premier Plan (HMO)	01	01		1			H3811	002	0	2011	Benton, Lincoln and Linn county		2	1972	2				2						www.samaritanadvantage.com	www.samaritanadvantage.com	www.samaritanadvantage.com	(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3811	003	0	1	01	01	H3811_003_0	5	08/23/2010	2011.01	08/23/2010 10:44:49 AM Pacific Daylight Time	08/23/2010 10:46:50 AM Pacific Daylight Time	08/23/2010 10:47:25 AM Pacific Daylight Time		08/23/2010 11:49:50 AM Pacific Daylight Time	SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	Samaritan Advantage Special Needs Plan (HMO SNP)	01	01		1			H3811	003	0	2011	Benton and Linn counties		2	2025	2		2		1	3		1	3		www.samaritanadvantage.com	www.samaritanadvantage.com	www.samaritanadvantage.com	(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3811	009	0	1	01	01	H3811_009_0	5	08/23/2010	2011.01	08/23/2010 10:55:00 AM Pacific Daylight Time	08/23/2010 10:56:44 AM Pacific Daylight Time	08/23/2010 10:57:09 AM Pacific Daylight Time		08/23/2010 11:52:10 AM Pacific Daylight Time	SAMARITAN HEALTH PLANS, INC.	Samaritan Advantage Health Plan	www.samaritanadvantage.com	Samaritan Advantage Premier Plan Plus (HMO)	01	01		1			H3811	009	0	2011	Benton, Lincoln, and Linn Counties		2	1643	2				2						www.samaritanadvantage.com	www.samaritanadvantage.com	www.samaritanadvantage.com	(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-832-4580		(541)-768-4550		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3812	001	0	1	04	01	H3812_001_0	4	06/03/2010	2011.01	06/03/2010 10:19:58 AM Central Daylight Time	08/19/2010 05:06:34 PM Central Daylight Time	08/18/2010 04:47:16 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H3812	001	0	2011	Clackamas,Lane,Multnomah,Marion,Washington,Yamhill		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3812	005	0	1	04	01	H3812_005_0	4	06/03/2010	2011.01	06/03/2010 10:20:06 AM Central Daylight Time	08/19/2010 05:07:02 PM Central Daylight Time	08/18/2010 04:31:20 PM Central Daylight Time		08/20/2010 04:50:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H3812	005	0	2011	Clackamas, Lane, Multnomah and Washington Counties		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3813	001	0	1	04	01	H3813_001_0	9	07/20/2010	2011.01	07/20/2010 12:39:13 PM Pacific Daylight Time	08/05/2010 08:54:43 AM Pacific Daylight Time			08/06/2010 11:10:43 AM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage PPO (PPO)	01	04		1			H3813	001	0	2011	State of Oregon		2	125	2				2						www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	(877)-299-9062		(503)-265-4762		(888)-217-2375		(503)-265-2975										(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958										1
H3813	003	0	1	04	01	H3813_003_0	10	08/03/2010	2011.01	08/03/2010 02:18:34 PM Pacific Daylight Time	08/20/2010 10:50:06 AM Pacific Daylight Time	08/20/2010 10:47:50 AM Pacific Daylight Time		08/20/2010 10:58:50 AM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage PPORX Select (PPO)	01	04		1			H3813	003	0	2011	State of Oregon		2	1000	2				2						www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	(877)-299-9062		(503)-265-4762		(888)-217-2375		(503)-265-2975		(888)-786-7509		(503)-265-4709		(888)-217-2375		(503)-265-2975		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		1
H3813	802	0	1	04	01	H3813_802_0	7	07/22/2010	2011.01	07/22/2010 02:13:01 PM Pacific Daylight Time	08/11/2010 03:08:39 PM Pacific Daylight Time			08/12/2010 09:42:57 AM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage PPORX Employer Option (PPO)	01	04		1			H3813	802	0	2011	State of Oregon		1	7000	2				2						www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage	(877)-299-9062		(503)-265-4762		(888)-217-2375		(503)-265-2975		(888)-786-7509		(503)-265-4709		(888)-217-2375		(503)-265-2975		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		1
H3814	007	0	1	01	01	H3814_007_0	10	08/28/2010	2011.01	08/28/2010 10:37:01 AM Pacific Daylight Time	08/27/2010 12:54:24 PM Pacific Daylight Time	08/20/2010 01:28:36 PM Pacific Daylight Time		08/30/2010 09:22:48 AM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	ATRIO MyAdvantage SNP (HMO SNP)	01	01		1			H3814	007	0	2011	Douglas and Klamath Counties		2	1940	2		2		1	3		1	3		www.atriohp.com	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Formulary%20Information	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Pharmacy%20Directory	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1
H3815	001	0	1	01	01	H3815_001_0	6	08/20/2010	2011.01	08/20/2010 05:26:21 PM Pacific Daylight Time	08/20/2010 03:12:14 PM Pacific Daylight Time	08/20/2010 03:12:38 PM Pacific Daylight Time		08/20/2010 05:34:47 PM Pacific Daylight Time	CITIZENS CHOICE HEALTHPLAN	Citizens Choice Healthplan	www.citizenschoicehealth.com	Citizens Choice Healthplan (HMO)	01	01		1			H3815	001	0	2011	Los Angeles and Northern Orange Counties, CA		2	163	2				2						www.citizenschoicehealth.com	www.citizenschoicehealth.com	www.citizenschoicehealth.com	(866)-634-2247		(323)-728-7232	5550	(866)-646-2247		(323)-728-7232	5551	(866)-634-2247		(323)-728-7232	5550	(866)-646-2247		(323)-728-7232	5551	(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		1
H3815	005	0	1	01	01	H3815_005_0	6	08/20/2010	2011.01	08/20/2010 05:27:28 PM Pacific Daylight Time	08/20/2010 03:12:02 PM Pacific Daylight Time	08/20/2010 03:12:34 PM Pacific Daylight Time		08/20/2010 05:34:47 PM Pacific Daylight Time	CITIZENS CHOICE HEALTHPLAN	Citizens Choice Healthplan	www.citizenschoicehealth.com	Citizens Choice Healthplan (HMO)	01	01		1			H3815	005	0	2011	Riverside and San Bernardino Counties, CA		2	48	2				2						www.citizenschoicehealth.com	www.citizenschoicehealth.com	www.citizenschoicehealth.com	(866)-634-2247		(323)-728-7232	5550	(866)-646-2247		(323)-728-7232	5551	(866)-634-2247		(323)-728-7232	5550	(866)-646-2247		(323)-728-7232	5551	(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		(866)-516-9366		1
H3817	001	0	1	04	01	H3817_001_0	5	08/09/2010	2011.01	08/09/2010 11:21:41 AM Mountain Daylight Time	06/04/2010 03:31:53 PM Pacific Daylight Time			08/10/2010 02:39:34 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	www.regence.com/OR/products/medicare	Regence MedAdvantage (PPO)	01	04		1			H3817	001	0	2011	Select Counties in Oregon/Clark Co, WA		2		2				2						www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H3817	002	0	1	04	01	H3817_002_0	8	08/09/2010	2011.01	08/09/2010 11:22:51 AM Mountain Daylight Time	08/20/2010 04:09:07 PM Pacific Daylight Time	08/19/2010 02:29:52 PM Pacific Daylight Time		08/20/2010 04:40:35 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	www.regence.com/OR/products/medicare	Regence MedAdvantage + Rx Classic (PPO)	01	04		1			H3817	002	0	2011	Select Counties in Oregon/Clark Co, WA		2		2				2						www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H3817	003	0	1	04	01	H3817_003_0	6	08/09/2010	2011.01	08/09/2010 11:24:06 AM Mountain Daylight Time	08/20/2010 04:09:07 PM Pacific Daylight Time	08/19/2010 02:30:51 PM Pacific Daylight Time		08/20/2010 04:43:31 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	www.regence.com/OR/products/medicare	Regence MedAdvantage + Rx Enhanced (PPO)	01	04		1			H3817	003	0	2011	Select Counties in Oregon/Clark Co,Wa		2		2				2						www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H3817	801	0	1	04	01	H3817_801_0	7	08/03/2010	2011.01	08/03/2010 10:50:29 AM Mountain Daylight Time	06/07/2010 01:15:16 PM Pacific Daylight Time			08/03/2010 02:48:22 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	www.regence.com/OR/products/medicare	Regence MedAdvantage (PPO)	01	04		1			H3817	801	0	2011	Nationwide except territories		1		2				2						www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H3817	802	0	1	04	01	H3817_802_0	5	08/03/2010	2011.01	08/03/2010 10:57:25 AM Mountain Daylight Time	06/07/2010 01:15:36 PM Pacific Daylight Time			08/03/2010 02:50:42 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF OR	Regence BlueCross BlueShield of Oregon	www.regence.com/OR/products/medicare	Regence MedAdvantage + Rx (PPO)	01	04		1			H3817	802	0	2011	Nationwide except territories		1		2				2						www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	www.regence.com/OR/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H3818	001	0	1	01	01	H3818_001_0	9	08/04/2010	2011.01	08/04/2010 11:58:53 AM Pacific Daylight Time	08/23/2010 01:19:04 PM Pacific Daylight Time	08/19/2010 01:56:13 PM Pacific Daylight Time		08/23/2010 03:51:15 PM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare  Advantage Rx (HMO)	01	01		1			H3818	001	0	2011	Portland Metro Clatsop Morrow Umatilla Counties		2		2				2						www.familycarehealthplans.org	http://www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3818	002	0	1	01	01	H3818_002_0	8	08/20/2010	2011.01	08/20/2010 02:46:50 PM Pacific Daylight Time	08/19/2010 02:19:33 PM Pacific Daylight Time	08/19/2010 01:56:37 PM Pacific Daylight Time		08/20/2010 02:54:33 PM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Plus (HMO SNP)	01	01		1			H3818	002	0	2011	Portland Metro Clatsop Morrow Umatilla Counties		2	1800	2		2		1	3		1	3		www.familycarehealthplans.org	http://www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3818	003	0	1	01	01	H3818_003_0	12	08/04/2010	2011.01	08/04/2010 11:18:15 AM Pacific Daylight Time	08/23/2010 03:42:35 PM Pacific Daylight Time	08/19/2010 01:57:13 PM Pacific Daylight Time		08/23/2010 03:51:15 PM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Choice Rx (HMO)	01	01		1			H3818	003	0	2011	Portland Metro Clatsop Morrow Umatilla Counties		2		2				2						www.familycarehealthplans.org	http://www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3818	004	0	1	01	01	H3818_004_0	5	05/28/2010	2011.01	05/28/2010 11:04:14 AM Pacific Daylight Time	06/07/2010 09:43:54 AM Pacific Daylight Time			06/07/2010 10:28:01 AM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Choice (HMO)	01	01		1			H3818	004	0	2011	Portland Metro Clatsop Morrow Umatilla Counties		2		2				2						www.familycarehealthplans.org	http://www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1
H3818	014	0	1	01	01	H3818_014_0	10	07/26/2010	2011.01	07/26/2010 10:13:24 AM Pacific Daylight Time	08/23/2010 01:29:40 PM Pacific Daylight Time	08/19/2010 01:57:42 PM Pacific Daylight Time		08/23/2010 03:51:15 PM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Value Rx (HMO)	01	01		1			H3818	014	0	2011	Portland Metro Clatsop Morrow Umatilla Counties		2		2				2						www.familycarehealthplans.org	http://www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3818	015	0	1	01	01	H3818_015_0	10	08/20/2010	2011.01	08/20/2010 02:47:13 PM Pacific Daylight Time	08/23/2010 01:30:26 PM Pacific Daylight Time	08/19/2010 01:58:06 PM Pacific Daylight Time		08/23/2010 03:51:15 PM Pacific Daylight Time	FAMILYCARE HEALTH PLANS, INC.	FamilyCare Health Plans, Inc.	familycarehealthplans.org	PremierCare Select Rx (HMO SNP)	01	01		1			H3818	015	0	2011	Portland Metro Clatsop Morrow Umatilla Counties		2		2				1	4		1		00000010000000000000	www.familycarehealthplans.org	http://www.familycareinc.org	http://www.familycareinc.org	(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(866)-798-2273		(503)-345-5702		(866)-225-2273		(503)-345-5701		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3832	001	0	1	04	01	H3832_001_0	7	08/25/2010	2011.01	08/25/2010 12:05:58 PM Hawaiian Standard Time	08/19/2010 11:01:40 AM Hawaiian Standard Time	08/20/2010 04:01:43 AM Hawaiian Standard Time		08/25/2010 12:44:19 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage Select (PPO)	01	04		1			H3832	001	0	2011	Honolulu County		2	5000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H3832	801	0	1	04	01	H3832_801_0	4	07/24/2010	2011.01	07/24/2010 09:32:25 AM Hawaiian Standard Time	07/23/2010 10:30:57 AM Hawaiian Standard Time			07/24/2010 09:41:35 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage EGWP with Drug CY (PPO)	01	04		1			H3832	801	0	2011	State of Hawaii		1	1000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H3832	802	0	1	04	01	H3832_802_0	4	07/24/2010	2011.01	07/24/2010 09:32:49 AM Hawaiian Standard Time	07/23/2010 10:27:02 AM Hawaiian Standard Time			07/24/2010 09:44:18 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage EGWP with Drug NCY (PPO)	01	04		1			H3832	802	0	2011	State of Hawaii		1	1000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
H3832	805	0	1	04	01	H3832_805_0	4	07/24/2010	2011.01	07/24/2010 09:33:02 AM Hawaiian Standard Time	07/23/2010 10:28:42 AM Hawaiian Standard Time			07/24/2010 09:46:23 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage EGWP CY (PPO)	01	04		1			H3832	805	0	2011	State of Hawaii		1	1000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222										1
H3832	806	0	1	04	01	H3832_806_0	4	07/24/2010	2011.01	07/24/2010 09:33:15 AM Hawaiian Standard Time	07/23/2010 10:31:57 AM Hawaiian Standard Time			07/24/2010 09:48:26 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage EGWP NCY (PPO)	01	04		1			H3832	806	0	2011	State of Hawaii		1	1000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222										1
H3864	001	0	1	02	01	H3864_001_0	5	08/31/2010	2011.01	08/31/2010 07:12:15 AM Pacific Daylight Time	07/29/2010 06:05:44 PM Pacific Daylight Time			08/31/2010 07:21:25 AM Pacific Daylight Time	CLEAR ONE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Clear One Premier Traditional Plan (HMO-POS)	01	02		1			H3864	001	0	2011	Central, Eastern Oregon and Mid-Columbia Gorge		2	1646	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	https://pharmacy.express-scripts.com/esi_pharmacy/user_login	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1
H3864	002	0	1	01	01	H3864_002_0	4	08/31/2010	2011.01	08/31/2010 07:12:54 AM Pacific Daylight Time	07/29/2010 06:07:06 PM Pacific Daylight Time			08/31/2010 07:21:25 AM Pacific Daylight Time	CLEAR ONE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Clear One Practical Value Plan (HMO)	01	01		1			H3864	002	0	2011	Central, Eastern Oregon and Mid-Columbia Gorge		2	660	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	https://pharmacy.express-scripts.com/esi_pharmacy/user_login	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1
H3864	006	0	1	01	01	H3864_006_0	6	08/31/2010	2011.01	08/31/2010 07:13:23 AM Pacific Daylight Time	08/23/2010 01:45:20 PM Pacific Daylight Time	08/23/2010 09:13:26 AM Pacific Daylight Time		08/31/2010 07:21:25 AM Pacific Daylight Time	CLEAR ONE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Clear One Practical Value + Rx Plan (HMO)	01	01		1			H3864	006	0	2011	Central, Eastern Oregon and Mid-Columbia Gorge		2	660	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	https://pharmacy.express-scripts.com/esi_pharmacy/user_login	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315		(800)-570-1673		(800)-570-1673		(888)-863-3637		(541)-385-5315		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3864	007	0	1	02	01	H3864_007_0	7	08/31/2010	2011.01	08/31/2010 07:13:48 AM Pacific Daylight Time	08/23/2010 01:46:58 PM Pacific Daylight Time	08/23/2010 09:14:32 AM Pacific Daylight Time		08/31/2010 07:21:25 AM Pacific Daylight Time	CLEAR ONE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Clear One Premier Traditional + Rx Plan (HMO-POS)	01	02		1			H3864	007	0	2011	Central, Eastern Oregon and Mid-Columbia Gorge		2	4371	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	https://pharmacy.express-scripts.com/esi_pharmacy/user_login	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315		(800)-570-1673		(800)-570-1673		(888)-863-3637		(541)-385-5315		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3864	014	0	1	01	01	H3864_014_0	6	08/31/2010	2011.01	08/31/2010 07:14:22 AM Pacific Daylight Time	08/23/2010 01:48:16 PM Pacific Daylight Time	08/23/2010 09:11:02 AM Pacific Daylight Time		08/31/2010 07:21:25 AM Pacific Daylight Time	CLEAR ONE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Clear One Essentials + Rx Plan (HMO)	01	01		1			H3864	014	0	2011	Central, Eastern Oregon and Mid-Columbia Gorge		2	500	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	https://pharmacy.express-scripts.com/esi_pharmacy/user_login	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315		(800)-570-1673		(800)-570-1673		(888)-863-3637		(541)-385-5315		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H3864	801	0	1	01	01	H3864_801_0	3	06/04/2010	2011.01	06/04/2010 08:12:18 AM Pacific Daylight Time	07/30/2010 03:37:32 PM Pacific Daylight Time			08/02/2010 09:21:49 AM Pacific Daylight Time	CLEAR ONE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	PERS Traditional Plan (HMO)	01	01		1			H3864	801	0	2011	Central, Eastern Oregon and Mid-Columbia Gorge		1	1417	2				2						http://www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	https://pharmacy.express-scripts.com/esi_pharmacy/user_login	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1
H3887	001	0	1	02	01	H3887_001_0	4	08/20/2010	2011.01	08/20/2010 01:59:02 PM Central Daylight Time	08/20/2010 10:24:53 AM Central Daylight Time	08/18/2010 04:31:26 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS SNP)	01	02		1			H3887	001	0	2011	Cook, Du Page, Kane and Lake Counties		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.securehorizons.com/ourplans/searchformulary.html	www.prescriptionsolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3887	002	0	1	02	01	H3887_002_0	4	06/01/2010	2011.01	06/01/2010 07:23:34 PM Central Daylight Time	08/19/2010 09:01:12 PM Central Daylight Time	08/18/2010 04:31:32 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH-POS (HMO-POS SNP)	01	02		1			H3887	002	0	2011	Cook, Du Page, Kane and Lake Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.securehorizons.com/ourplans/searchformulary.html	www.prescriptionsolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3887	003	0	1	02	01	H3887_003_0	5	06/05/2010	2011.01	06/05/2010 04:17:20 PM Central Daylight Time	08/19/2010 09:09:24 PM Central Daylight Time	08/18/2010 04:47:21 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H3887	003	0	2011	Cook, Kane and Will Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.securehorizons.com/ourplans/searchformulary.html	www.prescriptionsolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3887	801	0	1	02	01	H3887_801_0	1	05/27/2010	2011.01	05/27/2010 09:20:42 AM Central Daylight Time	06/03/2010 02:09:28 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3887	801	0	2011	IL Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.securehorizons.com/ourplans/searchformulary.html	www.prescriptionsolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3887	802	0	1	02	01	H3887_802_0	1	05/27/2010	2011.01	05/27/2010 09:20:50 AM Central Daylight Time	06/03/2010 02:10:21 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3887	802	0	2011	IL Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.securehorizons.com/ourplans/searchformulary.html	www.prescriptionsolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H3887	803	0	1	02	01	H3887_803_0	1	05/27/2010	2011.01	05/27/2010 08:26:38 AM Central Daylight Time	06/03/2010 02:10:56 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H3887	803	0	2011	IL Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.securehorizons.com/ourplans/searchformulary.html	www.prescriptionsolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3907	002	0	1	01	01	H3907_002_0	5	08/09/2010	2011.01	08/09/2010 12:39:30 PM Eastern Daylight Time	08/09/2010 01:53:54 PM Eastern Daylight Time			08/09/2010 03:02:30 PM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life (HMO)	01	01		1			H3907	002	0	2011	Western Pennsylvania		2	15000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1
H3907	006	0	1	01	01	H3907_006_0	5	08/09/2010	2011.01	08/09/2010 12:40:32 PM Eastern Daylight Time	08/19/2010 03:42:06 PM Eastern Daylight Time	08/19/2010 03:41:30 PM Eastern Daylight Time		08/20/2010 09:43:11 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx Enhanced (HMO)	01	01		1			H3907	006	0	2011	Western Pennsylvania		2	8000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H3907	020	0	1	01	01	H3907_020_0	6	08/23/2010	2011.01	08/23/2010 11:00:52 AM Eastern Daylight Time	08/23/2010 04:27:05 PM Eastern Daylight Time	08/19/2010 03:56:20 PM Eastern Daylight Time		08/23/2010 04:31:06 PM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life Specialty Plan (HMO SNP)	01	01		1			H3907	020	0	2011	Western Pennsylvania		2	16590	2		2		1	3		1	3		http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(800)-606-8648		(800)-606-8648		(866)-405-8762		(866)-405-8762		(800)-606-8648		(800)-606-8648		(866)-405-8762		(866)-405-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		(866)-407-8762		1
H3907	029	0	1	01	01	H3907_029_0	6	08/09/2010	2011.01	08/09/2010 12:40:46 PM Eastern Daylight Time	08/19/2010 03:57:47 PM Eastern Daylight Time	08/19/2010 03:44:13 PM Eastern Daylight Time		08/20/2010 09:43:11 AM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life HMO Rx (HMO)	01	01		1			H3907	029	0	2011	Western Pennsylvania		2	15000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H3907	801	0	1	01	01	H3907_801_0	3	06/04/2010	2011.01	06/04/2010 08:41:36 AM Eastern Daylight Time	07/28/2010 02:13:09 PM Eastern Daylight Time			07/28/2010 03:17:48 PM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (HMO)	01	01		1			H3907	801	0	2011	Western Pennsylvania		1	7000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1
H3907	802	0	1	01	01	H3907_802_0	4	06/04/2010	2011.01	06/04/2010 08:41:58 AM Eastern Daylight Time	07/28/2010 02:14:22 PM Eastern Daylight Time			07/28/2010 03:17:48 PM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (HMO)	01	01		1			H3907	802	0	2011	Western Pennsylvania		1	8000	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H3907	803	0	1	01	01	H3907_803_0	3	06/04/2010	2011.01	06/04/2010 08:42:43 AM Eastern Daylight Time	07/28/2010 02:15:38 PM Eastern Daylight Time			07/28/2010 03:17:48 PM Eastern Daylight Time	UNIVERSITY OF PITTSBURGH MEDICAL CENTER	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (HMO)	01	01		1			H3907	803	0	2011	Western Pennsylvania		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H3908	001	0	1	20	08	H3908_001_0	1	05/20/2010	2011.01	05/20/2010 11:40:57 AM Eastern Daylight Time		05/19/2010 03:21:43 PM Eastern Daylight Time		05/20/2010 11:43:24 AM Eastern Daylight Time	TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	Trustees Of The University Of Pennsylvania	http://www.lifeupenn.org/	Trustees of the University of Pennsylvania (PACE)	08	20		1			H3908	001	0	2011	Philadelphia, PA		2		2				2							www.LIFEUPENN.org	www.omnicare.com									(215)-573-7200		(215)-573-7200		(215)-573-7200		(215)-573-7200										(215)-573-7200		(215)-573-7200		(215)-573-7200		(215)-573-7200		1
H3908	002	0	1	20	08	H3908_002_0	1	05/20/2010	2011.01	05/20/2010 11:41:27 AM Eastern Daylight Time		05/19/2010 03:21:43 PM Eastern Daylight Time		05/20/2010 11:43:24 AM Eastern Daylight Time	TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA	Trustees Of The University Of Pennsylvania	http://www.lifeupenn.org/	Trustees of the University of Pennsylvania (PACE)	08	20		1			H3908	002	0	2011	Philadelphia, PA		2		2				2							www.LIFEUPENN.org	www.omnicare.com									(215)-573-7200		(215)-573-7200		(215)-573-7200		(215)-573-7200										(215)-573-7200		(215)-573-7200		(215)-573-7200		(215)-573-7200		1
H3909	001	0	1	04	01	H3909_001_0	9	08/13/2010	2011.01	08/13/2010 01:26:47 PM Eastern Daylight Time	08/19/2010 09:36:26 AM Eastern Daylight Time	08/18/2010 04:49:30 PM Eastern Daylight Time		08/19/2010 01:46:59 PM Eastern Daylight Time	QCC INSURANCE COMPANY	Personal Choice 65	www.site65.com	Personal Choice 65 Rx (PPO)	01	04		1			H3909	001	0	2011	Bucks, Philadelphia Counties		2	4075	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733		(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3909	007	0	1	04	01	H3909_007_0	8	08/13/2010	2011.01	08/13/2010 12:32:48 PM Eastern Daylight Time	08/11/2010 01:26:13 PM Eastern Daylight Time			08/13/2010 04:21:52 PM Eastern Daylight Time	QCC INSURANCE COMPANY	Personal Choice 65	www.site65.com	Personal Choice 65 Medical Only (PPO)	01	04		1			H3909	007	0	2011	Bucks, Philadelphia Counties		2	411	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3909	801	0	1	04	01	H3909_801_0	3	07/28/2010	2011.01	07/28/2010 08:46:33 AM Eastern Daylight Time	07/30/2010 12:00:22 PM Eastern Daylight Time			08/02/2010 01:26:22 PM Eastern Daylight Time	QCC INSURANCE COMPANY	Personal Choice 65	www.site65.com	Personal Choice 65 Group Medical Only (PPO)	01	04		1			H3909	801	0	2011	County: Bucks, Chester, Delaware, Montgomery,Phila		1		2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3909	802	0	1	04	01	H3909_802_0	3	07/28/2010	2011.01	07/28/2010 08:47:31 AM Eastern Daylight Time	07/30/2010 12:03:17 PM Eastern Daylight Time			08/02/2010 01:26:22 PM Eastern Daylight Time	QCC INSURANCE COMPANY	Personal Choice 65	www.site65.com	Personal Choice 65 Group Rx (PPO)	01	04		1			H3909	802	0	2011	County: Bucks, Chester, Delaware, Montgomery,Phila		1		2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733		(888)-718-3333		(888)-718-3333		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3912	001	0	1	04	01	H3912_001_0	4	08/20/2010	2011.01	08/20/2010 03:21:23 PM Central Daylight Time	08/20/2010 02:06:58 PM Central Daylight Time	08/18/2010 04:31:38 PM Central Daylight Time		08/20/2010 04:51:20 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H3912	001	0	2011	Philadelphia,Harrisburg,York and Surrounding Areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	evercarehealthplans.com/prescription_drug_coverage.jsp	www.prescriptionsolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3912	005	0	1	04	01	H3912_005_0	4	06/01/2010	2011.01	06/01/2010 08:33:47 PM Central Daylight Time	08/20/2010 12:30:58 PM Central Daylight Time	08/18/2010 04:31:43 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H3912	005	0	2011	Lancaster and York Counties		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	evercarehealthplans.com/prescription_drug_coverage.jsp	www.prescriptionsolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3916	001	0	1	04	01	H3916_001_0	11	08/27/2010	2011.01	08/27/2010 12:29:34 PM Eastern Daylight Time	08/20/2010 10:04:55 AM Eastern Daylight Time	08/20/2010 11:39:50 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Classic (PPO)	01	04		1			H3916	001	0	2011	Southwestern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	002	0	1	04	01	H3916_002_0	11	08/27/2010	2011.01	08/27/2010 12:29:48 PM Eastern Daylight Time	08/20/2010 10:05:20 AM Eastern Daylight Time	08/20/2010 11:41:21 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Classic (PPO)	01	04		1			H3916	002	0	2011	West Central PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	005	0	1	04	01	H3916_005_0	11	08/27/2010	2011.01	08/27/2010 12:30:48 PM Eastern Daylight Time	08/20/2010 10:05:40 AM Eastern Daylight Time	08/20/2010 11:42:20 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Deluxe (PPO)	01	04		1			H3916	005	0	2011	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971		(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	012	0	1	04	01	H3916_012_0	9	08/27/2010	2011.01	08/27/2010 02:41:39 PM Eastern Daylight Time	08/13/2010 09:35:45 AM Eastern Daylight Time			08/27/2010 02:52:43 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Value (PPO)	01	04		1			H3916	012	0	2011	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971										(800)-988-0668		(800)-988-0668		(711)		(711)										1
H3916	015	0	1	04	01	H3916_015_0	11	08/27/2010	2011.01	08/27/2010 12:30:58 PM Eastern Daylight Time	08/20/2010 10:06:01 AM Eastern Daylight Time	08/20/2010 01:04:52 PM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Standard (PPO)	01	04		1			H3916	015	0	2011	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971		(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	018	0	1	04	01	H3916_018_0	11	08/27/2010	2011.01	08/27/2010 12:31:08 PM Eastern Daylight Time	08/20/2010 10:06:21 AM Eastern Daylight Time	08/20/2010 11:44:21 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Basic Rx (PPO)	01	04		1			H3916	018	0	2011	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971		(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	019	0	1	04	01	H3916_019_0	11	08/27/2010	2011.01	08/27/2010 12:30:25 PM Eastern Daylight Time	08/20/2010 10:06:39 AM Eastern Daylight Time	08/20/2010 11:45:22 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO HD Rx (PPO)	01	04		1			H3916	019	0	2011	Southwestern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	020	0	1	04	01	H3916_020_0	11	08/27/2010	2011.01	08/27/2010 12:30:36 PM Eastern Daylight Time	08/20/2010 10:07:01 AM Eastern Daylight Time	08/20/2010 11:46:20 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO HD Rx (PPO)	01	04		1			H3916	020	0	2011	West Central PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	022	0	1	04	01	H3916_022_0	11	08/27/2010	2011.01	08/27/2010 12:30:01 PM Eastern Daylight Time	08/20/2010 10:07:21 AM Eastern Daylight Time	08/20/2010 11:47:20 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Select (PPO)	01	04		1			H3916	022	0	2011	Southwestern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	024	0	1	04	01	H3916_024_0	11	08/27/2010	2011.01	08/27/2010 12:30:11 PM Eastern Daylight Time	08/20/2010 10:07:40 AM Eastern Daylight Time	08/20/2010 11:48:19 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Select (PPO)	01	04		1			H3916	024	0	2011	West Central PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	025	0	1	04	01	H3916_025_0	11	08/27/2010	2011.01	08/27/2010 12:31:23 PM Eastern Daylight Time	08/20/2010 10:08:00 AM Eastern Daylight Time	08/20/2010 11:49:19 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO HD Rx (PPO)	01	04		1			H3916	025	0	2011	Central and Northeastern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971		(800)-550-8722		(800)-550-8722		(866)-682-7971		(866)-682-7971		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	026	0	1	04	01	H3916_026_0	11	08/27/2010	2011.01	08/27/2010 12:29:11 PM Eastern Daylight Time	08/20/2010 10:08:18 AM Eastern Daylight Time	08/20/2010 11:50:26 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Platinum (PPO)	01	04		1			H3916	026	0	2011	Southwestern PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	027	0	1	04	01	H3916_027_0	11	08/27/2010	2011.01	08/27/2010 12:29:22 PM Eastern Daylight Time	08/20/2010 10:08:37 AM Eastern Daylight Time	08/20/2010 11:51:36 AM Eastern Daylight Time		08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO Platinum (PPO)	01	04		1			H3916	027	0	2011	West Central PA		2		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	801	0	1	04	01	H3916_801_0	8	08/27/2010	2011.01	08/27/2010 12:32:37 PM Eastern Daylight Time	08/13/2010 09:37:47 AM Eastern Daylight Time			08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO MA Pennsylvania (PPO)	01	04		1			H3916	801	0	2011	Pennsylvania		1		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969										(800)-988-0668		(800)-988-0668		(711)		(711)										1
H3916	802	0	1	04	01	H3916_802_0	8	08/27/2010	2011.01	08/27/2010 12:31:40 PM Eastern Daylight Time	08/13/2010 09:38:41 AM Eastern Daylight Time			08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO MA-PD Pennsylvania (PPO)	01	04		1			H3916	802	0	2011	Pennsylvania		1		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3916	804	0	1	04	01	H3916_804_0	8	08/27/2010	2011.01	08/27/2010 12:31:52 PM Eastern Daylight Time	08/13/2010 09:39:35 AM Eastern Daylight Time			08/27/2010 03:00:56 PM Eastern Daylight Time	HIGHMARK, INC.	Highmark Inc.	www.highmark.com	FreedomBlue PPO MA-PD PA Non-Calendar (PPO)	01	04		1			H3916	804	0	2011	Pennsylvania		1		2				2						www.highmark.com	http://highmark.medicare-approvedformularies.com/	www.highmark.com	(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-550-8722		(800)-550-8722		(866)-682-7969		(866)-682-7969		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3917	001	0	1	20	08	H3917_001_0	1	05/20/2010	2011.01	05/20/2010 12:38:51 PM Eastern Daylight Time		05/19/2010 10:43:33 AM Eastern Daylight Time		05/20/2010 12:41:58 PM Eastern Daylight Time	PITTSBURGH CARE PARTNERSHIP, INC.	Community LIFE	http://www.commlife.org/	Pittsburgh Care Partnership, Inc. (PACE)	08	20		1			H3917	001	0	2011	Allegheny, Westmoreland Counties (Partial of each)		2		2				2							www.commlife.org	www.commlife.org									(866)-419-1693		(412)-464-2101		(866)-419-1693		(412)-464-2101										(866)-419-1693		(412)-464-2101		(866)-419-1693		(412)-464-2101		1
H3917	002	0	1	20	08	H3917_002_0	1	05/20/2010	2011.01	05/20/2010 12:40:23 PM Eastern Daylight Time		05/19/2010 10:43:33 AM Eastern Daylight Time		05/20/2010 12:41:58 PM Eastern Daylight Time	PITTSBURGH CARE PARTNERSHIP, INC.	Community LIFE	http://www.commlife.org/	Pittsburgh Care Partnership, Inc. (PACE)	08	20		1			H3917	002	0	2011	Allegheny, Westmoreland Counties (Partial of each)		2		2				2							www.commlife.org	www.commlife.org									(866)-419-1693		(412)-464-2101		(866)-419-1693		(412)-464-2101										(866)-419-1693		(412)-464-2101		(866)-419-1693		(412)-464-2101		1
H3918	001	0	1	20	08	H3918_001_0	1	05/20/2010	2011.01	05/20/2010 02:00:32 PM Eastern Daylight Time		05/20/2010 01:48:27 PM Eastern Daylight Time		05/20/2010 02:09:21 PM Eastern Daylight Time	LIVING INDEPENDENCE FOR THE ELDERLY	LIFE Pittsburgh	LIFEPittsburgh.org	LIFE Pittsburgh Dual Eligibles Pharmacy (PACE)	08	20		1			H3918	001	0	2011	Partial Allegheny*		2		2				2							not applicable -- no formulary	none									(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228									(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228	1
H3918	002	0	1	20	08	H3918_002_0	1	05/20/2010	2011.01	05/20/2010 02:00:53 PM Eastern Daylight Time		05/20/2010 01:47:23 PM Eastern Daylight Time		05/20/2010 02:09:21 PM Eastern Daylight Time	LIVING INDEPENDENCE FOR THE ELDERLY	LIFE Pittsburgh	LIFEPittsburgh.org	LIFE Pittsburgh Medicare Only Pharmacy (PACE)	08	20		1			H3918	002	0	2011	Allegheny *		2		2				2							not applicable -- no formulary	none									(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228									(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228	(412)-388-8042	4228	1
H3919	001	0	1	20	08	H3919_001_0	1	05/21/2010	2011.01	05/21/2010 03:11:09 PM Eastern Daylight Time		05/19/2010 09:13:31 AM Eastern Daylight Time		05/21/2010 03:32:50 PM Eastern Daylight Time	ST. AGNES CONTINUING CARE CENTER	Mercy LIFE	www.mercyhealth.org/life	Mercy LIFE (PACE)	08	20		1			H3919	001	0	2011	Philadelphia		2		2				2							www.stagnesphila.org	www.stagnesphila.org									(800)-820-4512	4747	(215)-339-4747		(800)-820-4512	4747	(215)-339-4747										(800)-820-4512		(215)-339-4747		(800)-820-4512	4747	(215)-339-4747		1
H3919	002	0	1	20	08	H3919_002_0	1	05/21/2010	2011.01	05/21/2010 03:11:47 PM Eastern Daylight Time		05/19/2010 09:13:41 AM Eastern Daylight Time		05/21/2010 03:32:50 PM Eastern Daylight Time	ST. AGNES CONTINUING CARE CENTER	Mercy LIFE	www.mercyhealth.org/life	Mercy LIFE (PACE)	08	20		1			H3919	002	0	2011	Philadelphia		2		2				2							www.stagnesphila.org	www.stagnesphila.org									(800)-820-4512	4747	(215)-339-4747		(800)-820-4512	4747	(215)-339-4747										(800)-820-4512		(215)-339-4747		(800)-820-4512	4747	(215)-339-4747		1
H3920	001	0	1	01	01	H3920_001_0	5	08/02/2010	2011.01	08/02/2010 10:24:18 AM Central Daylight Time	08/20/2010 03:34:49 PM Central Daylight Time	08/18/2010 04:31:48 PM Central Daylight Time		08/20/2010 05:01:27 PM Central Daylight Time	UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	UnitedHealthcare MedicareComplete (HMO)	01	01		1			H3920	001	0	2011	Select counties in Pennsylvania		2		2				2						www.unisonhealthplan.com	http://www.unisonhealthplan.com	http://www.unisonhealthplan.com	(800)-290-4009		(800)-290-4009		(888)-727-8620		(888)-727-8620		(800)-290-4009		(800)-290-4009		(888)-727-8620		(888)-727-8620		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3920	007	0	1	01	01	H3920_007_0	1	06/02/2010	2011.01	06/02/2010 04:58:55 PM Central Daylight Time	06/04/2010 12:54:27 PM Central Daylight Time			06/04/2010 06:15:22 PM Central Daylight Time	UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	UnitedHealthcare MedicareComplete Essential (HMO)	01	01		1			H3920	007	0	2011	Select counties in Pennsylvania		2		2				2						www.unisonhealthplan.com	http://www.unisonhealthplan.com	http://www.unisonhealthplan.com	(800)-290-4009		(800)-290-4009		(888)-727-8620		(888)-727-8620										(711)		(711)		(711)		(711)										1
H3920	009	0	1	01	01	H3920_009_0	4	08/16/2010	2011.01	08/16/2010 06:46:54 PM Central Daylight Time	08/20/2010 03:34:52 PM Central Daylight Time	08/18/2010 04:31:54 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNISON HEALTH PLAN OF PENNSYLVANIA, INC.	Unison Advantage	www.unisonhealthplan.com	UnitedHealthcare Dual Complete (HMO SNP)	01	01		1			H3920	009	0	2011	Pennsylvania Counties		2		2		2		1	3		1	5		www.unisonhealthplan.com	http://www.unisonhealthplan.com	www.prescriptionsolutions.com	(800)-290-4009		(800)-290-4009		(888)-565-8170		(888)-565-8170		(800)-290-4009		(800)-290-4009		(888)-727-8604		(888)-727-8604		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3921	001	0	1	04	01	H3921_001_0	4	06/01/2010	2011.01	06/01/2010 04:11:28 PM Central Daylight Time	08/19/2010 05:45:38 PM Central Daylight Time	08/18/2010 04:47:26 PM Central Daylight Time		08/20/2010 03:03:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice (PPO)	01	04		1			H3921	001	0	2011	Lancaster and York Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3921	008	0	1	04	01	H3921_008_0	4	06/01/2010	2011.01	06/01/2010 04:11:46 PM Central Daylight Time	08/19/2010 05:45:58 PM Central Daylight Time	08/18/2010 04:47:31 PM Central Daylight Time		08/20/2010 03:03:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H3921	008	0	2011	Erie, Lehigh, Northampton		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3923	013	0	1	04	01	H3923_013_0	7	08/09/2010	2011.01	08/09/2010 04:25:24 PM Eastern Daylight Time	08/04/2010 03:47:59 PM Eastern Daylight Time	08/13/2010 04:59:32 PM Eastern Daylight Time		08/16/2010 10:25:46 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	SeniorBlue - Option 2 (PPO)	01	04		1			H3923	013	0	2011	21 Counties in Central PA		2	1470	2				2						seniorblueppo.capbluecross.com	https://seniorblueppo.capbluecross.com/PharmacyInformation/	https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3923	017	0	1	04	01	H3923_017_0	8	08/09/2010	2011.01	08/09/2010 12:54:25 PM Eastern Daylight Time	08/04/2010 03:46:10 PM Eastern Daylight Time	08/13/2010 04:52:58 PM Eastern Daylight Time		08/16/2010 10:25:46 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	SeniorBlue - Option 1 (PPO)	01	04		1			H3923	017	0	2011	21 Counties in Central PA		2	3897	2				2						seniorblueppo.capbluecross.com	https://seniorblueppo.capbluecross.com/PharmacyInformation/	https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3923	801	0	1	04	01	H3923_801_0	5	07/09/2010	2011.01	07/09/2010 04:29:53 PM Eastern Daylight Time	06/07/2010 09:33:09 PM Eastern Daylight Time			07/21/2010 04:12:56 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	MA - ER with Rx (PPO)	01	04		1			H3923	801	0	2011	National		1	3783	2				2						seniorblueppo.capbluecross.com	https://seniorblueppo.capbluecross.com/PharmacyInformation/	https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3923	802	0	1	04	01	H3923_802_0	5	07/09/2010	2011.01	07/09/2010 04:30:14 PM Eastern Daylight Time	06/07/2010 09:38:10 PM Eastern Daylight Time			07/21/2010 04:12:56 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	MA - ER w/o Rx (PPO)	01	04		1			H3923	802	0	2011	National		1	100	2				2						seniorblueppo.capbluecross.com	https://seniorblueppo.capbluecross.com/PharmacyInformation/	https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961										1
H3923	803	0	1	04	01	H3923_803_0	5	07/09/2010	2011.01	07/09/2010 04:32:55 PM Eastern Daylight Time	06/07/2010 09:41:10 PM Eastern Daylight Time			07/21/2010 04:12:56 PM Eastern Daylight Time	CAPITAL ADVANTAGE INSURANCE COMPANY	Capital Advantage Insurance Company	seniorblueppo.capbluecross.com	MA - ER Non-Calendar w Rx (PPO)	01	04		1			H3923	803	0	2011	National		1	100	2				2						seniorblueppo.capbluecross.com	https://seniorblueppo.capbluecross.com/PharmacyInformation/	https://seniorblueppo.capbluecross.com/PharmacyInformation/	(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(866)-987-4213		(866)-987-4213		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3924	001	0	1	04	01	H3924_001_0	4	08/26/2010	2011.01	08/26/2010 06:05:13 PM Eastern Daylight Time	08/07/2010 03:54:50 PM Eastern Daylight Time			08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred 1 (PPO)	01	04		1			H3924	001	0	2011	Central PA		2		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3924	003	0	1	04	01	H3924_003_0	6	08/26/2010	2011.01	08/26/2010 06:06:05 PM Eastern Daylight Time	08/23/2010 01:59:38 PM Eastern Daylight Time	08/23/2010 01:59:39 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred 1 $0 Deductible Rx (PPO)	01	04		1			H3924	003	0	2011	Central PA		2		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3924	021	0	1	04	01	H3924_021_0	4	08/26/2010	2011.01	08/26/2010 06:06:47 PM Eastern Daylight Time	08/07/2010 03:54:53 PM Eastern Daylight Time			08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred 1 (PPO)	01	04		1			H3924	021	0	2011	Counties: Adams, Dauphin, Lancaster, Lebanon, York		2		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3924	023	0	1	04	01	H3924_023_0	5	08/26/2010	2011.01	08/26/2010 06:07:16 PM Eastern Daylight Time	08/23/2010 01:59:41 PM Eastern Daylight Time	08/23/2010 01:59:41 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred 1 $0 Deductible Rx (PPO)	01	04		1			H3924	023	0	2011	Counties: Adams, Dauphin, Lancaster, Lebanon, York		2		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3924	045	0	1	04	01	H3924_045_0	4	08/26/2010	2011.01	08/26/2010 06:07:56 PM Eastern Daylight Time	08/07/2010 03:57:11 PM Eastern Daylight Time			08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred 2 (PPO)	01	04		1			H3924	045	0	2011	Central PA - Region 1		2		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3924	046	0	1	04	01	H3924_046_0	5	08/26/2010	2011.01	08/26/2010 06:08:17 PM Eastern Daylight Time	08/23/2010 01:59:43 PM Eastern Daylight Time	08/23/2010 01:59:44 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred 2 $0 Deductible Rx (PPO)	01	04		1			H3924	046	0	2011	Central PA - Region 1		2		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3924	047	0	1	04	01	H3924_047_0	4	08/26/2010	2011.01	08/26/2010 06:08:37 PM Eastern Daylight Time	08/07/2010 04:03:52 PM Eastern Daylight Time			08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred 2 (PPO)	01	04		1			H3924	047	0	2011	Central PA - Region 2		2		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3924	048	0	1	04	01	H3924_048_0	6	08/26/2010	2011.01	08/26/2010 06:09:00 PM Eastern Daylight Time	08/23/2010 02:00:13 PM Eastern Daylight Time	08/23/2010 02:00:14 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred 2 $0 Deductible Rx (PPO)	01	04		1			H3924	048	0	2011	Central PA - Region 2		2		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3924	801	0	1	04	01	H3924_801_0	2	07/20/2010	2011.01	07/20/2010 02:59:59 PM Eastern Daylight Time	06/06/2010 02:42:23 PM Eastern Daylight Time			07/20/2010 05:27:28 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred (Employer Group) (PPO)	01	04		1			H3924	801	0	2011	Pennsylvania		1		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3924	802	0	1	04	01	H3924_802_0	3	07/19/2010	2011.01	07/19/2010 04:11:49 PM Eastern Daylight Time	08/11/2010 10:45:34 AM Eastern Daylight Time			08/12/2010 03:05:19 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Preferred Rx (Employer Group) (PPO)	01	04		1			H3924	802	0	2011	Pennsylvania		1		2				2						www.geisingergold.com	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3925	001	0	1	20	08	H3925_001_0	1	05/25/2010	2011.01	05/25/2010 09:14:22 AM Eastern Daylight Time		05/24/2010 02:37:58 PM Eastern Daylight Time		05/25/2010 09:16:09 AM Eastern Daylight Time	PENNSYLVANIA PACE, INC.	Senior LIFE Johnstown	www.seniorlifejohnstown.com	PA PACE 001 (PACE)	08	20		1			H3925	001	0	2011	Cambria Somerset PACE Senior LIFE JTown		2	195	2				2							NA	NA									(877)-998-5433	102	(814)-535-6000	102	(877)-998-5433	102	(814)-535-6000	102									(877)-998-5433		(814)-535-6000		(877)-998-5433		(814)-535-6000		1
H3925	002	0	1	20	08	H3925_002_0	1	05/25/2010	2011.01	05/25/2010 09:14:36 AM Eastern Daylight Time		05/24/2010 02:38:00 PM Eastern Daylight Time		05/25/2010 09:16:09 AM Eastern Daylight Time	PENNSYLVANIA PACE, INC.	Senior LIFE Johnstown	www.seniorlifejohnstown.com	PA PACE 002 (PACE)	08	20		1			H3925	002	0	2011	Cambria Somerset PACE Senior LIFE JTown		2	2	2				2							NA	NA									(877)-998-5433	102	(814)-535-6000	102	(877)-998-5433	102	(814)-535-6000	102									(877)-998-5433		(814)-535-6000		(877)-998-5433		(814)-535-6000		1
H3931	004	0	1	01	01	H3931_004_0	3	08/02/2010	2011.01	08/02/2010 09:50:49 AM Central Daylight Time	08/19/2010 01:33:14 PM Central Daylight Time	08/19/2010 01:01:02 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3931	004	0	2011	Bucks, Chester, Delaware and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3931	054	0	1	01	01	H3931_054_0	2	08/02/2010	2011.01	08/02/2010 09:50:56 AM Central Daylight Time	07/30/2010 01:58:51 PM Central Daylight Time			08/05/2010 05:07:03 PM Central Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3931	054	0	2011	Philadelphia County and Central and NE PA		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3931	055	0	1	01	01	H3931_055_0	2	08/03/2010	2011.01	08/03/2010 03:45:30 PM Central Daylight Time	07/30/2010 03:31:52 PM Central Daylight Time			08/05/2010 05:07:03 PM Central Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Basic Plan (HMO)	01	01		1			H3931	055	0	2011	Bucks, Chester, Delaware and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3931	058	0	1	01	01	H3931_058_0	3	08/02/2010	2011.01	08/02/2010 09:51:09 AM Central Daylight Time	08/19/2010 01:41:50 PM Central Daylight Time	08/19/2010 01:01:07 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H3931	058	0	2011	Philadelphia County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3931	064	0	1	01	01	H3931_064_0	3	08/02/2010	2011.01	08/02/2010 03:37:27 PM Central Daylight Time	08/19/2010 01:43:39 PM Central Daylight Time	08/19/2010 01:01:11 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3931	064	0	2011	Bucks, Chester, Delaware and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3931	065	0	1	01	01	H3931_065_0	3	08/02/2010	2011.01	08/02/2010 09:51:21 AM Central Daylight Time	08/19/2010 01:49:06 PM Central Daylight Time	08/19/2010 01:01:15 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3931	065	0	2011	Philadelphia County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3931	070	0	1	01	01	H3931_070_0	3	08/02/2010	2011.01	08/02/2010 09:51:26 AM Central Daylight Time	08/19/2010 01:50:40 PM Central Daylight Time	08/19/2010 01:01:19 PM Central Daylight Time		08/20/2010 06:02:50 PM Central Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H3931	070	0	2011	Central and NE PA		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3931	801	0	1	01	01	H3931_801_0	2	05/11/2010	2011.01	05/11/2010 09:58:09 AM Eastern Daylight Time	07/16/2010 10:47:10 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H3931	801	0	2011	Pennsylvania		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H3931	804	0	1	01	01	H3931_804_0	2	05/11/2010	2011.01	05/11/2010 09:59:41 AM Eastern Daylight Time	07/16/2010 10:49:11 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H3931	804	0	2011	Pennsylvania		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H3942	001	0	1	20	08	H3942_001_0	1	05/20/2010	2011.01	05/20/2010 12:31:12 PM Eastern Daylight Time		05/19/2010 01:16:03 PM Eastern Daylight Time		05/20/2010 12:37:22 PM Eastern Daylight Time	ELDERHAUS INC.	Elderhaus PACE	www.elderhaus.com	Elderhaus PACE (PACE)	08	20		1			H3942	001	0	2011	Elderhaus PACE		2		2				2							www.elderhaus.com	www.elderhaus.com									(888)-343-8209		(910)-343-8209		(888)-343-8209		(910)-343-8209										(888)-343-8209		(910)-343-8209		(888)-343-8209		(910)-343-8209		1
H3942	002	0	1	20	08	H3942_002_0	1	05/20/2010	2011.01	05/20/2010 12:32:44 PM Eastern Daylight Time		05/19/2010 01:16:03 PM Eastern Daylight Time		05/20/2010 12:37:22 PM Eastern Daylight Time	ELDERHAUS INC.	Elderhaus PACE	http://www.elderhaus.com	Elderhaus PACE (PACE)	08	20		1			H3942	002	0	2011	Elderhaus PACE		2		2				2							www.elderhaus.com	www.elderhaus.com									(888)-343-8209		(910)-343-8209		(888)-343-8209		(910)-343-8209										(888)-343-8209		(910)-343-8209		(888)-343-8209		(910)-343-8209		1
H3949	002	0	1	01	01	H3949_002_0	3	08/20/2010	2011.01	08/20/2010 08:25:24 AM Eastern Daylight Time	08/23/2010 11:33:18 AM Eastern Daylight Time	08/19/2010 09:38:38 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Classic (HMO)	01	01		1			H3949	002	0	2011	Pennsylvania Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3949	009	0	1	01	01	H3949_009_0	5	08/20/2010	2011.01	08/20/2010 08:25:49 AM Eastern Daylight Time	08/20/2010 04:20:50 PM Eastern Daylight Time	08/19/2010 09:37:52 AM Eastern Daylight Time		09/16/2010 09:17:21 AM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO SNP)	01	01		1			H3949	009	0	2011	Pennsylvania Counties		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3949	013	0	1	01	01	H3949_013_0	4	08/24/2010	2011.01	08/24/2010 03:40:26 PM Eastern Daylight Time	08/24/2010 01:09:40 PM Eastern Daylight Time	08/19/2010 09:36:24 AM Eastern Daylight Time		08/24/2010 03:41:47 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Premier (HMO)	01	01		1			H3949	013	0	2011	Philadelphia and Pittsburgh Metro Areas		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3949	016	0	1	01	01	H3949_016_0	2	08/20/2010	2011.01	08/20/2010 08:26:36 AM Eastern Daylight Time	08/20/2010 04:21:34 PM Eastern Daylight Time	08/19/2010 09:35:32 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Traditions (HMO SNP)	01	01		1			H3949	016	0	2011	Select PA counties		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3949	023	0	1	01	01	H3949_023_0	2	08/20/2010	2011.01	08/20/2010 08:26:58 AM Eastern Daylight Time	08/20/2010 04:21:58 PM Eastern Daylight Time	08/19/2010 09:34:50 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO SNP)	01	01		1			H3949	023	0	2011	Select PA counties		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3949	024	0	1	01	01	H3949_024_0	4	08/20/2010	2011.01	08/20/2010 08:27:14 AM Eastern Daylight Time	08/20/2010 04:22:20 PM Eastern Daylight Time	08/19/2010 09:34:06 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO SNP)	01	01		1			H3949	024	0	2011	Select Pennsylvania Counties		2		2				1	4		1		00000010000000000000	www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(800)-291-0396		(800)-291-0396		(888)-313-4267		(888)-313-4267		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3952	008	0	1	01	01	H3952_008_0	3	08/11/2010	2011.01	08/11/2010 04:37:09 PM Eastern Daylight Time	08/11/2010 01:18:49 PM Eastern Daylight Time			08/11/2010 06:00:05 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Preferred Medical Only (HMO)	01	01		1			H3952	008	0	2011	Bucks, Philadelphia Counties		2	9910	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3952	020	0	1	01	01	H3952_020_0	5	08/11/2010	2011.01	08/11/2010 04:38:23 PM Eastern Daylight Time	08/19/2010 09:32:48 AM Eastern Daylight Time	08/18/2010 04:52:33 PM Eastern Daylight Time		08/19/2010 01:46:59 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Preferred Rx (HMO)	01	01		1			H3952	020	0	2011	Bucks, Philadelphia Counties		2	21833	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3952	042	0	1	01	01	H3952_042_0	3	08/09/2010	2011.01	08/09/2010 02:22:55 PM Eastern Daylight Time	08/09/2010 02:49:05 PM Eastern Daylight Time			08/09/2010 05:32:22 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Advantage Medical Only (HMO)	01	01		1			H3952	042	0	2011	Bucks, Philadelphia Counties		2	2146	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3952	043	0	1	01	01	H3952_043_0	6	08/09/2010	2011.01	08/09/2010 02:26:16 PM Eastern Daylight Time	08/19/2010 09:29:03 AM Eastern Daylight Time	08/18/2010 05:00:39 PM Eastern Daylight Time		08/19/2010 01:46:59 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Advantage Rx (HMO)	01	01		1			H3952	043	0	2011	Bucks, Philadelphia Counties		2	5536	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3952	044	0	1	01	01	H3952_044_0	4	08/09/2010	2011.01	08/09/2010 02:56:24 PM Eastern Daylight Time	08/14/2010 03:50:27 PM Eastern Daylight Time			08/16/2010 09:06:33 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Preferred Medical Only (HMO)	01	01		1			H3952	044	0	2011	Chester, Delaware, Montgomery Counties		2	6247	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3952	045	0	1	01	01	H3952_045_0	5	08/09/2010	2011.01	08/09/2010 02:55:27 PM Eastern Daylight Time	08/19/2010 09:23:40 AM Eastern Daylight Time	08/18/2010 04:51:01 PM Eastern Daylight Time		08/19/2010 01:46:59 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Preferred Rx (HMO)	01	01		1			H3952	045	0	2011	Chester, Delaware, Montgomery Counties		2	15845	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3952	046	0	1	01	01	H3952_046_0	4	08/09/2010	2011.01	08/09/2010 02:31:24 PM Eastern Daylight Time	08/14/2010 03:58:17 PM Eastern Daylight Time			08/16/2010 09:06:33 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Advantage Medical Only (HMO)	01	01		1			H3952	046	0	2011	Chester, Delaware, Montgomery Counties		2	2663	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3952	047	0	1	01	01	H3952_047_0	5	08/09/2010	2011.01	08/09/2010 02:31:50 PM Eastern Daylight Time	08/19/2010 09:41:55 AM Eastern Daylight Time	08/18/2010 04:53:41 PM Eastern Daylight Time		08/19/2010 01:46:59 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Advantage Rx (HMO)	01	01		1			H3952	047	0	2011	Chester, Delaware, Montgomery Counties		2	6146	2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3952	802	0	1	01	01	H3952_802_0	2	06/03/2010	2011.01	06/03/2010 06:05:31 PM Eastern Daylight Time	07/30/2010 12:22:52 PM Eastern Daylight Time			07/30/2010 03:54:25 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Group Medical Only (HMO)	01	01		1			H3952	802	0	2011	Bucks,Chester,Delaware,Montgomery,Phila Cty		1		2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733										(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457										1
H3952	804	0	1	01	01	H3952_804_0	2	06/03/2010	2011.01	06/03/2010 06:05:40 PM Eastern Daylight Time	07/30/2010 12:25:14 PM Eastern Daylight Time			07/30/2010 03:54:25 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN EAST, INC.	Keystone 65	www.site65.com	Keystone 65 Group Rx (HMO)	01	01		1			H3952	804	0	2011	Bucks,Chester,Delaware, Montgomery,Phila Cty		1		2				2						www.site65.com	http://www.site65.com/drug_formulary/formulary/all_plans.html	http://www.site65.com/pgs_section_1-6_pages/03_rx_network_ind.html	(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(800)-645-3965		(800)-645-3965		(877)-393-6733		(877)-393-6733		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		(888)-857-4816		(888)-857-4816		(877)-219-5457		(877)-219-5457		1
H3954	003	0	1	01	01	H3954_003_0	4	08/26/2010	2011.01	08/26/2010 06:16:41 PM Eastern Daylight Time	08/07/2010 03:57:55 PM Eastern Daylight Time			08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	003	0	2011	Central PA - Region 1		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3954	005	0	1	01	01	H3954_005_0	4	08/26/2010	2011.01	08/26/2010 06:17:00 PM Eastern Daylight Time	08/07/2010 03:57:56 PM Eastern Daylight Time			08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	005	0	2011	Lackawanna and Luzerne County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3954	007	0	1	01	01	H3954_007_0	4	08/26/2010	2011.01	08/26/2010 06:17:26 PM Eastern Daylight Time	08/07/2010 03:57:57 PM Eastern Daylight Time			08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 (HMO)	01	01		1			H3954	007	0	2011	Central PA - Region 2		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3954	009	0	1	01	01	H3954_009_0	4	08/26/2010	2011.01	08/26/2010 06:17:50 PM Eastern Daylight Time	08/07/2010 03:57:59 PM Eastern Daylight Time			08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 (HMO)	01	01		1			H3954	009	0	2011	Central Pennsylvania		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3954	021	0	1	01	01	H3954_021_0	6	08/26/2010	2011.01	08/26/2010 06:18:16 PM Eastern Daylight Time	08/23/2010 02:00:16 PM Eastern Daylight Time	08/23/2010 02:00:17 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	021	0	2011	Central PA - Region 1		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3954	027	0	1	01	01	H3954_027_0	6	08/26/2010	2011.01	08/26/2010 06:18:38 PM Eastern Daylight Time	08/23/2010 02:00:18 PM Eastern Daylight Time	08/23/2010 02:00:19 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	027	0	2011	Lackawanna and Luzerne County		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3954	033	0	1	01	01	H3954_033_0	6	08/26/2010	2011.01	08/26/2010 06:19:11 PM Eastern Daylight Time	08/23/2010 04:20:24 PM Eastern Daylight Time	08/23/2010 02:00:57 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 1 $0 Deductible Rx (HMO)	01	01		1			H3954	033	0	2011	Central PA - Region 2		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3954	039	0	1	01	01	H3954_039_0	6	08/26/2010	2011.01	08/26/2010 06:19:31 PM Eastern Daylight Time	08/23/2010 02:00:59 PM Eastern Daylight Time	08/23/2010 02:01:00 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 2 $0 Deductible Rx (HMO)	01	01		1			H3954	039	0	2011	Central Pennsylvania		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3954	097	0	1	01	01	H3954_097_0	6	07/20/2010	2011.01	07/20/2010 03:10:23 PM Eastern Daylight Time	08/23/2010 02:19:39 PM Eastern Daylight Time	08/24/2010 10:22:32 AM Eastern Daylight Time		08/24/2010 11:14:27 AM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Secure 1 (HMO SNP)	01	01		1			H3954	097	0	2011	Central Pennsylvania		2		2		2		1	3		1	2		https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3954	098	0	1	01	01	H3954_098_0	4	08/07/2010	2011.01	08/07/2010 03:26:22 PM Eastern Daylight Time	08/11/2010 10:45:36 AM Eastern Daylight Time			08/12/2010 03:05:19 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 3 (HMO)	01	01		1			H3954	098	0	2011	Central Pennsylvania		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3954	100	0	1	01	01	H3954_100_0	5	08/07/2010	2011.01	08/07/2010 03:26:55 PM Eastern Daylight Time	08/23/2010 02:01:02 PM Eastern Daylight Time	08/23/2010 02:01:03 PM Eastern Daylight Time		08/23/2010 05:33:33 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic 3 $0 Deductible Rx (HMO)	01	01		1			H3954	100	0	2011	Central Pennsylvania		2		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3954	134	0	1	01	01	H3954_134_0	7	08/26/2010	2011.01	08/26/2010 06:20:04 PM Eastern Daylight Time	08/23/2010 02:01:28 PM Eastern Daylight Time	08/23/2010 02:01:29 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Secure 3 (HMO SNP)	01	01		1			H3954	134	0	2011	Central PA - Region 1		2		2				1	4		1		00000000000000000100	https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3954	135	0	1	01	01	H3954_135_0	7	08/26/2010	2011.01	08/26/2010 06:20:23 PM Eastern Daylight Time	08/23/2010 02:01:31 PM Eastern Daylight Time	08/23/2010 02:01:32 PM Eastern Daylight Time		08/26/2010 07:11:34 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Secure 3 (HMO SNP)	01	01		1			H3954	135	0	2011	Central PA - Region 2		2		2				1	4		1		00000000000000000100	https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3954	801	0	1	01	01	H3954_801_0	2	07/20/2010	2011.01	07/20/2010 03:13:44 PM Eastern Daylight Time	08/12/2010 01:16:34 PM Eastern Daylight Time			08/12/2010 03:05:19 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic (Employer Group) (HMO)	01	01		1			H3954	801	0	2011	Central Pennsylvania		1		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										1
H3954	802	0	1	01	01	H3954_802_0	2	06/06/2010	2011.01	06/06/2010 02:18:46 PM Eastern Daylight Time	08/12/2010 01:16:40 PM Eastern Daylight Time			08/12/2010 03:05:19 PM Eastern Daylight Time	GEISINGER HEALTH PLAN	Geisinger Gold	www.geisingergold.com	Geisinger Gold Classic Rx (Employer Group) (HMO)	01	01		1			H3954	802	0	2011	Central Pennsylvania		1		2				2						https://www.thehealthplan.com/providersearch/selectsearch.cfm	http://www.geisingergold.com/goldformulary/medications.html	www.geisingergold.com	(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138		(800)-988-4861		(570)-271-8771		(800)-514-0138		(800)-514-0138		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3957	003	0	1	01	01	H3957_003_0	12	08/27/2010	2011.01	08/27/2010 09:12:22 AM Eastern Daylight Time	08/20/2010 10:09:27 AM Eastern Daylight Time	08/20/2010 11:52:48 AM Eastern Daylight Time		08/27/2010 09:49:36 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Standard (HMO)	01	01		1			H3957	003	0	2011	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	006	0	1	01	01	H3957_006_0	11	08/27/2010	2011.01	08/27/2010 09:12:52 AM Eastern Daylight Time	08/20/2010 10:10:14 AM Eastern Daylight Time	08/20/2010 11:54:01 AM Eastern Daylight Time		08/27/2010 09:49:36 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Standard (HMO)	01	01		1			H3957	006	0	2011	West Central PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	020	0	1	01	01	H3957_020_0	9	08/27/2010	2011.01	08/27/2010 09:13:21 AM Eastern Daylight Time	08/20/2010 10:11:02 AM Eastern Daylight Time	08/20/2010 11:55:01 AM Eastern Daylight Time		08/27/2010 09:49:36 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Deluxe (HMO)	01	01		1			H3957	020	0	2011	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	021	0	1	01	01	H3957_021_0	9	08/27/2010	2011.01	08/27/2010 09:13:38 AM Eastern Daylight Time	08/20/2010 10:11:47 AM Eastern Daylight Time	08/20/2010 11:56:02 AM Eastern Daylight Time		08/27/2010 09:49:36 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Deluxe (HMO)	01	01		1			H3957	021	0	2011	West Central PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	024	0	1	01	01	H3957_024_0	10	10/04/2010	2011.01	10/04/2010 09:23:22 AM Eastern Daylight Time	08/13/2010 09:42:43 AM Eastern Daylight Time			10/07/2010 04:03:29 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Value (HMO)	01	01		1			H3957	024	0	2011	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970										(800)-988-0668		(800)-988-0668		(711)		(711)										1
H3957	025	0	1	01	01	H3957_025_0	11	10/04/2010	2011.01	10/04/2010 09:23:33 AM Eastern Daylight Time	08/13/2010 09:43:41 AM Eastern Daylight Time			10/07/2010 04:03:29 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Value (HMO)	01	01		1			H3957	025	0	2011	West Central PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970										(800)-988-0668		(800)-988-0668		(711)		(711)										1
H3957	030	0	1	01	01	H3957_030_0	17	10/11/2010	2011.01	10/11/2010 07:59:52 AM Eastern Daylight Time	08/20/2010 10:12:32 AM Eastern Daylight Time	08/20/2010 11:57:03 AM Eastern Daylight Time		10/11/2010 09:17:08 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue Care (HMO SNP)	01	01		1			H3957	030	0	2011	Western Region		2		2		2		1	3		1	3		www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-652-9491		(800)-652-9491		(800)-576-6343		(800)-576-6343		(800)-652-9491		(800)-652-9491		(800)-576-6343		(800)-576-6343		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	031	0	1	01	01	H3957_031_0	9	08/27/2010	2011.01	08/27/2010 09:15:58 AM Eastern Daylight Time	08/20/2010 10:13:35 AM Eastern Daylight Time	08/20/2010 11:59:38 AM Eastern Daylight Time		08/27/2010 09:49:36 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue ValueRx (HMO)	01	01		1			H3957	031	0	2011	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	032	0	1	01	01	H3957_032_0	11	10/04/2010	2011.01	10/04/2010 10:54:50 AM Eastern Daylight Time	08/20/2010 10:14:26 AM Eastern Daylight Time	08/20/2010 12:00:47 PM Eastern Daylight Time		10/07/2010 04:03:29 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue ValueRx (HMO)	01	01		1			H3957	032	0	2011	West Central PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	036	0	1	01	01	H3957_036_0	8	08/27/2010	2011.01	08/27/2010 09:16:45 AM Eastern Daylight Time	08/20/2010 10:15:10 AM Eastern Daylight Time	08/20/2010 12:01:46 PM Eastern Daylight Time		08/27/2010 09:49:36 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue HD (HMO)	01	01		1			H3957	036	0	2011	Southwestern PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	037	0	1	01	01	H3957_037_0	8	08/27/2010	2011.01	08/27/2010 09:17:08 AM Eastern Daylight Time	08/20/2010 10:15:56 AM Eastern Daylight Time	08/20/2010 12:02:44 PM Eastern Daylight Time		08/27/2010 09:49:36 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue HD (HMO)	01	01		1			H3957	037	0	2011	West Central PA		2		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	805	0	1	01	01	H3957_805_0	8	10/04/2010	2011.01	10/04/2010 09:27:23 AM Eastern Daylight Time	08/13/2010 09:50:38 AM Eastern Daylight Time			10/04/2010 09:41:17 AM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue MA (HMO)	01	01		1			H3957	805	0	2011	Western PA		1		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970										(800)-988-0668		(800)-988-0668		(711)		(711)										1
H3957	806	0	1	01	01	H3957_806_0	8	10/04/2010	2011.01	10/04/2010 09:27:30 AM Eastern Daylight Time	08/13/2010 09:51:48 AM Eastern Daylight Time			10/07/2010 04:03:29 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue MA-PD (HMO)	01	01		1			H3957	806	0	2011	Western PA		1		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3957	808	0	1	01	01	H3957_808_0	8	10/04/2010	2011.01	10/04/2010 09:27:37 AM Eastern Daylight Time	08/13/2010 09:52:59 AM Eastern Daylight Time			10/07/2010 04:03:29 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN WEST, INC.	Keystone Health Plan West, Inc.	www.highmarkbcbs.com	SecurityBlue MA-PD Non-Calendar (HMO)	01	01		1			H3957	808	0	2011	Western PA		1		2				2						www.highmarkbcbs.com	http://highmark.medicare-approvedformularies.com/	www.highmarkbcbs.com	(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-935-2583		(800)-935-2583		(866)-682-7970		(866)-682-7970		(800)-988-0668		(800)-988-0668		(711)		(711)		(800)-988-0668		(800)-988-0668		(711)		(711)		1
H3959	001	0	1	01	01	H3959_001_0	8	08/25/2010	2011.01	08/25/2010 10:13:49 AM Eastern Daylight Time	08/20/2010 06:08:29 PM Eastern Daylight Time	08/19/2010 02:47:05 PM Eastern Daylight Time		08/25/2010 10:22:11 AM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Gold (HMO)	01	01		1			H3959	001	0	2011	Allegheny County		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(866)-290-6660		(866)-290-6660		(866)-608-8044		(866)-608-8044		(800)-207-1262		(800)-207-1262		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1
H3959	002	0	1	01	01	H3959_002_0	5	08/10/2010	2011.01	08/10/2010 02:43:27 PM Eastern Daylight Time	08/20/2010 06:09:58 PM Eastern Daylight Time	08/19/2010 02:47:48 PM Eastern Daylight Time		08/23/2010 01:28:29 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Gold (HMO)	01	01		1			H3959	002	0	2011	Western Pennsylvania		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(866)-290-6660		(866)-290-6660		(866)-608-8044		(866)-608-8044		(800)-207-1262		(800)-207-1262		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1
H3959	010	0	1	01	01	H3959_010_0	7	08/23/2010	2011.01	08/23/2010 01:12:04 PM Eastern Daylight Time	08/20/2010 06:12:27 PM Eastern Daylight Time	08/19/2010 02:48:21 PM Eastern Daylight Time		08/23/2010 01:28:29 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Silver (HMO)	01	01		1			H3959	010	0	2011	Allegheny County		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(866)-290-6660		(866)-290-6660		(866)-608-8044		(866)-608-8044		(800)-207-1262		(800)-207-1262		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1
H3959	011	0	1	01	01	H3959_011_0	7	08/25/2010	2011.01	08/25/2010 12:08:57 PM Eastern Daylight Time	08/20/2010 06:14:27 PM Eastern Daylight Time	08/19/2010 02:48:54 PM Eastern Daylight Time		08/25/2010 12:44:17 PM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Silver (HMO)	01	01		1			H3959	011	0	2011	Central and Western Pennsylvania		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(866)-290-6660		(866)-290-6660		(866)-608-8044		(866)-608-8044		(800)-207-1262		(800)-207-1262		(888)-788-4010		(888)-788-4010		(800)-716-3231		(800)-716-3231		(888)-788-4010		(888)-788-4010		1
H3959	803	0	1	01	01	H3959_803_0	4	08/11/2010	2011.01	08/11/2010 08:16:49 AM Eastern Daylight Time	07/16/2010 09:25:38 AM Eastern Daylight Time			08/11/2010 10:15:08 AM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra MA Only (HMO)	01	01		1			H3959	803	0	2011	Pennsylvania		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272										(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262										1
H3959	804	0	1	01	01	H3959_804_0	3	08/11/2010	2011.01	08/11/2010 08:16:27 AM Eastern Daylight Time	06/06/2010 01:16:34 PM Eastern Daylight Time			08/11/2010 10:15:08 AM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Gold (HMO)	01	01		1			H3959	804	0	2011	Pennsylvania		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-290-6660		(866)-290-6660		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1
H3959	806	0	1	01	01	H3959_806_0	4	08/11/2010	2011.01	08/11/2010 08:15:57 AM Eastern Daylight Time	07/16/2010 09:44:17 AM Eastern Daylight Time			08/11/2010 10:15:08 AM Eastern Daylight Time	HEALTHAMERICA PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Gold (HMO)	01	01		1			H3959	806	0	2011	Pennsylvania		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-290-6660		(866)-290-6660		(800)-470-4272		(800)-470-4272		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-207-1262		(800)-716-3231		(800)-716-3231		(800)-207-1262		(800)-207-1262		1
H3962	001	0	1	01	01	H3962_001_0	7	08/09/2010	2011.01	08/09/2010 12:54:08 PM Eastern Daylight Time	08/04/2010 03:41:17 PM Eastern Daylight Time	08/13/2010 04:41:29 PM Eastern Daylight Time		08/16/2010 10:25:46 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorbluehmo.capbluecross.com	SeniorBlue - Option 1 (HMO)	01	01		1			H3962	001	0	2011	16 Counties in Central PA		2	11858	2				2						seniorbluehmo.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3962	004	0	1	01	01	H3962_004_0	6	08/09/2010	2011.01	08/09/2010 12:54:01 PM Eastern Daylight Time	08/04/2010 03:42:49 PM Eastern Daylight Time	08/13/2010 04:44:29 PM Eastern Daylight Time		08/16/2010 10:25:46 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorbluehmo.capbluecross.com	SeniorBlue - Option 2 (HMO)	01	01		1			H3962	004	0	2011	16 Counties in Central PA		2	1459	2				2						seniorbluehmo.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3962	007	0	1	01	01	H3962_007_0	9	08/25/2010	2011.01	08/25/2010 03:24:50 PM Eastern Daylight Time	08/25/2010 11:27:24 AM Eastern Daylight Time	08/20/2010 11:35:05 AM Eastern Daylight Time		08/25/2010 03:28:20 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorbluehmo.capbluecross.com	SeniorBlue - Option 3 (HMO)	01	01		1			H3962	007	0	2011	16 Counties in Central PA		2	500	2				2						seniorbluehmo.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3962	801	0	1	01	01	H3962_801_0	5	07/07/2010	2011.01	07/07/2010 02:22:37 PM Eastern Daylight Time	07/30/2010 12:53:24 PM Eastern Daylight Time			08/02/2010 01:13:22 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorbluehmo.capbluecross.com	SeniorBlue ER - With Rx (HMO)	01	01		1			H3962	801	0	2011	National		1	3051	2				2						seniorbluehmo.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3962	802	0	1	01	01	H3962_802_0	5	07/07/2010	2011.01	07/07/2010 02:22:44 PM Eastern Daylight Time	07/26/2010 09:10:36 PM Eastern Daylight Time			08/02/2010 01:13:22 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorbluehmo.capbluecross.com	SeniorBlue ER - w/o Rx (HMO)	01	01		1			H3962	802	0	2011	National		1	881	2				2						seniorbluehmo.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961										1
H3962	803	0	1	01	01	H3962_803_0	5	07/07/2010	2011.01	07/07/2010 02:22:52 PM Eastern Daylight Time	07/29/2010 11:26:30 AM Eastern Daylight Time			08/02/2010 01:13:22 PM Eastern Daylight Time	KEYSTONE HEALTH PLAN CENTRAL,INC.	Keystone Health Plan Central, Inc.	seniorbluehmo.capbluecross.com	SeniorBlue ER - Non-Calendar - with Rx (HMO)	01	01		1			H3962	803	0	2011	National		1	100	2				2						seniorbluehmo.capbluecross.com	https://seniorblue.capbluecross.com/PharmacyInformation/	https://seniorblue.capbluecross.com/PharmacyInformation/	(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6962		(800)-779-6962		(800)-990-4201		(800)-990-4201		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
H3964	001	0	1	01	01	H3964_001_0	2	07/20/2010	2011.01	07/20/2010 03:04:14 PM Eastern Daylight Time	07/20/2010 07:15:38 PM Eastern Daylight Time			08/05/2010 10:21:41 AM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health	www.mybravohealth.com	Bravo Gold (HMO)	01	01		1			H3964	001	0	2011	Philadelphia, Montgomery and Bucks Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com/	(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466										(711)		(711)		(711)		(711)										1
H3964	002	0	1	01	01	H3964_002_0	5	08/20/2010	2011.01	08/20/2010 08:27:57 AM Eastern Daylight Time	08/20/2010 04:23:04 PM Eastern Daylight Time	08/19/2010 09:33:38 AM Eastern Daylight Time		09/16/2010 09:17:21 AM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health	www.mybravohealth.com	Bravo Silver (HMO SNP)	01	01		1			H3964	002	0	2011	Philadelphia, Bucks and Montgomery Counties		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com/	(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466		(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H3964	003	0	1	02	01	H3964_003_0	3	07/27/2010	2011.01	07/27/2010 01:27:19 PM Eastern Daylight Time	08/23/2010 09:00:32 AM Eastern Daylight Time	08/19/2010 09:32:52 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health	www.mybravohealth.com	Bravo Gold Rx (HMO-POS)	01	02		1			H3964	003	0	2011	Philadelphia, Montgomery and Bucks Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com/	(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466		(800)-291-0396		(800)-291-0396		(888)-776-9466		(888)-776-9466		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4003	001	0	1	02	01	H4003_001_0	8	08/30/2010	2011.01	08/30/2010 12:15:25 PM SA Western Standard Time	08/20/2010 01:04:00 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/30/2010 12:31:56 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - ELITE (HMO-POS)	01	02		1			H4003	001	0	2011	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	009	0	1	01	01	H4003_009_0	8	08/20/2010	2011.01	08/20/2010 02:09:47 PM SA Western Standard Time	08/20/2010 01:05:00 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/20/2010 04:43:44 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - SUPREMO (HMO SNP)	01	01		1			H4003	009	0	2011	Puerto Rico		2		2				1	4		1		00000000000000000010	www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	015	0	1	01	01	H4003_015_0	8	08/30/2010	2011.01	08/30/2010 12:15:52 PM SA Western Standard Time	08/20/2010 01:05:00 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/30/2010 12:31:56 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - BASICO SELECT (HMO)	01	01		1			H4003	015	0	2011	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	017	0	1	01	01	H4003_017_0	7	08/30/2010	2011.01	08/30/2010 12:17:33 PM SA Western Standard Time	08/20/2010 01:05:00 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/30/2010 12:31:56 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - DIAMANTE CHOICE (HMO SNP)	01	01		1			H4003	017	0	2011	Puerto Rico		2		2		1	1	1	3		1	3		www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	018	0	1	01	01	H4003_018_0	5	08/30/2010	2011.01	08/30/2010 12:18:01 PM SA Western Standard Time	08/11/2010 05:14:14 PM SA Western Standard Time			08/30/2010 12:31:56 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - Original (HMO)	01	01		1			H4003	018	0	2011	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4003	019	0	1	01	01	H4003_019_0	7	08/20/2010	2011.01	08/20/2010 02:11:17 PM SA Western Standard Time	08/20/2010 01:05:00 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/20/2010 04:43:44 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - Unico (HMO)	01	01		1			H4003	019	0	2011	Puerto Rico		2		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	801	0	1	02	01	H4003_801_0	2	08/04/2010	2011.01	08/04/2010 08:55:33 AM SA Western Standard Time	08/04/2010 11:50:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MA FLEX (HMO-POS)	01	02		1			H4003	801	0	2011	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4003	803	0	1	02	01	H4003_803_0	2	08/04/2010	2011.01	08/04/2010 09:00:08 AM SA Western Standard Time	08/04/2010 11:50:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD FLEX (HMO-POS)	01	02		1			H4003	803	0	2011	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	804	0	1	02	01	H4003_804_0	2	08/04/2010	2011.01	08/04/2010 09:00:20 AM SA Western Standard Time	08/04/2010 11:50:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD FLEX I (HMO-POS)	01	02		1			H4003	804	0	2011	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	805	0	1	02	01	H4003_805_0	2	08/04/2010	2011.01	08/04/2010 08:59:42 AM SA Western Standard Time	08/04/2010 11:50:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MA Flex II (HMO-POS)	01	02		1			H4003	805	0	2011	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4003	806	0	1	02	01	H4003_806_0	2	08/04/2010	2011.01	08/04/2010 08:59:42 AM SA Western Standard Time	08/04/2010 11:50:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD Flex II (HMO-POS)	01	02		1			H4003	806	0	2011	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	807	0	1	02	01	H4003_807_0	2	08/04/2010	2011.01	08/04/2010 08:59:42 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD Flex III (HMO-POS)	01	02		1			H4003	807	0	2011	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	808	0	1	02	01	H4003_808_0	2	08/04/2010	2011.01	08/04/2010 08:59:42 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	MMM Healthcare, Inc. -MA Flex III (HMO-POS)	01	02		1			H4003	808	0	2011	MMM Healthcare, Inc.		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4003	809	0	1	02	01	H4003_809_0	2	08/04/2010	2011.01	08/04/2010 08:59:42 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	MMM Healthcare, Inc - MA Flex IV (HMO-POS)	01	02		1			H4003	809	0	2011	MMM Healthcare, Inc.		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4003	810	0	1	01	01	H4003_810_0	2	08/04/2010	2011.01	08/04/2010 08:59:43 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MA Flex (HMO)	01	01		1			H4003	810	0	2011	Puerto Rico		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4003	811	0	1	01	01	H4003_811_0	2	08/04/2010	2011.01	08/04/2010 08:59:43 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD FLEX (HMO)	01	01		1			H4003	811	0	2011	PUERTO RICO		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	812	0	1	01	01	H4003_812_0	2	08/04/2010	2011.01	08/04/2010 08:59:43 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD FLEX I (HMO)	01	01		1			H4003	812	0	2011	PUERTO RICO		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	813	0	1	01	01	H4003_813_0	2	08/04/2010	2011.01	08/04/2010 08:59:44 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MA Flex II (HMO)	01	01		1			H4003	813	0	2011	PUERTO RICO		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4003	814	0	1	01	01	H4003_814_0	2	08/04/2010	2011.01	08/04/2010 08:59:44 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD Flex II (HMO)	01	01		1			H4003	814	0	2011	PUERTO RICO		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	815	0	1	01	01	H4003_815_0	2	08/04/2010	2011.01	08/04/2010 08:59:44 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	Medicare y Mucho Mas - MAPD Flex III (HMO)	01	01		1			H4003	815	0	2011	PUERTO RICO		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469		1
H4003	816	0	1	01	01	H4003_816_0	2	08/04/2010	2011.01	08/04/2010 08:59:45 AM SA Western Standard Time	08/04/2010 11:51:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	MMM Healthcare, Inc. -MA Flex III (HMO)	01	01		1			H4003	816	0	2011	PUERTO RICO		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4003	817	0	1	01	01	H4003_817_0	2	08/04/2010	2011.01	08/04/2010 08:59:45 AM SA Western Standard Time	08/04/2010 11:52:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	MMM HEALTHCARE, INC.	Medicare y Mucho Ms	www.mmm-pr.com	MMM Healthcare, Inc - MA Flex IV (HMO)	01	01		1			H4003	817	0	2011	PUERTO RICO		1		2				2						www.mmm-pr.com	www.mmm-pr.com	www.mmm-pr.com	(866)-333-5470		(787)-620-2397		(866)-333-5471		(787)-620-2396										(866)-333-5469		(866)-333-5469		(866)-333-5469		(866)-333-5469										1
H4004	015	0	1	02	01	H4004_015_0	8	08/30/2010	2011.01	08/30/2010 12:20:11 PM SA Western Standard Time	08/20/2010 01:05:00 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/30/2010 12:31:56 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Elite Dorado (HMO-POS)	01	02		1			H4004	015	0	2011	PUERTO RICO		2		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	025	0	1	01	01	H4004_025_0	3	08/30/2010	2011.01	08/30/2010 12:20:29 PM SA Western Standard Time	08/04/2010 11:52:00 AM SA Western Standard Time			08/30/2010 12:31:56 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Dorado (HMO)	01	01		1			H4004	025	0	2011	PUERTO RICO		2		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4004	035	0	1	01	01	H4004_035_0	8	08/31/2010	2011.01	08/31/2010 04:16:13 PM SA Western Standard Time	08/20/2010 04:32:41 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/31/2010 04:38:46 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Medicare en el Hogar Plus (HMO SNP)	01	01		1			H4004	035	0	2011	PUERTO RICO		2		2				1	1	1	1				http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	048	0	1	01	01	H4004_048_0	6	08/30/2010	2011.01	08/30/2010 12:21:12 PM SA Western Standard Time	08/20/2010 01:06:00 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/30/2010 12:31:56 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	Premier Preferred (HMO SNP)	01	01		1			H4004	048	0	2011	PUERTO RICO		2		2		1	1	1	3		1	3			http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	050	0	1	01	01	H4004_050_0	7	08/20/2010	2011.01	08/20/2010 02:19:04 PM SA Western Standard Time	08/20/2010 01:04:00 PM SA Western Standard Time	08/20/2010 01:25:00 PM SA Western Standard Time		08/20/2010 04:43:44 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Max (HMO)	01	01		1			H4004	050	0	2011	PUERTO RICO		2		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	801	0	1	02	01	H4004_801_0	2	08/04/2010	2011.01	08/04/2010 08:59:45 AM SA Western Standard Time	08/04/2010 11:47:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer Plan MA C (HMO-POS)	01	02		1			H4004	801	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4004	802	0	1	02	01	H4004_802_0	2	08/04/2010	2011.01	08/04/2010 08:59:45 AM SA Western Standard Time	08/04/2010 11:47:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MAPD C (HMO-POS)	01	02		1			H4004	802	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	803	0	1	02	01	H4004_803_0	2	08/04/2010	2011.01	08/04/2010 08:59:46 AM SA Western Standard Time	08/04/2010 11:47:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MAPD NC (HMO-POS)	01	02		1			H4004	803	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	804	0	1	02	01	H4004_804_0	2	08/04/2010	2011.01	08/04/2010 08:59:46 AM SA Western Standard Time	08/04/2010 11:47:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MA C (HMO-POS)	01	02		1			H4004	804	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4004	805	0	1	02	01	H4004_805_0	2	08/04/2010	2011.01	08/04/2010 08:59:46 AM SA Western Standard Time	08/04/2010 11:48:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MAPD C (HMO-POS)	01	02		1			H4004	805	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	806	0	1	02	01	H4004_806_0	2	08/04/2010	2011.01	08/04/2010 08:59:46 AM SA Western Standard Time	08/04/2010 11:48:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MAPD NC (HMO-POS)	01	02		1			H4004	806	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	807	0	1	02	01	H4004_807_0	2	08/04/2010	2011.01	08/04/2010 08:59:46 AM SA Western Standard Time	08/04/2010 11:48:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MA NC (HMO-POS)	01	02		1			H4004	807	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4004	808	0	1	02	01	H4004_808_0	2	08/04/2010	2011.01	08/04/2010 08:59:46 AM SA Western Standard Time	08/04/2010 11:48:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MA NC (HMO-POS)	01	02		1			H4004	808	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4004	809	0	1	01	01	H4004_809_0	2	08/04/2010	2011.01	08/04/2010 08:59:47 AM SA Western Standard Time	08/04/2010 11:48:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer Plan MA C (HMO)	01	01		1			H4004	809	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4004	810	0	1	01	01	H4004_810_0	2	08/04/2010	2011.01	08/04/2010 08:59:47 AM SA Western Standard Time	08/04/2010 11:48:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MAPD C (HMO)	01	01		1			H4004	810	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	811	0	1	01	01	H4004_811_0	2	08/04/2010	2011.01	08/04/2010 08:59:47 AM SA Western Standard Time	08/04/2010 11:48:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MAPD NC (HMO)	01	01		1			H4004	811	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	812	0	1	01	01	H4004_812_0	2	08/04/2010	2011.01	08/04/2010 08:59:48 AM SA Western Standard Time	08/04/2010 11:48:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MA C (HMO)	01	01		1			H4004	812	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4004	813	0	1	01	01	H4004_813_0	2	08/04/2010	2011.01	08/04/2010 08:59:48 AM SA Western Standard Time	08/04/2010 11:49:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MAPD C (HMO)	01	01		1			H4004	813	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	814	0	1	01	01	H4004_814_0	2	08/04/2010	2011.01	08/04/2010 08:59:48 AM SA Western Standard Time	08/04/2010 11:49:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MAPD NC (HMO)	01	01		1			H4004	814	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
H4004	815	0	1	01	01	H4004_815_0	2	08/04/2010	2011.01	08/04/2010 08:59:49 AM SA Western Standard Time	08/04/2010 11:49:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MA NC (HMO)	01	01		1			H4004	815	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4004	816	0	1	01	01	H4004_816_0	2	08/04/2010	2011.01	08/04/2010 08:59:49 AM SA Western Standard Time	08/04/2010 11:49:00 AM SA Western Standard Time			08/04/2010 05:50:15 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	PMC Employer MA NC (HMO)	01	01		1			H4004	816	0	2011	PUERTO RICO		1		2				2							http://www.pmcpr.org	http://www.express-scripts.com/	(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701										1
H4005	001	0	1	04	01	H4005_001_0	1	06/06/2010	2011.01	06/06/2010 11:16:31 AM Atlantic Standard Time	06/06/2010 11:16:02 AM Atlantic Standard Time			06/06/2010 12:00:07 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo (PPO)	01	04		1			H4005	001	0	2011	Island of Puerto Rico		2		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059										1
H4005	004	0	1	04	01	H4005_004_0	3	08/23/2010	2011.01	08/23/2010 04:43:06 PM SA Western Standard Time	08/23/2010 04:44:03 PM SA Western Standard Time	08/23/2010 01:14:14 PM SA Western Standard Time		08/23/2010 05:48:16 PM SA Western Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo Plus (PPO)	01	04		1			H4005	004	0	2011	Island of Puerto Rico		2		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
H4005	801	0	1	04	01	H4005_801_0	3	07/08/2010	2011.01	07/08/2010 03:50:28 PM Atlantic Standard Time	06/07/2010 10:38:56 AM Atlantic Standard Time			07/08/2010 03:55:38 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo (PPO)	01	04		1			H4005	801	0	2011	Island of Puerto Rico		1		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059										1
H4005	802	0	1	04	01	H4005_802_0	3	07/08/2010	2011.01	07/08/2010 03:50:15 PM Atlantic Standard Time	06/07/2010 10:44:01 AM Atlantic Standard Time			07/08/2010 03:55:38 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo Plus A (PPO)	01	04		1			H4005	802	0	2011	Island of Puerto Rico		1		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
H4005	804	0	1	04	01	H4005_804_0	3	07/08/2010	2011.01	07/08/2010 03:49:59 PM Atlantic Standard Time	06/07/2010 10:51:42 AM Atlantic Standard Time			07/08/2010 03:55:38 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Optimo Plus B (PPO)	01	04		1			H4005	804	0	2011	Island of Puerto Rico		1		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
H4005	807	0	1	04	01	H4005_807_0	3	07/08/2010	2011.01	07/08/2010 03:49:34 PM Atlantic Standard Time	06/07/2010 11:03:36 AM Atlantic Standard Time			07/08/2010 03:55:38 PM Atlantic Standard Time	TRIPLE-S SALUD,  INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple S Medicare ptimo Plus C (PPO)	01	04		1			H4005	807	0	2011	Island of Puerto Rico		1		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.aspx	www.ssspr.com	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
H4006	001	0	1	01	01	H4006_001_0	9	08/05/2010	2011.01	08/05/2010 11:47:53 AM SA Western Standard Time	07/28/2010 05:14:14 PM SA Western Standard Time			08/05/2010 02:09:12 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA (HMO)	01	01		1			H4006	001	0	2011	Puerto Rico		2	1590	2				2						www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182										1
H4006	007	0	1	01	01	H4006_007_0	13	08/20/2010	2011.01	08/20/2010 06:05:03 PM SA Western Standard Time	08/20/2010 05:20:50 PM SA Western Standard Time	08/25/2010 12:00:36 PM SA Western Standard Time		08/25/2010 12:58:03 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Premium A (HMO)	01	01		1			H4006	007	0	2011	Puerto Rico		2	38310	2				2						www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
H4006	008	0	1	02	01	H4006_008_0	12	08/05/2010	2011.01	08/05/2010 01:20:34 PM SA Western Standard Time	07/28/2010 05:15:18 PM SA Western Standard Time	07/28/2010 03:37:52 PM SA Western Standard Time		08/05/2010 02:09:12 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Premium B (HMO-POS)	01	02		1			H4006	008	0	2011	Puerto Rico		2	3640	2				2						www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
H4006	013	0	1	01	01	H4006_013_0	10	08/04/2010	2011.01	08/04/2010 04:20:07 PM SA Western Standard Time	07/28/2010 05:15:52 PM SA Western Standard Time	07/28/2010 03:38:28 PM SA Western Standard Time		08/04/2010 04:30:37 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Ideal D (HMO SNP)	01	01		1			H4006	013	0	2011	Puerto Rico		2	54880	2		1	1	1	3		1	3		www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
H4006	803	0	1	01	01	H4006_803_0	9	08/05/2010	2011.01	08/05/2010 01:24:08 PM SA Western Standard Time	08/10/2010 04:09:08 PM SA Western Standard Time			08/10/2010 05:00:29 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA Group (HMO)	01	01		1			H4006	803	0	2011	Puerto Rico		1	20	2				2						www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182										1
H4006	807	0	1	01	01	H4006_807_0	8	08/05/2010	2011.01	08/05/2010 01:25:14 PM SA Western Standard Time	07/28/2010 05:18:12 PM SA Western Standard Time			08/05/2010 02:09:12 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA-PD Group (C) (HMO)	01	01		1			H4006	807	0	2011	Puerto Rico		1	11200	2				2						www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
H4006	809	0	1	01	01	H4006_809_0	8	08/05/2010	2011.01	08/05/2010 01:25:07 PM SA Western Standard Time	07/28/2010 05:18:56 PM SA Western Standard Time			08/05/2010 02:09:12 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA-PD Group 40 (C) (HMO)	01	01		1			H4006	809	0	2011	Puerto Rico		1	20	2				2						www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
H4006	811	0	1	01	01	H4006_811_0	8	08/05/2010	2011.01	08/05/2010 01:25:35 PM SA Western Standard Time	07/28/2010 05:19:28 PM SA Western Standard Time			08/05/2010 02:09:12 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA-PD Group 50 (C) (HMO)	01	01		1			H4006	811	0	2011	Puerto Rico		1	7830	2				2						www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
H4006	813	0	1	01	01	H4006_813_0	8	08/05/2010	2011.01	08/05/2010 01:25:46 PM SA Western Standard Time	07/28/2010 05:20:10 PM SA Western Standard Time			08/05/2010 02:09:12 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare MA-PD Group PF (C) (HMO)	01	01		1			H4006	813	0	2011	Puerto Rico		1	20	2				2						www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
H4007	005	0	1	01	01	H4007_005_0	5	08/20/2010	2011.01	08/20/2010 02:33:46 PM Eastern Daylight Time	08/20/2010 04:17:21 PM Eastern Daylight Time	08/20/2010 04:11:00 PM Eastern Daylight Time		08/21/2010 12:27:11 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Gold Plus SNP-DE H4007-005 (HMO SNP)	01	01		1			H4007	005	0	2011	Puerto Rico Island Wide		2		2		1	1	1	3		1	2			http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(711)		(711)		(800)-218-2560		(800)-218-2560		(711)		(711)		1
H4007	010	0	1	01	01	H4007_010_0	5	08/20/2010	2011.01	08/20/2010 02:34:07 PM Eastern Daylight Time	08/20/2010 04:18:25 PM Eastern Daylight Time	08/20/2010 04:11:00 PM Eastern Daylight Time		08/21/2010 12:27:11 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Gold Plus H4007-010 (HMO)	01	01		1			H4007	010	0	2011	Puerto Rico Island Wide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(711)		(711)		(800)-218-2560		(800)-218-2560		(711)		(711)		1
H4007	012	0	1	01	01	H4007_012_0	4	08/20/2010	2011.01	08/20/2010 03:09:25 PM Eastern Daylight Time	08/20/2010 05:15:07 PM Eastern Daylight Time	08/20/2010 04:12:00 PM Eastern Daylight Time		08/21/2010 12:27:11 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Gold Plus H4007-012 (HMO)	01	01		1			H4007	012	0	2011	Puerto Rico Island Wide		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(711)		(711)		(800)-218-2560		(800)-218-2560		(711)		(711)		1
H4007	801	0	1	01	01	H4007_801_0	4	06/03/2010	2011.01	06/03/2010 05:08:04 PM Eastern Daylight Time	07/26/2010 01:20:59 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4007	801	0	2011	Puerto Rico Island Wide		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1
H4007	802	0	1	01	01	H4007_802_0	4	06/03/2010	2011.01	06/03/2010 05:09:43 PM Eastern Daylight Time	07/26/2010 01:35:59 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4007	802	0	2011	Puerto Rico Island Wide		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850										1
H4007	803	0	1	01	01	H4007_803_0	4	06/03/2010	2011.01	06/03/2010 05:10:08 PM Eastern Daylight Time	07/26/2010 01:36:25 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4007	803	0	2011	Puerto Rico Island Wide		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1
H4007	805	0	1	01	01	H4007_805_0	4	06/03/2010	2011.01	06/03/2010 05:10:34 PM Eastern Daylight Time	07/26/2010 02:19:21 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4007	805	0	2011	Puerto Rico Island Wide		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1
H4007	806	0	1	01	01	H4007_806_0	4	06/03/2010	2011.01	06/03/2010 05:11:02 PM Eastern Daylight Time	07/26/2010 02:19:46 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4007	806	0	2011	Puerto Rico Island Wide		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850										1
H4007	807	0	1	01	01	H4007_807_0	4	06/03/2010	2011.01	06/03/2010 05:11:28 PM Eastern Daylight Time	07/26/2010 02:20:12 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLANS OF PUERTO RICO INC	Humana Health Plans Of Puerto Rico Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4007	807	0	2011	Puerto Rico Island Wide		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		(800)-218-2560		(800)-218-2560		(800)-722-2850		(800)-722-2850		1
H4011	001	0	1	04	01	H4011_001_0	9	08/06/2010	2011.01	08/06/2010 03:12:32 PM SA Western Standard Time	06/07/2010 04:36:38 PM SA Western Standard Time			08/11/2010 02:19:21 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Advantage (PPO)	01	04		1			H4011	001	0	2011	Entire Island Puerto Rico		2		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1
H4011	003	0	1	04	01	H4011_003_0	10	08/19/2010	2011.01	08/19/2010 03:50:16 PM SA Western Standard Time	08/19/2010 02:06:02 PM SA Western Standard Time	08/19/2010 02:39:10 PM SA Western Standard Time		08/19/2010 04:08:44 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Advantage Plus (PPO)	01	04		1			H4011	003	0	2011	Enitre Island Puerto Rico		2		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	801	0	1	04	01	H4011_801_0	9	08/11/2010	2011.01	08/11/2010 02:39:20 PM SA Western Standard Time	06/06/2010 02:28:00 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 1 (PPO)	01	04		1			H4011	801	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	802	0	1	04	01	H4011_802_0	9	08/11/2010	2011.01	08/11/2010 02:38:12 PM SA Western Standard Time	06/06/2010 02:28:06 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 2 (PPO)	01	04		1			H4011	802	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1
H4011	803	0	1	04	01	H4011_803_0	9	08/11/2010	2011.01	08/11/2010 02:38:15 PM SA Western Standard Time	06/06/2010 02:28:14 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 3 (PPO)	01	04		1			H4011	803	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	805	0	1	04	01	H4011_805_0	9	08/11/2010	2011.01	08/11/2010 02:38:18 PM SA Western Standard Time	06/06/2010 02:28:30 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 5 (PPO)	01	04		1			H4011	805	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	806	0	1	04	01	H4011_806_0	9	08/11/2010	2011.01	08/11/2010 02:38:21 PM SA Western Standard Time	06/06/2010 02:28:38 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 6 (PPO)	01	04		1			H4011	806	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1
H4011	807	0	1	04	01	H4011_807_0	9	08/11/2010	2011.01	08/11/2010 04:11:01 PM SA Western Standard Time	06/06/2010 02:28:44 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 7 (PPO)	01	04		1			H4011	807	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	809	0	1	04	01	H4011_809_0	9	08/11/2010	2011.01	08/11/2010 02:38:26 PM SA Western Standard Time	06/06/2010 02:28:54 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 9 (PPO)	01	04		1			H4011	809	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	810	0	1	04	01	H4011_810_0	9	08/11/2010	2011.01	08/11/2010 02:38:30 PM SA Western Standard Time	06/06/2010 02:29:02 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 10 (PPO)	01	04		1			H4011	810	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1
H4011	811	0	1	04	01	H4011_811_0	9	08/11/2010	2011.01	08/11/2010 02:38:32 PM SA Western Standard Time	06/06/2010 02:29:10 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 11 (PPO)	01	04		1			H4011	811	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	813	0	1	04	01	H4011_813_0	9	08/11/2010	2011.01	08/11/2010 02:38:35 PM SA Western Standard Time	06/06/2010 02:29:16 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 13 (PPO)	01	04		1			H4011	813	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	814	0	1	04	01	H4011_814_0	9	08/11/2010	2011.01	08/11/2010 02:38:38 PM SA Western Standard Time	06/06/2010 02:29:24 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 14 (PPO)	01	04		1			H4011	814	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1
H4011	815	0	1	04	01	H4011_815_0	9	08/11/2010	2011.01	08/11/2010 02:38:41 PM SA Western Standard Time	06/06/2010 02:29:42 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 15 (PPO)	01	04		1			H4011	815	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	817	0	1	04	01	H4011_817_0	9	08/11/2010	2011.01	08/11/2010 02:38:44 PM SA Western Standard Time	06/06/2010 02:29:50 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 17 (PPO)	01	04		1			H4011	817	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4011	818	0	1	04	01	H4011_818_0	8	08/11/2010	2011.01	08/11/2010 04:11:24 PM SA Western Standard Time	06/06/2010 02:29:56 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 18 (PPO)	01	04		1			H4011	818	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242										1
H4011	819	0	1	04	01	H4011_819_0	8	08/11/2010	2011.01	08/11/2010 02:38:50 PM SA Western Standard Time	06/06/2010 02:30:04 PM SA Western Standard Time			08/11/2010 04:15:00 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Plan 19 (PPO)	01	04		1			H4011	819	0	2011	Entire Island Puerto Rico		1		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H4012	003	0	1	01	01	H4012_003_0	4	08/23/2010	2011.01	08/23/2010 05:08:53 PM SA Western Standard Time	08/23/2010 04:53:01 PM SA Western Standard Time	08/23/2010 05:06:07 PM SA Western Standard Time		08/23/2010 05:27:46 PM SA Western Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Selecto Platino (HMO SNP)	01	01		1			H4012	003	0	2011	Island of Puerto Rico		2		2		1	1	1	3		1	3			www.ssspr.com	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
H4012	008	0	1	01	01	H4012_008_0	4	08/23/2010	2011.01	08/23/2010 01:57:00 PM SA Western Standard Time	08/23/2010 01:08:15 PM SA Western Standard Time	08/23/2010 01:09:28 PM SA Western Standard Time		08/23/2010 05:16:53 PM SA Western Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S Medicare Selecto 4 (HMO) (HMO)	01	01		1			H4012	008	0	2011	Island of Puerto Rico		2		2				2							www.ssspr.com	www.ssspr.com	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
H4036	003	0	1	04	01	H4036_003_0	7	08/23/2010	2011.01	08/23/2010 09:32:49 PM Eastern Daylight Time	08/23/2010 08:56:58 PM Eastern Daylight Time	08/23/2010 06:11:20 PM Eastern Daylight Time		08/23/2010 10:01:57 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H4036	003	0	2011	Select Counties in Wisconsin		2	2005	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-5940		(800)-797-5940		(800)-467-1199		(800)-467-1199		(800)-797-5940		(800)-797-5940		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H4036	004	0	1	04	01	H4036_004_0	7	08/23/2010	2011.01	08/23/2010 09:33:01 PM Eastern Daylight Time	08/23/2010 08:57:19 PM Eastern Daylight Time	08/23/2010 06:11:32 PM Eastern Daylight Time		08/23/2010 10:01:57 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Core (PPO)	01	04		1			H4036	004	0	2011	Select Counties in Wisconsin		2	3660	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-5940		(800)-797-5940		(800)-467-1199		(800)-467-1199		(800)-797-5940		(800)-797-5940		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H4036	801	0	1	04	01	H4036_801_0	3	08/20/2010	2011.01	08/20/2010 02:45:29 PM Eastern Daylight Time	06/07/2010 10:20:12 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H4036	801	0	2011	Wisconsin		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H4036	802	0	1	04	01	H4036_802_0	3	08/20/2010	2011.01	08/20/2010 02:45:37 PM Eastern Daylight Time	06/07/2010 10:12:32 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H4036	802	0	2011	Wisconsin		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H4036	803	0	1	04	01	H4036_803_0	3	08/20/2010	2011.01	08/20/2010 02:45:47 PM Eastern Daylight Time	06/07/2010 10:19:44 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H4036	803	0	2011	Wisconsin		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H4074	001	0	1	20	08	H4074_001_0	1	09/06/2011	2011.01	09/06/2011 08:54:07 AM Mountain Daylight Time		08/16/2011 09:21:27 AM Mountain Daylight Time		09/06/2011 11:39:10 AM Mountain Daylight Time	MERCY LIFE OF ALABAMA	Mercy LIFE of Alabama	www.mercymedical.com/pace	Mercy LIFE of Alabama (PACE)	08	20		1			H4074	001	0	2011	Mercy LIFE of Alabama		2		2				2							www.mercymedical.com/pace	www.mercymedical.com/pace									(800)-000-0000		(251)-621-4223		(800)-000-0000		(251)-621-4223										(800)-621-4223		(251)-621-4223		(800)-621-4223		(251)-621-4223		1
H4074	002	0	1	20	08	H4074_002_0	1	09/06/2011	2011.01	09/06/2011 08:54:23 AM Mountain Daylight Time		08/16/2011 09:21:27 AM Mountain Daylight Time		09/06/2011 11:39:10 AM Mountain Daylight Time	MERCY LIFE OF ALABAMA	Mercy LIFE of Alabama	www.mercymedical.com/pace	Mercy LIFE of Alabama (PACE)	08	20		1			H4074	002	0	2011	Mercy LIFE of Alabama		2		2				2							www.mercymedical.com/pace	www.mercymedical.com/pace									(800)-000-0000		(251)-621-4223		(800)-000-0000		(251)-621-4223										(800)-621-4223		(251)-621-4223		(800)-621-4223		(251)-621-4223		1
H4102	001	0	1	02	01	H4102_001_0	7	06/01/2010	2011.01	06/01/2010 10:20:07 AM Central Daylight Time	08/19/2010 07:05:20 PM Central Daylight Time	08/18/2010 04:47:35 PM Central Daylight Time		08/20/2010 03:03:35 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H4102	001	0	2011	All counties in Rhode Island		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4102	025	0	1	01	01	H4102_025_0	1	06/01/2010	2011.01	06/01/2010 09:24:26 AM Central Daylight Time	06/03/2010 10:54:56 AM Central Daylight Time			06/04/2010 09:09:21 AM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H4102	025	0	2011	All counties in Rhode Island		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H4102	801	0	1	01	01	H4102_801_0	1	05/27/2010	2011.01	05/27/2010 09:24:15 AM Central Daylight Time	06/03/2010 10:55:14 AM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4102	801	0	2011	State of Rhode Island		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4102	802	0	1	01	01	H4102_802_0	1	05/27/2010	2011.01	05/27/2010 09:24:23 AM Central Daylight Time	06/03/2010 10:55:30 AM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4102	802	0	2011	Rhode Island		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4102	803	0	1	01	01	H4102_803_0	1	05/27/2010	2011.01	05/27/2010 09:24:30 AM Central Daylight Time	06/03/2010 10:55:47 AM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4102	803	0	2011	Select counties in RI		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4102	806	0	1	02	01	H4102_806_0	1	05/27/2010	2011.01	05/27/2010 09:24:40 AM Central Daylight Time	06/03/2010 10:56:03 AM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4102	806	0	2011	Select counties in RI		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4102	807	0	1	02	01	H4102_807_0	1	05/27/2010	2011.01	05/27/2010 08:27:24 AM Central Daylight Time	06/03/2010 10:56:21 AM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4102	807	0	2011	Select counties in RI		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4102	808	0	1	02	01	H4102_808_0	1	05/27/2010	2011.01	05/27/2010 08:27:44 AM Central Daylight Time	06/03/2010 10:56:38 AM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF NEW ENGLAND, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4102	808	0	2011	Select counties in RI		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4105	001	0	1	20	08	H4105_001_0	1	05/18/2010	2011.01	05/18/2010 12:36:52 PM Eastern Daylight Time		05/18/2010 12:30:05 PM Eastern Daylight Time		05/18/2010 12:39:27 PM Eastern Daylight Time	PACE ORGANIZATION OF RHODE ISLAND	Pace Organization Of Rhode Island	www.pace-ri.org	PACE Organization of Rhode Island (PACE)	08	20		1			H4105	001	0	2011	PACE Organization of Rhode Island		2		2				2							www.pace-ri.org	www.pace-ri.org									(877)-781-7223		(401)-490-6566		(877)-781-7223		(401)-490-6566										(866)-883-1631		(401)-490-4597		(866)-883-1631		(401)-490-4597		1
H4105	002	0	1	20	08	H4105_002_0	1	05/18/2010	2011.01	05/18/2010 12:37:23 PM Eastern Daylight Time		05/18/2010 12:30:05 PM Eastern Daylight Time		05/18/2010 12:39:27 PM Eastern Daylight Time	PACE ORGANIZATION OF RHODE ISLAND	Pace Organization Of Rhode Island	www.pace-ri.org	PACE Organization of Rhode Island (PACE)	08	20		1			H4105	002	0	2011	PACE Organization of Rhode Island		2		2				2							www.pace-ri.org	www.pace-ri.org									(877)-781-7223		(401)-490-6566		(877)-781-7223		(401)-490-6566										(866)-883-1631		(401)-490-4597		(866)-883-1631		(401)-490-4597		1
H4125	001	0	1	01	01	H4125_001_0	6	08/20/2010	2011.01	08/20/2010 03:56:18 PM Central Daylight Time	08/21/2010 12:15:40 AM Central Daylight Time	08/18/2010 05:56:56 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN	Arcadian Health Plan	www.ahpofok.com	Arcadian Health Plan - Plus (HMO)	01	01		1			H4125	001	0	2011	Fort Smith - OK		2		2				2							http://www.arcadianhealthplanoklahoma.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4125	005	0	1	01	01	H4125_005_0	7	08/23/2010	2011.01	08/23/2010 11:00:39 AM Central Daylight Time	08/23/2010 01:07:19 AM Central Daylight Time	08/18/2010 05:57:49 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN	Arcadian Health Plan	www.ahpofok.com	Arcadian Health Plan - Dual Plus (HMO SNP)	01	01		1			H4125	005	0	2011	Oklahoma		2		2		2		1	3		1	1			http://www.arcadianhealthplanoklahoma.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4141	001	0	1	01	01	H4141_001_0	5	08/20/2010	2011.01	08/20/2010 12:55:07 PM Eastern Daylight Time	08/20/2010 12:35:06 PM Eastern Daylight Time	08/20/2010 04:12:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	Humana Employers Health Plan of Georgia, Inc.	www.humana-medicare.com	Humana Gold Plus H4141-001 (HMO)	01	01		1			H4141	001	0	2011	Atlanta Metro Area		2		2				2						www.humana..com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4141	801	0	1	01	01	H4141_801_0	4	06/03/2010	2011.01	06/03/2010 05:11:53 PM Eastern Daylight Time	07/26/2010 01:23:25 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	Humana Employers Health Plan of Georgia, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4141	801	0	2011	Atlanta, Ga		1	100	2				2						www.humana..com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H4141	802	0	1	01	01	H4141_802_0	4	06/03/2010	2011.01	06/03/2010 05:12:22 PM Eastern Daylight Time	07/26/2010 01:27:36 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	Humana Employers Health Plan of Georgia, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4141	802	0	2011	Atlanta, Ga		1	100	2				2						www.humana..com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H4141	803	0	1	01	01	H4141_803_0	4	06/03/2010	2011.01	06/03/2010 05:12:48 PM Eastern Daylight Time	07/26/2010 01:28:01 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.	Humana Employers Health Plan of Georgia, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4141	803	0	2011	Atlanta, Ga		1	100	2				2						www.humana..com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H4142	001	0	1	20	08	H4142_001_0	2	06/07/2010	2011.01	06/07/2010 01:49:57 PM Central Daylight Time		06/07/2010 10:55:46 AM Central Daylight Time		06/07/2010 01:53:27 PM Central Daylight Time	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	Cherokee Elder Care	eldercare.cherokee.org	Cherokee Elder Care (PACE)	08	20		1			H4142	001	0	2011	Cherokee, Delaware, Mayes, Muskogee counties		2		2				2							eldercare.cherokee.org	eldercare.cherokee.org									(800)-256-0671	5554	(918)-453-5554		(800)-256-0671	5554	(918)-453-5554										(800)-256-0671	5554	(918)-453-5554		(800)-256-0671	5554	(918)-453-5554		1
H4142	002	0	1	20	08	H4142_002_0	2	06/07/2010	2011.01	06/07/2010 01:50:20 PM Central Daylight Time		06/07/2010 10:55:46 AM Central Daylight Time		06/07/2010 01:53:27 PM Central Daylight Time	CHEROKEE NATION COMPREHENSIVE CARE AGENCY	Cherokee Elder Care	eldercare.cherokee.org	Cherokee Elder Care (PACE)	08	20		1			H4142	002	0	2011	Cherokee,Delaware,Mayes, Muskogee counties		2		2				2							eldercare.cherokee.org	eldercare.cherokee.org									(800)-256-0671	5554	(918)-453-5554		(800)-256-0671	5554	(918)-453-5554										(800)-256-0671	5554	(918)-453-5554		(800)-256-0671	5554	(918)-453-5554		1
H4152	004	0	1	01	01	H4152_004_0	4	08/11/2010	2011.01	08/11/2010 01:05:11 PM Eastern Daylight Time	06/07/2010 09:06:48 AM Eastern Daylight Time			08/11/2010 01:14:17 PM Eastern Daylight Time	BLUE CROSS  BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Core (HMO)	01	01		1			H4152	004	0	2011	State of Rhode Island		2	1918	2				2						www.bcbsri.com	www.bcbsri.com	bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583										(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202										1
H4152	005	0	1	01	01	H4152_005_0	5	08/11/2010	2011.01	08/11/2010 01:05:42 PM Eastern Daylight Time	08/18/2010 05:47:14 PM Eastern Daylight Time	08/18/2010 05:00:48 PM Eastern Daylight Time		08/23/2010 12:14:42 PM Eastern Daylight Time	BLUE CROSS  BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Plus (HMO)	01	01		1			H4152	005	0	2011	State of Rhode Island		2		2				2						www.bcbsri.com	www.bcbsri.com	bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1
H4152	007	0	1	02	01	H4152_007_0	5	08/13/2010	2011.01	08/13/2010 12:47:38 PM Eastern Daylight Time	08/18/2010 05:51:20 PM Eastern Daylight Time	08/18/2010 05:01:36 PM Eastern Daylight Time		08/23/2010 12:14:42 PM Eastern Daylight Time	BLUE CROSS  BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Preferred (HMO-POS)	01	02		1			H4152	007	0	2011	State of Rhode Island		2	3837	2				2						www.bcbsri.com	www.bcbsri.com	bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1
H4152	013	0	1	01	01	H4152_013_0	5	08/11/2010	2011.01	08/11/2010 01:06:26 PM Eastern Daylight Time	08/18/2010 05:44:24 PM Eastern Daylight Time	08/18/2010 04:59:32 PM Eastern Daylight Time		08/23/2010 12:14:42 PM Eastern Daylight Time	BLUE CROSS  BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Standard with Drugs (HMO)	01	01		1			H4152	013	0	2011	State of Rhode Island		2	16591	2				2						www.bcbsri.com	www.bcbsri.com	bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1
H4152	815	0	1	02	01	H4152_815_0	4	08/13/2010	2011.01	08/13/2010 12:51:19 PM Eastern Daylight Time	06/07/2010 09:14:02 AM Eastern Daylight Time			08/13/2010 12:53:30 PM Eastern Daylight Time	BLUE CROSS  BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Group Preferred (HMO-POS)	01	02		1			H4152	815	0	2011	RI, Bristol Cty MA, Partial New London Cty CT		1	1250	2				2						www.bcbsri.com	www.bcbsri.com	bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1
H4152	817	0	1	01	01	H4152_817_0	4	08/13/2010	2011.01	08/13/2010 12:52:19 PM Eastern Daylight Time	06/07/2010 09:14:16 AM Eastern Daylight Time			08/13/2010 12:53:30 PM Eastern Daylight Time	BLUE CROSS  BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Group Plus (HMO)	01	01		1			H4152	817	0	2011	RI, Bristol Cty MA, Partial New London Cty CT		1	427	2				2						www.bcbsri.com	www.bcbsri.com	bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1
H4152	821	0	1	02	01	H4152_821_0	6	08/13/2010	2011.01	08/13/2010 12:51:52 PM Eastern Daylight Time	07/29/2010 01:31:16 PM Eastern Daylight Time			08/13/2010 12:53:30 PM Eastern Daylight Time	BLUE CROSS  BLUE SHIELD OF RHODE ISLAND	Blue Cross  Blue Shield of Rhode Island	www.bcbsri.com	BlueCHiP for Medicare Group Preferred Unlimited (HMO-POS)	01	02		1			H4152	821	0	2011	RI, Bristol Cty MA, Partial New London Cty CT		1	963	2				2						www.bcbsri.com	www.bcbsri.com	bcbsri.com	(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(800)-267-0439		(401)-277-2958		(800)-505-2583		(401)-351-2583		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		(877)-232-8432		(401)-831-2202		1
H4155	001	0	1	01	01	H4155_001_0	4	08/23/2010	2011.01	08/23/2010 06:09:15 PM Eastern Daylight Time	08/23/2010 05:29:26 PM Eastern Daylight Time	08/23/2010 05:29:26 PM Eastern Daylight Time		08/23/2010 06:55:35 PM Eastern Daylight Time	PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY	JMH Health Plan	www.jmhhp.com	JacksonHealth for Life (HMO)	01	01		1			H4155	001	0	2011	Miami Dade County		2	1500	2				2						JMHHP.com	www.jmhhp.com	www.jmhhp.com	(877)-547-2279		(305)-575-3777		(877)-547-2279		(305)-575-3730		(877)-547-2279		(305)-575-3777		(877)-547-2279		(305)-575-3730		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		1
H4155	003	0	1	01	01	H4155_003_0	3	08/23/2010	2011.01	08/23/2010 06:45:29 PM Eastern Daylight Time	08/23/2010 06:31:06 PM Eastern Daylight Time	08/23/2010 05:59:08 PM Eastern Daylight Time		08/23/2010 06:55:35 PM Eastern Daylight Time	PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY	JMH Health Plan	www.jmhhp.com	JacksonHealth Secure (HMO SNP)	01	01		1			H4155	003	0	2011	Miami Dade County		2	750	2		2		1	3		1	5		JMHHP.com	www.jmhhp.com	www.jmhhp.com	(877)-547-2279		(305)-575-3777		(877)-547-2279		(305)-575-3730		(877)-547-2279		(305)-575-3777		(877)-547-2279		(305)-575-3730		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		1
H4155	004	0	1	01	01	H4155_004_0	4	08/23/2010	2011.01	08/23/2010 06:42:21 PM Eastern Daylight Time	08/23/2010 05:42:58 PM Eastern Daylight Time	08/23/2010 05:42:58 PM Eastern Daylight Time		08/23/2010 06:55:35 PM Eastern Daylight Time	PUBLIC HEALTH TRUST OF MIAMI-DADE COUNTY	JMH Health Plan	www.jmhhp.com	JacksonHealth Success (HMO SNP)	01	01		1			H4155	004	0	2011	Miami Dade County		2	400	2				1	4		1		00000000000010000000	JMHHP.com	www.jmhhp.com	www.jmhhp.com	(877)-547-2279		(305)-575-3777		(877)-547-2279		(305)-575-3730		(877)-547-2279		(305)-575-3777		(877)-547-2279		(305)-575-3730		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		(800)-955-8770		1
H4203	001	0	1	20	08	H4203_001_0	1	05/24/2010	2011.01	05/24/2010 01:08:31 PM Eastern Daylight Time		05/24/2010 10:41:58 AM Eastern Daylight Time		05/24/2010 01:32:17 PM Eastern Daylight Time	PALMETTO HEALTH ALLIANCE	Palmetto SeniorCare	www.palmettohealth.org	Palmetto Health - Palmetto SeniorCare (PACE)	08	20		1			H4203	001	0	2011	Richland and  Lexington Counties		2		2				2							n/a	N/A									(803)-931-8175		(803)-931-8175		(803)-931-8175		(803)-931-8175	245									(803)-434-7000		(803)-434-7000		(803)-434-7000		(803)-434-7000		1
H4203	002	0	1	20	08	H4203_002_0	1	05/24/2010	2011.01	05/24/2010 01:09:02 PM Eastern Daylight Time		05/24/2010 10:42:04 AM Eastern Daylight Time		05/24/2010 01:32:17 PM Eastern Daylight Time	PALMETTO HEALTH ALLIANCE	Palmetto SeniorCare	www.palmettohealth.org	Palmetto Health - Palmetto SeniorCare (PACE)	08	20		1			H4203	002	0	2011	Richland and Lexington Counties		2		2				2							n/a	N/A									(803)-931-8175		(803)-931-8175		(803)-931-8175		(803)-931-8175	245									(803)-434-7000		(803)-434-7000		(803)-434-7000		(803)-434-7000		1
H4209	001	0	1	04	01	H4209_001_0	5	08/20/2010	2011.01	08/20/2010 09:06:44 AM Eastern Daylight Time	08/20/2010 10:42:10 AM Eastern Daylight Time	08/19/2010 06:14:56 PM Eastern Daylight Time		08/20/2010 02:14:23 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.scbluesmedadvantage.com/mb11	Medicare Blue (PPO)	01	04		1			H4209	001	0	2011	Upstate and Midlands		2		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912		(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912		(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		(888)-645-6023		(888)-645-6023		(888)-300-7215		(800)-681-3846		1
H4209	003	0	1	04	01	H4209_003_0	5	08/20/2010	2011.01	08/20/2010 09:07:07 AM Eastern Daylight Time	08/20/2010 10:43:30 AM Eastern Daylight Time	08/19/2010 06:15:36 PM Eastern Daylight Time		08/20/2010 02:14:23 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.scbluesmedadvantage.com/mb11	Medicare Blue (PPO)	01	04		1			H4209	003	0	2011	Coastal and Rural		2		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912		(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912		(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		(888)-645-6023		(888)-645-6023		(888)-300-7215		(800)-681-3846		1
H4209	004	0	1	04	01	H4209_004_0	5	07/23/2010	2011.01	07/23/2010 12:55:12 PM Eastern Daylight Time	08/20/2010 10:44:48 AM Eastern Daylight Time	08/19/2010 06:16:12 PM Eastern Daylight Time		08/20/2010 02:14:23 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.scbluesmedadvantage.com/mbplus11	Medicare Blue Plus (PPO)	01	04		1			H4209	004	0	2011	Upstate and Midlands		2		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912		(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912		(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		(888)-645-6023		(888)-645-6023		(888)-300-7215		(800)-681-3846		1
H4209	006	0	1	04	01	H4209_006_0	5	07/23/2010	2011.01	07/23/2010 12:55:36 PM Eastern Daylight Time	08/20/2010 11:00:04 AM Eastern Daylight Time	08/19/2010 06:16:54 PM Eastern Daylight Time		08/20/2010 02:14:23 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.scbluesmedadvantage.com/mbplus11	Medicare Blue Plus (PPO)	01	04		1			H4209	006	0	2011	Coastal and Rural		2		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912		(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912		(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		(888)-645-6023		(888)-645-6023		(888)-300-7215		(800)-681-3846		1
H4209	007	0	1	04	01	H4209_007_0	4	07/23/2010	2011.01	07/23/2010 12:56:03 PM Eastern Daylight Time	07/23/2010 12:41:04 PM Eastern Daylight Time			07/29/2010 01:40:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.scbluesmedadvantage.com/mbs11	Medicare Blue Saver (PPO)	01	04		1			H4209	007	0	2011	Upstate and Midlands		2		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846										1
H4209	008	0	1	04	01	H4209_008_0	4	07/23/2010	2011.01	07/23/2010 12:56:32 PM Eastern Daylight Time	07/23/2010 12:17:16 PM Eastern Daylight Time			07/29/2010 01:40:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.scbluesmedadvantage.com/mbs11	Medicare Blue Saver (PPO)	01	04		1			H4209	008	0	2011	Coastal and Rural		2		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(800)-930-2912										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846										1
H4209	809	0	1	04	01	H4209_809_0	3	07/23/2010	2011.01	07/23/2010 01:09:21 PM Eastern Daylight Time	07/28/2010 12:04:24 PM Eastern Daylight Time			07/29/2010 01:40:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/medb10	Group Blue (PPO)	01	04		1			H4209	809	0	2011	South Carolina		1		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(803)-264-9482		(888)-645-6025		(888)-645-6025		(800)-930-2912		(803)-264-9482		(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		(888)-645-6023		(888)-645-6023		(888)-300-7215		(800)-681-3846		1
H4209	810	0	1	04	01	H4209_810_0	3	07/23/2010	2011.01	07/23/2010 01:09:53 PM Eastern Daylight Time	07/28/2010 12:08:20 PM Eastern Daylight Time			07/29/2010 01:40:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/medb10	Group Blue (PPO)	01	04		1			H4209	810	0	2011	South Carolina		1		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(803)-264-9482		(888)-645-6025		(888)-645-6025		(800)-930-2912		(803)-264-9482		(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		(888)-645-6023		(888)-645-6023		(888)-300-7215		(800)-681-3846		1
H4209	811	0	1	04	01	H4209_811_0	3	07/23/2010	2011.01	07/23/2010 01:09:57 PM Eastern Daylight Time	07/28/2010 12:13:02 PM Eastern Daylight Time			07/29/2010 01:40:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/medb10	Group Blue (PPO)	01	04		1			H4209	811	0	2011	South Carolina		1		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(803)-264-9482										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846										1
H4209	812	0	1	04	01	H4209_812_0	3	07/23/2010	2011.01	07/23/2010 01:10:01 PM Eastern Daylight Time	07/28/2010 12:16:20 PM Eastern Daylight Time			07/29/2010 01:40:12 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/medb10	Group Blue (PPO)	01	04		1			H4209	812	0	2011	South Carolina		1		2				2						www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	www.southcarolinablues.com/medb10	(888)-645-6025		(888)-645-6025		(800)-930-2912		(803)-264-9482										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846										1
H4213	001	0	1	09	04	H4213_001_0	7	08/10/2010	2011.01	08/10/2010 08:13:26 AM Central Daylight Time	07/16/2010 01:02:02 PM Central Daylight Time			08/10/2010 08:31:14 AM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA (PFFS)	04	09	1	1			H4213	001	0	2011	Northwest, Some Eastern and Southern AR Counties		2	1734	2				2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com	(877)-233-7022		(877)-233-7022		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869										1
H4213	002	0	1	09	04	H4213_002_0	7	08/10/2010	2011.01	08/10/2010 08:16:26 AM Central Daylight Time	07/16/2010 01:02:03 PM Central Daylight Time			08/10/2010 08:31:14 AM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage  MA (PFFS)	04	09	1	1			H4213	002	0	2011	Some Central, Southern and Eastern  AR Counties		2	1058	2				2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com	(877)-233-7022		(877)-233-7022		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869										1
H4213	003	0	1	09	04	H4213_003_0	7	08/10/2010	2011.01	08/10/2010 08:16:50 AM Central Daylight Time	07/16/2010 01:02:06 PM Central Daylight Time			08/10/2010 08:31:14 AM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage  MA (PFFS)	04	09	1	1			H4213	003	0	2011	Some Northeast, Central, and Southern AR Counties		2	244	2				2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com	(877)-233-7022		(877)-233-7022		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869										1
H4213	004	0	1	09	04	H4213_004_0	8	08/20/2010	2011.01	08/20/2010 04:48:07 PM Central Daylight Time	08/20/2010 04:33:11 PM Central Daylight Time	08/20/2010 04:34:44 PM Central Daylight Time		08/20/2010 04:53:02 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS)	04	09	1	1			H4213	004	0	2011	Northwest, Some Eastern, and Southern AR Counties		2	5935	2				2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com	(877)-233-7022		(877)-233-7022		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
H4213	005	0	1	09	04	H4213_005_0	8	08/10/2010	2011.01	08/10/2010 08:17:55 AM Central Daylight Time	08/12/2010 09:59:54 AM Central Daylight Time	07/30/2010 11:45:35 AM Central Daylight Time		08/12/2010 05:13:18 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS)	04	09	1	1			H4213	005	0	2011	Some Central, Southern, and Eastern AR Counties		2	1007	2				2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com	(877)-233-7022		(877)-233-7022		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
H4213	006	0	1	09	04	H4213_006_0	9	08/12/2010	2011.01	08/12/2010 05:00:54 PM Central Daylight Time	08/12/2010 10:39:51 AM Central Daylight Time	08/12/2010 10:42:41 AM Central Daylight Time		08/12/2010 05:13:18 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD (PFFS)	04	09	1	1			H4213	006	0	2011	Some Northeast, Central, and Southern AR Counties		2	486	2				2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com	(877)-233-7022		(877)-233-7022		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
H4213	007	0	1	09	04	H4213_007_0	6	08/10/2010	2011.01	08/10/2010 08:17:55 AM Central Daylight Time	07/30/2010 11:05:58 AM Central Daylight Time	07/30/2010 11:05:53 AM Central Daylight Time		08/10/2010 08:31:14 AM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross - Medi-Pak Advantage	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Advantage MA-PD Option 2 (PFFS)	04	09	1	1			H4213	007	0	2011	Northwest, Some Eastern, and Southern AR Counties		2	2109	2				2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com	(877)-233-7022		(877)-233-7022		(888)-242-5017		(501)-378-2937		(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
H4268	001	0	1	09	04	H4268_001_0	5	06/29/2010	2011.01	06/29/2010 04:04:45 PM Eastern Daylight Time	08/16/2010 04:34:09 PM Eastern Daylight Time			08/16/2010 05:23:41 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	America's 1st Choice Insurance Company of NC	www.americas1stchoice.com	Patriot (PFFS)	04	09	1	1			H4268	001	0	2011	Select Counties in NC		2	505	2				2							www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962										1
H4268	002	0	1	09	04	H4268_002_0	6	08/23/2010	2011.01	08/23/2010 11:50:56 AM Eastern Daylight Time	08/22/2010 03:14:14 PM Eastern Daylight Time	08/22/2010 03:14:40 PM Eastern Daylight Time		08/23/2010 02:28:09 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	America's 1st Choice Insurance Company of NC	www.americas1stchoice.com	Patriot Plus (PFFS)	04	09	1	1			H4268	002	0	2011	Select Counties in NC		2	2775	2				2							www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		1
H4270	001	0	1	02	01	H4270_001_0	7	08/04/2010	2011.01	08/04/2010 12:36:23 PM Central Daylight Time	07/28/2010 03:29:30 PM Central Daylight Time			08/09/2010 02:58:30 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	UCare for Seniors Value (HMO-POS)	01	02		1			H4270	001	0	2011	Western Wisconsin - 26 Counties		2		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500										(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810										1
H4270	002	0	1	02	01	H4270_002_0	10	08/04/2010	2011.01	08/04/2010 12:36:36 PM Central Daylight Time	08/20/2010 11:12:36 AM Central Daylight Time	08/20/2010 11:12:16 AM Central Daylight Time		08/20/2010 01:14:43 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	UCare for Seniors Classic (HMO-POS)	01	02		1			H4270	002	0	2011	Western Wisconsin - 26 Counties		2		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H4270	003	0	1	02	01	H4270_003_0	8	08/04/2010	2011.01	08/04/2010 12:36:47 PM Central Daylight Time	08/20/2010 11:13:32 AM Central Daylight Time	08/20/2010 11:13:14 AM Central Daylight Time		08/20/2010 01:14:43 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	UCare for Seniors Value Plus (HMO-POS)	01	02		1			H4270	003	0	2011	Western Wisconsin - 26 Counties		2		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H4270	004	0	1	02	01	H4270_004_0	8	08/10/2010	2011.01	08/10/2010 04:54:39 PM Central Daylight Time	08/20/2010 11:14:44 AM Central Daylight Time	08/20/2010 11:14:09 AM Central Daylight Time		08/20/2010 01:14:43 PM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	UCare for Seniors Standard D (HMO-POS)	01	02		1			H4270	004	0	2011	Western Wisconsin - 26 Counties		2		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(877)-523-1515		(612)-676-3600		(877)-523-1518		(612)-676-3500		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H4270	801	0	1	02	01	H4270_801_0	5	07/28/2010	2011.01	07/28/2010 01:22:28 PM Central Daylight Time	07/28/2010 03:28:39 PM Central Daylight Time			08/02/2010 11:49:06 AM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	Group UCare for Seniors (HMO-POS)	01	02		1			H4270	801	0	2011	Minnesota and 26 Wisconsin counties		1		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810		1
H4270	803	0	1	02	01	H4270_803_0	5	07/28/2010	2011.01	07/28/2010 01:22:40 PM Central Daylight Time	07/28/2010 03:29:03 PM Central Daylight Time			08/02/2010 11:49:06 AM Central Daylight Time	UCARE WISCONSIN, INC.	UCare	www.ucare.org	Group UCare for Seniors MA Only (HMO-POS)	01	02		1			H4270	803	0	2011	Minnesota and 26 Wisconsin counties		1		2				2						www.ucare.org	www.ucare.org	www.ucare.org	(877)-447-4385		(612)-676-6840		(877)-598-6574		(612)-676-6900										(800)-688-2534		(612)-676-6810		(800)-688-2534		(612)-676-6810										1
H4305	001	0	1	20	08	H4305_001_0	1	05/22/2010	2011.01	05/22/2010 12:02:49 PM Central Daylight Time		05/19/2010 04:04:52 PM Central Daylight Time		05/22/2010 12:12:38 PM Central Daylight Time	TOTAL LIFE HEALTHCARE	Total Life Healthcare	www.totallifehealthcare.com	Total Life Healthcare Dual (PACE)	08	20		1			H4305	001	0	2011	Counties: Craighead Cross Greene Law MS Poin Rand		2		2				2							www.totallifehealthcare.com	www.totallifehealthcare.com									(800)-336-5000		(870)-336-5000		(800)-336-5000		(870)-336-5000										(800)-336-0117		(870)-336-0117		(800)-336-0017		(870)-336-0017		1
H4305	002	0	1	20	08	H4305_002_0	1	05/22/2010	2011.01	05/22/2010 12:03:27 PM Central Daylight Time		05/19/2010 04:04:24 PM Central Daylight Time		05/22/2010 12:12:38 PM Central Daylight Time	TOTAL LIFE HEALTHCARE	Total Life Healthcare	www.totallifehealthcare.com	Total Life Healthcare Medicare only (PACE)	08	20		1			H4305	002	0	2011	Counties:Craighead Cross Greene Law MS Poin Rand		2		2				2							www.totallifehealthcare.com	www.totallifehealthcare.com									(800)-336-5000		(870)-336-5000		(800)-336-5000		(870)-336-5000										(800)-336-0117		(870)-336-0117		(800)-336-0017		(870)-336-0017		1
H4326	001	0	1	20	08	H4326_001_0	1	07/12/2011	2011.01	07/12/2011 11:36:13 AM Eastern Daylight Time		07/12/2011 11:33:00 AM Eastern Daylight Time		07/12/2011 11:40:31 AM Eastern Daylight Time	PACE @ HOME	PACE@Home	www.pace-at-home.org	PACE@Home - dual (PACE)	08	20		1			H4326	001	0	2011	Catawba Valley		2		2				2							www.pace-at-home.org	www.seniorscript.com									(828)-468-3980		(828)-468-3980		(828)-468-3980		(828)-468-3980										(828)-468-3980		(828)-468-3980		(828)-468-3980		(828)-468-3980		1
H4326	002	0	1	20	08	H4326_002_0	1	07/12/2011	2011.01	07/12/2011 11:36:31 AM Eastern Daylight Time		07/12/2011 11:33:00 AM Eastern Daylight Time		07/12/2011 11:40:31 AM Eastern Daylight Time	PACE @ HOME	PACE@Home	www.pace-at-home.org	PACE @ Home - medicare only (PACE)	08	20		1			H4326	002	0	2011	Catawba Valley		2		2				2							www.pace-at-home.org	www.seniorscript.com									(828)-468-3980		(828)-468-3980		(828)-468-3980		(828)-468-3980										(828)-468-3980		(828)-468-3980		(828)-468-3980		(828)-468-3980		1
H4346	001	0	1	01	01	H4346_001_0	4	08/22/2010	2011.01	08/22/2010 02:10:05 PM Pacific Daylight Time	08/22/2010 09:42:29 PM Pacific Daylight Time	08/18/2010 07:42:56 PM Pacific Daylight Time		08/23/2010 02:57:17 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	CareMore Value Plus (HMO)	01	01		1			H4346	001	0	2011	Clark County (partial)		2	2366	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-6991		(800)-822-6991		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H4346	003	0	1	01	01	H4346_003_0	6	08/22/2010	2011.01	08/22/2010 11:42:38 AM Pacific Daylight Time	08/22/2010 06:22:05 PM Pacific Daylight Time	08/18/2010 07:38:01 PM Pacific Daylight Time		08/23/2010 02:57:17 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	CareMore Touch (HMO SNP)	01	01		1			H4346	003	0	2011	Clark County (partial)		2	194	2				1	1	3	1			www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-589-3147		(800)-589-3147		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H4346	005	0	1	01	01	H4346_005_0	5	08/22/2010	2011.01	08/22/2010 11:42:49 AM Pacific Daylight Time	08/22/2010 06:21:37 PM Pacific Daylight Time	08/18/2010 07:38:03 PM Pacific Daylight Time		08/23/2010 02:57:17 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	CareMore Breathe (HMO SNP)	01	01		1			H4346	005	0	2011	Clark County (partial)		2	434	2				1	4		1		00000000000100000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(888)-357-4166		(888)-357-4166		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H4346	006	0	1	01	01	H4346_006_0	5	08/22/2010	2011.01	08/22/2010 11:43:02 AM Pacific Daylight Time	08/22/2010 09:42:58 PM Pacific Daylight Time	08/18/2010 07:38:03 PM Pacific Daylight Time		08/23/2010 02:57:17 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	CareMore Diabetes (HMO SNP)	01	01		1			H4346	006	0	2011	Clark County (partial)		2	1239	2				1	4		1		00000010000000000000	www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(888)-357-4187		(888)-357-4187		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H4346	007	0	1	01	01	H4346_007_0	6	08/23/2010	2011.01	08/23/2010 09:02:05 AM Pacific Daylight Time	08/22/2010 09:25:46 PM Pacific Daylight Time	08/18/2010 07:38:01 PM Pacific Daylight Time		08/23/2010 02:57:17 PM Pacific Daylight Time	CAREMORE HEALTH PLAN OF NEVADA	CareMore Health Plan of Nevada	http://www.caremore.com	StartSmart with CareMore (HMO)	01	01		1			H4346	007	0	2011	Clark County (partial)		2	115	2				2						www.caremore.com	www.caremore.com/formulary.aspx	www.caremore.com	(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-822-8720		(800)-822-8720		(866)-622-2820		(866)-622-2820		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		(800)-577-5586		1
H4393	001	0	1	20	08	H4393_001_0	1	05/25/2010	2011.01	05/25/2010 03:49:47 PM Eastern Daylight Time		05/18/2010 03:57:10 PM Eastern Daylight Time		05/25/2010 03:54:11 PM Eastern Daylight Time	CATHOLIC MANAGED LONG TERM CARE, INC.	ArchCare Senior Life	http://www.archcare.org/	ArchCare Senior Life - Dual (PACE)	08	20		1			H4393	001	0	2011	New York and Bronx counties		2		2				2							www.archcare.org	www.archcare.org									(212)-752-2404		(212)-752-2404		(212)-752-2404		(212)-752-2404										(800)-662-1200		(646)-289-7744		(800)-662-1200		(800)-662-1200		1
H4393	002	0	1	20	08	H4393_002_0	1	05/25/2010	2011.01	05/25/2010 03:50:30 PM Eastern Daylight Time		05/18/2010 03:57:10 PM Eastern Daylight Time		05/25/2010 03:54:11 PM Eastern Daylight Time	CATHOLIC MANAGED LONG TERM CARE, INC.	ArchCare Senior Life	http://www.archcare.org/	ArchCare Senior Life - Medicare only (PACE)	08	20		1			H4393	002	0	2011	New York and Bronx counties		2		2				2							www.archcare.org	www.archcare.org									(212)-752-2404		(212)-752-2404		(212)-752-2404		(212)-752-2404										(800)-662-1200		(800)-662-1200		(800)-662-1200		(800)-662-1200		1
H4402	001	0	1	20	08	H4402_001_0	1	05/27/2010	2011.01	05/27/2010 06:48:25 PM Eastern Daylight Time		05/27/2010 06:36:44 PM Eastern Daylight Time		05/27/2010 06:54:16 PM Eastern Daylight Time	ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	WWW.alexianbrotherssoutheast.com.com	Alexian Brothers Community Services (PACE)	08	20		1			H4402	001	0	2011	Hamilton County Area		2		2				2							None	None									(800)-443-8883		(423)-698-0802		(800)-443-8883		(423)-698-0802										(800)-443-8883		(423)-698-0802		(800)-443-8883		(423)-698-0802		1
H4402	002	0	1	20	08	H4402_002_0	1	05/27/2010	2011.01	05/27/2010 06:48:37 PM Eastern Daylight Time		05/27/2010 06:36:53 PM Eastern Daylight Time		05/27/2010 06:54:16 PM Eastern Daylight Time	ALEXIAN BROTHERS COMMUNITY SERVICES	Alexian Brothers Community Services	WWW.alexianbrotherssoutheast.com.com	Alexian Brothers Community Services (PACE)	08	20		1			H4402	002	0	2011	Hamilton County Area		2		2				2							None	None									(800)-441-8883		(423)-698-0802		(800)-443-8883		(423)-698-0802										(800)-441-8883		(423)-698-0802		(800)-443-8883		(423)-698-0802		1
H4406	001	0	1	02	01	H4406_001_0	5	06/01/2010	2011.01	06/01/2010 02:50:36 PM Central Daylight Time	08/19/2010 05:46:27 PM Central Daylight Time	08/18/2010 04:47:40 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H4406	001	0	2011	Select counties in TN		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4406	801	0	1	01	01	H4406_801_0	1	05/25/2010	2011.01	05/25/2010 08:39:47 AM Central Daylight Time	06/02/2010 09:21:10 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4406	801	0	2011	Davidson,DeKalb,Hickman and Rutherford Counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4406	803	0	1	01	01	H4406_803_0	1	05/25/2010	2011.01	05/25/2010 08:39:54 AM Central Daylight Time	06/02/2010 09:22:07 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4406	803	0	2011	Davidson,DeKalb,Hickman and Rutherford Counties		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4406	804	0	1	01	01	H4406_804_0	1	05/25/2010	2011.01	05/25/2010 08:39:58 AM Central Daylight Time	06/02/2010 09:22:37 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4406	804	0	2011	Select counties in TN		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4406	806	0	1	02	01	H4406_806_0	1	05/27/2010	2011.01	05/27/2010 08:28:07 AM Central Daylight Time	06/02/2010 09:23:49 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4406	806	0	2011	Select counties in TN		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4406	807	0	1	02	01	H4406_807_0	1	05/27/2010	2011.01	05/27/2010 08:28:31 AM Central Daylight Time	06/02/2010 09:24:16 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4406	807	0	2011	Select counties in TN		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4406	808	0	1	02	01	H4406_808_0	1	05/27/2010	2011.01	05/27/2010 08:28:53 AM Central Daylight Time	06/02/2010 09:25:04 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF TENNESSEE, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4406	808	0	2011	Select counites in TN		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4407	001	0	1	01	01	H4407_001_0	6	08/20/2010	2011.01	08/20/2010 02:53:47 PM Central Daylight Time	08/20/2010 03:27:47 PM Central Daylight Time	08/19/2010 02:39:22 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthyAdvantage Preferred NMS (HMO)	01	01		1			H4407	001	0	2011	Northwest Mississippi		2	341	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4407	002	0	1	01	01	H4407_002_0	8	08/30/2010	2011.01	08/30/2010 12:18:49 PM Central Daylight Time	08/20/2010 04:38:09 PM Central Daylight Time	08/19/2010 02:40:04 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthyAdvantage Plus (HMO)	01	01		1			H4407	002	0	2011	Southern		2	1322	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4407	003	0	1	01	01	H4407_003_0	9	08/30/2010	2011.01	08/30/2010 10:53:00 AM Central Daylight Time	08/20/2010 03:28:57 PM Central Daylight Time	08/19/2010 02:41:02 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	TotalCare NMS (HMO SNP)	01	01		1			H4407	003	0	2011	Northwest Mississippi		2	1429	2		2		1	3		1	2		www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4407	004	0	1	01	01	H4407_004_0	8	08/30/2010	2011.01	08/30/2010 12:20:40 PM Central Daylight Time	08/20/2010 04:39:06 PM Central Daylight Time	08/19/2010 02:42:02 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	TotalCare (HMO SNP)	01	01		1			H4407	004	0	2011	Southern		2	15814	2		2		1	3		1	2		www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4407	005	0	1	01	01	H4407_005_0	4	08/04/2010	2011.01	08/04/2010 10:43:51 AM Central Daylight Time	06/02/2010 09:58:56 AM Central Daylight Time			08/25/2010 03:50:09 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthyAdvantage NMS (HMO)	01	01		1			H4407	005	0	2011	Northwest Mississippi		2	60	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1
H4407	011	0	1	01	01	H4407_011_0	5	08/30/2010	2011.01	08/30/2010 12:21:49 PM Central Daylight Time	07/23/2010 09:32:05 AM Central Daylight Time			08/30/2010 04:46:05 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthyAdvantage (HMO)	01	01		1			H4407	011	0	2011	Southern		2	347	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879										(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090										1
H4407	022	0	1	02	01	H4407_022_0	5	08/20/2010	2011.01	08/20/2010 11:48:44 AM Central Daylight Time	08/20/2010 03:30:03 PM Central Daylight Time	08/19/2010 02:43:07 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthyAdvantage Premier NMS (HMO-POS)	01	02		1			H4407	022	0	2011	Northwest Mississippi		2	30	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(800)-331-6293		(800)-331-6293		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-845-7230		(866)-845-7230		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4407	023	0	1	02	01	H4407_023_0	8	09/16/2010	2011.01	09/16/2010 09:48:18 AM Central Daylight Time	08/24/2010 12:03:49 PM Central Daylight Time	08/19/2010 02:43:51 PM Central Daylight Time		09/23/2010 12:58:43 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	HealthyAdvantage Premier (HMO-POS)	01	02		1			H4407	023	0	2011	Southern Mississippi		2	1742	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-201-4963		(888)-201-4963		(888)-767-1879		(888)-767-1879		(800)-952-1992		(800)-952-1992		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H4407	802	0	1	01	01	H4407_802_0	4	07/20/2010	2011.01	07/20/2010 12:08:47 PM Central Daylight Time	06/02/2010 04:17:29 PM Central Daylight Time			08/04/2010 05:56:57 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	Retiree Advantage (HMO)	01	01		1			H4407	802	0	2011	Mississippi		1	159	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468										(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806										1
H4407	807	0	1	01	01	H4407_807_0	4	07/20/2010	2011.01	07/20/2010 12:09:10 PM Central Daylight Time	06/02/2010 04:21:24 PM Central Daylight Time			08/04/2010 05:56:57 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring, Inc.	www.healthspring.com	Retiree Advantage Plus (HMO)	01	01		1			H4407	807	0	2011	Mississippi		1	159	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(888)-501-3965		(866)-593-4468		(866)-593-4468		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(800)-391-9806		(800)-391-9806		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4408	001	0	1	04	01	H4408_001_0	5	08/20/2010	2011.01	08/20/2010 12:55:46 PM Eastern Daylight Time	08/20/2010 09:23:36 AM Eastern Daylight Time	08/20/2010 04:12:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-001 (PPO)	01	04		1			H4408	001	0	2011	Memphis Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-281-6918		(800)-281-6918		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4408	002	0	1	04	01	H4408_002_0	4	08/20/2010	2011.01	08/20/2010 12:56:12 PM Eastern Daylight Time	08/20/2010 09:24:04 AM Eastern Daylight Time	08/20/2010 04:12:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-002 (PPO)	01	04		1			H4408	002	0	2011	Nashville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-281-6918		(800)-281-6918		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4408	006	0	1	04	01	H4408_006_0	4	08/20/2010	2011.01	08/20/2010 12:56:56 PM Eastern Daylight Time	08/20/2010 09:15:54 AM Eastern Daylight Time	08/20/2010 04:12:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-006 (PPO)	01	04		1			H4408	006	0	2011	Chattanooga Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-281-6918		(800)-281-6918		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4408	007	0	1	04	01	H4408_007_0	4	08/20/2010	2011.01	08/20/2010 12:57:19 PM Eastern Daylight Time	08/20/2010 09:15:28 AM Eastern Daylight Time	08/20/2010 04:12:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-007 (PPO)	01	04		1			H4408	007	0	2011	Knoxville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-281-6918		(800)-281-6918		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4408	008	0	1	04	01	H4408_008_0	4	08/20/2010	2011.01	08/20/2010 12:58:27 PM Eastern Daylight Time	08/20/2010 09:21:48 AM Eastern Daylight Time	08/20/2010 04:12:00 PM Eastern Daylight Time		08/21/2010 01:56:54 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4408-008 (PPO)	01	04		1			H4408	008	0	2011	Select TN and VA Counties in the Tri-Cities Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-281-6918		(800)-281-6918		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4454	002	0	1	01	01	H4454_002_0	6	08/20/2010	2011.01	08/20/2010 02:58:18 PM Central Daylight Time	08/20/2010 03:31:32 PM Central Daylight Time	08/19/2010 02:44:22 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthyAdvantage Preferred (HMO)	01	01		1			H4454	002	0	2011	Middle, West  East Tennessee		2	29406	2				2						healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(615)-401-4501		(888)-583-3346		(615)-401-4500		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4454	012	0	1	01	01	H4454_012_0	4	08/06/2010	2011.01	08/06/2010 11:16:11 AM Central Daylight Time	06/02/2010 10:01:12 AM Central Daylight Time			08/25/2010 03:50:09 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthyAdvantage (HMO)	01	01		1			H4454	012	0	2011	Middle, West  East Tennessee		2	4095	2				2						healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(615)-401-4501		(888)-583-3346		(615)-401-4500										(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565										1
H4454	020	0	1	01	01	H4454_020_0	8	08/30/2010	2011.01	08/30/2010 10:53:12 AM Central Daylight Time	08/20/2010 03:33:05 PM Central Daylight Time	08/19/2010 02:45:02 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	TotalCare (HMO SNP)	01	01		1			H4454	020	0	2011	Middle and West Tennessee		2	6338	2		2		1	3		1	2		healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(615)-401-4501		(888)-583-3346		(615)-401-4500		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4454	028	0	1	01	01	H4454_028_0	7	08/30/2010	2011.01	08/30/2010 10:53:19 AM Central Daylight Time	08/20/2010 03:34:28 PM Central Daylight Time	08/19/2010 02:45:49 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthyAdvantage Primary Plan (HMO)	01	01		1			H4454	028	0	2011	East Tennessee		2	770	2				2						healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(615)-401-4501		(888)-583-3346		(615)-401-4500		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4454	030	0	1	02	01	H4454_030_0	5	08/20/2010	2011.01	08/20/2010 11:49:25 AM Central Daylight Time	08/20/2010 03:35:53 PM Central Daylight Time	08/19/2010 02:46:47 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	HealthyAdvantage Premier (HMO-POS)	01	02		1			H4454	030	0	2011	Middle, West  East Tennessee		2	29000	2				2						healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(615)-401-4501		(888)-583-3346		(615)-401-4500		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4454	803	0	1	01	01	H4454_803_0	4	07/20/2010	2011.01	07/20/2010 01:05:21 PM Central Daylight Time	06/02/2010 10:04:09 AM Central Daylight Time			08/04/2010 05:56:57 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	Retiree Advantage (HMO)	01	01		1			H4454	803	0	2011	Tennessee		1	159	2				2						healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(615)-401-4501		(888)-583-3346		(615)-401-4500										(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565										1
H4454	805	0	1	01	01	H4454_805_0	4	07/20/2010	2011.01	07/20/2010 01:05:42 PM Central Daylight Time	06/02/2010 10:04:54 AM Central Daylight Time			08/04/2010 05:56:57 PM Central Daylight Time	HEALTHSPRING OF TENNESSEE, INC.	Healthspring	www.healthspring.com	Retiree Advantage Plus (HMO)	01	01		1			H4454	805	0	2011	Tennessee		1	159	2				2						healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-3965		(615)-401-4501		(888)-583-3346		(615)-401-4500		(888)-501-3965		(888)-501-3965		(800)-331-6293		(800)-331-6293		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-206-5565		(866)-845-7230		(866)-845-7230		1
H4456	010	0	1	02	01	H4456_010_0	4	06/02/2010	2011.01	06/02/2010 10:02:07 AM Central Daylight Time	08/19/2010 05:46:58 PM Central Daylight Time	08/18/2010 04:31:59 PM Central Daylight Time		08/20/2010 03:02:35 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H4456	010	0	2011	Select counties in Illinois		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4456	013	0	1	02	01	H4456_013_0	4	06/01/2010	2011.01	06/01/2010 10:39:23 AM Central Daylight Time	08/19/2010 05:47:19 PM Central Daylight Time	08/18/2010 04:32:04 PM Central Daylight Time		08/20/2010 03:02:35 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H4456	013	0	2011	Eastern Tennessee and Southwestern Virginia		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4456	015	0	1	01	01	H4456_015_0	4	06/01/2010	2011.01	06/01/2010 10:39:44 AM Central Daylight Time	08/19/2010 05:47:39 PM Central Daylight Time	08/18/2010 04:32:09 PM Central Daylight Time		08/20/2010 03:02:35 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H4456	015	0	2011	Select counties in Iowa and Illinois		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4456	020	0	1	01	01	H4456_020_0	1	06/01/2010	2011.01	06/01/2010 10:31:30 AM Central Daylight Time	06/04/2010 12:54:15 PM Central Daylight Time			06/04/2010 02:24:54 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H4456	020	0	2011	Eastern Tennessee and Southwestern Virginia		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H4456	021	0	1	01	01	H4456_021_0	4	06/01/2010	2011.01	06/01/2010 10:40:14 AM Central Daylight Time	08/19/2010 05:48:14 PM Central Daylight Time	08/18/2010 04:32:13 PM Central Daylight Time		08/20/2010 03:02:35 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 2 (HMO)	01	01		1			H4456	021	0	2011	Eastern Tennessee and Southwestern Virginia		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4456	025	0	1	02	01	H4456_025_0	4	06/01/2010	2011.01	06/01/2010 10:40:42 AM Central Daylight Time	08/19/2010 05:48:36 PM Central Daylight Time	08/18/2010 04:32:17 PM Central Daylight Time		08/20/2010 03:02:35 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H4456	025	0	2011	Counties in IA		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4456	026	0	1	02	01	H4456_026_0	4	06/01/2010	2011.01	06/01/2010 10:41:20 AM Central Daylight Time	08/19/2010 05:48:58 PM Central Daylight Time	08/18/2010 04:32:21 PM Central Daylight Time		08/20/2010 03:02:35 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H4456	026	0	2011	Bradley, Hamilton, and McMinn counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4456	801	0	1	01	01	H4456_801_0	1	06/02/2010	2011.01	06/02/2010 01:40:26 PM Central Daylight Time	06/04/2010 12:55:47 PM Central Daylight Time			06/04/2010 03:18:40 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4456	801	0	2011	Eastern Tennessee and Southwestern Virginia		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4456	805	0	1	01	01	H4456_805_0	1	05/25/2010	2011.01	05/25/2010 08:40:07 AM Central Daylight Time	06/04/2010 12:56:23 PM Central Daylight Time			06/04/2010 03:18:40 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4456	805	0	2011	Eastern Tennessee and Southwestern Virginia		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4456	810	0	1	01	01	H4456_810_0	1	05/25/2010	2011.01	05/25/2010 08:40:10 AM Central Daylight Time	06/04/2010 12:56:56 PM Central Daylight Time			06/04/2010 03:18:40 PM Central Daylight Time	UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4456	810	0	2011	Select counties in IL		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4461	001	0	1	01	01	H4461_001_0	5	08/20/2010	2011.01	08/20/2010 02:02:40 PM Eastern Daylight Time	08/20/2010 09:58:36 AM Eastern Daylight Time	08/20/2010 04:13:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-001 (HMO)	01	01		1			H4461	001	0	2011	East Tennessee		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4461	004	0	1	01	01	H4461_004_0	4	06/03/2010	2011.01	06/03/2010 06:02:24 PM Eastern Daylight Time	07/30/2010 03:15:48 PM Eastern Daylight Time			08/02/2010 04:44:33 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-004 (HMO)	01	01		1			H4461	004	0	2011	East Tennessee		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H4461	011	0	1	01	01	H4461_011_0	7	08/20/2010	2011.01	08/20/2010 02:15:50 PM Eastern Daylight Time	08/20/2010 12:25:00 PM Eastern Daylight Time	08/20/2010 04:13:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Gold Plus SNP-DE H4461-011 (HMO SNP)	01	01		1			H4461	011	0	2011	East Tennessee		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4461	015	0	1	01	01	H4461_015_0	5	08/20/2010	2011.01	08/20/2010 02:05:04 PM Eastern Daylight Time	08/20/2010 10:08:26 AM Eastern Daylight Time	08/20/2010 04:13:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-015 (HMO)	01	01		1			H4461	015	0	2011	East Tennessee		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4461	018	0	1	02	01	H4461_018_0	4	08/20/2010	2011.01	08/20/2010 02:05:32 PM Eastern Daylight Time	08/20/2010 10:38:42 AM Eastern Daylight Time	08/20/2010 04:13:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Gold Plus H4461-018 (HMO-POS)	01	02		1			H4461	018	0	2011	Nashville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4461	806	0	1	01	01	H4461_806_0	4	06/03/2010	2011.01	06/03/2010 05:13:14 PM Eastern Daylight Time	07/26/2010 01:44:33 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Employer Sponsored (HMO)	01	01		1			H4461	806	0	2011	East Tennessee Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H4461	807	0	1	01	01	H4461_807_0	4	06/03/2010	2011.01	06/03/2010 05:13:43 PM Eastern Daylight Time	07/26/2010 01:44:58 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Employer Sponsored (HMO)	01	01		1			H4461	807	0	2011	East Tennessee Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H4461	808	0	1	01	01	H4461_808_0	4	06/03/2010	2011.01	06/03/2010 05:14:09 PM Eastern Daylight Time	07/26/2010 01:45:26 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	CARITEN HEALTH PLAN IN	Cariten Health Plan, Inc.	http://www.humana.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4461	808	0	2011	East Tennessee Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H4506	003	0	1	01	01	H4506_003_0	9	08/23/2010	2011.01	08/23/2010 11:29:13 AM Central Daylight Time	08/23/2010 11:10:03 AM Central Daylight Time	08/19/2010 02:55:14 PM Central Daylight Time		08/23/2010 02:05:43 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	Universal American	www.texanplus.com	TexanPlus Classic powered by CCRx (HMO)	01	01		1			H4506	003	0	2011	Southeast Texas		2		2				2						www.texanplus.com	http://www.sctexas.com/PresentFormulary	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H4506	010	0	1	01	01	H4506_010_0	7	07/23/2010	2011.01	07/23/2010 05:03:21 PM Central Daylight Time	07/27/2010 12:05:19 AM Central Daylight Time			08/06/2010 01:33:06 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	Universal American	www.texanplus.com	TexanPlus Value (HMO)	01	01		1			H4506	010	0	2011	Southeast Texas		2		2				2						www.texanplus.com	http://www.sctexas.com/PresentFormulary	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H4506	801	0	1	01	01	H4506_801_0	8	08/10/2010	2011.01	08/10/2010 06:01:25 PM Central Daylight Time	06/07/2010 09:13:15 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	Universal American	www.texanplus.com	H4506 - Retiree - MA-PD non-CY (HMO)	01	01		1			H4506	801	0	2011	TexanPlus-Employer Group (MAPD nonCY)		1	700	2				2						www.texanplus.com	http://www.sctexas.com/PresentFormulary	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H4506	806	0	1	01	01	H4506_806_0	8	08/10/2010	2011.01	08/10/2010 06:01:26 PM Central Daylight Time	06/07/2010 09:14:13 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	Universal American	www.texanplus.com	H4506 - Retiree - MA-PD CY (HMO)	01	01		1			H4506	806	0	2011	TexanPlus-Employer Group (MAPD CY)		1	700	2				2						www.texanplus.com	http://www.sctexas.com/PresentFormulary	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H4506	808	0	1	01	01	H4506_808_0	8	08/10/2010	2011.01	08/10/2010 06:01:26 PM Central Daylight Time	06/07/2010 09:15:11 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	SELECTCARE OF TEXAS, L.L.C.	Universal American	www.texanplus.com	H4506 - Retiree MA (HMO)	01	01		1			H4506	808	0	2011	TexanValue-Employer Group (MA Only)		1	700	2				2						www.texanplus.com	http://www.sctexas.com/PresentFormulary	http://www.sctexas.com/PresentFormulary	(866)-230-2513		(866)-230-2513		(866)-556-4607		(866)-556-4607										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H4510	012	0	1	01	01	H4510_012_0	3	08/20/2010	2011.01	08/20/2010 01:37:02 PM Eastern Daylight Time	08/19/2010 10:44:20 PM Eastern Daylight Time	08/20/2010 04:13:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-012 (HMO)	01	01		1			H4510	012	0	2011	Corpus Christi Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4510	015	0	1	01	01	H4510_015_0	5	08/20/2010	2011.01	08/20/2010 01:37:20 PM Eastern Daylight Time	08/19/2010 10:51:24 PM Eastern Daylight Time	08/20/2010 04:13:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-015 (HMO)	01	01		1			H4510	015	0	2011	San Antonio Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4510	018	0	1	01	01	H4510_018_0	4	08/20/2010	2011.01	08/20/2010 01:37:44 PM Eastern Daylight Time	08/19/2010 10:20:04 PM Eastern Daylight Time	08/20/2010 04:14:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-018 (HMO)	01	01		1			H4510	018	0	2011	Dallas Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4510	020	0	1	01	01	H4510_020_0	5	08/20/2010	2011.01	08/20/2010 01:38:19 PM Eastern Daylight Time	08/19/2010 10:21:18 PM Eastern Daylight Time	08/20/2010 04:14:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-020 (HMO)	01	01		1			H4510	020	0	2011	Austin Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4510	021	0	1	01	01	H4510_021_0	3	08/20/2010	2011.01	08/20/2010 01:38:45 PM Eastern Daylight Time	08/19/2010 10:21:26 PM Eastern Daylight Time	08/20/2010 04:14:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H4510-021 (HMO SNP)	01	01		1			H4510	021	0	2011	El Paso County		2		2		2		1	3		1	5		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4510	022	0	1	01	01	H4510_022_0	3	08/20/2010	2011.01	08/20/2010 01:39:02 PM Eastern Daylight Time	08/19/2010 10:21:12 PM Eastern Daylight Time	08/20/2010 04:14:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus H4510-022 (HMO)	01	01		1			H4510	022	0	2011	El Paso County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4510	023	0	1	01	01	H4510_023_0	5	08/20/2010	2011.01	08/20/2010 01:39:22 PM Eastern Daylight Time	08/19/2010 10:22:22 PM Eastern Daylight Time	08/20/2010 04:14:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H4510-023 (HMO SNP)	01	01		1			H4510	023	0	2011	Dallas Metro Area		2		2		2		1	3		1	5		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4510	024	0	1	01	01	H4510_024_0	5	08/20/2010	2011.01	08/20/2010 01:39:42 PM Eastern Daylight Time	08/19/2010 10:26:04 PM Eastern Daylight Time	08/20/2010 04:14:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H4510-024 (HMO SNP)	01	01		1			H4510	024	0	2011	Corpus Christi/San Antonio Area		2		2		2		1	3		1	5		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4510	801	0	1	01	01	H4510_801_0	2	06/03/2010	2011.01	06/03/2010 05:14:35 PM Eastern Daylight Time	07/26/2010 01:21:25 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Employer sponsored (HMO)	01	01		1			H4510	801	0	2011	Bexar, Aransas, Nueces and San Patricio counties		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H4510	802	0	1	01	01	H4510_802_0	2	06/03/2010	2011.01	06/03/2010 05:15:04 PM Eastern Daylight Time	07/26/2010 01:36:51 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H4510	802	0	2011	Bexar, Aransas, Nueces and San Patricio counties		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H4510	803	0	1	01	01	H4510_803_0	2	06/03/2010	2011.01	06/03/2010 05:15:29 PM Eastern Daylight Time	07/26/2010 01:37:15 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF TEXAS,INC.	Humana Health Plan of Texas, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H4510	803	0	2011	Select Texas Counties		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H4513	001	0	1	01	01	H4513_001_0	6	08/19/2010	2011.01	08/19/2010 03:15:24 PM Central Daylight Time	08/20/2010 02:19:09 PM Central Daylight Time	08/19/2010 02:47:40 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	TEXAS HEALTHSPRING,  LLC	HealthSpring	www.healthspring.com	HealthyAdvantage Preferred (HMO)	01	01		1			H4513	001	0	2011	Texas HealthSpring Counties		2	32408	2				2							www.healthspring.com	www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-280-8888		(800)-280-8888		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		1
H4513	009	0	1	01	01	H4513_009_0	3	08/25/2010	2011.01	08/25/2010 01:42:48 PM Central Daylight Time	06/02/2010 04:45:27 PM Central Daylight Time			08/25/2010 03:50:09 PM Central Daylight Time	TEXAS HEALTHSPRING,  LLC	HealthSpring	www.healthspring.com	HealthyAdvantage True Choice (HMO)	01	01		1			H4513	009	0	2011	Texas HealthSpring Counties		2	1407	2				2							www.healthspring.com	www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098										(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504										1
H4513	010	0	1	01	01	H4513_010_0	5	08/19/2010	2011.01	08/19/2010 03:16:27 PM Central Daylight Time	08/20/2010 02:20:08 PM Central Daylight Time	08/19/2010 02:48:34 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	TEXAS HEALTHSPRING,  LLC	HealthSpring	www.healthspring.com	TotalCare (HMO SNP)	01	01		1			H4513	010	0	2011	Texas HealthSpring Counties		2	11151	2		2		1	3		1	2			www.healthspring.com	www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-280-8888		(800)-280-8888		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		1
H4513	802	0	1	01	01	H4513_802_0	5	08/12/2010	2011.01	08/12/2010 04:37:24 PM Central Daylight Time	06/02/2010 12:05:53 PM Central Daylight Time			08/13/2010 04:53:43 PM Central Daylight Time	TEXAS HEALTHSPRING,  LLC	HealthSpring	www.healthspring.com	Retiree Advantage (HMO)	01	01		1			H4513	802	0	2011	Texas		1	159	2				2							www.healthspring.com	www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098										(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504										1
H4513	804	0	1	01	01	H4513_804_0	5	08/12/2010	2011.01	08/12/2010 04:38:45 PM Central Daylight Time	06/02/2010 12:08:21 PM Central Daylight Time			08/13/2010 04:53:43 PM Central Daylight Time	TEXAS HEALTHSPRING,  LLC	HealthSpring	www.healthspring.com	Retiree Advantage Plus (HMO)	01	01		1			H4513	804	0	2011	Texas		1	159	2				2							www.healthspring.com	www.healthspring.com	(800)-280-8888		(800)-280-8888		(800)-846-2098		(800)-846-2098		(800)-280-8888		(800)-280-8888		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		1
H4514	001	0	1	01	01	H4514_001_0	4	06/03/2010	2011.01	06/03/2010 03:43:50 PM Central Daylight Time	08/19/2010 11:02:42 PM Central Daylight Time	08/18/2010 04:32:28 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H4514	001	0	2011	Houston and Austin Surrounding Counties		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4514	007	0	1	01	01	H4514_007_0	4	06/03/2010	2011.01	06/03/2010 04:27:31 PM Central Daylight Time	08/19/2010 11:03:00 PM Central Daylight Time	08/18/2010 04:47:45 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H4514	007	0	2011	Houston,Ctrl Texas,Jefferson,Austin,Liberty,Hardin		2		2				2						www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4514	801	0	1	01	01	H4514_801_0	1	05/25/2010	2011.01	05/25/2010 08:40:14 AM Central Daylight Time	06/01/2010 05:23:06 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4514	801	0	2011	TX Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4514	803	0	1	01	01	H4514_803_0	1	05/25/2010	2011.01	05/25/2010 08:40:20 AM Central Daylight Time	06/01/2010 05:23:20 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4514	803	0	2011	TX Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4514	806	0	1	01	01	H4514_806_0	1	05/25/2010	2011.01	05/25/2010 08:40:25 AM Central Daylight Time	06/01/2010 05:23:40 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	EVERCARE OF TEXAS, LLC	Evercare by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4514	806	0	2011	TX Employer Sponsored Plan Service Area		1		2				2						www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4517	001	0	1	20	08	H4517_001_0	1	05/20/2010	2011.01	05/20/2010 11:09:23 AM Central Daylight Time		05/19/2010 09:15:09 AM Central Daylight Time		05/20/2010 11:13:48 AM Central Daylight Time	AMARILLO MULTISVC CTR FR THE AGING INC	Amarillo Multisvc Ctr For The Aging Inc	alana@janwerneradultdaycare.org	DUAL ELIGIBLE (PACE)	08	20		1			H4517	001	0	2011	Potter, TX and Randall, TX Counties		2		2				2							N/A	N/A									(888)-299-6401		(806)-374-5516		(888)-299-6401		(806)-374-5516										(800)-735-2989		(806)-374-5516		(800)-735-2989		(806)-374-5516		1
H4517	002	0	1	20	08	H4517_002_0	1	05/20/2010	2011.01	05/20/2010 11:10:04 AM Central Daylight Time		05/19/2010 09:15:09 AM Central Daylight Time		05/20/2010 11:13:48 AM Central Daylight Time	AMARILLO MULTISVC CTR FR THE AGING INC	Amarillo Multisvc Ctr For The Aging Inc	alana@janwerneradultdaycare.org	MEDICARE ONLY (PACE)	08	20		1			H4517	002	0	2011	Potter, TX and Randall, TX Counties		2		2				2							N/A	N/A									(888)-299-6401		(806)-374-5516		(888)-299-6401		(806)-374-5516										(800)-735-2989		(806)-374-5516		(800)-735-2989		(806)-374-5516		1
H4518	001	0	1	20	08	H4518_001_0	2	06/02/2010	2011.01	06/02/2010 12:55:03 PM Mountain Daylight Time		06/02/2010 12:42:48 PM Mountain Daylight Time		06/02/2010 12:57:45 PM Mountain Daylight Time	BIENVIVIR SENIOR HEALTH SERVICES	Bienvivir Senior Health Services	www.Bienvivir.org	BSHS Part D, Dual Eligibles (PACE)	08	20		1			H4518	001	0	2011	El Paso, Texas and El Paso County		2		2				2							hmajeed@bienvivir.org	hmajeed@bienvivir.org									(915)-562-3444	1801	(915)-562-3444	1801	(915)-562-3444	1801	(915)-562-3444	1801									(915)-562-3444	1801	(915)-562-3444	1801	(915)-562-3444		(915)-562-3444		1
H4518	002	0	1	20	08	H4518_002_0	2	06/02/2010	2011.01	06/02/2010 12:55:35 PM Mountain Daylight Time		06/02/2010 12:42:09 PM Mountain Daylight Time		06/02/2010 12:57:45 PM Mountain Daylight Time	BIENVIVIR SENIOR HEALTH SERVICES	Bienvivir Senior Health Services	www.Bienvivir.org	BSHS Part D, Medicare Only (PACE)	08	20		1			H4518	002	0	2011	El Paso, Texas and El Paso County		2		2				2							hmajeed@bienvivir.org	hmajeed@bienvivir.org									(915)-562-3444		(915)-562-3444	1801	(915)-562-3444		(915)-562-3444	1801									(915)-562-3444	1801	(915)-562-3444	1801	(915)-562-3444		(915)-562-3444		1
H4520	001	0	1	04	01	H4520_001_0	3	08/20/2010	2011.01	08/20/2010 01:40:03 PM Eastern Daylight Time	08/19/2010 11:06:08 PM Eastern Daylight Time	08/20/2010 04:14:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-001 (PPO)	01	04		1			H4520	001	0	2011	San Antonio Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4520	002	0	1	04	01	H4520_002_0	7	08/20/2010	2011.01	08/20/2010 01:40:20 PM Eastern Daylight Time	08/19/2010 10:20:28 PM Eastern Daylight Time	08/20/2010 04:14:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-002 (PPO)	01	04		1			H4520	002	0	2011	Corpus Christi Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4520	003	0	1	04	01	H4520_003_0	4	08/20/2010	2011.01	08/20/2010 01:40:38 PM Eastern Daylight Time	08/19/2010 10:23:18 PM Eastern Daylight Time	08/20/2010 04:15:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-003 (PPO)	01	04		1			H4520	003	0	2011	Select Counties of Texas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4520	005	0	1	04	01	H4520_005_0	3	08/20/2010	2011.01	08/20/2010 01:40:57 PM Eastern Daylight Time	08/19/2010 10:20:20 PM Eastern Daylight Time	08/20/2010 04:15:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-005 (PPO)	01	04		1			H4520	005	0	2011	Houston Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4520	006	0	1	04	01	H4520_006_0	5	08/20/2010	2011.01	08/20/2010 01:41:23 PM Eastern Daylight Time	08/19/2010 11:12:04 PM Eastern Daylight Time	08/20/2010 04:15:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-006 (PPO)	01	04		1			H4520	006	0	2011	Select Counties of Texas and Arkansas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4520	018	0	1	04	01	H4520_018_0	4	08/20/2010	2011.01	08/20/2010 01:41:42 PM Eastern Daylight Time	08/19/2010 10:19:50 PM Eastern Daylight Time	08/20/2010 04:15:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-018 (PPO)	01	04		1			H4520	018	0	2011	Hardin, Jefferson, Liberty and Orange Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4520	020	0	1	04	01	H4520_020_0	3	08/20/2010	2011.01	08/20/2010 01:42:01 PM Eastern Daylight Time	08/19/2010 10:20:36 PM Eastern Daylight Time	08/20/2010 04:15:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-020 (PPO)	01	04		1			H4520	020	0	2011	Amarillo Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4520	021	0	1	04	01	H4520_021_0	3	08/20/2010	2011.01	08/20/2010 01:42:20 PM Eastern Daylight Time	08/19/2010 10:29:12 PM Eastern Daylight Time	08/20/2010 04:15:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4520-021 (PPO)	01	04		1			H4520	021	0	2011	Midland Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4522	001	0	1	04	01	H4522_001_0	5	07/19/2010	2011.01	07/19/2010 09:38:36 AM Central Daylight Time	08/19/2010 07:58:34 PM Central Daylight Time	08/18/2010 04:47:50 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H4522	001	0	2011	Dona Ana, Grant, Hidalgo, Luna, Sierra, El Paso		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4522	007	0	1	04	01	H4522_007_0	4	06/02/2010	2011.01	06/02/2010 03:01:53 PM Central Daylight Time	08/19/2010 07:58:49 PM Central Daylight Time	08/18/2010 04:32:33 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H4522	007	0	2011	Dona Ana, Grant, Hidalgo, Luna and Sierra Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4523	001	0	1	01	01	H4523_001_0	3	08/20/2010	2011.01	08/20/2010 01:30:44 PM Central Daylight Time	08/19/2010 03:39:53 PM Central Daylight Time	08/19/2010 01:01:23 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H4523	001	0	2011	Bexar and Comal Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4523	005	0	1	01	01	H4523_005_0	3	08/20/2010	2011.01	08/20/2010 01:31:20 PM Central Daylight Time	08/19/2010 03:44:19 PM Central Daylight Time	08/19/2010 01:01:27 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H4523	005	0	2011	Collin, Dallas, Denton and Tarrant Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4523	015	0	1	01	01	H4523_015_0	3	08/20/2010	2011.01	08/20/2010 01:31:57 PM Central Daylight Time	08/19/2010 03:47:28 PM Central Daylight Time	08/19/2010 01:01:31 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H4523	015	0	2011	Harris and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4523	801	0	1	01	01	H4523_801_0	1	05/11/2010	2011.01	05/11/2010 10:53:37 AM Eastern Daylight Time	05/28/2010 04:11:51 PM Eastern Daylight Time			06/04/2010 03:00:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H4523	801	0	2011	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H4523	802	0	1	01	01	H4523_802_0	2	05/11/2010	2011.01	05/11/2010 10:54:45 AM Eastern Daylight Time	05/28/2010 04:04:53 PM Eastern Daylight Time			06/04/2010 03:00:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H4523	802	0	2011	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4524	001	0	1	04	01	H4524_001_0	4	08/20/2010	2011.01	08/20/2010 01:33:56 PM Central Daylight Time	08/19/2010 03:50:22 PM Central Daylight Time	08/19/2010 01:01:34 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Value Plan (PPO)	01	04		1			H4524	001	0	2011	Bexar and Comal Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4524	007	0	1	04	01	H4524_007_0	4	08/19/2010	2011.01	08/19/2010 05:07:23 PM Central Daylight Time	08/19/2010 04:01:21 PM Central Daylight Time	08/19/2010 01:01:38 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Value Plan (PPO)	01	04		1			H4524	007	0	2011	Collin, Dallas, Denton and Tarrant Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4524	013	0	1	04	01	H4524_013_0	4	08/19/2010	2011.01	08/19/2010 05:07:30 PM Central Daylight Time	08/19/2010 04:02:04 PM Central Daylight Time	08/19/2010 01:01:43 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Value Plan (PPO)	01	04		1			H4524	013	0	2011	Harris and Montgomery Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4524	801	0	1	04	01	H4524_801_0	2	05/11/2010	2011.01	05/11/2010 10:56:32 AM Eastern Daylight Time	07/15/2010 05:04:00 PM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Plan (PPO)	01	04		1			H4524	801	0	2011	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H4524	802	0	1	04	01	H4524_802_0	2	05/11/2010	2011.01	05/11/2010 10:58:06 AM Eastern Daylight Time	07/15/2010 04:55:10 PM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Plan w/Rx CY (PPO)	01	04		1			H4524	802	0	2011	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4524	805	0	2	04	01	H4524_805_0	2	05/11/2010	2011.01	05/11/2010 10:59:13 AM Eastern Daylight Time	07/15/2010 04:45:26 PM Eastern Daylight Time			08/11/2010 11:11:03 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Part B Only Plan (PPO)	01	04		2	2		H4524	805	0	2011	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H4524	806	0	2	04	01	H4524_806_0	2	05/11/2010	2011.01	05/11/2010 11:01:03 AM Eastern Daylight Time	07/15/2010 04:37:02 PM Eastern Daylight Time			08/11/2010 11:11:03 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.Aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx CY (PPO)	01	04		2	2		H4524	806	0	2011	Texas		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4525	001	0	1	01	01	H4525_001_0	6	08/02/2010	2011.01	08/02/2010 02:19:11 PM Central Daylight Time	08/23/2010 01:09:00 PM Central Daylight Time	08/23/2010 09:51:00 AM Central Daylight Time		08/23/2010 03:13:19 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Gold (HMO)	01	01		1			H4525	001	0	2011	FirstCare Advantage Gold (Abilene Region)		2	35	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1
H4525	002	0	1	01	01	H4525_002_0	8	08/02/2010	2011.01	08/02/2010 02:19:18 PM Central Daylight Time	08/23/2010 01:11:00 PM Central Daylight Time	08/23/2010 09:53:00 AM Central Daylight Time		08/23/2010 03:18:12 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Gold (HMO)	01	01		1			H4525	002	0	2011	FirstCare Advantage Gold (Lubbock Region)		2	290	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1
H4525	003	0	1	01	01	H4525_003_0	4	08/23/2010	2011.01	08/23/2010 03:11:22 PM Central Daylight Time	08/23/2010 02:27:00 PM Central Daylight Time	08/23/2010 01:06:00 PM Central Daylight Time		08/23/2010 03:22:54 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Select (HMO SNP)	01	01		1			H4525	003	0	2011	FirstCare Advantage Select (Lubbock Region)		2	1682	2		2		1	3		1	2		www.firstcare.com/advantage	http://www.firstcare.com/advantage	www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1
H4525	004	0	1	01	01	H4525_004_0	3	08/02/2010	2011.01	08/02/2010 02:19:37 PM Central Daylight Time	07/28/2010 02:01:00 PM Central Daylight Time			08/02/2010 04:41:09 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Silver (HMO)	01	01		1			H4525	004	0	2011	FirstCare Advantage Silver (Abilene Region)		2	18	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580										(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259										1
H4525	005	0	1	01	01	H4525_005_0	3	08/02/2010	2011.01	08/02/2010 02:19:52 PM Central Daylight Time	07/28/2010 01:58:00 PM Central Daylight Time			08/02/2010 04:45:18 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Silver (HMO)	01	01		1			H4525	005	0	2011	FirstCare Advantage Silver (Lubbock Region)		2	48	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580										(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259										1
H4525	008	0	1	01	01	H4525_008_0	5	08/23/2010	2011.01	08/23/2010 03:11:51 PM Central Daylight Time	08/23/2010 01:13:00 PM Central Daylight Time	08/23/2010 09:55:00 AM Central Daylight Time		08/23/2010 03:29:21 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Elite (HMO)	01	01		1			H4525	008	0	2011	FirstCare Advantage Elite (Abilene)		2	84	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1
H4525	009	0	1	01	01	H4525_009_0	5	08/23/2010	2011.01	08/23/2010 03:12:15 PM Central Daylight Time	08/23/2010 01:15:00 PM Central Daylight Time	08/23/2010 09:55:00 AM Central Daylight Time		08/23/2010 03:33:26 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Elite (HMO)	01	01		1			H4525	009	0	2011	FirstCare Advantage Elite (Lubbock)		2	664	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1
H4525	802	0	1	01	01	H4525_802_0	3	07/30/2010	2011.01	07/30/2010 12:30:27 PM Central Daylight Time	06/07/2010 01:28:00 PM Central Daylight Time			07/30/2010 12:52:13 PM Central Daylight Time	SHA, L.L.C	FirstCare Advantage	www.firstcare.com/advantage	FirstCare Advantage Employer (D) (HMO)	01	01		1			H4525	802	0	2011	FirstCare Advantage Employer (D)		1	42	2				2						www.firstcare.com/advantage	http://www.firstcare.com/advantage	www.firstcare.com/advantage	(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(866)-229-4969		(866)-229-4969		(800)-245-1580		(800)-245-1580		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		(800)-562-5259		1
H4527	001	0	1	01	01	H4527_001_0	8	08/20/2010	2011.01	08/20/2010 04:20:59 PM Central Daylight Time	08/23/2010 12:05:39 PM Central Daylight Time	08/23/2010 12:07:29 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Total (HMO)	01	01		1			H4527	001	0	2011	Nueces, San Patricio, Aransas, Kleberg		2	2174	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	002	0	1	01	01	H4527_002_0	7	08/20/2010	2011.01	08/20/2010 04:22:12 PM Central Daylight Time	08/23/2010 12:05:42 PM Central Daylight Time	08/23/2010 12:07:36 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Total (HMO)	01	01		1			H4527	002	0	2011	Travis, Hays, and Williamson Counties		2	3641	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	003	0	1	01	01	H4527_003_0	6	08/20/2010	2011.01	08/20/2010 02:22:12 PM Central Daylight Time	08/23/2010 12:06:07 PM Central Daylight Time	08/23/2010 12:07:40 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Select (HMO SNP)	01	01		1			H4527	003	0	2011	Travis, Hays, and Williamson Counties		2	1028	2		2		1	3		1	5		www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	004	0	1	01	01	H4527_004_0	6	08/20/2010	2011.01	08/20/2010 02:19:05 PM Central Daylight Time	08/23/2010 12:06:08 PM Central Daylight Time	08/23/2010 12:07:43 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Select (HMO SNP)	01	01		1			H4527	004	0	2011	Nueces, San Patricio, Aransas, Kleberg		2	2502	2		2		1	3		1	5		www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	005	0	1	01	01	H4527_005_0	7	08/20/2010	2011.01	08/20/2010 04:23:52 PM Central Daylight Time	08/23/2010 12:06:09 PM Central Daylight Time	08/23/2010 12:07:48 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Total (HMO)	01	01		1			H4527	005	0	2011	El Paso County		2	3219	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	006	0	1	01	01	H4527_006_0	6	08/20/2010	2011.01	08/20/2010 03:10:31 PM Central Daylight Time	08/23/2010 12:06:18 PM Central Daylight Time	08/23/2010 12:07:49 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Select (HMO SNP)	01	01		1			H4527	006	0	2011	El Paso County		2	1045	2		2		1	3		1	5		www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	008	0	1	01	01	H4527_008_0	7	08/20/2010	2011.01	08/20/2010 04:25:11 PM Central Daylight Time	08/23/2010 12:06:19 PM Central Daylight Time	08/23/2010 12:07:49 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Care (HMO SNP)	01	01		1			H4527	008	0	2011	Nueces County		2	175	2				1	4		1		00000000000000000100	www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	012	0	1	01	01	H4527_012_0	6	08/12/2010	2011.01	08/12/2010 08:08:13 AM Central Daylight Time	07/27/2010 08:01:43 PM Central Daylight Time			08/12/2010 08:18:51 AM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Basic (HMO)	01	01		1			H4527	012	0	2011	Cameron, Hidalgo, and Willacy Counties		2	309	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(711)		(711)		(711)		(711)										1
H4527	013	0	1	01	01	H4527_013_0	8	08/20/2010	2011.01	08/20/2010 04:26:26 PM Central Daylight Time	08/23/2010 12:06:46 PM Central Daylight Time	08/23/2010 12:07:53 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Total (HMO)	01	01		1			H4527	013	0	2011	Cameron, Hidalgo, and Willacy Counties		2	3832	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	014	0	1	01	01	H4527_014_0	6	08/20/2010	2011.01	08/20/2010 04:27:22 PM Central Daylight Time	08/23/2010 12:06:45 PM Central Daylight Time	08/23/2010 12:07:56 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Extra (HMO)	01	01		1			H4527	014	0	2011	Cameron, Hidalgo, and Willacy Counties		2	1746	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	015	0	1	01	01	H4527_015_0	7	08/20/2010	2011.01	08/20/2010 03:12:18 PM Central Daylight Time	08/23/2010 12:06:47 PM Central Daylight Time	08/23/2010 12:08:01 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Select (HMO SNP)	01	01		1			H4527	015	0	2011	Cameron, Hidalgo, and Willacy Counties		2	700	2		2		1	3		1	5		www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	020	0	1	01	01	H4527_020_0	4	06/04/2010	2011.01	06/04/2010 05:10:04 PM Central Daylight Time	06/05/2010 09:24:00 PM Central Daylight Time			06/07/2010 05:51:35 AM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Basic (HMO)	01	01		1			H4527	020	0	2011	Nueces, San Patricio, Aransas, Kleberg		2	270	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(711)		(711)		(711)		(711)										1
H4527	022	0	1	01	01	H4527_022_0	5	08/02/2010	2011.01	08/02/2010 03:55:31 PM Central Daylight Time	06/07/2010 05:43:49 AM Central Daylight Time			08/02/2010 04:12:10 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Basic (HMO)	01	01		1			H4527	022	0	2011	Travis, Hays, and Williamson Counties		2	189	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(711)		(711)		(711)		(711)										1
H4527	023	0	1	01	01	H4527_023_0	8	08/20/2010	2011.01	08/20/2010 04:28:32 PM Central Daylight Time	08/23/2010 12:06:55 PM Central Daylight Time	08/23/2010 12:08:02 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Extra (HMO)	01	01		1			H4527	023	0	2011	Travis, Hays and Williamson Counties		2	358	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	024	0	1	01	01	H4527_024_0	5	08/02/2010	2011.01	08/02/2010 03:56:06 PM Central Daylight Time	06/07/2010 05:44:21 AM Central Daylight Time			08/02/2010 04:12:10 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Basic (HMO)	01	01		1			H4527	024	0	2011	El Paso County		2	191	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736										(711)		(711)		(711)		(711)										1
H4527	026	0	1	01	01	H4527_026_0	6	08/20/2010	2011.01	08/20/2010 04:29:28 PM Central Daylight Time	08/23/2010 12:06:56 PM Central Daylight Time	08/23/2010 12:08:02 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Care (HMO SNP)	01	01		1			H4527	026	0	2011	Travis County		2	79	2				1	4		1		00000000000000000100	www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	028	0	1	01	01	H4527_028_0	7	08/20/2010	2011.01	08/20/2010 04:30:14 PM Central Daylight Time	08/23/2010 12:07:21 PM Central Daylight Time	08/23/2010 12:08:07 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Extra (HMO)	01	01		1			H4527	028	0	2011	El Paso County		2	151	2				2						www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4527	030	0	1	01	01	H4527_030_0	7	08/20/2010	2011.01	08/20/2010 04:31:10 PM Central Daylight Time	08/23/2010 12:07:22 PM Central Daylight Time	08/23/2010 12:08:10 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	PHYSICIANS HEALTH CHOICE OF TEXAS LLC	PHYSICIANS HEALTH CHOICE	www.PHCcares.com	Physicians Health Choice Care (HMO SNP)	01	01		1			H4527	030	0	2011	Cameron and Hidalgo Counties		2	51	2				1	4		1		00000000000000000100	www.PHCcares.com	http://www.physicianshealthchoice.com/members-formulary.html	http://www.physicianshealthchoice.com/members-formulary.html	(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(866)-550-4736		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4528	001	0	1	02	01	H4528_001_0	3	08/20/2010	2011.01	08/20/2010 08:30:26 AM Eastern Daylight Time	08/20/2010 04:25:28 PM Eastern Daylight Time	08/19/2010 09:31:58 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Classic Plus (HMO-POS)	01	02		1			H4528	001	0	2011	Select Texas Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4528	002	0	1	01	01	H4528_002_0	5	08/20/2010	2011.01	08/20/2010 08:31:02 AM Eastern Daylight Time	08/21/2010 11:40:36 AM Eastern Daylight Time	08/19/2010 09:30:32 AM Eastern Daylight Time		09/24/2010 02:39:28 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Select (HMO SNP)	01	01		1			H4528	002	0	2011	Select Texas Counties		2		2		2		1	3		1	2		www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4528	013	0	1	01	01	H4528_013_0	2	08/20/2010	2011.01	08/20/2010 08:31:23 AM Eastern Daylight Time	08/21/2010 11:57:48 AM Eastern Daylight Time	08/19/2010 09:29:50 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Traditions (HMO SNP)	01	01		1			H4528	013	0	2011	Select TX counties		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4528	014	0	1	01	01	H4528_014_0	3	08/20/2010	2011.01	08/20/2010 08:35:30 AM Eastern Daylight Time	08/23/2010 11:23:44 AM Eastern Daylight Time	08/19/2010 09:39:50 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO SNP)	01	01		1			H4528	014	0	2011	Select Tx counties		2		2				1	4		1		00000010000000000000	www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4528	801	0	1	01	01	H4528_801_0	1	05/25/2010	2011.01	05/25/2010 04:36:02 PM Eastern Daylight Time	06/01/2010 06:48:42 PM Eastern Daylight Time			06/03/2010 02:56:30 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	EGWP (CY) (HMO)	01	01		1			H4528	801	0	2011	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4528	802	0	1	01	01	H4528_802_0	1	05/25/2010	2011.01	05/25/2010 02:27:32 PM Eastern Daylight Time	06/01/2010 06:49:36 PM Eastern Daylight Time			06/03/2010 02:56:30 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	EGWP (non-CY) (HMO)	01	01		1			H4528	802	0	2011	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4528	803	0	1	02	01	H4528_803_0	1	05/29/2010	2011.01	05/29/2010 01:20:44 PM Eastern Daylight Time	06/01/2010 06:50:28 PM Eastern Daylight Time			06/03/2010 02:56:30 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	EGWP (CY) (HMO-POS)	01	02		1			H4528	803	0	2011	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4528	804	0	1	02	01	H4528_804_0	1	05/28/2010	2011.01	05/28/2010 03:42:29 PM Eastern Daylight Time	06/01/2010 06:51:24 PM Eastern Daylight Time			06/03/2010 02:56:30 PM Eastern Daylight Time	BRAVO HEALTH TEXAS, INC.	Bravo Health	www.mybravohealth.com	EGWP (non-CY) (HMO-POS)	01	02		1			H4528	804	0	2011	Nationwide		1		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(800)-291-0396		(800)-291-0396		(888)-318-2827		(888)-318-2827		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4529	002	0	1	02	01	H4529_002_0	8	08/23/2010	2011.01	08/23/2010 03:50:05 PM Central Daylight Time	08/21/2010 11:41:22 PM Central Daylight Time	08/18/2010 05:58:13 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care- Plus Point (HMO-POS)	01	02		1			H4529	002	0	2011	El Paso County		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4529	004	0	1	01	01	H4529_004_0	6	08/21/2010	2011.01	08/21/2010 10:39:43 AM Central Daylight Time	08/20/2010 10:53:07 PM Central Daylight Time	08/18/2010 05:58:36 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care- Plus (HMO)	01	01		1			H4529	004	0	2011	Travis / Williamson		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4529	007	0	1	01	01	H4529_007_0	7	08/23/2010	2011.01	08/23/2010 11:24:23 AM Central Daylight Time	08/23/2010 01:09:11 AM Central Daylight Time	08/18/2010 05:59:29 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Dual Plus (HMO SNP)	01	01		1			H4529	007	0	2011	El Paso County		2		2		2		1	3		1	1			http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4529	014	0	1	01	01	H4529_014_0	8	08/22/2010	2011.01	08/22/2010 06:56:30 PM Central Daylight Time	08/21/2010 11:45:29 PM Central Daylight Time	08/18/2010 05:59:52 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care -  Plus (HMO)	01	01		1			H4529	014	0	2011	East Texas		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4529	027	0	1	01	01	H4529_027_0	5	08/21/2010	2011.01	08/21/2010 10:41:55 AM Central Daylight Time	08/20/2010 10:54:57 PM Central Daylight Time	08/18/2010 06:00:18 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Plus (HMO)	01	01		1			H4529	027	0	2011	Amarillo		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4529	028	0	1	01	01	H4529_028_0	5	08/21/2010	2011.01	08/21/2010 10:42:50 AM Central Daylight Time	08/20/2010 10:56:47 PM Central Daylight Time	08/18/2010 06:00:47 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Plus (HMO)	01	01		1			H4529	028	0	2011	Beaumont		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4529	030	0	1	01	01	H4529_030_0	6	08/20/2010	2011.01	08/20/2010 03:55:03 PM Central Daylight Time	08/20/2010 10:58:42 PM Central Daylight Time	08/18/2010 06:01:39 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Plus (HMO)	01	01		1			H4529	030	0	2011	Gregg / Henderson		2		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4529	031	0	1	01	01	H4529_031_0	6	08/23/2010	2011.01	08/23/2010 11:24:40 AM Central Daylight Time	08/23/2010 01:11:09 AM Central Daylight Time	08/18/2010 06:02:36 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - Dual Plus (HMO SNP)	01	01		1			H4529	031	0	2011	Texas		2		2		2		1	3		1	5			http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(800)-573-8597		(800)-573-8597		(800)-658-3704		(512)-795-8092		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4529	801	0	1	01	01	H4529_801_0	4	07/28/2010	2011.01	07/28/2010 05:43:52 PM Central Daylight Time	07/26/2010 12:53:12 PM Central Daylight Time			07/28/2010 05:48:38 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Texas Community Care	www.texascommunitycare.com	Texas Community Care - EGWP (HMO)	01	01		1			H4529	801	0	2011	Texas		1		2				2							http://www.texascommunitycare.com/el_paso/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(800)-573-8597		(800)-573-8597		(800)-658-5161		(915)-843-4043		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H4564	001	0	1	18	06	H4564_001_0	5	08/20/2010	2011.01	08/20/2010 04:51:30 PM Central Daylight Time		08/20/2010 04:46:16 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred Plus - Basic Rx (Cost)	06	18		1			H4564	001	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(888)-333-3980		(254)-298-3366		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4564	002	0	1	18	06	H4564_002_0	5	08/20/2010	2011.01	08/20/2010 04:52:44 PM Central Daylight Time		08/20/2010 05:09:12 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred - Basic Rx (Cost)	06	18		1			H4564	002	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4564	003	0	1	18	06	H4564_003_0	5	08/20/2010	2011.01	08/20/2010 04:53:52 PM Central Daylight Time		08/20/2010 05:09:26 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Select - Basic Rx (Cost)	06	18		1			H4564	003	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4564	004	0	1	18	06	H4564_004_0	5	08/20/2010	2011.01	08/20/2010 04:54:56 PM Central Daylight Time		08/20/2010 05:09:36 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred Plus - Enhanced Rx (Cost)	06	18		1			H4564	004	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4564	005	0	1	18	06	H4564_005_0	5	08/20/2010	2011.01	08/20/2010 04:56:07 PM Central Daylight Time		08/20/2010 05:09:50 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred - Enhanced Rx (Cost)	06	18		1			H4564	005	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4564	006	0	1	18	06	H4564_006_0	5	08/20/2010	2011.01	08/20/2010 04:57:10 PM Central Daylight Time		08/20/2010 05:10:08 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Select - Enhanced Rx (Cost)	06	18		1			H4564	006	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4564	010	0	1	18	06	H4564_010_0	4	08/20/2010	2011.01	08/20/2010 04:58:20 PM Central Daylight Time				08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred Plus-Medical Only (Cost)	06	18		1			H4564	010	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366										(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989										1
H4564	011	0	1	18	06	H4564_011_0	4	08/20/2010	2011.01	08/20/2010 04:59:29 PM Central Daylight Time				08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred-Medical Only (Cost)	06	18		1			H4564	011	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366										(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989										1
H4564	012	0	1	18	06	H4564_012_0	4	08/20/2010	2011.01	08/20/2010 05:00:41 PM Central Daylight Time				08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Select-Medical Only (Cost)	06	18		1			H4564	012	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366										(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989										1
H4564	013	0	1	18	06	H4564_013_0	4	08/20/2010	2011.01	08/20/2010 05:01:48 PM Central Daylight Time		08/20/2010 05:10:28 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred Plus - Value Rx (Cost)	06	18		1			H4564	013	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4564	014	0	1	18	06	H4564_014_0	4	08/20/2010	2011.01	08/20/2010 05:06:51 PM Central Daylight Time		08/20/2010 05:10:36 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Preferred - Value Rx (Cost)	06	18		1			H4564	014	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4564	015	0	1	18	06	H4564_015_0	4	08/20/2010	2011.01	08/20/2010 05:08:04 PM Central Daylight Time		08/20/2010 05:10:48 PM Central Daylight Time		08/20/2010 05:21:00 PM Central Daylight Time	SCOTT AND WHITE HEALTH PLAN	Scott and White Health Plan SeniorCare	www.swhp.org	SeniorCare Sr Select - Value Rx (Cost)	06	18		1			H4564	015	0	2011	Central Texas		2		2				2							www.swhp.org	www.swhp.org	(866)-334-3141		(254)-298-3141		(800)-782-5068		(254)-298-3366		(866)-334-3141		(254)-298-3141		(866)-334-3141		(254)-298-3141		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		(800)-735-2989		1
H4590	010	0	1	01	01	H4590_010_0	4	06/01/2010	2011.01	06/01/2010 05:37:18 PM Central Daylight Time	08/19/2010 08:01:10 PM Central Daylight Time	08/18/2010 04:47:55 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H4590	010	0	2011	San Antonio Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4590	012	0	1	01	01	H4590_012_0	7	08/10/2010	2011.01	08/10/2010 09:16:39 AM Central Daylight Time	08/19/2010 08:01:26 PM Central Daylight Time	08/18/2010 04:48:00 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H4590	012	0	2011	Dallas/Fort Worth Metroplex		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4590	020	0	1	01	01	H4590_020_0	4	08/19/2010	2011.01	08/19/2010 02:25:04 PM Central Daylight Time	08/19/2010 08:01:41 PM Central Daylight Time	08/18/2010 04:32:38 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H4590	020	0	2011	Dallas-Fort Worth Metroplex		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4590	022	0	1	01	01	H4590_022_0	4	08/19/2010	2011.01	08/19/2010 02:25:17 PM Central Daylight Time	08/19/2010 08:01:56 PM Central Daylight Time	08/18/2010 04:32:44 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H4590	022	0	2011	San Antonio Area		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4590	025	0	1	01	01	H4590_025_0	4	06/01/2010	2011.01	06/01/2010 10:16:22 AM Central Daylight Time	08/19/2010 08:02:12 PM Central Daylight Time	08/18/2010 04:48:04 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete (HMO)	01	01		1			H4590	025	0	2011	Corpus Christi Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4590	027	0	1	01	01	H4590_027_0	1	06/01/2010	2011.01	06/01/2010 02:42:47 PM Central Daylight Time	06/01/2010 06:18:47 PM Central Daylight Time			06/04/2010 09:42:45 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H4590	027	0	2011	Dallas/Ft Worth Metroplex		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H4590	029	0	1	01	01	H4590_029_0	1	06/01/2010	2011.01	06/01/2010 03:36:01 PM Central Daylight Time	06/01/2010 06:19:55 PM Central Daylight Time			06/04/2010 09:42:45 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H4590	029	0	2011	San Antonio Area		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H4590	033	0	1	01	01	H4590_033_0	4	08/19/2010	2011.01	08/19/2010 02:25:30 PM Central Daylight Time	08/19/2010 08:02:29 PM Central Daylight Time	08/18/2010 04:32:50 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H4590	033	0	2011	Corpus Christi Area		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4590	037	0	1	01	01	H4590_037_0	4	06/03/2010	2011.01	06/03/2010 06:45:34 PM Central Daylight Time	08/19/2010 08:02:44 PM Central Daylight Time	08/18/2010 04:32:55 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan MH (HMO SNP)	01	01		1			H4590	037	0	2011	San Antonio Area		2		2				1	4		1		00011010000000000000	www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(866)-846-2762		(866)-846-2762		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4590	801	0	1	01	01	H4590_801_0	1	05/27/2010	2011.01	05/27/2010 09:34:48 AM Central Daylight Time	06/01/2010 06:05:56 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4590	801	0	2011	TX Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548										(711)		(711)		(711)		(711)										1
H4590	803	0	1	01	01	H4590_803_0	1	05/27/2010	2011.01	05/27/2010 09:34:59 AM Central Daylight Time	06/01/2010 06:06:33 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4590	803	0	2011	TX Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4590	804	0	1	01	01	H4590_804_0	1	05/27/2010	2011.01	05/27/2010 09:35:13 AM Central Daylight Time	06/01/2010 06:06:53 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF TEXAS, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4590	804	0	2011	TX Employer Sponsored Plan Service Area		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(888)-864-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4604	003	0	1	02	01	H4604_003_0	4	06/03/2010	2011.01	06/03/2010 04:29:31 PM Central Daylight Time	08/19/2010 06:40:11 PM Central Daylight Time	08/18/2010 04:48:09 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H4604	003	0	2011	Select counties in Utah		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4604	005	0	1	02	01	H4604_005_0	1	06/03/2010	2011.01	06/03/2010 04:30:43 PM Central Daylight Time	06/03/2010 01:23:03 PM Central Daylight Time			06/03/2010 08:17:34 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H4604	005	0	2011	Select counties in Utah		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H4604	006	0	1	01	01	H4604_006_0	4	06/01/2010	2011.01	06/01/2010 07:18:45 PM Central Daylight Time	08/19/2010 06:40:37 PM Central Daylight Time	08/18/2010 04:33:00 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H4604	006	0	2011	Salt Lake and Ogden Surrounding Counties		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4604	010	0	1	02	01	H4604_010_0	5	06/04/2010	2011.01	06/04/2010 01:52:15 PM Central Daylight Time	08/19/2010 06:41:26 PM Central Daylight Time	08/18/2010 04:48:14 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H4604	010	0	2011	Tooele County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4604	801	0	1	01	01	H4604_801_0	1	05/25/2010	2011.01	05/25/2010 08:40:45 AM Central Daylight Time	06/03/2010 03:23:16 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4604	801	0	2011	Salt Lake and Surrounding Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4604	803	0	1	01	01	H4604_803_0	1	05/25/2010	2011.01	05/25/2010 08:40:50 AM Central Daylight Time	06/03/2010 03:23:00 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4604	803	0	2011	Select Counties In UT		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4604	805	0	1	01	01	H4604_805_0	1	05/25/2010	2011.01	05/25/2010 08:40:55 AM Central Daylight Time	06/03/2010 03:22:45 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H4604	805	0	2011	Select counties in UT		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4604	806	0	1	02	01	H4604_806_0	1	05/27/2010	2011.01	05/27/2010 08:29:14 AM Central Daylight Time	06/03/2010 03:22:30 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4604	806	0	2011	Select counties in UT		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4604	807	0	1	02	01	H4604_807_0	1	05/27/2010	2011.01	05/27/2010 08:29:35 AM Central Daylight Time	06/03/2010 03:22:14 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4604	807	0	2011	Select counties in UT		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4604	808	0	1	02	01	H4604_808_0	1	05/27/2010	2011.01	05/27/2010 08:29:59 AM Central Daylight Time	06/03/2010 03:21:57 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF UTAH, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4604	808	0	2011	Select counties in UT		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4605	001	0	1	04	01	H4605_001_0	5	08/09/2010	2011.01	08/09/2010 11:24:31 AM Mountain Daylight Time	07/27/2010 01:32:28 PM Pacific Daylight Time			08/10/2010 02:49:47 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.regence.com/UT/products/medicare	Regence MedAdvantage (PPO)	01	04		1			H4605	001	0	2011	Select Counties in Utah		2		2				2						www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H4605	002	0	1	04	01	H4605_002_0	6	08/09/2010	2011.01	08/09/2010 11:24:53 AM Mountain Daylight Time	08/20/2010 04:09:07 PM Pacific Daylight Time	08/19/2010 02:33:45 PM Pacific Daylight Time		08/20/2010 04:46:30 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.regence.com/UT/products/medicare	Regence MedAdvantage + Rx Classic (PPO)	01	04		1			H4605	002	0	2011	Select Counties in Utah		2		2				2						www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H4605	004	0	1	04	01	H4605_004_0	6	08/09/2010	2011.01	08/09/2010 11:26:12 AM Mountain Daylight Time	08/20/2010 04:09:42 PM Pacific Daylight Time	08/19/2010 02:33:07 PM Pacific Daylight Time		08/20/2010 04:49:37 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.regence.com/UT/products/medicare	Regence MedAdvantage + Rx Enhanced (PPO)	01	04		1			H4605	004	0	2011	Select Counties in Utah		2		2				2						www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H4605	801	0	1	04	01	H4605_801_0	3	08/03/2010	2011.01	08/03/2010 11:00:36 AM Mountain Daylight Time	06/04/2010 02:14:03 PM Pacific Daylight Time			08/03/2010 03:13:22 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.regence.com/UT/products/medicare	Regence MedAdvantage (PPO)	01	04		1			H4605	801	0	2011	Nationwide except territories		1		2				2						www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H4605	802	0	1	04	01	H4605_802_0	3	08/03/2010	2011.01	08/03/2010 11:01:20 AM Mountain Daylight Time	06/04/2010 02:14:18 PM Pacific Daylight Time			08/03/2010 03:15:22 PM Pacific Daylight Time	REGENCE BLUECROSS BLUESHIELD OF UT	Regence BlueCross BlueShield of Utah	www.regence.com/UT/products/medicare	Regence MedAdvantage + Rx (PPO)	01	04		1			H4605	802	0	2011	Nationwide except territories		1		2				2						www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	www.regence.com/UT/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H4606	001	0	1	04	01	H4606_001_0	4	08/20/2010	2011.01	08/20/2010 01:47:48 PM Eastern Daylight Time	08/20/2010 01:30:50 PM Eastern Daylight Time	08/20/2010 04:16:00 PM Eastern Daylight Time		08/21/2010 08:27:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4606-001 (PPO)	01	04		1			H4606	001	0	2011	Salt Lake City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4606	006	0	1	04	01	H4606_006_0	3	06/07/2010	2011.01	06/07/2010 01:14:23 PM Eastern Daylight Time	07/26/2010 11:34:26 AM Eastern Daylight Time			07/26/2010 04:23:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4606-006 (PPO)	01	04		1			H4606	006	0	2011	Salt Lake City Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H4738	001	0	1	04	01	H4738_001_0	4	06/29/2010	2011.01	06/29/2010 04:03:17 PM Eastern Daylight Time	08/13/2010 02:08:28 PM Eastern Daylight Time			08/16/2010 09:33:46 AM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	America's 1st Choice Health Plans, Inc.	www.americas1stchoice.com	Ambassador (PPO)	01	04		1			H4738	001	0	2011	Select Counties in SC		2	126	2				2						www.americas1stchoice.com	www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583										1
H4738	002	0	1	04	01	H4738_002_0	6	08/23/2010	2011.01	08/23/2010 11:54:20 AM Eastern Daylight Time	08/22/2010 03:12:33 PM Eastern Daylight Time	08/22/2010 03:13:55 PM Eastern Daylight Time		08/23/2010 02:28:09 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	America's 1st Choice Health Plans, Inc.	www.americas1stchoice.com	Ambassador Plus (PPO)	01	04		1			H4738	002	0	2011	Select Counties in SC		2	505	2				2						www.americas1stchoice.com	www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		1
H4754	001	0	1	04	01	H4754_001_0	7	08/31/2010	2011.01	08/31/2010 07:16:21 AM Pacific Daylight Time	08/23/2010 01:50:02 PM Pacific Daylight Time	08/23/2010 09:16:20 AM Pacific Daylight Time		08/31/2010 07:21:25 AM Pacific Daylight Time	CLEAR ONE HEALTH PLANS, INC.	Clear One Health Plans	www.clearonehp.com	Clear One Explorer + Rx Plan (PPO)	01	04		1			H4754	001	0	2011	Deschutes and Crook Counties		2	200	2				2						www.clearonehp.com	www.clearchoicehp.com/MedicareRxList	https.//pharmacy.express-scripts.com/esi_pharmacy/user_login	(888)-863-3637		(541)-385-5315		(888)-863-3637		(541)-385-5315		(800)-570-1673		(800)-570-1673		(888)-863-3637		(541)-385-5315		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H4785	001	0	1	09	04	H4785_001_0	6	08/20/2010	2011.01	08/20/2010 01:45:17 PM Eastern Daylight Time	08/20/2010 01:55:28 PM Eastern Daylight Time	08/20/2010 04:16:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Gold Choice H4785-001 (PFFS)	04	09	1	1			H4785	001	0	2011	Select Parishes in Louisiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4785	003	0	1	09	04	H4785_003_0	2	05/28/2010	2011.01	05/28/2010 03:12:17 PM Eastern Daylight Time	07/26/2010 01:44:24 PM Eastern Daylight Time			07/26/2010 06:33:32 PM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Gold Choice H4785-003 (PFFS)	04	09	1	1			H4785	003	0	2011	Select Parishes in Louisiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H4785	801	0	1	09	04	H4785_801_0	2	06/05/2010	2011.01	06/05/2010 09:36:17 AM Eastern Daylight Time	06/03/2010 12:36:28 PM Eastern Daylight Time			06/05/2010 10:46:55 AM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	1	1			H4785	801	0	2011	Select Parishes in Louisiana		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H4785	802	0	1	09	04	H4785_802_0	2	06/05/2010	2011.01	06/05/2010 09:41:20 AM Eastern Daylight Time	06/03/2010 12:39:50 PM Eastern Daylight Time			06/05/2010 10:46:55 AM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	1	1			H4785	802	0	2011	Select Parishes in Louisiana		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H4785	803	0	1	09	04	H4785_803_0	2	06/05/2010	2011.01	06/05/2010 09:41:31 AM Eastern Daylight Time	06/03/2010 12:40:14 PM Eastern Daylight Time			06/05/2010 10:46:55 AM Eastern Daylight Time	HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.	Humana Health Benefit Plan of LA, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	1	1			H4785	803	0	2011	Select Parishes in Louisiana		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H4837	001	0	1	01	01	H4837_001_0	6	08/20/2010	2011.01	08/20/2010 04:54:22 PM Central Daylight Time	08/19/2010 06:10:07 PM Central Daylight Time	08/18/2010 04:33:05 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN	UnitedHealthcare Personal Care Plus	www.americhoice.com	UnitedHealthcare Dual Complete (HMO SNP)	01	01		1			H4837	001	0	2011	Milwaukee County		2		2		2		1	3		1	3		www.americhoice.com	www.americhoice.com	www.prescriptionsolutions.com	(800)-396-1942		(800)-396-1942		(888)-565-8170		(888)-565-8170		(800)-396-1942		(800)-396-1942		(866)-825-6083		(866)-825-6083		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4866	002	0	1	01	01	H4866_002_0	7	08/30/2010	2011.01	08/30/2010 01:02:11 PM Eastern Daylight Time	08/19/2010 05:00:00 PM Eastern Daylight Time	08/19/2010 05:00:00 PM Eastern Daylight Time		08/30/2010 07:29:57 PM Eastern Daylight Time	CUATRO LLC	CUATRO LLC	cuatromedicare.com	Access Medicare Platinum (HMO)	01	01		1			H4866	002	0	2011	Access Medicare - NY, Bx, Qns		2	3248	2				2							Not available as of yet	https://www.prescriptionsolutions.com/pdpclientpharmacy/pharmacylocatorclient.asp?var=PDPNTWKinfoid	(888)-662-8287		(718)-592-5250		(888)-662-8287		(718)-592-5250		(888)-662-8287		(718)-592-5250		(888)-662-8287		(718)-592-5250		(888)-662-8287		(914)-555-5555		(888)-662-8287		(914)-555-5555		(888)-662-8287		(914)-555-5555		(888)-662-8287		(914)-555-5555		1
H4875	011	0	1	04	01	H4875_011_0	7	08/06/2010	2011.01	08/06/2010 01:54:00 PM Eastern Daylight Time	08/19/2010 04:15:12 PM Eastern Daylight Time	08/19/2010 02:09:44 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Select (PPO)	01	04		1			H4875	011	0	2011	Allegan, Barry, Kent, Newaygo, Ottawa, MI counties		2	33	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H4875	012	0	1	04	01	H4875_012_0	6	08/06/2010	2011.01	08/06/2010 01:59:50 PM Eastern Daylight Time	08/19/2010 04:15:40 PM Eastern Daylight Time	08/19/2010 02:10:26 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Select (PPO)	01	04		1			H4875	012	0	2011	11 West and NW MI co. and St Clair co.		2	29	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H4875	013	0	1	04	01	H4875_013_0	6	08/06/2010	2011.01	08/06/2010 01:59:51 PM Eastern Daylight Time	08/19/2010 04:16:08 PM Eastern Daylight Time	08/19/2010 02:11:06 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Select (PPO)	01	04		1			H4875	013	0	2011	9 NW MI co., 1 central MI co., and 3 SE MI co.		2	10	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H4875	014	0	1	04	01	H4875_014_0	6	08/06/2010	2011.01	08/06/2010 01:59:52 PM Eastern Daylight Time	08/19/2010 04:16:34 PM Eastern Daylight Time	08/19/2010 02:12:20 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Select (PPO)	01	04		1			H4875	014	0	2011	Emmet, Jackson, Kalkaska, Roscommon, MI counties		2	3	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H4875	015	0	1	04	01	H4875_015_0	6	08/06/2010	2011.01	08/06/2010 01:59:54 PM Eastern Daylight Time	08/19/2010 04:17:02 PM Eastern Daylight Time	08/19/2010 02:12:50 PM Eastern Daylight Time		08/20/2010 03:29:16 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Select (PPO)	01	04		1			H4875	015	0	2011	Macomb, Oakland, Washtenaw, Wayne, MI counties		2	8	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H4875	801	0	1	04	01	H4875_801_0	5	07/26/2010	2011.01	07/26/2010 03:24:10 PM Eastern Daylight Time	06/07/2010 01:49:54 PM Eastern Daylight Time			07/27/2010 03:16:08 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Choice EG Non-Calendar Year (PPO)	01	04		1			H4875	801	0	2011	State of Michigan		1	3	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H4875	802	0	1	04	01	H4875_802_0	3	07/26/2010	2011.01	07/26/2010 03:26:34 PM Eastern Daylight Time	06/07/2010 01:50:12 PM Eastern Daylight Time			07/27/2010 03:16:08 PM Eastern Daylight Time	PRIORITY HEALTH	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Choice EG Calendar Year (PPO)	01	04		1			H4875	802	0	2011	State of Michigan		1	3	2				2						www.prioritymedicare.com	http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf	(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
H4908	005	0	1	04	01	H4908_005_0	5	08/13/2010	2011.01	08/13/2010 03:09:11 PM Eastern Daylight Time	08/13/2010 08:39:48 PM Eastern Daylight Time			08/13/2010 08:47:32 PM Eastern Daylight Time	OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare	www.optimahealth.com	Optima Medicare Value (PPO)	01	04		1			H4908	005	0	2011	Optima Medicare Value		2	2079	2				2						www.optimahealth.com	www.optimahealth.com/OptimaHealth/Members/Unsecured/Resources/Pages/OptimaMedicareDrugList.htm	www.optimahealth.com	(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160										(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120										1
H4908	006	0	1	04	01	H4908_006_0	6	08/23/2010	2011.01	08/23/2010 01:33:13 PM Eastern Daylight Time	08/23/2010 11:27:32 AM Eastern Daylight Time	08/19/2010 11:37:13 AM Eastern Daylight Time		08/23/2010 01:34:21 PM Eastern Daylight Time	OPTIMA HEALTH INSURANCE COMPANY	Optima Medicare	www.optimahealth.com	Optima Medicare Value Plus (PPO)	01	04		1			H4908	006	0	2011	Optima Medicare Value Plus		2	2079	2				2						www.optimahealth.com	www.optimahealth.com/OptimaHealth/Members/Unsecured/Resources/Pages/OptimaMedicareDrugList.htm	www.optimahealth.com	(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-927-6048		(757)-687-6160		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		(800)-225-7784		(757)-552-7120		1
H4909	001	0	1	04	01	H4909_001_0	10	08/23/2010	2011.01	08/23/2010 09:18:03 PM Eastern Daylight Time	08/24/2010 09:22:49 AM Eastern Daylight Time	08/24/2010 09:16:14 AM Eastern Daylight Time		08/24/2010 09:42:33 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H4909	001	0	2011	Select Counties in Virginia		2	1701	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-797-5937		(800)-797-5937		(866)-827-9866		(866)-827-9866		(800)-797-5937		(800)-797-5937		(800)-828-1120		(800)-828-1120		(800)-241-6894		(800)-241-6894		(800)-828-1120		(800)-828-1120		(800)-241-6894		(800)-241-6894		1
H4909	004	0	1	04	01	H4909_004_0	9	08/23/2010	2011.01	08/23/2010 03:44:24 PM Eastern Daylight Time	08/24/2010 09:23:20 AM Eastern Daylight Time	08/24/2010 09:16:25 AM Eastern Daylight Time		08/24/2010 09:42:33 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Premier (PPO)	01	04		1			H4909	004	0	2011	Select Counties in Virginia		2	1397	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-797-5937		(800)-797-5937		(866)-827-9866		(866)-827-9866		(800)-797-5937		(800)-797-5937		(800)-828-1120		(800)-828-1120		(800)-241-6894		(800)-241-6894		(800)-828-1120		(800)-828-1120		(800)-241-6894		(800)-241-6894		1
H4909	007	0	1	04	01	H4909_007_0	6	08/23/2010	2011.01	08/23/2010 10:02:23 AM Eastern Daylight Time	08/07/2010 12:03:04 AM Eastern Daylight Time			08/26/2010 05:14:49 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	https://www.anthem.com/medicare	Anthem Medicare Preferred Classic (PPO)	01	04		1			H4909	007	0	2011	Select Counties in Virginia		2	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-797-5937		(800)-797-5937										(800)-828-1120		(800)-828-1120		(800)-241-6894		(800)-241-6894										1
H4909	804	0	1	04	01	H4909_804_0	5	08/20/2010	2011.01	08/20/2010 02:46:03 PM Eastern Daylight Time	07/22/2010 08:01:32 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4909	804	0	2011	Virginia		1	1161	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H4909	805	0	1	04	01	H4909_805_0	5	08/20/2010	2011.01	08/20/2010 02:46:41 PM Eastern Daylight Time	07/22/2010 08:02:45 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4909	805	0	2011	Virginia		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H4909	806	0	1	04	01	H4909_806_0	5	08/20/2010	2011.01	08/20/2010 02:46:52 PM Eastern Daylight Time	07/22/2010 08:03:55 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4909	806	0	2011	Virginia		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H4909	807	0	1	04	01	H4909_807_0	5	08/20/2010	2011.01	08/20/2010 02:47:01 PM Eastern Daylight Time	07/22/2010 08:05:00 PM Eastern Daylight Time			08/20/2010 02:58:49 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF VIRGINIA, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H4909	807	0	2011	Virginia		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-827-9866		(866)-827-9866		(800)-916-2583		(800)-916-2583										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H4910	005	0	1	01	01	H4910_005_0	3	08/02/2010	2011.01	08/02/2010 01:11:48 PM Central Daylight Time	08/19/2010 01:24:39 PM Central Daylight Time	08/19/2010 01:01:46 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H4910	005	0	2011	Fairfax County and Surrounding Area		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4910	801	0	1	01	01	H4910_801_0	1	05/11/2010	2011.01	05/11/2010 11:02:11 AM Eastern Daylight Time	06/03/2010 09:47:23 AM Eastern Daylight Time			06/04/2010 03:00:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H4910	801	0	2011	Virginia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H4910	802	0	1	01	01	H4910_802_0	1	05/11/2010	2011.01	05/11/2010 11:04:35 AM Eastern Daylight Time	06/03/2010 09:50:16 AM Eastern Daylight Time			06/04/2010 03:00:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H4910	802	0	2011	Virginia		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H4956	001	0	1	04	01	H4956_001_0	5	08/20/2010	2011.01	08/20/2010 01:46:03 PM Eastern Daylight Time	08/20/2010 01:48:28 PM Eastern Daylight Time	08/20/2010 04:16:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4956-001 (PPO)	01	04		1			H4956	001	0	2011	Gulf Coast / Biloxi Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4956	002	0	1	04	01	H4956_002_0	4	08/20/2010	2011.01	08/20/2010 01:46:26 PM Eastern Daylight Time	08/20/2010 01:47:50 PM Eastern Daylight Time	08/20/2010 04:16:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4956-002 (PPO)	01	04		1			H4956	002	0	2011	Select Mississippi Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-281-6918		(800)-281-6918		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4956	003	0	1	04	01	H4956_003_0	4	08/21/2010	2011.01	08/21/2010 10:26:55 AM Eastern Daylight Time	08/20/2010 05:12:06 PM Eastern Daylight Time	08/20/2010 04:16:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4956-003 (PPO)	01	04		1			H4956	003	0	2011	Grenada, Lafayette and Yalobusha Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-281-6918		(800)-281-6918		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4956	004	0	1	04	01	H4956_004_0	4	08/20/2010	2011.01	08/20/2010 04:48:24 PM Eastern Daylight Time	08/20/2010 01:50:08 PM Eastern Daylight Time	08/20/2010 04:16:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H4956-004 (PPO)	01	04		1			H4956	004	0	2011	Lowndes and Winston Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-281-6918		(800)-281-6918		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4971	001	0	1	02	01	H4971_001_0	5	06/05/2010	2011.01	06/05/2010 04:17:44 PM Central Daylight Time	08/19/2010 01:33:58 PM Central Daylight Time	08/18/2010 04:48:19 PM Central Daylight Time		08/20/2010 05:12:50 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Plus (HMO-POS)	01	02		1			H4971	001	0	2011	Allegan, Kent and Ottawa Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4971	801	0	1	02	01	H4971_801_0	1	05/27/2010	2011.01	05/27/2010 09:35:50 AM Central Daylight Time	06/01/2010 11:31:54 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4971	801	0	2011	Allegan, Kent, and Ottawa Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H4971	802	0	1	02	01	H4971_802_0	1	05/27/2010	2011.01	05/27/2010 09:35:56 AM Central Daylight Time	06/01/2010 11:32:14 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4971	802	0	2011	Allegan, Kent, and Ottawa Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H4971	803	0	1	02	01	H4971_803_0	1	05/27/2010	2011.01	05/27/2010 09:36:06 AM Central Daylight Time	06/01/2010 11:32:30 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H4971	803	0	2011	Allegan, Kent and Ottawa Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5005	001	0	1	01	01	H5005_001_0	5	06/03/2010	2011.01	06/03/2010 06:47:51 PM Central Daylight Time	08/19/2010 05:55:21 PM Central Daylight Time	08/18/2010 04:48:25 PM Central Daylight Time		08/20/2010 03:04:42 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H5005	001	0	2011	King, Lewis, Pierce, Thurston Counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5005	010	0	1	01	01	H5005_010_0	6	08/02/2010	2011.01	08/02/2010 01:52:19 PM Central Daylight Time	08/19/2010 05:55:00 PM Central Daylight Time	08/18/2010 04:48:30 PM Central Daylight Time		08/20/2010 03:04:42 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H5005	010	0	2011	Clark County		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5005	011	0	1	01	01	H5005_011_0	6	08/02/2010	2011.01	08/02/2010 01:53:57 PM Central Daylight Time	08/19/2010 05:54:37 PM Central Daylight Time	08/18/2010 04:48:35 PM Central Daylight Time		08/20/2010 03:04:42 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H5005	011	0	2011	Island and Snohomish Counties		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5005	018	0	1	01	01	H5005_018_0	2	06/03/2010	2011.01	06/03/2010 10:20:22 AM Central Daylight Time	07/19/2010 01:11:25 PM Central Daylight Time			07/21/2010 01:57:19 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Essential (HMO)	01	01		1			H5005	018	0	2011	Select Counties in Western Washington		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H5005	019	0	1	01	01	H5005_019_0	5	07/29/2010	2011.01	07/29/2010 01:25:35 PM Central Daylight Time	08/19/2010 05:54:14 PM Central Daylight Time	08/18/2010 04:48:39 PM Central Daylight Time		08/20/2010 03:04:42 PM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 3 (HMO)	01	01		1			H5005	019	0	2011	Select Counties in Western Washington		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5005	801	0	1	01	01	H5005_801_0	1	05/27/2010	2011.01	05/27/2010 09:47:16 AM Central Daylight Time	06/01/2010 04:24:43 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5005	801	0	2011	WA Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H5005	803	0	1	01	01	H5005_803_0	1	05/27/2010	2011.01	05/27/2010 09:47:07 AM Central Daylight Time	06/01/2010 04:24:10 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5005	803	0	2011	WA Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5005	804	0	1	01	01	H5005_804_0	1	05/27/2010	2011.01	05/27/2010 09:46:56 AM Central Daylight Time	06/01/2010 04:23:30 PM Central Daylight Time			06/04/2010 09:18:03 AM Central Daylight Time	PACIFICARE OF WASHINGTON, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5005	804	0	2011	WA Employer Sponsored Plan Service Area		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5006	014	1	1	09	04	H5006_014_1	2	07/26/2010	2011.01	07/26/2010 05:37:50 PM Pacific Daylight Time	07/26/2010 11:06:23 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option I (PFFS)	04	09	2	1			H5006	014	1	2011	Multi-State Area	Segment 1	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	014	2	1	09	04	H5006_014_2	2	07/26/2010	2011.01	07/26/2010 05:38:20 PM Pacific Daylight Time	07/26/2010 11:33:00 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option I (PFFS)	04	09	2	1			H5006	014	2	2011	Multi-State Area	Segment 2	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	014	3	1	09	04	H5006_014_3	2	07/26/2010	2011.01	07/26/2010 05:38:21 PM Pacific Daylight Time	07/26/2010 11:35:11 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option I (PFFS)	04	09	2	1			H5006	014	3	2011	Multi-State Area	Segment 3	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	014	4	1	09	04	H5006_014_4	2	07/26/2010	2011.01	07/26/2010 05:38:23 PM Pacific Daylight Time	07/26/2010 11:36:52 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option I (PFFS)	04	09	2	1			H5006	014	4	2011	Multi-State Area	Segment 4	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	014	5	1	09	04	H5006_014_5	2	07/26/2010	2011.01	07/26/2010 05:39:17 PM Pacific Daylight Time	07/26/2010 11:38:14 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option I (PFFS)	04	09	2	1			H5006	014	5	2011	Multi-State Area	Segment 5	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	017	4	1	09	04	H5006_017_4	4	08/16/2010	2011.01	08/16/2010 04:22:10 PM Pacific Daylight Time	08/16/2010 05:01:19 PM Pacific Daylight Time	08/16/2010 02:27:31 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option II (PFFS)	04	09	2	1			H5006	017	4	2011	Multi-State Area	Segment 1	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5006	017	5	1	09	04	H5006_017_5	4	08/16/2010	2011.01	08/16/2010 04:18:40 PM Pacific Daylight Time	08/16/2010 05:05:07 PM Pacific Daylight Time	08/16/2010 02:27:58 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option II (PFFS)	04	09	2	1			H5006	017	5	2011	Multi-State Area	Segment 2	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5006	017	6	1	09	04	H5006_017_6	4	08/16/2010	2011.01	08/16/2010 04:18:41 PM Pacific Daylight Time	08/16/2010 05:06:47 PM Pacific Daylight Time	08/16/2010 02:28:43 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option II (PFFS)	04	09	2	1			H5006	017	6	2011	Multi-State Area	Segment 3	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5006	017	7	1	09	04	H5006_017_7	4	08/16/2010	2011.01	08/16/2010 04:18:42 PM Pacific Daylight Time	08/16/2010 05:08:21 PM Pacific Daylight Time	08/16/2010 02:29:09 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option II (PFFS)	04	09	2	1			H5006	017	7	2011	Multi-State Area	Segment 4	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5006	017	8	1	09	04	H5006_017_8	4	08/16/2010	2011.01	08/16/2010 04:18:43 PM Pacific Daylight Time	08/16/2010 05:10:13 PM Pacific Daylight Time	08/16/2010 02:29:33 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Option II (PFFS)	04	09	2	1			H5006	017	8	2011	Multi-State Area	Segment 5	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5006	018	4	1	09	04	H5006_018_4	3	07/26/2010	2011.01	07/26/2010 05:43:49 PM Pacific Daylight Time	07/26/2010 10:54:12 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Basic (PFFS)	04	09	2	1			H5006	018	4	2011	Multi-State Area	Segment 1	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	018	5	1	09	04	H5006_018_5	3	07/26/2010	2011.01	07/26/2010 05:44:11 PM Pacific Daylight Time	07/26/2010 10:57:20 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Basic (PFFS)	04	09	2	1			H5006	018	5	2011	Multi-State Area	Segment 2	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	018	6	1	09	04	H5006_018_6	3	07/26/2010	2011.01	07/26/2010 05:44:12 PM Pacific Daylight Time	07/26/2010 10:58:46 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Basic (PFFS)	04	09	2	1			H5006	018	6	2011	Multi-State Area	Segment 3	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	018	7	1	09	04	H5006_018_7	3	07/26/2010	2011.01	07/26/2010 05:44:14 PM Pacific Daylight Time	07/26/2010 11:00:08 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Basic (PFFS)	04	09	2	1			H5006	018	7	2011	Multi-State Area	Segment 4	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5006	018	8	1	09	04	H5006_018_8	3	07/26/2010	2011.01	07/26/2010 05:44:15 PM Pacific Daylight Time	07/26/2010 11:01:40 AM Pacific Daylight Time			07/26/2010 06:15:45 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Basic (PFFS)	04	09	2	1			H5006	018	8	2011	Multi-State Area	Segment 5	2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5007	001	0	1	20	08	H5007_001_0	1	05/19/2010	2011.01	05/19/2010 08:32:22 AM Pacific Daylight Time		05/19/2010 08:27:45 AM Pacific Daylight Time		05/19/2010 08:34:03 AM Pacific Daylight Time	PROVIDENCE HEALTH SYSTEM	Providence Health System	www.providence.org/longtermcare/elderplace	Providence ElderPlace - Seattle (PACE)	08	20		1			H5007	001	0	2011	Seattle - King County Washington		2		2				2							www.providence.org/longtermcare/elderplace	www.providence.org/longtermcare/elderplace									(206)-320-5325		(206)-320-5325		(206)-320-5325		(206)-320-5325										(206)-320-5325		(206)-320-5325		(206)-320-5325		(206)-320-5325		1
H5007	002	0	1	20	08	H5007_002_0	1	05/19/2010	2011.01	05/19/2010 08:32:35 AM Pacific Daylight Time		05/19/2010 08:27:45 AM Pacific Daylight Time		05/19/2010 08:34:03 AM Pacific Daylight Time	PROVIDENCE HEALTH SYSTEM	Providence Health System	www.providence.org/longtermcare/elderplace	Providence ElderPlace - Seattle (PACE)	08	20		1			H5007	002	0	2011	Seattle - King County Washington		2		2				2							www.providence.org/longtermcare/elderplace	www.providence.org/longtermcare/elderplace									(206)-320-5325		(206)-320-5325		(206)-320-5325		(206)-320-5325										(206)-320-5325		(206)-320-5325		(206)-320-5325		(206)-320-5325		1
H5008	001	0	1	01	01	H5008_001_0	4	06/09/2010	2011.01	06/09/2010 01:46:25 PM Central Daylight Time	08/19/2010 03:36:08 PM Central Daylight Time	08/18/2010 04:33:11 PM Central Daylight Time		08/20/2010 03:04:42 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH (HMO SNP)	01	01		1			H5008	001	0	2011	Seattle area and Spokane county		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5008	002	0	1	01	01	H5008_002_0	4	06/01/2010	2011.01	06/01/2010 07:19:00 PM Central Daylight Time	08/19/2010 03:35:52 PM Central Daylight Time	08/18/2010 04:33:18 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H5008	002	0	2011	Seattle area and Spokane county		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5009	001	0	1	04	01	H5009_001_0	4	08/09/2010	2011.01	08/09/2010 11:26:48 AM Mountain Daylight Time	06/04/2010 03:53:18 PM Pacific Daylight Time			08/10/2010 03:43:42 PM Pacific Daylight Time	REGENCE BLUESHIELD	Regence BlueShield	www.regence.com/WARBS/products/medicare	Regence MedAdvantage (PPO)	01	04		1			H5009	001	0	2011	Select Counties in Washington		2		2				2						www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H5009	002	0	1	04	01	H5009_002_0	7	08/09/2010	2011.01	08/09/2010 11:27:05 AM Mountain Daylight Time	08/20/2010 04:09:41 PM Pacific Daylight Time	08/19/2010 02:32:37 PM Pacific Daylight Time		08/20/2010 04:53:22 PM Pacific Daylight Time	REGENCE BLUESHIELD	Regence BlueShield	www.regence.com/WARBS/products/medicare	Regence MedAdvantage + Rx Classic (PPO)	01	04		1			H5009	002	0	2011	Select Counties in Washington		2		2				2						www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H5009	004	0	1	04	01	H5009_004_0	7	08/09/2010	2011.01	08/09/2010 11:28:14 AM Mountain Daylight Time	08/20/2010 04:09:42 PM Pacific Daylight Time	08/19/2010 02:32:00 PM Pacific Daylight Time		08/20/2010 04:56:20 PM Pacific Daylight Time	REGENCE BLUESHIELD	Regence BlueShield	www.regence.com/WARBS/products/medicare	Regence MedAdvantage + Rx Enhanced (PPO)	01	04		1			H5009	004	0	2011	Select Counties in Washington		2		2				2						www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H5009	801	0	1	04	01	H5009_801_0	3	08/03/2010	2011.01	08/03/2010 11:02:28 AM Mountain Daylight Time	06/04/2010 03:53:25 PM Pacific Daylight Time			08/03/2010 03:27:51 PM Pacific Daylight Time	REGENCE BLUESHIELD	Regence BlueShield	www.regence.com/WARBS/products/medicare	Regence MedAdvantage (PPO)	01	04		1			H5009	801	0	2011	Nationwide except territories		1		2				2						www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H5009	802	0	1	04	01	H5009_802_0	3	08/03/2010	2011.01	08/03/2010 11:07:16 AM Mountain Daylight Time	06/04/2010 03:53:27 PM Pacific Daylight Time			08/03/2010 03:30:26 PM Pacific Daylight Time	REGENCE BLUESHIELD	Regence BlueShield	www.regence.com/WARBS/products/medicare	Regence MedAdvantage + Rx (PPO)	01	04		1			H5009	802	0	2011	Nationwide except territories		1		2				2						www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	www.regence.com/WARBS/products/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H5010	001	0	1	04	01	H5010_001_0	4	08/09/2010	2011.01	08/09/2010 11:28:48 AM Mountain Daylight Time	06/04/2010 03:53:52 PM Pacific Daylight Time			08/10/2010 03:57:07 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/needCoverage/Medicare	Asuris TruAdvantage (PPO)	01	04		1			H5010	001	0	2011	Select Counties in Eastern Washington		2		2				2						www.asuris.com/needCoverage/Medicare	www.asuris.com/needCoverage/medicare	www.asuris.com/needCoverage/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000										1
H5010	002	0	1	04	01	H5010_002_0	7	08/09/2010	2011.01	08/09/2010 11:29:06 AM Mountain Daylight Time	08/20/2010 04:09:42 PM Pacific Daylight Time	08/19/2010 02:31:26 PM Pacific Daylight Time		08/20/2010 04:59:16 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/needCoverage/Medicare	Asuris TruAdvantage + Rx Classic (PPO)	01	04		1			H5010	002	0	2011	Select Counties in Eastern Washington		2		2				2						www.asuris.com/needCoverage/Medicare	www.asuris.com/needCoverage/medicare	www.asuris.com/needCoverage/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H5010	004	0	1	04	01	H5010_004_0	7	08/09/2010	2011.01	08/09/2010 11:29:58 AM Mountain Daylight Time	08/20/2010 04:09:42 PM Pacific Daylight Time	08/19/2010 02:28:28 PM Pacific Daylight Time		08/20/2010 05:02:25 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/needCoverage/Medicare	Asuris TruAdvantage + Rx Enhanced (PPO)	01	04		1			H5010	004	0	2011	Select Counties in Eastern Washington		2		2				2						www.asuris.com/needCoverage/Medicare	www.asuris.com/needCoverage/medicare	www.asuris.com/needCoverage/medicare	(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
H5016	001	0	1	04	01	H5016_001_0	8	08/10/2010	2011.01	08/10/2010 01:12:27 PM Pacific Daylight Time	08/23/2010 01:16:01 PM Pacific Daylight Time	08/19/2010 02:29:14 PM Pacific Daylight Time		08/23/2010 02:14:12 PM Pacific Daylight Time	PROVIDENCE HEALTH PLANS	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Open + RX (PPO)	01	04		1			H5016	001	0	2011	Portland Metro		2	4032	2				2						www.providence.org/healthplans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1
H5016	002	0	1	04	01	H5016_002_0	6	08/10/2010	2011.01	08/10/2010 01:13:04 PM Pacific Daylight Time	06/07/2010 01:15:00 PM Pacific Daylight Time			08/10/2010 04:25:34 PM Pacific Daylight Time	PROVIDENCE HEALTH PLANS	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Open (PPO)	01	04		1			H5016	002	0	2011	Portland Metro		2	456	2				2						www.providence.org/healthplans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1
H5037	001	0	1	20	08	H5037_001_0	1	05/20/2010	2011.01	05/20/2010 12:10:45 PM Eastern Daylight Time		05/20/2010 11:55:36 AM Eastern Daylight Time		05/20/2010 12:13:55 PM Eastern Daylight Time	MOUNTAIN EMPIRE OLDER CITIZENS, INCX.	Mountain Empire PACE	www.meoc.org	Mountain Empire PACE - Dual (PACE)	08	20		1			H5037	001	0	2011	Lee, Scott, Wise Counties and Norton City		2	80	2				2							www.meoc.org	www.meoc.org									(866)-793-7223		(276)-523-0599		(866)-793-7223		(276)-523-0599										(866)-793-7223		(276)-523-0599		(866)-793-7223		(276)-523-0599		1
H5037	002	0	1	20	08	H5037_002_0	1	05/20/2010	2011.01	05/20/2010 12:11:19 PM Eastern Daylight Time		05/20/2010 11:55:11 AM Eastern Daylight Time		05/20/2010 12:13:55 PM Eastern Daylight Time	MOUNTAIN EMPIRE OLDER CITIZENS, INCX.	Mountain Empire PACE	www.meoc.org	Mountain Empire PACE  - Medicare only (PACE)	08	20		1			H5037	002	0	2011	Lee, Scott, Wise Counties and Norton City		2	60	2				2							www.meoc.org	www.meoc.org									(866)-793-7223		(276)-523-0599		(866)-793-7223		(276)-523-0599										(866)-793-7223		(276)-523-0599		(866)-793-7223		(276)-523-0599		1
H5041	001	0	1	04	01	H5041_001_0	4	08/20/2010	2011.01	08/20/2010 01:27:18 PM Eastern Daylight Time	08/19/2010 06:23:36 PM Eastern Daylight Time	08/20/2010 04:16:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5041-001 (PPO)	01	04		1			H5041	001	0	2011	Charleston-Huntington Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H5041	002	0	1	04	01	H5041_002_0	5	08/20/2010	2011.01	08/20/2010 01:27:42 PM Eastern Daylight Time	08/19/2010 06:30:52 PM Eastern Daylight Time	08/20/2010 04:17:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5041-002 (PPO)	01	04		1			H5041	002	0	2011	Martinsburg Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H5042	001	0	1	04	01	H5042_001_0	6	08/10/2010	2011.01	08/10/2010 08:19:03 AM Eastern Daylight Time	08/19/2010 07:21:56 PM Eastern Daylight Time	08/19/2010 04:58:58 PM Eastern Daylight Time		08/23/2010 02:45:28 PM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Classic Rx (PPO)	01	04		1			H5042	001	0	2011	Capital, Central, Southern Tier  Hudson Valley NY		2	3381	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H5042	002	0	1	04	01	H5042_002_0	5	08/10/2010	2011.01	08/10/2010 08:19:37 AM Eastern Daylight Time	07/23/2010 05:39:27 PM Eastern Daylight Time			08/10/2010 08:49:38 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Core (PPO)	01	04		1			H5042	002	0	2011	Capital, Central, Southern Tier  Hudson Valley NY		2	133	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1
H5042	004	0	1	04	01	H5042_004_0	4	08/10/2010	2011.01	08/10/2010 08:19:26 AM Eastern Daylight Time	07/28/2010 08:47:35 AM Eastern Daylight Time			08/10/2010 08:49:38 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Classic (PPO)	01	04		1			H5042	004	0	2011	Capital, Central, Southern Tier, Hudson Valley NY		2	183	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1
H5042	005	0	1	04	01	H5042_005_0	7	08/10/2010	2011.01	08/10/2010 08:19:56 AM Eastern Daylight Time	08/19/2010 07:26:25 PM Eastern Daylight Time	08/19/2010 04:59:08 PM Eastern Daylight Time		08/23/2010 02:45:28 PM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Core Rx (PPO)	01	04		1			H5042	005	0	2011	Capital, Central, Southern Tier  Hudson Valley NY		2	475	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H5042	006	0	1	04	01	H5042_006_0	3	08/10/2010	2011.01	08/10/2010 08:20:10 AM Eastern Daylight Time	06/06/2010 04:03:02 PM Eastern Daylight Time			08/10/2010 08:49:38 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Prime (PPO)	01	04		1			H5042	006	0	2011	Capital, Central, Southern Tier  Hudson Valley NY		2	5	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1
H5042	007	0	1	04	01	H5042_007_0	5	08/10/2010	2011.01	08/10/2010 08:20:26 AM Eastern Daylight Time	08/19/2010 07:26:44 PM Eastern Daylight Time	08/19/2010 04:59:21 PM Eastern Daylight Time		08/23/2010 02:45:28 PM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Prime Rx (PPO)	01	04		1			H5042	007	0	2011	Capital, Central, Southern Tier  Hudson Valley NY		2	198	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H5042	801	0	1	04	01	H5042_801_0	2	06/07/2010	2011.01	06/07/2010 09:28:55 AM Eastern Daylight Time	06/06/2010 04:05:06 PM Eastern Daylight Time			06/07/2010 11:27:05 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare Rx (PPO)	01	04		1			H5042	801	0	2011	Upstate New York Region		1	265	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H5042	802	0	1	04	01	H5042_802_0	3	06/07/2010	2011.01	06/07/2010 09:23:57 AM Eastern Daylight Time	07/28/2010 08:47:33 AM Eastern Daylight Time			07/28/2010 09:57:52 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare Rx (PPO)	01	04		1			H5042	802	0	2011	Upstate New York Region		1	1565	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400		(888)-831-3039		(518)-641-3950		(888)-519-4455		(518)-641-3400		(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000		(866)-236-1069		(518)-641-4000		(877)-261-1164		(518)-641-4000		1
H5042	803	0	1	04	01	H5042_803_0	2	06/07/2010	2011.01	06/07/2010 09:25:03 AM Eastern Daylight Time	06/06/2010 04:07:10 PM Eastern Daylight Time			06/07/2010 11:27:05 AM Eastern Daylight Time	CDPHP UNIVERSAL BENEFITS, INC.	CDPHP Medicare Choices	www.cdphp.com	CDPHP Group Medicare (PPO)	01	04		1			H5042	803	0	2011	Upstate New York Region		1	23	2				2						www.cdphp.com	http://www.cdphp.com/medicare	http://www.cdphp.com/medicare	(888)-248-6522		(518)-641-3950		(888)-519-4455		(518)-641-3400										(877)-261-1164		(518)-641-4000		(877)-261-1164		(518)-641-4000										1
H5050	001	0	1	01	01	H5050_001_0	5	08/04/2010	2011.01	08/04/2010 12:21:24 PM Pacific Daylight Time	06/06/2010 08:12:42 PM Pacific Daylight Time			08/05/2010 09:19:22 AM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Cooperative Clear Care Basic (HMO)	01	01		1			H5050	001	0	2011	All Counties Served by Group Health Cooperative		2	9939	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882										(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388										1
H5050	004	0	1	01	01	H5050_004_0	7	08/10/2010	2011.01	08/10/2010 08:21:31 AM Pacific Daylight Time	08/20/2010 07:48:53 AM Pacific Daylight Time	08/20/2010 07:48:59 AM Pacific Daylight Time		08/20/2010 09:43:02 AM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Cooperative Clear Care Optimal (HMO)	01	01		1			H5050	004	0	2011	All Counties Served by Group Health Cooperative		2	8519	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1
H5050	009	0	1	01	01	H5050_009_0	7	08/04/2010	2011.01	08/04/2010 12:21:49 PM Pacific Daylight Time	08/20/2010 07:49:06 AM Pacific Daylight Time	08/20/2010 07:49:11 AM Pacific Daylight Time		08/20/2010 09:43:02 AM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Cooperative Clear Care Essential (HMO)	01	01		1			H5050	009	0	2011	All Counties Served by Group Health Cooperative		2	10844	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1
H5050	012	0	1	01	01	H5050_012_0	6	08/04/2010	2011.01	08/04/2010 12:22:01 PM Pacific Daylight Time	08/20/2010 07:49:25 AM Pacific Daylight Time	08/20/2010 07:49:18 AM Pacific Daylight Time		08/20/2010 09:43:02 AM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Cooperative Clear Care Sound (HMO SNP)	01	01		1			H5050	012	0	2011	King/Pierce		2	1447	2				1	4		1		00000010000000000000	www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1
H5050	013	0	1	01	01	H5050_013_0	6	08/04/2010	2011.01	08/04/2010 12:22:13 PM Pacific Daylight Time	08/20/2010 07:49:26 AM Pacific Daylight Time	08/20/2010 07:49:25 AM Pacific Daylight Time		08/20/2010 09:43:02 AM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Cooperative Clear Care Vital (HMO)	01	01		1			H5050	013	0	2011	All Counties Served by Group Health		2	7599	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1
H5050	801	0	1	01	01	H5050_801_0	4	08/04/2010	2011.01	08/04/2010 12:23:05 PM Pacific Daylight Time	06/06/2010 08:13:28 PM Pacific Daylight Time			08/05/2010 11:22:19 AM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Cooperative Clear Care Employer Group (HMO)	01	01		1			H5050	801	0	2011	All Counties Served by Group Health Cooperative		1	18734	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882										(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388										1
H5050	802	0	1	01	01	H5050_802_0	5	08/04/2010	2011.01	08/04/2010 12:23:19 PM Pacific Daylight Time	06/06/2010 08:13:38 PM Pacific Daylight Time			08/05/2010 11:22:19 AM Pacific Daylight Time	GROUP HEALTH COOPERATIVE	Group Health Cooperative	www.ghc.org/medicare	Group Health Clear Care Employer Group with Part D (HMO)	01	01		1			H5050	802	0	2011	All Counties Served by Group Health Cooperative		1	5428	2				2						www.ghc.org/medicare	www.ghc.org/health_plans/index.jhtml?reposid=/common/healthPlans/Medicare/aboutPartDFormulary.html	www.ghc.org	(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(888)-901-4600		(206)-901-4600		(800)-446-8882		(800)-446-8882		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		(800)-833-6388		1
H5087	001	0	1	01	01	H5087_001_0	8	08/24/2010	2011.01	08/24/2010 03:02:38 PM Pacific Daylight Time	08/23/2010 09:58:35 AM Pacific Daylight Time	08/20/2010 12:07:14 PM Pacific Daylight Time		08/24/2010 03:20:32 PM Pacific Daylight Time	EASY CHOICE HEALTH PLAN INC.	Easy Choice Health Plan	www.easychoicehealthplan.com	Easy Choice Freedom Plan (HMO SNP)	01	01		1			H5087	001	0	2011	L.A. County Dual		2	65400	2		2		1	3		1	3		easychoicehealthplan.com	easychoicehealthplan.com	easychoicehealthplan.com	(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5087	002	0	1	01	01	H5087_002_0	11	08/25/2010	2011.01	08/25/2010 11:51:34 AM Pacific Daylight Time	08/23/2010 09:58:35 AM Pacific Daylight Time	08/20/2010 12:07:14 PM Pacific Daylight Time		08/25/2010 11:53:09 AM Pacific Daylight Time	EASY CHOICE HEALTH PLAN INC.	Easy Choice Health Plan	www.easychoicehealthplan.com	Easy Choice Plus Plan (HMO)	01	01		1			H5087	002	0	2011	Orange County		2	21300	2				2						easychoicehealthplan.com	easychoicehealthplan.com	easychoicehealthplan.com	(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5087	005	0	1	01	01	H5087_005_0	16	08/30/2010	2011.01	08/30/2010 09:43:26 AM Pacific Daylight Time	08/20/2010 06:18:27 PM Pacific Daylight Time	08/20/2010 12:07:14 PM Pacific Daylight Time		08/30/2010 09:45:04 AM Pacific Daylight Time	EASY CHOICE HEALTH PLAN INC.	Easy Choice Health Plan	www.easychoicehealthplan.com	Easy Choice Best Plan (HMO)	01	01		1			H5087	005	0	2011	LA OC		2	42000	2				2						easychoicehealthplan.com	easychoicehealthplan.com	easychoicehealthplan.com	(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(866)-999-3945		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5106	013	0	1	04	01	H5106_013_0	10	08/27/2010	2011.01	08/27/2010 09:11:19 AM Eastern Daylight Time	08/20/2010 10:16:47 AM Eastern Daylight Time	08/20/2010 12:03:43 PM Eastern Daylight Time		08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO Standard (PPO)	01	04		1			H5106	013	0	2011	West Virginia Region 1 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(711)		(711)		(800)-855-1155		(800)-855-1155		(711)		(711)		1
H5106	014	0	1	04	01	H5106_014_0	10	08/27/2010	2011.01	08/27/2010 09:11:49 AM Eastern Daylight Time	08/20/2010 10:17:36 AM Eastern Daylight Time	08/20/2010 12:04:46 PM Eastern Daylight Time		08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO Deluxe (PPO)	01	04		1			H5106	014	0	2011	West Virginia Region 1 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(711)		(711)		(800)-855-1155		(800)-855-1155		(711)		(711)		1
H5106	015	0	1	04	01	H5106_015_0	9	08/27/2010	2011.01	08/27/2010 09:12:14 AM Eastern Daylight Time	08/20/2010 10:18:27 AM Eastern Daylight Time	08/20/2010 12:05:47 PM Eastern Daylight Time		08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO Standard (PPO)	01	04		1			H5106	015	0	2011	West Virginia Region 2 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(711)		(711)		(800)-855-1155		(800)-855-1155		(711)		(711)		1
H5106	016	0	1	04	01	H5106_016_0	9	08/27/2010	2011.01	08/27/2010 09:12:37 AM Eastern Daylight Time	08/20/2010 10:19:15 AM Eastern Daylight Time	08/20/2010 12:06:49 PM Eastern Daylight Time		08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO Deluxe (PPO)	01	04		1			H5106	016	0	2011	West Virginia Region 2 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(711)		(711)		(800)-855-1155		(800)-855-1155		(711)		(711)		1
H5106	017	0	1	04	01	H5106_017_0	10	08/27/2010	2011.01	08/27/2010 09:12:59 AM Eastern Daylight Time	08/13/2010 10:53:09 AM Eastern Daylight Time			08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO Value (PPO)	01	04		1			H5106	017	0	2011	West Virginia Region 1 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972										(800)-855-1155		(800)-855-1155		(711)		(711)										1
H5106	018	0	1	04	01	H5106_018_0	10	08/27/2010	2011.01	08/27/2010 09:13:20 AM Eastern Daylight Time	08/13/2010 10:53:43 AM Eastern Daylight Time			08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO Value (PPO)	01	04		1			H5106	018	0	2011	West Virginia Region 2 counties		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972										(800)-855-1155		(800)-855-1155		(711)		(711)										1
H5106	025	0	1	04	01	H5106_025_0	10	08/27/2010	2011.01	08/27/2010 09:13:42 AM Eastern Daylight Time	08/20/2010 10:20:02 AM Eastern Daylight Time	08/20/2010 12:07:51 PM Eastern Daylight Time		08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO HD (PPO)	01	04		1			H5106	025	0	2011	Region 1		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(711)		(711)		(800)-855-1155		(800)-855-1155		(711)		(711)		1
H5106	026	0	1	04	01	H5106_026_0	10	08/27/2010	2011.01	08/27/2010 09:14:05 AM Eastern Daylight Time	08/20/2010 10:20:46 AM Eastern Daylight Time	08/20/2010 12:08:58 PM Eastern Daylight Time		08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO HD (PPO)	01	04		1			H5106	026	0	2011	Region 2		2		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(711)		(711)		(800)-855-1155		(800)-855-1155		(711)		(711)		1
H5106	806	0	1	04	01	H5106_806_0	6	08/27/2010	2011.01	08/27/2010 09:43:43 AM Eastern Daylight Time	08/13/2010 10:02:00 AM Eastern Daylight Time			08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO MA-PDP WV Non-Calendar (PPO)	01	04		1			H5106	806	0	2011	ALL WV COUNTIES		1		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(711)		(711)		(800)-855-1155		(800)-855-1155		(711)		(711)		1
H5106	807	0	1	04	01	H5106_807_0	6	08/27/2010	2011.01	08/27/2010 09:44:36 AM Eastern Daylight Time	08/13/2010 10:02:57 AM Eastern Daylight Time			08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO MA WV (PPO)	01	04		1			H5106	807	0	2011	ALL WV COUNTIES		1		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972										(800)-855-1155		(800)-855-1155		(711)		(711)										1
H5106	808	0	1	04	01	H5106_808_0	6	08/27/2010	2011.01	08/27/2010 09:45:08 AM Eastern Daylight Time	08/13/2010 10:03:52 AM Eastern Daylight Time			08/27/2010 10:20:59 AM Eastern Daylight Time	HIGHMARK HEALTH INSURANCE COMPANY	Highmark Health Insurance Company	www.highmarkhealth.com	FreedomBlue PPO MA-PDP WV (PPO)	01	04		1			H5106	808	0	2011	ALL WV COUNTIES		1		2				2						www.highmarkhealth.com	http://highmark.medicare-approvedformularies.com/search.asp	http://www.highmarkhealth.com	(888)-459-4020		(888)-459-4020		(866)-682-7972		(866)-682-7972		(888)-459-4020		(888)-459-4020		(866)-856-6032		(866)-856-6032		(800)-855-1155		(800)-855-1155		(711)		(711)		(800)-855-1155		(800)-855-1155		(711)		(711)		1
H5151	002	0	1	01	01	H5151_002_0	4	08/19/2010	2011.01	08/19/2010 03:50:47 PM Eastern Daylight Time	08/19/2010 02:15:14 PM Eastern Daylight Time	08/19/2010 01:25:55 PM Eastern Daylight Time		08/20/2010 10:51:28 AM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	SecureCare - Option II (HMO)	01	01		1			H5151	002	0	2011	East Ohio, Northern WV		2	3730	2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1
H5151	004	0	1	01	01	H5151_004_0	3	08/11/2010	2011.01	08/11/2010 11:01:52 AM Eastern Daylight Time	07/07/2010 10:29:56 AM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	SecureCare - Option I (HMO)	01	01		1			H5151	004	0	2011	East Ohio, Northern WV		2	410	2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1
H5151	006	0	1	01	01	H5151_006_0	6	08/11/2010	2011.01	08/11/2010 11:02:15 AM Eastern Daylight Time	08/19/2010 02:20:14 PM Eastern Daylight Time	08/19/2010 01:27:55 PM Eastern Daylight Time		08/20/2010 10:51:28 AM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	SecureCare - Option III (HMO)	01	01		1			H5151	006	0	2011	East Ohio, Northern WV		2	4140	2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1
H5151	802	0	1	01	01	H5151_802_0	3	08/11/2010	2011.01	08/11/2010 11:02:32 AM Eastern Daylight Time	07/29/2010 02:06:24 PM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	SecureCare - Employer (HMO)	01	01		1			H5151	802	0	2011	Southeast Ohio, Northern West Virginia		1	40	2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1
H5151	803	0	1	01	01	H5151_803_0	3	08/11/2010	2011.01	08/11/2010 11:02:53 AM Eastern Daylight Time	07/29/2010 02:20:13 PM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	HEALTH PLAN OF THE UPPER OHIO VALLEY	The Health Plan	www.healthplan.org	SecureCare - Employer (HMO)	01	01		1			H5151	803	0	2011	Southeast Ohio, Northern West Virginia		1	1880	2				2						www.healthplan.org	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1
H5162	001	0	1	04	01	H5162_001_0	3	08/03/2010	2011.01	08/03/2010 01:04:34 PM Pacific Daylight Time	07/27/2010 08:39:25 AM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	001	0	2011	Little Rock		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5162	002	0	1	04	01	H5162_002_0	5	08/16/2010	2011.01	08/16/2010 04:50:25 PM Pacific Daylight Time	08/16/2010 05:20:57 PM Pacific Daylight Time	08/16/2010 02:18:34 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	002	0	2011	Little Rock		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5162	003	0	1	04	01	H5162_003_0	3	08/03/2010	2011.01	08/03/2010 12:51:10 PM Pacific Daylight Time	07/27/2010 08:43:17 AM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	003	0	2011	Peoria		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5162	004	0	1	04	01	H5162_004_0	5	08/16/2010	2011.01	08/16/2010 04:50:33 PM Pacific Daylight Time	08/16/2010 05:39:45 PM Pacific Daylight Time	08/16/2010 02:18:53 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	004	0	2011	Peoria		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5162	005	0	1	04	01	H5162_005_0	3	08/03/2010	2011.01	08/03/2010 12:53:31 PM Pacific Daylight Time	07/27/2010 08:53:35 AM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	005	0	2011	Kansas City		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5162	006	0	1	04	01	H5162_006_0	5	08/16/2010	2011.01	08/16/2010 04:50:43 PM Pacific Daylight Time	08/16/2010 05:43:26 PM Pacific Daylight Time	08/16/2010 02:19:07 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	006	0	2011	Kansas City		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5162	007	0	1	04	01	H5162_007_0	3	08/03/2010	2011.01	08/03/2010 12:55:55 PM Pacific Daylight Time	07/27/2010 01:37:24 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	007	0	2011	Evansville		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5162	008	0	1	04	01	H5162_008_0	5	08/16/2010	2011.01	08/16/2010 04:51:21 PM Pacific Daylight Time	07/27/2010 01:38:59 PM Pacific Daylight Time	08/16/2010 02:19:17 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	008	0	2011	Evansville		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5162	009	0	1	04	01	H5162_009_0	3	08/03/2010	2011.01	08/03/2010 12:57:11 PM Pacific Daylight Time	07/27/2010 01:40:22 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	009	0	2011	New Orleans		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5162	010	0	1	04	01	H5162_010_0	5	08/16/2010	2011.01	08/16/2010 04:51:54 PM Pacific Daylight Time	07/27/2010 01:41:49 PM Pacific Daylight Time	08/16/2010 02:19:26 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	010	0	2011	New Orleans		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5162	011	0	1	04	01	H5162_011_0	3	08/03/2010	2011.01	08/03/2010 12:59:21 PM Pacific Daylight Time	07/27/2010 01:43:08 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	011	0	2011	Minneapolis		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5162	012	0	1	04	01	H5162_012_0	5	08/16/2010	2011.01	08/16/2010 04:52:05 PM Pacific Daylight Time	08/16/2010 05:49:38 PM Pacific Daylight Time	08/16/2010 02:19:35 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	012	0	2011	Minneapolis		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5162	013	0	1	04	01	H5162_013_0	3	08/03/2010	2011.01	08/03/2010 01:00:42 PM Pacific Daylight Time	07/27/2010 01:45:59 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	013	0	2011	St. Louis		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5162	014	0	1	04	01	H5162_014_0	5	08/16/2010	2011.01	08/16/2010 04:52:14 PM Pacific Daylight Time	07/27/2010 01:47:14 PM Pacific Daylight Time	08/16/2010 02:19:48 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	014	0	2011	St. Louis		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5162	801	0	1	04	01	H5162_801_0	3	08/03/2010	2011.01	08/03/2010 01:02:23 PM Pacific Daylight Time	07/27/2010 08:35:11 AM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	801	0	2011	Midwest Region		1		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H5162	802	0	1	04	01	H5162_802_0	3	08/03/2010	2011.01	08/03/2010 01:03:14 PM Pacific Daylight Time	07/27/2010 08:36:22 AM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H5162	802	0	2011	Midwest Region		1		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H5167	001	0	1	20	08	H5167_001_0	1	05/24/2010	2011.01	05/24/2010 11:20:01 AM Mountain Daylight Time		05/24/2010 11:01:00 AM Mountain Daylight Time		05/24/2010 12:31:17 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH CARE SERVICES	Rocky Mountain PACE	www.rockymountainhealth.org	Rocky Mountain PACE (PACE)	08	20		1			H5167	001	0	2011	Colorado Springs Metro Area		2	75	2				2							www.rockymountainhealth.org	www.rockymountainhealth.org									(866)-519-5849	335	(719)-314-2327		(866)-519-5849		(719)-314-2327	335									(800)-659-2656		(719)-314-2327		(800)-659-2656		(719)-314-2327		1
H5167	002	0	1	20	08	H5167_002_0	1	05/24/2010	2011.01	05/24/2010 11:19:39 AM Mountain Daylight Time		05/24/2010 11:01:00 AM Mountain Daylight Time		05/24/2010 12:31:17 PM Mountain Daylight Time	ROCKY MOUNTAIN HEALTH CARE SERVICES	Rocky Mountain PACE	www.rockymountainhealth.org	Rocky Mountain PACE (PACE)	08	20		1			H5167	002	0	2011	Colorado Springs Metro Area		2	75	2				2							www.rockymountainhealth.org	www.rockymountainhealth.org									(866)-519-5849	335	(719)-314-2327		(866)-519-5849		(719)-314-2327	335									(800)-659-2656		(719)-314-2327	330	(800)-659-2656		(719)-314-2327		1
H5206	002	0	1	01	01	H5206_002_0	8	08/09/2010	2011.01	08/09/2010 03:48:34 PM Central Daylight Time	08/30/2010 04:01:12 PM Central Daylight Time	08/19/2010 10:41:25 AM Central Daylight Time		08/30/2010 04:35:48 PM Central Daylight Time	PARTNERSHIP HEALTH PLAN, INC.	Community Health Partnership	www.communityhealthpartnership.com	Community Health Partnership (HMO SNP)	01	01		1			H5206	002	0	2011	Chippewa, Dunn and Eau Claire Counties		2	21949	2		2		1	3		1	5		http://www.communityhealthpartnership.com	http://www.communityhealthpartnership.com/members/php/formulary.php	http://www.communityhealthpartnership.com/members/php/pharmacy_wrapper.php	(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		1
H5206	003	0	1	01	01	H5206_003_0	9	08/09/2010	2011.01	08/09/2010 03:34:14 PM Central Daylight Time	08/30/2010 04:02:04 PM Central Daylight Time	08/19/2010 10:41:24 AM Central Daylight Time		08/30/2010 04:35:48 PM Central Daylight Time	PARTNERSHIP HEALTH PLAN, INC.	Community Health Partnership	www.communityhealthpartnership.com	Community Health Partnership (HMO SNP)	01	01		1			H5206	003	0	2011	Pierce and St. Croix Counties		2	381	2		2		1	3		1	5		http://www.communityhealthpartnership.com	http://www.communityhealthpartnership.com/members/php/formulary.php	http://www.communityhealthpartnership.com/members/php/pharmacy_wrapper.php	(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		(800)-842-1814		(715)-838-2900		1
H5207	001	0	1	01	01	H5207_001_0	7	06/07/2010	2011.01	06/07/2010 02:27:33 PM Central Daylight Time	08/30/2010 11:14:33 AM Central Daylight Time	08/20/2010 01:12:17 PM Central Daylight Time		08/30/2010 11:28:22 AM Central Daylight Time	COMMUNITY CARE HEALTH PLAN, INC	Community Care	www.CommunityCareInc.org	Community Care's Partnership Program (HMO SNP)	01	01		1			H5207	001	0	2011	Kenosha, Milwaukee, Racine and Waukesha Counties		2	30	2		2		1	3		1	5		www.CommunityCareInc.org	www.communitycareinc.org/Assets/Formulary.pdf	www.communitycareinc.org/Assets/Pharmacy%20Directory.pdf	(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1
H5209	002	0	1	01	01	H5209_002_0	8	07/22/2010	2011.01	07/22/2010 04:24:22 PM Central Daylight Time	08/30/2010 04:41:39 PM Central Daylight Time	08/19/2010 02:59:00 PM Central Daylight Time		08/30/2010 04:45:26 PM Central Daylight Time	CARE WISCONSIN HEALTH PLAN, INC.	Care Wisconsin Health Plan, Inc.	www.carewisconsinhealthplan.org	Partnership (HMO SNP)	01	01		1			H5209	002	0	2011	Dane County		2		2		2		1	3		1	5		www.carewisconsinhealthplan.org	www.carewisconsinhealthplan.org	www.carewisconsinhealthplan.org	(800)-963-0035		(608)-240-0035		(800)-963-0035		(608)-245-3075		(800)-963-0035		(608)-240-0035		(800)-963-0035		(608)-245-3075		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5211	001	0	1	02	01	H5211_001_0	9	08/10/2010	2011.01	08/10/2010 10:14:06 AM Central Daylight Time	06/07/2010 08:41:36 PM Central Daylight Time			08/10/2010 10:31:12 AM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Spirit (HMO-POS)	01	02		1			H5211	001	0	2011	Central, Northern and Western Wisconsin		2	6201	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocarerx	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897										(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232										1
H5211	002	0	1	02	01	H5211_002_0	10	08/10/2010	2011.01	08/10/2010 10:14:14 AM Central Daylight Time	08/20/2010 05:00:37 PM Central Daylight Time	08/19/2010 09:06:25 AM Central Daylight Time		08/23/2010 08:09:34 AM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Essence Rx (HMO-POS)	01	02		1			H5211	002	0	2011	Central, Northern and Western Wisconsin		2	9590	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocarerx	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		1
H5211	003	0	1	02	01	H5211_003_0	9	08/10/2010	2011.01	08/10/2010 10:14:22 AM Central Daylight Time	06/07/2010 08:41:36 PM Central Daylight Time			08/10/2010 10:31:12 AM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Essence (HMO-POS)	01	02		1			H5211	003	0	2011	Central, Northern and Western Wisconsin		2	4653	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocarerx	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897										(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232										1
H5211	004	0	1	02	01	H5211_004_0	10	08/10/2010	2011.01	08/10/2010 10:14:28 AM Central Daylight Time	08/20/2010 05:00:37 PM Central Daylight Time	08/19/2010 09:06:42 AM Central Daylight Time		08/23/2010 08:09:34 AM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Spirit Rx (HMO-POS)	01	02		1			H5211	004	0	2011	Central, Northern and Western Wisconsin		2	8443	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocarerx	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		1
H5211	005	0	1	02	01	H5211_005_0	12	08/10/2010	2011.01	08/10/2010 10:14:35 AM Central Daylight Time	08/20/2010 05:00:37 PM Central Daylight Time	08/19/2010 09:06:55 AM Central Daylight Time		08/23/2010 08:42:32 AM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Vitality Rx (HMO-POS)	01	02		1			H5211	005	0	2011	Central, Northern and Western Wisconsin		2	4670	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocarerx	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232		1
H5211	006	0	1	02	01	H5211_006_0	8	08/10/2010	2011.01	08/10/2010 10:14:43 AM Central Daylight Time	06/07/2010 08:41:38 PM Central Daylight Time			08/10/2010 10:31:12 AM Central Daylight Time	SECURITY HEALTH PLAN OF WISCONSIN, INC	Security Health Plan Of Wisconsin, Inc	www.securityhealth.org	Advocare Vitality (HMO-POS)	01	02		1			H5211	006	0	2011	Central, Northern and Western Wisconsin		2	2294	2				2						www.securityhealth.org	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocareRx_drugFormulary	http://www.securityhealth.org/members/pages/default.aspx?page=advocare_advocarerx	(877)-998-0998		(715)-221-9897		(877)-998-0998		(715)-221-9897										(877)-727-2232		(877)-727-2232		(877)-727-2232		(877)-727-2232										1
H5212	001	0	1	20	08	H5212_001_0	1	05/20/2010	2011.01	05/20/2010 11:09:21 AM Central Daylight Time		05/18/2010 05:58:04 PM Central Daylight Time		05/20/2010 11:12:50 AM Central Daylight Time	COMMUNITY CARE, INC.	Community Care	www.CommunityCareInc.org	Community Care's PACE Program (PACE)	08	20		1			H5212	001	0	2011	Milwaukee County, Waukesha County		2		2				2							www.CommunityCareInc.org	www.CommunityCareInc.org									(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600										(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1
H5212	002	0	1	20	08	H5212_002_0	1	05/20/2010	2011.01	05/20/2010 11:10:10 AM Central Daylight Time		05/18/2010 05:58:04 PM Central Daylight Time		05/20/2010 11:12:50 AM Central Daylight Time	COMMUNITY CARE, INC.	Community Care	www.CommunityCareInc.org	Community Care's PACE Program (PACE)	08	20		1			H5212	002	0	2011	Milwaukee County, Waukesha County		2		2				2							www.CommunityCareInc.org	www.CommunityCareInc.org									(866)-992-6600		(414)-385-6600		(866)-992-6600		(414)-385-6600										(866)-288-9909		(414)-385-6626		(866)-288-9909		(414)-385-6626		1
H5213	001	0	1	20	08	H5213_001_0	1	06/02/2010	2011.01	06/02/2010 05:33:33 PM Mountain Daylight Time		06/02/2010 05:24:54 PM Mountain Daylight Time		06/02/2010 05:38:10 PM Mountain Daylight Time	TOTAL COMMUNITY CARE, L.L.C.	Total Community Care	www.TotalCommunityCare.org	Total Community Care (PACE)	08	20		1			H5213	001	0	2011	Albuquerque Metro Area		2		2				2							www.TotalCommunityCare.org	www.TotalCommunityCare.org									(505)-924-2608		(505)-924-2608		(877)-277-6163		(303)-869-4664										(505)-924-2608		(505)-924-2608		(877)-277-6163		(303)-869-4664		1
H5213	002	0	1	20	08	H5213_002_0	1	06/02/2010	2011.01	06/02/2010 05:34:53 PM Mountain Daylight Time		06/02/2010 05:24:54 PM Mountain Daylight Time		06/02/2010 05:38:10 PM Mountain Daylight Time	TOTAL COMMUNITY CARE, L.L.C.	Total Community Care	www.TotalCommunityCare.org	Total Community Care (PACE)	08	20		1			H5213	002	0	2011	Albuquerque Metro Area		2		2				2							www.TotalCommunityCare.org	www.TotalCommunityCare.org									(505)-924-2608		(505)-924-2608		(505)-924-2608		(303)-869-4664										(505)-924-2608		(505)-924-2608		(505)-924-2608		(505)-924-2608		1
H5214	003	0	1	04	01	H5214_003_0	6	08/20/2010	2011.01	08/20/2010 01:00:38 PM Eastern Daylight Time	08/20/2010 09:27:40 AM Eastern Daylight Time	08/20/2010 04:17:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-003 (PPO)	01	04		1			H5214	003	0	2011	Atlanta Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5214	004	0	1	04	01	H5214_004_0	5	08/20/2010	2011.01	08/20/2010 01:00:51 PM Eastern Daylight Time	08/20/2010 09:18:50 AM Eastern Daylight Time	08/20/2010 04:17:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-004 (PPO)	01	04		1			H5214	004	0	2011	Aiken / Augusta Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5214	008	0	1	04	01	H5214_008_0	4	08/20/2010	2011.01	08/20/2010 01:01:03 PM Eastern Daylight Time	08/20/2010 09:20:06 AM Eastern Daylight Time	08/20/2010 04:17:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-008 (PPO)	01	04		1			H5214	008	0	2011	Athens Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5214	009	0	1	04	01	H5214_009_0	4	08/20/2010	2011.01	08/20/2010 01:01:16 PM Eastern Daylight Time	08/20/2010 09:20:28 AM Eastern Daylight Time	08/20/2010 04:17:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-009 (PPO)	01	04		1			H5214	009	0	2011	Columbus Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5214	010	0	1	04	01	H5214_010_0	6	08/20/2010	2011.01	08/20/2010 01:01:52 PM Eastern Daylight Time	08/20/2010 09:22:02 AM Eastern Daylight Time	08/20/2010 04:17:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-010 (PPO)	01	04		1			H5214	010	0	2011	Russell, Harris and Muscogee Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5214	011	0	1	04	01	H5214_011_0	4	08/20/2010	2011.01	08/20/2010 01:03:16 PM Eastern Daylight Time	08/20/2010 09:23:26 AM Eastern Daylight Time	08/20/2010 04:17:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-011 (PPO)	01	04		1			H5214	011	0	2011	Towns County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5214	012	0	1	04	01	H5214_012_0	4	08/20/2010	2011.01	08/20/2010 01:03:37 PM Eastern Daylight Time	08/20/2010 09:23:54 AM Eastern Daylight Time	08/20/2010 04:18:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-012 (PPO)	01	04		1			H5214	012	0	2011	Chatham County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5214	013	0	1	04	01	H5214_013_0	4	08/20/2010	2011.01	08/20/2010 01:03:55 PM Eastern Daylight Time	08/20/2010 09:24:18 AM Eastern Daylight Time	08/20/2010 04:18:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5214-013 (PPO)	01	04		1			H5214	013	0	2011	Evans County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5215	001	0	1	04	01	H5215_001_0	5	08/12/2010	2011.01	08/12/2010 10:36:21 AM Central Daylight Time	06/21/2010 04:55:22 PM Central Daylight Time			08/12/2010 01:46:02 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPlus (PPO)	01	04		1			H5215	001	0	2011	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1
H5215	002	0	1	04	01	H5215_002_0	7	08/20/2010	2011.01	08/20/2010 03:23:19 PM Central Daylight Time	08/19/2010 06:49:36 PM Central Daylight Time	08/20/2010 04:42:53 PM Central Daylight Time		08/23/2010 12:46:27 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPlus Pharmacy (PPO)	01	04		1			H5215	002	0	2011	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5215	005	0	1	04	01	H5215_005_0	8	09/01/2010	2011.01	09/01/2010 10:38:51 AM Central Daylight Time	08/20/2010 01:02:00 PM Central Daylight Time	08/20/2010 04:43:44 PM Central Daylight Time		09/01/2010 11:42:06 AM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPremier Pharmacy (PPO)	01	04		1			H5215	005	0	2011	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5215	006	0	1	04	01	H5215_006_0	7	09/01/2010	2011.01	09/01/2010 10:39:45 AM Central Daylight Time	08/04/2010 05:49:02 PM Central Daylight Time			09/01/2010 11:42:06 AM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPremier (PPO)	01	04		1			H5215	006	0	2011	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1
H5215	007	0	1	04	01	H5215_007_0	8	08/31/2010	2011.01	08/31/2010 04:24:18 PM Central Daylight Time	08/20/2010 10:28:22 PM Central Daylight Time	08/20/2010 04:44:38 PM Central Daylight Time		08/31/2010 04:27:59 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network Cares (PPO SNP)	01	04		1			H5215	007	0	2011	East Central Wisconsin		2		2		2		1	3		1	2		www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5215	008	0	1	04	01	H5215_008_0	9	08/31/2010	2011.01	08/31/2010 02:32:49 PM Central Daylight Time	08/20/2010 10:20:19 AM Central Daylight Time	08/20/2010 04:45:25 PM Central Daylight Time		08/31/2010 04:27:59 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumSelect (PPO)	01	04		1			H5215	008	0	2011	East Central Wisconsin		2		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5215	806	0	1	04	01	H5215_806_0	1	06/07/2010	2011.01	06/07/2010 08:29:23 PM Central Daylight Time	06/07/2010 07:21:20 PM Central Daylight Time			06/07/2010 10:28:21 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPlus Pharmacy EGP (PPO)	01	04		1			H5215	806	0	2011	East Central WI		1		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5215	807	0	1	04	01	H5215_807_0	1	06/07/2010	2011.01	06/07/2010 10:27:24 PM Central Daylight Time	06/07/2010 07:21:52 PM Central Daylight Time			06/07/2010 10:28:21 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPremier EGP (PPO)	01	04		1			H5215	807	0	2011	East Central WI		1		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1
H5215	808	0	1	04	01	H5215_808_0	1	06/07/2010	2011.01	06/07/2010 10:27:35 PM Central Daylight Time	06/07/2010 07:22:26 PM Central Daylight Time			06/07/2010 10:28:21 PM Central Daylight Time	NETWORK HEALTH INSURANCE CORPORATION	Network Platinum Medicare Advantage Plans	www.nppdrugplans.com	Network PlatinumPremier Pharmacy EGP (PPO)	01	04		1			H5215	808	0	2011	East Central WI		1		2				2						www.nppdrugplans.com	http://www.nppdrugplans.com/cgi-bin/formulary-2009/index.pl	www.nppdrugplans.com	(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-378-5234		(920)-720-1345		(800)-983-7587		(920)-720-1280		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5216	001	0	1	04	01	H5216_001_0	9	08/20/2010	2011.01	08/20/2010 01:35:46 PM Eastern Daylight Time	08/20/2010 04:53:38 PM Eastern Daylight Time	08/20/2010 04:18:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-001 (PPO)	01	04		1			H5216	001	0	2011	Milwaukee		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5216	003	0	1	04	01	H5216_003_0	10	08/20/2010	2011.01	08/20/2010 01:36:02 PM Eastern Daylight Time	08/20/2010 04:31:36 PM Eastern Daylight Time	08/20/2010 04:18:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-003 (PPO)	01	04		1			H5216	003	0	2011	Green Bay		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5216	006	0	1	04	01	H5216_006_0	8	08/20/2010	2011.01	08/20/2010 01:36:20 PM Eastern Daylight Time	08/20/2010 04:35:20 PM Eastern Daylight Time	08/20/2010 04:18:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-006 (PPO)	01	04		1			H5216	006	0	2011	Madison		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5216	007	0	1	04	01	H5216_007_0	8	08/20/2010	2011.01	08/20/2010 01:36:44 PM Eastern Daylight Time	08/20/2010 04:36:04 PM Eastern Daylight Time	08/20/2010 04:18:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5216-007 (PPO)	01	04		1			H5216	007	0	2011	Northern Wisconsin		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	004	0	1	02	01	H5253_004_0	5	06/05/2010	2011.01	06/05/2010 04:18:07 PM Central Daylight Time	08/19/2010 09:31:25 PM Central Daylight Time	08/18/2010 04:48:44 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H5253	004	0	2011	Metro Milwaukee		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	007	0	1	02	01	H5253_007_0	4	08/20/2010	2011.01	08/20/2010 02:15:26 PM Central Daylight Time	08/20/2010 11:19:10 AM Central Daylight Time	08/18/2010 04:33:24 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IH-POS (HMO-POS SNP)	01	02		1			H5253	007	0	2011	Appleton,GreenBay,LaCrosse,Milwaukee,Madison areas		2		2				1	1	1	1			www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	011	0	1	02	01	H5253_011_0	5	06/05/2010	2011.01	06/05/2010 04:20:32 PM Central Daylight Time	08/19/2010 09:39:35 PM Central Daylight Time	08/18/2010 04:48:49 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H5253	011	0	2011	Green Bay/Fox Valley Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	021	0	1	02	01	H5253_021_0	3	06/05/2010	2011.01	06/05/2010 04:18:55 PM Central Daylight Time	06/03/2010 01:51:37 PM Central Daylight Time			06/05/2010 04:44:47 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Essential (HMO-POS)	01	02		1			H5253	021	0	2011	Metro Milwaukee		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H5253	024	0	1	01	01	H5253_024_0	4	06/01/2010	2011.01	06/01/2010 07:19:18 PM Central Daylight Time	08/19/2010 09:47:44 PM Central Daylight Time	08/18/2010 04:33:30 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H5253	024	0	2011	Appleton,GreenBay,LaCrosse,Milwaukee,Madison areas		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	028	0	1	02	01	H5253_028_0	5	06/05/2010	2011.01	06/05/2010 04:19:14 PM Central Daylight Time	08/19/2010 09:55:47 PM Central Daylight Time	08/18/2010 04:48:54 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H5253	028	0	2011	La Crosse Area Counties		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	801	0	1	01	01	H5253_801_0	1	05/25/2010	2011.01	05/25/2010 08:41:14 AM Central Daylight Time	06/03/2010 01:53:10 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5253	801	0	2011	Milwaukee and Green Bay Area Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	802	0	1	01	01	H5253_802_0	1	05/25/2010	2011.01	05/25/2010 08:41:19 AM Central Daylight Time	06/03/2010 01:53:46 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5253	802	0	2011	Milwaukee and Green Bay Area Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H5253	805	0	1	01	01	H5253_805_0	1	05/25/2010	2011.01	05/25/2010 08:41:24 AM Central Daylight Time	06/03/2010 01:54:25 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H5253	805	0	2011	Select Counties in WI		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	807	0	1	02	01	H5253_807_0	1	05/27/2010	2011.01	05/27/2010 08:31:38 AM Central Daylight Time	06/03/2010 01:54:55 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5253	807	0	2011	Select counties in WI		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5253	808	0	1	02	01	H5253_808_0	1	05/27/2010	2011.01	05/27/2010 08:32:02 AM Central Daylight Time	06/03/2010 01:55:19 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5253	808	0	2011	Select counties in WI		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H5253	809	0	1	02	01	H5253_809_0	1	05/27/2010	2011.01	05/27/2010 08:32:24 AM Central Daylight Time	06/03/2010 01:56:06 PM Central Daylight Time			06/04/2010 10:41:57 AM Central Daylight Time	UNITEDHEALTHCARE OF WISCONSIN, INC	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5253	809	0	2011	Select counties in WI		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5256	001	0	1	18	06	H5256_001_0	2	08/20/2010	2011.01	08/20/2010 07:27:35 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	Medical Associates Clinic Health Plan of Wisconsin	mahealthcare.com	Medical Associates SmartPlan (Cost)	06	18		1			H5256	001	0	2011	Southwest Wisconsin		2	2360	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H5256	002	0	1	18	06	H5256_002_0	2	08/20/2010	2011.01	08/20/2010 07:28:04 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	Medical Associates Clinic Health Plan of Wisconsin	mahealthcare.com	Medical Associates Community Plan (Cost)	06	18		1			H5256	002	0	2011	Southwest Wisconsin		2	253	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H5256	004	0	1	18	06	H5256_004_0	2	08/20/2010	2011.01	08/20/2010 08:07:45 AM Central Daylight Time				08/20/2010 01:59:21 PM Central Daylight Time	MEDICAL ASSOCIATES CLINIC HEALTH PLAN	Medical Associates Clinic Health Plan of Wisconsin	mahealthcare.com	Medical Associates Freedom Plan (Cost)	06	18		1			H5256	004	0	2011	Southwest Wisconsin		2	118	2				2									(866)-821-1365		(563)-584-4885		(800)-747-8900		(563)-556-8070										(800)-735-2943		(800)-735-2943		(800)-735-2943		(800)-735-2943										2
H5262	001	0	1	01	01	H5262_001_0	4	08/09/2010	2011.01	08/09/2010 12:29:27 PM Central Daylight Time	08/04/2010 01:07:27 PM Central Daylight Time	06/04/2010 09:42:00 AM Central Daylight Time		08/10/2010 01:29:23 PM Central Daylight Time	GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.seniorpreferred.org	Gundersen Lutheran Senior Pref. Elite w/RX (HMO)	01	01		1			H5262	001	0	2011	La Crosse and Southwestern Wisconsin		2	89271	2				2						http://apps.glhealthplan.org:81/ProvDB/dirSPMainFrame.jsp?screenSize=large	http://www.glhealthplan.org/spformulary	www.pti-nps.com	(800)-394-5566		(608)-775-8077		(800)-394-5566		(608)-775-8077		(800)-394-5566		(608)-775-8077		(800)-394-5566		(608)-775-8077		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5262	003	0	1	01	01	H5262_003_0	3	07/22/2010	2011.01	07/22/2010 09:34:25 AM Central Daylight Time	07/01/2010 04:56:18 PM Central Daylight Time	06/04/2010 09:42:00 AM Central Daylight Time		08/04/2010 03:48:17 PM Central Daylight Time	GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.seniorpreferred.org	Gundersen Lutheran Senior Pref. Value w/RX (HMO)	01	01		1			H5262	003	0	2011	La Crosse and Southwestern Wisconsin		2	7785	2				2						http://apps.glhealthplan.org:81/ProvDB/dirSPMainFrame.jsp?screenSize=large	http://www.glhealthplan.org/spformulary	www.pti-nps.com	(800)-394-5566		(608)-775-8077		(800)-394-5566		(608)-775-8077		(800)-394-5566		(608)-775-8077		(800)-394-5566		(608)-775-8077		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H5262	004	0	1	01	01	H5262_004_0	3	07/22/2010	2011.01	07/22/2010 09:34:42 AM Central Daylight Time	07/01/2010 04:55:54 PM Central Daylight Time			08/04/2010 03:48:17 PM Central Daylight Time	GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.seniorpreferred.org	Gundersen Lutheran Sr. Pref. Value (no RX) (HMO)	01	01		1			H5262	004	0	2011	La Crosse and Southwestern Wisconsin		2	4064	2				2						http://apps.glhealthplan.org:81/ProvDB/dirSPMainFrame.jsp?screenSize=large	http://www.glhealthplan.org/spformulary	www.pti-nps.com	(800)-394-5566		(608)-775-8077		(800)-394-5566		(608)-775-8077										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1
H5262	005	0	1	01	01	H5262_005_0	4	08/09/2010	2011.01	08/09/2010 12:29:45 PM Central Daylight Time	07/22/2010 04:10:19 PM Central Daylight Time			08/10/2010 01:29:23 PM Central Daylight Time	GUNDERSEN LUTHERAN HEALTH PLAN	Gundersen Lutheran Health Plan, Inc.	www.seniorpreferred.org	Gundersen Lutheran Sr. Pref. Elite (no RX) (HMO)	01	01		1			H5262	005	0	2011	La Crosse and Southwestern Wisconsin		2	46515	2				2						http://apps.glhealthplan.org:81/ProvDB/dirSPMainFrame.jsp?screenSize=large	http://www.glhealthplan.org/spformulary	www.pti-nps.com	(800)-394-5566		(608)-775-8077		(800)-394-5566		(608)-775-8077										(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529										1
H5264	002	0	1	18	06	H5264_002_0	4	07/23/2010	2011.01	07/23/2010 10:50:14 AM Central Daylight Time				07/23/2010 10:56:11 AM Central Daylight Time	DEAN HEALTH PLAN, INC.	Dean Health Plan, Inc.	www.deancare.com	DeanCare Gold Enhanced (Cost)	06	18		1			H5264	002	0	2011	DeanCare Gold		2	15000	2				2									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456		(608)-827-4086		(877)-733-6456		(608)-827-4086										2
H5264	003	0	1	18	06	H5264_003_0	4	07/23/2010	2011.01	07/23/2010 10:50:22 AM Central Daylight Time				07/23/2010 10:56:11 AM Central Daylight Time	DEAN HEALTH PLAN, INC.	Dean Health Plan, Inc.	www.deancare.com	DeanCare Gold Basic (Cost)	06	18		1			H5264	003	0	2011	DeanCare Gold		2	400	2				2									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456		(608)-827-4086		(877)-733-6456		(608)-827-4086										2
H5264	005	0	1	18	06	H5264_005_0	5	07/23/2010	2011.01	07/23/2010 10:51:48 AM Central Daylight Time				07/23/2010 10:56:11 AM Central Daylight Time	DEAN HEALTH PLAN, INC.	Dean Health Plan, Inc.	www.deancare.com	DeanCare Gold Shared Value (Cost)	06	18		1			H5264	005	0	2011	DeanCare Gold		2	400	2				2									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456		(608)-827-4086		(877)-733-6456		(608)-827-4086										2
H5291	001	0	1	01	01	H5291_001_0	5	08/20/2010	2011.01	08/20/2010 11:34:33 AM Eastern Daylight Time	08/20/2010 11:47:24 AM Eastern Daylight Time	08/20/2010 04:18:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5291-001 (HMO)	01	01		1			H5291	001	0	2011	Denver and Colorado Springs Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5291	801	0	1	01	01	H5291_801_0	2	06/03/2010	2011.01	06/03/2010 05:15:56 PM Eastern Daylight Time	07/26/2010 01:22:09 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H5291	801	0	2011	Colorado		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5291	802	0	1	01	01	H5291_802_0	2	06/03/2010	2011.01	06/03/2010 05:16:24 PM Eastern Daylight Time	07/26/2010 01:37:42 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H5291	802	0	2011	Colorado		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H5291	803	0	1	01	01	H5291_803_0	2	06/03/2010	2011.01	06/03/2010 05:16:50 PM Eastern Daylight Time	07/26/2010 01:38:04 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA HEALTH PLAN, INC.	Humana Health Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H5291	803	0	2011	Colorado		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5294	001	0	1	01	01	H5294_001_0	3	07/12/2010	2011.01	07/12/2010 09:14:41 AM Pacific Daylight Time	08/18/2010 07:44:07 PM Pacific Daylight Time	08/18/2010 02:04:34 PM Pacific Daylight Time		08/19/2010 12:34:13 PM Pacific Daylight Time	SUPERIOR HEALTH PLAN, INC.	Advantage by SuperiorHealthPlan	www.superiorhealthplan.com	Superior HealthPlan (HMO SNP)	01	01		1			H5294	001	0	2011	Bexar and Nueces Counties		2	428	2		2		1	3		1	3		http://www.superiorhealthplan.com/about-us/medicare-advantage/	www.superiorhealthplan.com	www.superiorhealthplan.com	(866)-516-4501		(866)-516-4501		(866)-516-4501		(866)-516-4501		(866)-516-4501		(866)-516-4501		(866)-516-4501		(866)-516-4501		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		(877)-248-1744		1
H5302	003	0	1	02	01	H5302_003_0	8	08/22/2010	2011.01	08/22/2010 11:32:35 AM Eastern Daylight Time	08/22/2010 10:02:53 AM Eastern Daylight Time	08/22/2010 10:03:10 AM Eastern Daylight Time		08/22/2010 11:46:01 AM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Advantra Silver (HMO-POS)	01	02		1			H5302	003	0	2011	Savannah and Metro Atlanta area		2	3564	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5302	005	0	1	02	01	H5302_005_0	5	08/22/2010	2011.01	08/22/2010 11:06:24 AM Eastern Daylight Time	08/22/2010 10:03:25 AM Eastern Daylight Time	08/22/2010 10:03:32 AM Eastern Daylight Time		08/22/2010 11:46:01 AM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Advantra Silver (HMO-POS)	01	02		1			H5302	005	0	2011	Columbus area		2	171	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5302	006	0	1	02	01	H5302_006_0	8	08/20/2010	2011.01	08/20/2010 03:47:07 PM Eastern Daylight Time	08/20/2010 10:55:00 AM Eastern Daylight Time	08/20/2010 02:56:10 PM Eastern Daylight Time		08/20/2010 03:52:30 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Advantra Silver Plus (HMO-POS)	01	02		1			H5302	006	0	2011	Atlanta Metro Area		2	662	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5302	007	0	1	01	01	H5302_007_0	6	08/20/2010	2011.01	08/20/2010 03:47:14 PM Eastern Daylight Time	08/20/2010 10:58:16 AM Eastern Daylight Time	08/20/2010 02:56:27 PM Eastern Daylight Time		08/20/2010 03:52:30 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Silver Advantage (HMO)	01	01		1			H5302	007	0	2011	Atlanta Metro and Savannah Area		2	334	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5302	008	0	1	01	01	H5302_008_0	6	08/22/2010	2011.01	08/22/2010 10:51:28 AM Eastern Daylight Time	08/22/2010 10:03:50 AM Eastern Daylight Time	08/22/2010 10:03:59 AM Eastern Daylight Time		08/22/2010 11:46:01 AM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Advantra Elite (HMO)	01	01		1			H5302	008	0	2011	Atlanta Metro		2	106	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5302	009	0	1	01	01	H5302_009_0	6	08/20/2010	2011.01	08/20/2010 03:44:13 PM Eastern Daylight Time	08/22/2010 10:04:19 AM Eastern Daylight Time	08/22/2010 10:04:27 AM Eastern Daylight Time		08/22/2010 11:46:01 AM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Advantra Elite (HMO)	01	01		1			H5302	009	0	2011	Savannah Area		2	106	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5302	809	0	1	02	01	H5302_809_0	2	06/07/2010	2011.01	06/07/2010 04:16:58 PM Eastern Daylight Time	06/07/2010 02:47:59 PM Eastern Daylight Time			06/07/2010 04:34:26 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Advantra (HMO-POS)	01	02		1			H5302	809	0	2011	Georgia		1	1000	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024										(711)		(711)		(711)		(711)										1
H5302	810	0	1	02	01	H5302_810_0	2	06/07/2010	2011.01	06/07/2010 04:18:11 PM Eastern Daylight Time	06/07/2010 02:48:59 PM Eastern Daylight Time			06/07/2010 04:34:26 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Advantra (HMO-POS)	01	02		1			H5302	810	0	2011	Georgia		1	1000	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5302	811	0	1	02	01	H5302_811_0	2	06/07/2010	2011.01	06/07/2010 04:18:48 PM Eastern Daylight Time	06/07/2010 02:49:29 PM Eastern Daylight Time			06/07/2010 04:34:26 PM Eastern Daylight Time	COVENTRY HEALTH CARE OF GEORGIA, INC.	Coventry Health Care	www.ga.chcadvantra.com	Advantra (HMO-POS)	01	02		1			H5302	811	0	2011	Georgia		1	1000	2				2						www.ga.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits/formular	http://coventry-medicare.coventryhealthcare.com/advantra-georgia/prescription-drug-benefits	(866)-613-4977		(866)-613-4977		(800)-296-1024		(800)-296-1024		(800)-690-3412		(800)-690-3412		(877)-981-8163		(877)-981-8163		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5378	010	0	1	04	01	H5378_010_0	11	08/13/2010	2011.01	08/13/2010 10:53:08 AM Central Daylight Time	08/20/2010 07:25:35 AM Central Daylight Time	08/19/2010 01:39:44 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 250 A powered by CCRx (PPO)	01	04		1			H5378	010	0	2011	Select counties in Midwest, Southeast, Southwest		2	13034	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	016	0	1	04	01	H5378_016_0	10	08/06/2010	2011.01	08/06/2010 10:38:37 AM Central Daylight Time	08/20/2010 07:27:39 AM Central Daylight Time	08/19/2010 01:40:12 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 950 C powered by CCRx (PPO)	01	04		1			H5378	016	0	2011	Select counties in Midwest, Southeast, Southwest		2	38287	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	174	0	1	04	01	H5378_174_0	6	08/06/2010	2011.01	08/06/2010 10:40:17 AM Central Daylight Time		07/26/2010 03:05:43 PM Central Daylight Time		08/06/2010 02:31:03 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.fmchp.com	Fresenius Health Partners ESRD C-SNP (PPO SNP)	01	04		1			H5378	174	0	2011	Ft. Wayne		2	500	1	1			1	4		1		00000000100000000000	www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-307-3625		(866)-307-3625		(866)-307-3625		(866)-307-3625		(866)-307-3625		(866)-307-3625		(866)-307-3625		(866)-307-3625		(877)-736-2535		(877)-736-2535		(877)-736-2535		(877)-736-2535		(877)-736-2535		(877)-736-2535		(877)-736-2535		(877)-736-2535		1
H5378	182	0	1	04	01	H5378_182_0	9	07/23/2010	2011.01	07/23/2010 04:26:07 PM Central Daylight Time	08/20/2010 07:29:37 AM Central Daylight Time	08/19/2010 01:40:40 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 150 A powered by CCRx (PPO)	01	04		1			H5378	182	0	2011	Select counties in Midwest, Southeast, Southwest		2	3004	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	183	0	1	04	01	H5378_183_0	10	08/31/2010	2011.01	08/31/2010 04:44:53 PM Central Daylight Time	08/20/2010 07:31:40 AM Central Daylight Time	08/19/2010 01:46:24 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 750 B powered by CCRx (PPO)	01	04		1			H5378	183	0	2011	Select counties in Midwest, Southeast, Southwest		2	2633	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	184	0	1	04	01	H5378_184_0	10	08/31/2010	2011.01	08/31/2010 03:49:34 PM Central Daylight Time	08/20/2010 07:33:29 AM Central Daylight Time	08/19/2010 01:46:56 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 850 B powered by CCRx (PPO)	01	04		1			H5378	184	0	2011	Select counties in Midwest, Southeast, Southwest		2	5729	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	185	0	1	04	01	H5378_185_0	10	08/31/2010	2011.01	08/31/2010 03:49:38 PM Central Daylight Time	08/20/2010 07:35:13 AM Central Daylight Time	08/19/2010 01:47:24 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 850 B powered by CCRx (PPO)	01	04		1			H5378	185	0	2011	Select counties in Midwest, Southeast, Southwest		2	2929	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	188	0	1	04	01	H5378_188_0	10	08/13/2010	2011.01	08/13/2010 10:55:07 AM Central Daylight Time	08/20/2010 07:37:13 AM Central Daylight Time	08/19/2010 01:41:12 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 250 A powered by CCRx (PPO)	01	04		1			H5378	188	0	2011	Select counties in Midwest, Southeast, Southwest		2	260	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	190	0	1	04	01	H5378_190_0	9	08/19/2010	2011.01	08/19/2010 04:51:18 PM Central Daylight Time	08/20/2010 07:38:50 AM Central Daylight Time	08/19/2010 01:41:42 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 650 B powered by CCRx (PPO)	01	04		1			H5378	190	0	2011	Select counties in Midwest, Southeast, Southwest		2	42644	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	194	0	1	04	01	H5378_194_0	11	07/30/2010	2011.01	07/30/2010 11:14:12 AM Central Daylight Time	08/20/2010 07:40:20 AM Central Daylight Time	08/19/2010 01:42:10 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options Advantage 950 C powered by CCRx (PPO)	01	04		1			H5378	194	0	2011	Select counties in Midwest, Southeast, Southwest		2	908	2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	801	0	1	04	01	H5378_801_0	7	07/13/2010	2011.01	07/13/2010 10:22:24 AM Central Daylight Time	06/06/2010 04:54:31 PM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MA Group Plan (PPO)	01	04		1			H5378	801	0	2011	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5378	802	0	1	04	01	H5378_802_0	7	07/13/2010	2011.01	07/13/2010 10:22:25 AM Central Daylight Time	06/06/2010 05:20:08 PM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MAPD Group Plan (PPO)	01	04		1			H5378	802	0	2011	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5378	803	0	1	04	01	H5378_803_0	7	07/13/2010	2011.01	07/13/2010 10:22:25 AM Central Daylight Time	06/06/2010 05:21:30 PM Central Daylight Time			08/06/2010 03:56:15 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptionsppo.com	Today's Options PPO - MAPD Group Plan - NCY (PPO)	01	04		1			H5378	803	0	2011	National		1		2				2						www.todaysoptionsppo.com	http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(866)-422-5009		(866)-422-5009		(866)-422-1967		(866)-422-1967		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5402	007	0	1	01	01	H5402_007_0	5	08/27/2010	2011.01	08/27/2010 12:07:45 PM Eastern Daylight Time	08/19/2010 06:00:10 PM Eastern Daylight Time	08/19/2010 04:59:58 PM Eastern Daylight Time		08/27/2010 12:10:05 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Silver (HMO)	01	01		1			H5402	007	0	2011	Central Florida		2	6250	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	www.qualityhealthplans.com	(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1
H5402	032	0	1	01	01	H5402_032_0	4	08/23/2010	2011.01	08/23/2010 07:46:20 PM Eastern Daylight Time	08/19/2010 06:02:22 PM Eastern Daylight Time	08/19/2010 05:00:44 PM Eastern Daylight Time		08/24/2010 01:35:36 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Silver South (HMO)	01	01		1			H5402	032	0	2011	South Florida		2	650	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	www.qualityhealthplans.com	(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1
H5402	035	0	1	01	01	H5402_035_0	6	08/23/2010	2011.01	08/23/2010 07:47:54 PM Eastern Daylight Time	08/23/2010 04:25:38 PM Eastern Daylight Time	08/19/2010 05:07:24 PM Eastern Daylight Time		08/24/2010 01:35:36 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Health Florida (HMO SNP)	01	01		1			H5402	035	0	2011	Various Counties in Florida		2	3000	2				1	4		1		00000000000000000010	www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	www.qualityhealthplans.com	(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1
H5402	036	0	1	01	01	H5402_036_0	5	08/23/2010	2011.01	08/23/2010 08:43:32 PM Eastern Daylight Time	08/19/2010 06:07:58 PM Eastern Daylight Time	08/19/2010 05:01:42 PM Eastern Daylight Time		08/24/2010 01:35:36 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Silver -  East (HMO)	01	01		1			H5402	036	0	2011	East Coast of Florida		2	6425	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	www.qualityhealthplans.com	(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1
H5402	038	0	1	01	01	H5402_038_0	7	08/23/2010	2011.01	08/23/2010 08:39:36 PM Eastern Daylight Time	08/19/2010 06:10:06 PM Eastern Daylight Time	08/19/2010 05:02:20 PM Eastern Daylight Time		08/24/2010 01:35:36 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Silver North and Central (HMO)	01	01		1			H5402	038	0	2011	North and Central Florida		2	1230	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	www.qualityhealthplans.com	(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1
H5402	039	0	1	01	01	H5402_039_0	6	08/23/2010	2011.01	08/23/2010 08:45:55 PM Eastern Daylight Time	08/19/2010 06:14:18 PM Eastern Daylight Time	08/19/2010 05:03:00 PM Eastern Daylight Time		08/24/2010 01:35:36 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage (HMO)	01	01		1			H5402	039	0	2011	Various Counties in Florida		2	6350	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	www.qualityhealthplans.com	(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1
H5402	040	0	1	01	01	H5402_040_0	2	08/04/2010	2011.01	08/04/2010 03:41:34 PM Eastern Daylight Time	06/07/2010 03:27:22 PM Eastern Daylight Time			08/04/2010 03:49:36 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Advantage Value Florida (HMO)	01	01		1			H5402	040	0	2011	Various Counties in Florida		2	650	2				2						www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	www.qualityhealthplans.com	(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640										(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010										1
H5402	041	0	1	01	01	H5402_041_0	5	08/25/2010	2011.01	08/25/2010 02:54:07 PM Eastern Daylight Time	08/23/2010 04:25:26 PM Eastern Daylight Time	08/19/2010 05:03:50 PM Eastern Daylight Time		08/25/2010 03:02:47 PM Eastern Daylight Time	QUALITY HEALTH PLANS, INC.	Quality Health Plans	www.qualityhealthplans.com	Value One Florida (HMO SNP)	01	01		1			H5402	041	0	2011	Various Counties in Florida		2	3000	2		2		1	3		1	2		www.qualityhealthplans.com	http://www.qualityhealthplans.com/medicareformulary.html	www.qualityhealthplans.com	(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-747-2700		(813)-574-1640		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		(866)-455-6010		1
H5403	001	0	1	20	08	H5403_001_0	1	05/28/2010	2011.01	05/28/2010 01:14:06 PM Pacific Daylight Time		05/18/2010 09:01:38 AM Pacific Daylight Time		05/28/2010 01:17:02 PM Pacific Daylight Time	ON LOK SENIOR HEALTH SERVICES	On Lok Lifeways	www.onlok.org/seniorhealth	On Lok Lifeways (Dual Eligibles) (PACE)	08	20		1			H5403	001	0	2011	San Francisco, Alameda and Santa Clara counties		2		2				2							n/a	www.onlok.org									(888)-996-6565		(415)-292-8895		(888)-886-6565		(415)-292-8784										(888)-996-6565		(415)-292-8898		(888)-886-6565		(415)-292-8898		1
H5403	002	0	1	20	08	H5403_002_0	1	05/28/2010	2011.01	05/28/2010 01:14:27 PM Pacific Daylight Time		05/18/2010 09:01:38 AM Pacific Daylight Time		05/28/2010 01:17:02 PM Pacific Daylight Time	ON LOK SENIOR HEALTH SERVICES	On Lok Lifeways	www.onlok.org/seniorhealth	On Lok Lifeways (Medicare Only) (PACE)	08	20		1			H5403	002	0	2011	San Francisco, Alameda and Santa Clara counties		2		2				2							n/a	www.onlok.org									(888)-996-6565		(415)-292-8895		(888)-886-6565		(415)-292-8784										(888)-996-6565		(415)-292-8898		(888)-886-6565		(415)-292-8898		1
H5404	001	0	1	01	01	H5404_001_0	8	09/22/2010	2011.01	09/22/2010 03:16:23 PM Eastern Daylight Time	08/23/2010 12:07:08 AM Eastern Daylight Time	08/23/2010 03:11:14 PM Eastern Daylight Time		09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	001	0	2011	Florida		2		2				2						http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	034	0	1	01	01	H5404_034_0	8	09/22/2010	2011.01	09/22/2010 03:17:24 PM Eastern Daylight Time	08/23/2010 12:08:01 AM Eastern Daylight Time	08/23/2010 03:11:43 PM Eastern Daylight Time		09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO)	01	01		1			H5404	034	0	2011	South Florida		2		2				2						http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	086	0	1	02	01	H5404_086_0	8	09/24/2010	2011.01	09/24/2010 06:21:47 AM Eastern Daylight Time	08/23/2010 12:08:35 AM Eastern Daylight Time	08/23/2010 03:12:23 PM Eastern Daylight Time		09/24/2010 06:30:07 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Plus (HMO-POS)	01	02		1			H5404	086	0	2011	Florida		2		2				2						http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	111	0	1	01	01	H5404_111_0	8	09/27/2010	2011.01	09/27/2010 09:08:24 PM Eastern Daylight Time	08/23/2010 03:20:42 PM Eastern Daylight Time	08/23/2010 03:22:27 PM Eastern Daylight Time		09/27/2010 09:45:32 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Premier SNP - Dual (HMO SNP)	01	01		1			H5404	111	0	2011	Florida Dual SNP		2		2		2		1	3		1	2		http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	113	0	1	01	01	H5404_113_0	7	09/27/2010	2011.01	09/27/2010 09:09:27 PM Eastern Daylight Time	08/23/2010 03:21:41 PM Eastern Daylight Time	08/23/2010 03:23:05 PM Eastern Daylight Time		09/27/2010 09:45:32 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Premier SNP - Institutional (HMO SNP)	01	01		1			H5404	113	0	2011	Florida Institutional SNP		2		2				1	1	2	1			http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	116	0	1	01	01	H5404_116_0	6	09/22/2010	2011.01	09/22/2010 03:23:18 PM Eastern Daylight Time	08/15/2010 09:31:22 AM Eastern Daylight Time			09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO)	01	01		1			H5404	116	0	2011	Florida		2		2				2						http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1
H5404	135	0	1	01	01	H5404_135_0	9	10/01/2010	2011.01	10/01/2010 11:56:26 AM Eastern Daylight Time	08/23/2010 12:09:09 AM Eastern Daylight Time	08/23/2010 03:14:33 PM Eastern Daylight Time		10/04/2010 07:41:40 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Premier SNP - Diabetes (HMO SNP)	01	01		1			H5404	135	0	2011	Florida Diabetes SNP		2		2				1	4		1		00000010000000000000	http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	136	0	1	01	01	H5404_136_0	9	10/01/2010	2011.01	10/01/2010 11:56:39 AM Eastern Daylight Time	08/23/2010 02:50:17 PM Eastern Daylight Time	08/23/2010 03:15:19 PM Eastern Daylight Time		10/04/2010 07:41:40 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Premier SNP - Dementia (HMO SNP)	01	01		1			H5404	136	0	2011	Florida Dementia SNP		2		2				1	4		1		00000100000000000000	http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	137	0	1	01	01	H5404_137_0	9	10/01/2010	2011.01	10/01/2010 11:56:49 AM Eastern Daylight Time	08/23/2010 03:02:35 PM Eastern Daylight Time	08/23/2010 03:15:56 PM Eastern Daylight Time		10/04/2010 07:41:40 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Premier SNP - COPD (HMO SNP)	01	01		1			H5404	137	0	2011	Florida COPD SNP		2		2				1	4		1		00000000000100000000	http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	138	0	1	01	01	H5404_138_0	9	09/22/2010	2011.01	09/22/2010 03:26:06 PM Eastern Daylight Time	08/23/2010 03:07:19 PM Eastern Daylight Time	08/23/2010 03:16:27 PM Eastern Daylight Time		09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece Premier (HMO)	01	01		1			H5404	138	0	2011	Florida Premier		2		2				2						http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	140	0	1	01	01	H5404_140_0	9	09/22/2010	2011.01	09/22/2010 05:18:27 PM Eastern Daylight Time	08/23/2010 03:10:08 PM Eastern Daylight Time	08/23/2010 03:17:40 PM Eastern Daylight Time		09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	e-Medicare Masterpiece Premier Direct (HMO)	01	01		1			H5404	140	0	2011	Florida Premier Web Based		2		2				2						http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	141	0	1	01	01	H5404_141_0	8	09/22/2010	2011.01	09/22/2010 03:27:32 PM Eastern Daylight Time	08/23/2010 03:18:31 PM Eastern Daylight Time	08/23/2010 04:58:54 PM Eastern Daylight Time		09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	e-Medicare Masterpiece Direct (HMO)	01	01		1			H5404	141	0	2011	Florida		2		2				2						http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5404	801	0	1	01	01	H5404_801_0	5	09/22/2010	2011.01	09/22/2010 03:27:52 PM Eastern Daylight Time	08/12/2010 11:06:22 AM Eastern Daylight Time			09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece EGWP (HMO)	01	01		1			H5404	801	0	2011	Florida		1		2				2						http://www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5405	001	0	1	20	08	H5405_001_0	1	05/27/2010	2011.01	05/27/2010 03:18:50 PM Pacific Daylight Time		06/02/2010 12:28:54 PM Pacific Daylight Time		06/02/2010 12:38:02 PM Pacific Daylight Time	CENTER FOR ELDERS INDEPENDENCE	Center For Elders Independence	www.cei.elders.org	Center for Elders Independence - Part D (PACE)	08	20		1			H5405	001	0	2011	Alameda and Contra Costa Counties		2		2				2							www.cei.elders.org	www.cei.elders.org									(510)-433-1150		(510)-433-1150		(510)-433-1150		(510)-433-1150										(510)-433-1165		(510)-433-1165		(510)-433-1165		(510)-433-1165		1
H5405	002	0	1	20	08	H5405_002_0	1	05/27/2010	2011.01	05/27/2010 03:19:02 PM Pacific Daylight Time		06/02/2010 12:28:54 PM Pacific Daylight Time		06/02/2010 12:38:02 PM Pacific Daylight Time	CENTER FOR ELDERS INDEPENDENCE	Center For Elders Independence	www.cei.elders.org	Center for Elders-Part D/MediCare, only (PACE)	08	20		1			H5405	002	0	2011	Alameda and Contra Costa Counties		2		2				2							www.cei.elders.org	www.cei.elders.org									(510)-433-1150		(510)-433-1150		(510)-433-1150		(510)-433-1150										(510)-433-1150		(510)-433-1150		(510)-433-1165		(510)-433-1165		1
H5406	001	0	1	20	08	H5406_001_0	1	05/19/2010	2011.01	05/19/2010 11:01:37 AM Pacific Daylight Time		05/19/2010 09:09:23 AM Pacific Daylight Time		05/19/2010 11:04:16 AM Pacific Daylight Time	SUTTER HEALTH SACRAMENTO SIERRA REGION	Sutter SeniorCare	www.sutterseniorcare.org	Sutter SeniorCare (PACE)	08	20		1			H5406	001	0	2011	San Francisco, California		2		2				2							sutterseniorcare.org	sutterseniorcare.org									(916)-424-8412	13404	(916)-424-8412	13404	(916)-424-8412		(916)-424-8412	13422									(916)-424-8412		(916)-424-8412		(916)-424-8412		(916)-424-8412		1
H5406	002	0	1	20	08	H5406_002_0	1	05/19/2010	2011.01	05/19/2010 11:01:59 AM Pacific Daylight Time		05/19/2010 09:09:23 AM Pacific Daylight Time		05/19/2010 11:04:16 AM Pacific Daylight Time	SUTTER HEALTH SACRAMENTO SIERRA REGION	Sutter SeniorCare	www.sutterseniorcare.org	Sutter SeniorCare (PACE)	08	20		1			H5406	002	0	2011	San Francisco, California		2		2				2							sutterseniorcare.org	sutterseniorcare.org									(916)-424-8412	13404	(916)-424-8412	13404	(916)-424-8412		(916)-424-8412	13422									(916)-424-8412		(916)-424-8412		(916)-424-8412		(916)-424-8412		1
H5407	001	0	1	01	01	H5407_001_0	9	08/20/2010	2011.01	08/20/2010 04:32:13 PM Central Daylight Time	08/23/2010 12:05:28 PM Central Daylight Time	08/23/2010 12:07:15 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Total (HMO)	01	01		1			H5407	001	0	2011	Central Florida and South Florida Region		2	1745	2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	http://WWW.citrushc.com/	(877)-624-8787		(877)-624-8787		(866)-769-1157		(866)-769-1157		(800)-546-5677		(402)-965-8800		(866)-769-1157		(866)-769-1157		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(866)-706-4757		(866)-706-4757		(800)-955-8771		(800)-955-8771		1
H5407	004	0	1	01	01	H5407_004_0	8	08/20/2010	2011.01	08/20/2010 04:33:03 PM Central Daylight Time	08/23/2010 12:05:30 PM Central Daylight Time	08/23/2010 12:07:23 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Total (HMO)	01	01		1			H5407	004	0	2011	Gulf Coast Florida Region		2	615	2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	http://WWW.citrushc.com/	(877)-624-8787		(877)-624-8787		(866)-769-1157		(866)-769-1157		(800)-546-5677		(402)-965-8800		(866)-769-1157		(866)-769-1157		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(866)-706-4757		(866)-706-4757		(800)-955-8771		(800)-955-8771		1
H5407	011	0	1	01	01	H5407_011_0	5	08/20/2010	2011.01	08/20/2010 03:40:23 PM Central Daylight Time	08/23/2010 12:05:29 PM Central Daylight Time	08/23/2010 12:07:25 PM Central Daylight Time		08/23/2010 03:32:12 PM Central Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Plus (HMO SNP)	01	01		1			H5407	011	0	2011	Central, South, and Gulf Florida Region		2	5524	2		2		1	3		1	2		www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	http://WWW.citrushc.com/	(877)-624-8787		(877)-624-8787		(866)-769-1157		(866)-769-1157		(800)-546-5677		(402)-965-8800		(866)-769-1157		(866)-769-1157		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(866)-706-4757		(866)-706-4757		(800)-955-8771		(800)-955-8771		1
H5407	024	0	1	01	01	H5407_024_0	4	07/29/2010	2011.01	07/29/2010 07:31:48 PM Central Daylight Time	06/07/2010 05:39:32 AM Central Daylight Time			07/29/2010 07:36:32 PM Central Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Basic (HMO)	01	01		1			H5407	024	0	2011	Central Florida and South Florida Region		2	48	2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	http://WWW.citrushc.com/	(877)-624-8787		(877)-624-8787		(866)-769-1157		(866)-769-1157										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1
H5407	029	0	1	01	01	H5407_029_0	4	07/29/2010	2011.01	07/29/2010 07:27:34 PM Central Daylight Time	06/07/2010 05:40:01 AM Central Daylight Time			07/29/2010 07:36:32 PM Central Daylight Time	CITRUS HEALTH CARE, INC.	Citrus Health Care, Inc.	www.citrushc.com	Citrus Basic (HMO)	01	01		1			H5407	029	0	2011	Gulf Coast Region		2	53	2				2						www.citrushc.com	http://citrushc.com/our_services/citruscare/formularies.php	http://WWW.citrushc.com/	(877)-624-8787		(877)-624-8787		(866)-769-1157		(866)-769-1157										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1
H5410	001	0	1	01	01	H5410_001_0	5	08/20/2010	2011.01	08/20/2010 03:10:24 PM Eastern Daylight Time	08/20/2010 01:57:40 PM Central Daylight Time	08/19/2010 02:49:40 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING OF FLORIDA, INC.	HealthSpring of Florida, Inc.	www.lmchealthplans.com	Leon Medical Centers Health Plans - Leon Cares (HMO)	01	01		1			H5410	001	0	2011	Miami-Dade county		2	39581	2				2							www.healthspring.com	www.healthspring.com	(866)-393-5366		(305)-559-5366		(866)-393-5366		(305)-559-5366		(866)-393-5366		(305)-559-5366		(866)-393-5366		(305)-559-5366		(866)-478-9317		(305)-220-5752		(877)-262-9090		(305)-220-5752		(877)-262-9090		(305)-220-5752		(866)-845-7230		(305)-220-5752		1
H5410	004	0	1	01	01	H5410_004_0	5	08/30/2010	2011.01	08/30/2010 12:14:36 PM Central Daylight Time	07/26/2010 06:20:24 PM Central Daylight Time			08/30/2010 04:46:05 PM Central Daylight Time	HEALTHSPRING OF FLORIDA, INC.	HealthSpring of Florida, Inc.	healthspring.com	HealthyAdvantage (HMO)	01	01		1			H5410	004	0	2011	Pensacola		2	90	2				2							www.healthspring.com	www.healthspring.com	(866)-382-0511		(866)-382-0511		(888)-767-1879		(888)-767-1879										(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090										1
H5410	005	0	1	01	01	H5410_005_0	8	08/30/2010	2011.01	08/30/2010 12:15:10 PM Central Daylight Time	08/20/2010 04:41:49 PM Central Daylight Time	08/19/2010 02:50:45 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF FLORIDA, INC.	HealthSpring of Florida, Inc.	healthspring.com	HealthyAdvantage Plus (HMO)	01	01		1			H5410	005	0	2011	Pensacola		2	900	2				2							www.healthspring.com	www.healthspring.com	(866)-382-0511		(866)-382-0511		(888)-767-1879		(888)-767-1879		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H5410	010	0	1	01	01	H5410_010_0	10	08/30/2010	2011.01	08/30/2010 12:15:51 PM Central Daylight Time	08/20/2010 04:43:01 PM Central Daylight Time	08/19/2010 02:51:53 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF FLORIDA, INC.	HealthSpring of Florida, Inc.	healthspring.com	TotalCare (HMO SNP)	01	01		1			H5410	010	0	2011	Pensacola		2	140	2		2		1	3		1	4			www.healthspring.com	www.healthspring.com	(866)-382-0511		(866)-382-0511		(888)-767-1879		(888)-767-1879		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H5410	012	0	1	02	01	H5410_012_0	9	08/30/2010	2011.01	08/30/2010 12:16:39 PM Central Daylight Time	08/24/2010 11:57:05 AM Central Daylight Time	08/19/2010 02:52:51 PM Central Daylight Time		08/30/2010 03:55:51 PM Central Daylight Time	HEALTHSPRING OF FLORIDA, INC.	HealthSpring of Florida, Inc.	www.healthspring.com	HealthyAdvantage Premier (HMO-POS)	01	02		1			H5410	012	0	2011	Pensacola		2	125	2				2							www.healthspring.com	www.healthspring.com	(866)-382-0511		(866)-382-0511		(888)-767-1879		(888)-767-1879		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(877)-262-9090		(866)-845-7230		(866)-845-7230		1
H5414	009	0	1	01	01	H5414_009_0	4	08/20/2010	2011.01	08/20/2010 03:39:32 PM Central Daylight Time	08/20/2010 09:19:09 AM Central Daylight Time	08/19/2010 01:01:50 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5414	009	0	2011	Tampa and Sarasota		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5414	010	0	1	01	01	H5414_010_0	3	08/20/2010	2011.01	08/20/2010 03:39:38 PM Central Daylight Time	08/20/2010 09:37:41 AM Central Daylight Time	08/19/2010 01:01:56 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5414	010	0	2011	South Florida		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5414	019	0	1	01	01	H5414_019_0	3	08/20/2010	2011.01	08/20/2010 03:39:56 PM Central Daylight Time	08/20/2010 09:39:26 AM Central Daylight Time	08/19/2010 01:02:01 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5414	019	0	2011	Jacksonville		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5414	801	0	1	01	01	H5414_801_0	1	05/11/2010	2011.01	05/11/2010 11:06:15 AM Eastern Daylight Time	06/03/2010 01:51:10 PM Eastern Daylight Time			06/04/2010 03:00:36 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5414	801	0	2011	Florida		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H5414	803	0	1	01	01	H5414_803_0	2	05/11/2010	2011.01	05/11/2010 11:09:39 AM Eastern Daylight Time	06/23/2010 02:27:28 PM Central Daylight Time			07/27/2010 12:03:00 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5414	803	0	2011	Florida		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5415	039	0	1	04	01	H5415_039_0	8	08/20/2010	2011.01	08/20/2010 02:14:59 PM Eastern Daylight Time	08/20/2010 04:46:22 PM Eastern Daylight Time	08/20/2010 04:19:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	HumanaChoice H5415-039 (PPO)	01	04		1			H5415	039	0	2011	Flagler and Volusia Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H5415	056	0	1	04	01	H5415_056_0	5	08/20/2010	2011.01	08/20/2010 05:15:29 PM Eastern Daylight Time	08/20/2010 04:42:28 PM Eastern Daylight Time	08/20/2010 04:19:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	HumanaChoice H5415-056 (PPO)	01	04		1			H5415	056	0	2011	Broward, Miami-Dade and Palm Beach counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5415	801	0	1	04	01	H5415_801_0	3	06/05/2010	2011.01	06/05/2010 09:19:31 AM Eastern Daylight Time	07/26/2010 01:25:04 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5415	801	0	2011	Select Counties in Florida		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5415	803	0	1	04	01	H5415_803_0	3	06/05/2010	2011.01	06/05/2010 09:20:00 AM Eastern Daylight Time	07/26/2010 01:42:23 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5415	803	0	2011	Select Counties in Florida		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H5415	804	0	1	04	01	H5415_804_0	3	06/05/2010	2011.01	06/05/2010 09:20:25 AM Eastern Daylight Time	07/26/2010 01:42:49 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5415	804	0	2011	Select Counties in Florida		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5415	806	0	2	04	01	H5415_806_0	5	06/05/2010	2011.01	06/05/2010 09:28:11 AM Eastern Daylight Time	07/26/2010 04:05:34 PM Eastern Daylight Time			07/26/2010 05:15:52 PM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		2	2		H5415	806	0	2011	Select Counties in Florida		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5415	807	0	2	04	01	H5415_807_0	5	06/05/2010	2011.01	06/05/2010 09:28:40 AM Eastern Daylight Time	07/26/2010 04:06:12 PM Eastern Daylight Time			07/26/2010 05:15:52 PM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		2	2		H5415	807	0	2011	Select Counties in Florida		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H5415	808	0	2	04	01	H5415_808_0	5	06/05/2010	2011.01	06/05/2010 09:29:05 AM Eastern Daylight Time	07/26/2010 04:06:52 PM Eastern Daylight Time			07/26/2010 05:15:52 PM Eastern Daylight Time	HUMANA HEALTH INSURANCE COMPANY OF FL, INC.	Humana Health Insurance Company of FL, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		2	2		H5415	808	0	2011	Select Counties in Florida		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5416	002	0	1	01	01	H5416_002_0	7	08/20/2010	2011.01	08/20/2010 03:56:46 PM Central Daylight Time	08/20/2010 11:00:37 PM Central Daylight Time	08/18/2010 06:03:05 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.spokanecommunitycare.com	Spokane Community Care - Plus (HMO)	01	01		1			H5416	002	0	2011	Spokane County		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	004	0	1	01	01	H5416_004_0	8	08/10/2010	2011.01	08/10/2010 09:53:06 PM Central Daylight Time	08/21/2010 12:29:21 AM Central Daylight Time	08/18/2010 06:03:38 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.columbiacommuntiycare.com	Columbia Community Care - Plus (HMO)	01	01		1			H5416	004	0	2011	Benton/ Franklin		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	009	0	1	01	01	H5416_009_0	6	08/22/2010	2011.01	08/22/2010 09:06:00 AM Central Daylight Time	08/21/2010 12:41:14 AM Central Daylight Time	08/18/2010 06:04:04 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.columbiacommuntiycare.com	Columbia Community Care - Plus (HMO)	01	01		1			H5416	009	0	2011	Yakima		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	011	0	1	01	01	H5416_011_0	6	08/21/2010	2011.01	08/21/2010 10:44:13 AM Central Daylight Time	08/20/2010 11:06:13 PM Central Daylight Time	08/18/2010 06:04:32 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.ArcadianCommunityCare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H5416	011	0	2011	SLO/SB		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	013	0	1	01	01	H5416_013_0	4	08/21/2010	2011.01	08/21/2010 10:46:01 AM Central Daylight Time	08/21/2010 03:46:15 PM Central Daylight Time	08/18/2010 06:05:00 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.SoutheastCommunityCare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5416	013	0	2011	Roanoke		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	014	0	1	01	01	H5416_014_0	6	08/23/2010	2011.01	08/23/2010 11:01:28 AM Central Daylight Time	08/20/2010 11:08:00 PM Central Daylight Time	08/18/2010 06:05:59 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Spokane Community Care - Dual Plus (HMO SNP)	01	01		1			H5416	014	0	2011	Washington		2		2		2		1	3		1	5		www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	016	0	1	01	01	H5416_016_0	6	08/22/2010	2011.01	08/22/2010 09:00:56 AM Central Daylight Time	08/21/2010 12:27:29 PM Central Daylight Time	08/18/2010 06:06:54 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.NortheastCommunityCare.com	Northeast Community Care - Plus (HMO)	01	01		1			H5416	016	0	2011	New Hampshire		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(800)-998-3056		(800)-573-8597		(800)-573-8597		(800)-998-3056		(800)-998-3056		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	017	0	1	01	01	H5416_017_0	6	08/20/2010	2011.01	08/20/2010 04:02:02 PM Central Daylight Time	08/21/2010 12:54:54 AM Central Daylight Time	08/18/2010 06:07:23 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Ozark Health Plan - Plus (HMO)	01	01		1			H5416	017	0	2011	Joplin		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	018	0	1	01	01	H5416_018_0	5	08/23/2010	2011.01	08/23/2010 03:54:07 PM Central Daylight Time	08/21/2010 12:28:54 PM Central Daylight Time	08/18/2010 06:07:54 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Ozark Health Plan - Plus (HMO)	01	01		1			H5416	018	0	2011	Springfield		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	019	0	1	01	01	H5416_019_0	6	08/23/2010	2011.01	08/23/2010 11:09:41 AM Central Daylight Time	08/21/2010 03:14:22 PM Central Daylight Time	08/18/2010 06:08:54 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Ozark Health Plan - Dual Plus (HMO SNP)	01	01		1			H5416	019	0	2011	Missouri		2		2		2		1	3		1	5		www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(800)-573-8597		(800)-573-8597		(800)-658-3518		(800)-658-3518		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	020	0	1	01	01	H5416_020_0	5	08/22/2010	2011.01	08/22/2010 07:44:16 PM Central Daylight Time	08/20/2010 11:11:38 PM Central Daylight Time	08/18/2010 06:09:43 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Arcadian Community Care - Plus (HMO)	01	01		1			H5416	020	0	2011	Tulare		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	021	0	1	01	01	H5416_021_0	6	08/22/2010	2011.01	08/22/2010 09:22:23 AM Central Daylight Time	08/21/2010 11:47:13 PM Central Daylight Time	08/18/2010 06:10:10 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Arcadian Community Care - Plus (HMO)	01	01		1			H5416	021	0	2011	Shasta		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	022	0	1	01	01	H5416_022_0	6	08/23/2010	2011.01	08/23/2010 11:14:54 AM Central Daylight Time	08/23/2010 01:13:04 AM Central Daylight Time	08/18/2010 06:11:10 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Arcadian Community Care - Dual Plus (HMO SNP)	01	01		1			H5416	022	0	2011	California		2		2		2		1	3		1	5		www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(800)-573-8597		(800)-573-8597		(800)-699-5125		(805)-481-7169		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	023	0	1	01	01	H5416_023_0	7	08/26/2010	2011.01	08/26/2010 06:49:07 PM Central Daylight Time	08/20/2010 11:13:29 PM Central Daylight Time	08/18/2010 06:11:41 PM Central Daylight Time		08/26/2010 06:56:15 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Southeast Community Care - Plus (HMO)	01	01		1			H5416	023	0	2011	Virginia Beach		2		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(800)-573-8597		(800)-573-8597		(800)-653-2924		(757)-461-6344		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5416	801	0	1	01	01	H5416_801_0	5	07/28/2010	2011.01	07/28/2010 05:12:00 PM Central Daylight Time	07/26/2010 12:56:33 PM Central Daylight Time			07/28/2010 05:13:24 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Spokane Community Care	www.arcadianhealth.com	Arcadian Health Plan - EGWP (HMO)	01	01		1			H5416	801	0	2011	Washington		1		2				2						www.arcadianhealth.com	http://www.spokanecommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(800)-573-8597		(800)-573-8597		(800)-573-8609		(509)-325-8004		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5417	001	0	1	04	01	H5417_001_0	5	08/20/2010	2011.01	08/20/2010 02:37:45 PM Central Daylight Time	08/19/2010 04:44:56 PM Central Daylight Time	08/18/2010 04:33:36 PM Central Daylight Time		08/20/2010 03:43:00 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan IP (PPO SNP)	01	04		1			H5417	001	0	2011	Panhandle, Jax, Tampa, Orlando,  Southern FL areas		2		2				1	1	1	1			www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(800)-393-0993		(800)-393-0993		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5420	001	0	1	05	01	H5420_001_0	5	08/13/2010	2011.01	08/13/2010 12:25:55 PM Eastern Daylight Time	08/19/2010 11:35:28 AM Eastern Daylight Time	08/19/2010 11:32:25 AM Eastern Daylight Time		08/23/2010 06:18:38 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax (PSO)	01	05		1			H5420	001	0	2011	Miami-Dade County		2	19288	2				2						www.medicaplans.com	www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267		(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267		(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407		(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407		1
H5420	003	0	1	05	01	H5420_003_0	7	08/23/2010	2011.01	08/23/2010 09:42:52 AM Eastern Daylight Time	08/23/2010 07:27:46 PM Eastern Daylight Time	08/19/2010 11:32:54 AM Eastern Daylight Time		08/23/2010 07:55:03 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax (PSO)	01	05		1			H5420	003	0	2011	Broward County		2	3239	2				2						www.medicaplans.com	www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-719-4570		(800)-719-4570		(800)-407-9069		(305)-421-1244		(800)-719-4570		(800)-719-4570		(800)-517-6923		(305)-421-1251		(800)-865-4057		(800)-865-4057		(800)-517-6923		(305)-421-1251		(800)-865-4057		(800)-865-4057		1
H5420	005	0	1	05	01	H5420_005_0	6	08/23/2010	2011.01	08/23/2010 11:13:57 AM Eastern Daylight Time	08/19/2010 07:24:53 PM Eastern Daylight Time	08/19/2010 11:33:13 AM Eastern Daylight Time		08/23/2010 06:18:38 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Direct (PSO)	01	05		1			H5420	005	0	2011	Broward County		2	1414	2				2						www.medicaplans.com	www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-719-4570		(800)-719-4570		(800)-407-9069		(800)-407-9069		(800)-719-4570		(800)-719-4570		(800)-517-6923		(305)-421-1251		(800)-865-4057		(800)-865-4057		(800)-517-6923		(800)-517-6923		(800)-865-4057		(800)-865-4057		1
H5420	006	0	1	05	01	H5420_006_0	6	08/20/2010	2011.01	08/20/2010 05:49:15 PM Eastern Daylight Time	08/23/2010 07:52:05 PM Eastern Daylight Time	08/19/2010 11:33:33 AM Eastern Daylight Time		08/23/2010 07:55:03 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Plus (PSO SNP)	01	05		1			H5420	006	0	2011	Miami-Dade and Broward County		2	5096	2		2		1	3		1	3		www.medicaplans.com	www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267		(800)-407-9069		(800)-407-9069		(800)-507-0544		(305)-267-5267		(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407		(800)-517-6923		(800)-517-6923		(800)-865-4057		(305)-448-3407		1
H5420	007	0	1	05	01	H5420_007_0	5	07/19/2010	2011.01	07/19/2010 11:52:48 AM Eastern Daylight Time	07/27/2010 03:13:09 PM Eastern Daylight Time			08/04/2010 03:06:54 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Value (PSO)	01	05		1			H5420	007	0	2011	Miami-Dade County		2	258	2				2						www.medicaplans.com	www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-507-0544		(305)-267-5267										(800)-517-6923		(305)-421-1251		(800)-865-4057		(305)-448-3407										1
H5420	008	0	1	05	01	H5420_008_0	6	08/12/2010	2011.01	08/12/2010 09:28:37 AM Eastern Daylight Time	08/12/2010 09:26:07 AM Eastern Daylight Time			08/12/2010 09:31:34 AM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Value (PSO)	01	05		1			H5420	008	0	2011	Broward County		2	629	2				2						www.medicaplans.com	www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-719-4570		(800)-719-4570										(800)-517-6923		(305)-421-1251		(800)-865-4057		(800)-865-4057										1
H5420	009	0	1	05	01	H5420_009_0	7	08/13/2010	2011.01	08/13/2010 12:51:01 PM Eastern Daylight Time	08/19/2010 11:41:19 AM Eastern Daylight Time	08/19/2010 11:33:55 AM Eastern Daylight Time		08/23/2010 06:18:38 PM Eastern Daylight Time	MEDICA HEALTHCARE PLANS, INC.	Medica HealthCare Plans, Inc.	www.medicaplans.com	Medica HealthCare Plans MedicareMax Value RX (PSO)	01	05		1			H5420	009	0	2011	Miami-Dade and Broward County		2	5825	2				2						www.medicaplans.com	www.medicaplans.com	www.medicaplans.com	(800)-407-9069		(305)-421-1244		(800)-719-4570		(800)-719-4570		(800)-407-9069		(800)-407-9069		(800)-719-4570		(800)-719-4570		(800)-517-6923		(305)-421-1251		(800)-865-4057		(800)-865-4057		(800)-517-6923		(800)-517-6923		(800)-865-4057		(800)-865-4057		1
H5421	046	0	1	09	04	H5421_046_0	8	07/23/2010	2011.01	07/23/2010 04:29:31 PM Central Daylight Time	07/29/2010 12:08:31 PM Central Daylight Time			08/06/2010 01:33:06 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	2	1			H5421	046	0	2011	Select counties in Midwest, Southeast, Southwest		2	34638	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5421	047	0	1	09	04	H5421_047_0	8	07/23/2010	2011.01	08/31/2010 03:53:20 PM Central Daylight Time	07/29/2010 12:11:49 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	2	1			H5421	047	0	2011	Select counties in Midwest, Southeast, Southwest		2	40727	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5421	048	0	1	09	04	H5421_048_0	8	07/23/2010	2011.01	08/31/2010 03:53:22 PM Central Daylight Time	07/29/2010 12:15:36 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	2	1			H5421	048	0	2011	Select counties in Midwest, Southeast, Southwest		2	6975	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5421	049	0	1	09	04	H5421_049_0	9	07/23/2010	2011.01	08/31/2010 03:53:24 PM Central Daylight Time	08/06/2010 05:01:24 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	2	1			H5421	049	0	2011	Select counties in Midwest, Southeast, Southwest		2	60211	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5421	056	0	1	09	04	H5421_056_0	7	07/23/2010	2011.01	07/23/2010 04:29:40 PM Central Daylight Time	07/29/2010 12:27:49 PM Central Daylight Time			08/06/2010 01:33:06 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	2	1			H5421	056	0	2011	Select counties in Midwest, Southeast, Southwest		2	10692	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5421	057	0	1	09	04	H5421_057_0	7	07/23/2010	2011.01	07/23/2010 04:29:41 PM Central Daylight Time	07/29/2010 12:31:31 PM Central Daylight Time			08/06/2010 01:33:06 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	2	1			H5421	057	0	2011	Select counties in Midwest, Southeast, Southwest		2	7411	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5421	065	0	1	09	04	H5421_065_0	12	07/23/2010	2011.01	08/31/2010 03:53:53 PM Central Daylight Time	08/20/2010 06:44:45 AM Central Daylight Time	08/19/2010 01:44:58 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 B powered by CCRx (PFFS)	04	09	2	1			H5421	065	0	2011	Select counties in Midwest, Southeast, Southwest		2	14433	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5421	067	0	1	09	04	H5421_067_0	9	07/23/2010	2011.01	07/23/2010 04:29:44 PM Central Daylight Time	08/20/2010 06:46:37 AM Central Daylight Time	08/19/2010 01:18:02 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 450 A powered by CCRx (PFFS)	04	09	2	1			H5421	067	0	2011	Select counties in Midwest, Southeast, Southwest		2	31062	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5421	068	0	1	09	04	H5421_068_0	8	07/23/2010	2011.01	07/23/2010 04:29:45 PM Central Daylight Time	08/20/2010 06:48:36 AM Central Daylight Time	08/19/2010 01:18:32 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 450 A powered by CCRx (PFFS)	04	09	2	1			H5421	068	0	2011	Select counties in Midwest, Southeast, Southwest		2	8603	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5421	070	0	1	09	04	H5421_070_0	10	07/23/2010	2011.01	07/23/2010 04:29:46 PM Central Daylight Time	08/20/2010 06:51:10 AM Central Daylight Time	08/19/2010 01:48:52 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 B powered by CCRx (PFFS)	04	09	2	1			H5421	070	0	2011	Select counties in Midwest, Southeast, Southwest		2	18027	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5421	072	0	1	09	04	H5421_072_0	10	07/23/2010	2011.01	07/23/2010 04:29:47 PM Central Daylight Time	08/20/2010 06:53:10 AM Central Daylight Time	08/19/2010 01:47:54 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 F powered by CCRx (PFFS)	04	09	2	1			H5421	072	0	2011	Select counties in Midwest, Southeast, Southwest		2	10893	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5421	073	0	1	09	04	H5421_073_0	9	07/23/2010	2011.01	07/23/2010 04:29:48 PM Central Daylight Time	08/20/2010 06:55:12 AM Central Daylight Time	08/19/2010 01:31:16 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 E powered by CCRx (PFFS)	04	09	2	1			H5421	073	0	2011	Select counties in Midwest, Southeast, Southwest		2	71517	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5421	074	0	1	09	04	H5421_074_0	9	07/23/2010	2011.01	07/23/2010 04:29:49 PM Central Daylight Time	08/20/2010 06:57:23 AM Central Daylight Time	08/19/2010 01:31:50 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 F powered by CCRx (PFFS)	04	09	2	1			H5421	074	0	2011	Select counties in Midwest, Southeast, Southwest		2	18599	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5421	075	0	1	09	04	H5421_075_0	10	07/23/2010	2011.01	07/23/2010 04:29:50 PM Central Daylight Time	08/20/2010 06:59:18 AM Central Daylight Time	08/19/2010 01:48:20 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 F powered by CCRx (PFFS)	04	09	2	1			H5421	075	0	2011	Select counties in Midwest, Southeast, Southwest		2	19756	2				2							http://www.todaysoptions.com	http://www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5422	002	0	1	01	01	H5422_002_0	11	08/23/2010	2011.01	08/23/2010 04:15:58 PM Pacific Daylight Time	08/23/2010 04:00:40 PM Pacific Daylight Time	08/23/2010 04:07:49 PM Pacific Daylight Time		08/23/2010 04:28:51 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	BlueValue Secure (HMO)	01	01		1			H5422	002	0	2011	Select Counties in Georgia		2	2236	2				2							www.bcbsga.com	www.bcbsga.com	(866)-438-9968		(866)-438-9968		(800)-797-1769		(800)-797-1769		(866)-438-9968		(866)-438-9968		(800)-797-1769		(800)-797-1769		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H5422	006	0	1	01	01	H5422_006_0	10	08/23/2010	2011.01	08/23/2010 04:15:41 PM Pacific Daylight Time	08/23/2010 04:02:08 PM Pacific Daylight Time	08/23/2010 04:08:29 PM Pacific Daylight Time		08/23/2010 04:28:51 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com	BlueValue Basic (HMO)	01	01		1			H5422	006	0	2011	Select Counties in Georgia		2	926	2				2							www.bcbsga.com	www.bcbsga.com	(866)-438-9968		(866)-438-9968		(800)-797-1769		(800)-797-1769		(866)-438-9968		(866)-438-9968		(800)-797-1769		(800)-797-1769		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H5422	803	0	1	01	01	H5422_803_0	5	08/20/2010	2011.01	08/20/2010 11:28:22 AM Pacific Daylight Time	06/07/2010 07:08:06 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com/medicare	BlueValue (HMO)	01	01		1			H5422	803	0	2011	Georgia Select Counties		1	50	2				2							www.bcbsga.com	www.bcbsga.com	(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1
H5422	804	0	1	01	01	H5422_804_0	5	08/20/2010	2011.01	08/20/2010 11:29:00 AM Pacific Daylight Time	06/07/2010 07:10:32 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com/medicare	BlueValue (HMO)	01	01		1			H5422	804	0	2011	Georgia - Select Counties		1	50	2				2							www.bcbsga.com	www.bcbsga.com	(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H5422	805	0	1	01	01	H5422_805_0	5	08/20/2010	2011.01	08/20/2010 11:29:41 AM Pacific Daylight Time	06/07/2010 07:08:32 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF GEORGIA	Blue Cross Blue Shield Healthcare Plan of Georgia	www.bcbsga.com/medicare	BlueValue (HMO)	01	01		1			H5422	805	0	2011	Georgia - Select Counties		1	50	2				2							www.bcbsga.com	www.bcbsga.com	(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(866)-438-9968		(866)-438-9968		(888)-211-9817		(888)-211-9817		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
H5424	001	0	1	04	01	H5424_001_0	4	06/01/2010	2011.01	06/01/2010 08:35:12 AM Central Daylight Time	08/20/2010 12:02:02 PM Central Daylight Time	08/18/2010 04:48:59 PM Central Daylight Time		08/20/2010 05:04:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H5424	001	0	2011	Honolulu County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5424	003	0	1	04	01	H5424_003_0	1	06/01/2010	2011.01	06/01/2010 08:35:20 AM Central Daylight Time	06/02/2010 08:07:58 AM Central Daylight Time			06/03/2010 08:17:34 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice Essential (PPO)	01	04		1			H5424	003	0	2011	Honolulu County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
H5424	005	0	1	04	01	H5424_005_0	4	08/20/2010	2011.01	08/20/2010 04:16:07 PM Central Daylight Time	08/20/2010 12:02:26 PM Central Daylight Time	08/18/2010 04:33:41 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DP (PPO SNP)	01	04		1			H5424	005	0	2011	Honolulu County		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5425	001	0	1	01	01	H5425_001_0	9	08/31/2010	2011.01	08/31/2010 02:41:33 PM Pacific Daylight Time	08/21/2010 05:37:26 PM Pacific Daylight Time	08/18/2010 03:43:00 PM Pacific Daylight Time		08/31/2010 06:25:52 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	001	0	2011	Ventura County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	003	0	1	01	01	H5425_003_0	8	08/31/2010	2011.01	08/31/2010 02:41:47 PM Pacific Daylight Time	08/21/2010 05:50:43 PM Pacific Daylight Time	08/18/2010 03:44:18 PM Pacific Daylight Time		08/31/2010 06:25:52 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	003	0	2011	Kern County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	004	0	1	01	01	H5425_004_0	9	08/31/2010	2011.01	08/31/2010 02:42:26 PM Pacific Daylight Time	08/21/2010 05:59:44 PM Pacific Daylight Time	08/18/2010 03:44:58 PM Pacific Daylight Time		08/31/2010 06:25:52 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Signature (HMO)	01	01		1			H5425	004	0	2011	San Diego County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	005	0	1	01	01	H5425_005_0	9	08/31/2010	2011.01	08/31/2010 02:42:38 PM Pacific Daylight Time	08/21/2010 06:10:19 PM Pacific Daylight Time	08/18/2010 03:45:18 PM Pacific Daylight Time		08/31/2010 06:25:52 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	005	0	2011	San Diego County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	006	0	1	01	01	H5425_006_0	13	08/31/2010	2011.01	08/31/2010 02:42:48 PM Pacific Daylight Time	08/21/2010 06:35:50 PM Pacific Daylight Time	08/18/2010 03:45:40 PM Pacific Daylight Time		08/31/2010 06:25:52 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	006	0	2011	Los Angeles County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	007	0	1	01	01	H5425_007_0	12	08/31/2010	2011.01	08/31/2010 02:43:00 PM Pacific Daylight Time	08/21/2010 06:52:09 PM Pacific Daylight Time	08/18/2010 03:46:08 PM Pacific Daylight Time		08/31/2010 06:25:52 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	007	0	2011	Orange County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	008	0	1	01	01	H5425_008_0	12	08/31/2010	2011.01	08/31/2010 02:43:12 PM Pacific Daylight Time	08/21/2010 06:59:29 PM Pacific Daylight Time	08/18/2010 03:46:30 PM Pacific Daylight Time		08/31/2010 06:25:52 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	008	0	2011	Riverside County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	009	0	1	01	01	H5425_009_0	12	08/31/2010	2011.01	08/31/2010 02:43:22 PM Pacific Daylight Time	08/21/2010 07:08:30 PM Pacific Daylight Time	08/18/2010 03:46:48 PM Pacific Daylight Time		08/31/2010 06:25:52 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	009	0	2011	San Bernardino County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	010	0	1	01	01	H5425_010_0	12	09/15/2010	2011.01	09/15/2010 01:56:05 PM Pacific Daylight Time	08/23/2010 05:19:58 PM Pacific Daylight Time	08/18/2010 03:47:14 PM Pacific Daylight Time		09/16/2010 10:00:28 AM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Connections (HMO SNP)	01	01		1			H5425	010	0	2011	Los Angeles County		2		2		2		1	3		1	5		www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	011	0	1	01	01	H5425_011_0	13	09/15/2010	2011.01	09/15/2010 01:58:34 PM Pacific Daylight Time	08/23/2010 04:26:02 PM Pacific Daylight Time	08/18/2010 03:47:34 PM Pacific Daylight Time		09/16/2010 10:00:28 AM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Connections (HMO SNP)	01	01		1			H5425	011	0	2011	Riverside County		2		2		2		1	3		1	5		www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	012	0	1	01	01	H5425_012_0	15	09/15/2010	2011.01	09/15/2010 01:58:34 PM Pacific Daylight Time	08/23/2010 05:47:49 PM Pacific Daylight Time	08/18/2010 03:47:58 PM Pacific Daylight Time		09/16/2010 10:00:28 AM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Connections (HMO SNP)	01	01		1			H5425	012	0	2011	San Bernardino County		2		2		2		1	3		1	5		www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	014	0	1	01	01	H5425_014_0	10	08/31/2010	2011.01	08/31/2010 02:43:35 PM Pacific Daylight Time	08/20/2010 04:15:36 PM Pacific Daylight Time	08/18/2010 03:48:24 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Options (HMO)	01	01		1			H5425	014	0	2011	Orange County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	015	0	1	01	01	H5425_015_0	10	08/31/2010	2011.01	08/31/2010 02:43:45 PM Pacific Daylight Time	08/20/2010 04:17:31 PM Pacific Daylight Time	08/18/2010 03:48:40 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Options (HMO)	01	01		1			H5425	015	0	2011	Riverside County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	016	0	1	01	01	H5425_016_0	10	08/31/2010	2011.01	08/31/2010 02:43:59 PM Pacific Daylight Time	08/20/2010 04:18:56 PM Pacific Daylight Time	08/18/2010 03:48:58 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Options (HMO)	01	01		1			H5425	016	0	2011	San Bernardino County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	018	0	1	01	01	H5425_018_0	9	08/31/2010	2011.01	08/31/2010 02:44:16 PM Pacific Daylight Time	08/23/2010 02:40:41 PM Pacific Daylight Time	08/18/2010 03:49:18 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	018	0	2011	Contra Costa County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	019	0	1	01	01	H5425_019_0	10	08/31/2010	2011.01	08/31/2010 02:44:34 PM Pacific Daylight Time	08/23/2010 02:44:11 PM Pacific Daylight Time	08/18/2010 03:49:56 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	019	0	2011	San Francisco County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	020	0	1	01	01	H5425_020_0	9	08/31/2010	2011.01	08/31/2010 02:44:44 PM Pacific Daylight Time	08/23/2010 02:46:51 PM Pacific Daylight Time	08/18/2010 03:50:12 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5425	020	0	2011	Santa Clara County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	022	0	1	01	01	H5425_022_0	9	08/31/2010	2011.01	08/31/2010 02:44:58 PM Pacific Daylight Time	08/23/2010 11:40:15 AM Pacific Daylight Time	08/18/2010 03:50:30 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Options (HMO)	01	01		1			H5425	022	0	2011	Contra Costa County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	023	0	1	01	01	H5425_023_0	10	08/31/2010	2011.01	08/31/2010 02:45:28 PM Pacific Daylight Time	08/23/2010 02:34:32 PM Pacific Daylight Time	08/18/2010 03:50:48 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Options (HMO)	01	01		1			H5425	023	0	2011	San Francisco County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	024	0	1	01	01	H5425_024_0	10	08/31/2010	2011.01	08/31/2010 04:25:43 PM Pacific Daylight Time	08/23/2010 11:46:49 AM Pacific Daylight Time	08/18/2010 03:51:06 PM Pacific Daylight Time		08/31/2010 06:44:29 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Options (HMO)	01	01		1			H5425	024	0	2011	Santa Clara County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	025	0	1	02	01	H5425_025_0	8	08/31/2010	2011.01	08/31/2010 04:26:15 PM Pacific Daylight Time	08/23/2010 10:12:13 AM Pacific Daylight Time	08/18/2010 03:51:26 PM Pacific Daylight Time		08/31/2010 06:53:47 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	My Choice (HMO-POS)	01	02		1			H5425	025	0	2011	Los Angeles County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	026	0	1	02	01	H5425_026_0	8	08/31/2010	2011.01	08/31/2010 04:27:34 PM Pacific Daylight Time	08/23/2010 10:55:02 AM Pacific Daylight Time	08/18/2010 03:51:42 PM Pacific Daylight Time		08/31/2010 06:53:47 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	My Choice (HMO-POS)	01	02		1			H5425	026	0	2011	Orange County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	027	0	1	02	01	H5425_027_0	8	08/31/2010	2011.01	08/31/2010 04:32:03 PM Pacific Daylight Time	08/23/2010 10:57:17 AM Pacific Daylight Time	08/18/2010 03:52:00 PM Pacific Daylight Time		08/31/2010 06:53:47 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	My Choice (HMO-POS)	01	02		1			H5425	027	0	2011	Riverside and  San Bernardino County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(877)-231-7226		(877)-231-7226		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	028	0	1	01	01	H5425_028_0	8	08/31/2010	2011.01	08/31/2010 02:46:44 PM Pacific Daylight Time	08/23/2010 11:02:05 AM Pacific Daylight Time	08/23/2010 07:12:07 PM Pacific Daylight Time		08/31/2010 06:53:47 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	Heart First (HMO SNP)	01	01		1			H5425	028	0	2011	Los Angeles County		2		2				1	4		1		00001000000000000000	www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	801	0	1	01	01	H5425_801_0	4	08/11/2010	2011.01	08/11/2010 02:27:08 PM Pacific Daylight Time	08/09/2010 12:35:55 PM Pacific Daylight Time			08/11/2010 02:50:25 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H5425	801	0	2011	SCAN Employer Group		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226										(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929										1
H5425	803	0	1	01	01	H5425_803_0	4	08/11/2010	2011.01	08/11/2010 02:27:13 PM Pacific Daylight Time	08/09/2010 12:47:16 PM Pacific Daylight Time			08/11/2010 02:50:25 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H5425	803	0	2011	SCAN Employer Group		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5425	804	0	1	01	01	H5425_804_0	4	08/11/2010	2011.01	08/11/2010 02:27:17 PM Pacific Daylight Time	08/09/2010 12:55:31 PM Pacific Daylight Time			08/11/2010 02:50:25 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Employer Group (HMO)	01	01		1			H5425	804	0	2011	SCAN Employer Group		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5426	001	0	1	01	01	H5426_001_0	5	08/20/2010	2011.01	08/20/2010 05:16:02 PM Eastern Daylight Time	08/20/2010 04:36:10 PM Eastern Daylight Time	08/20/2010 04:19:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-001 (HMO)	01	01		1			H5426	001	0	2011	Treasure Coast Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5426	002	0	1	01	01	H5426_002_0	4	08/20/2010	2011.01	08/20/2010 05:16:19 PM Eastern Daylight Time	08/20/2010 04:38:04 PM Eastern Daylight Time	08/20/2010 04:19:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-002 (HMO)	01	01		1			H5426	002	0	2011	Gulf  Coast and Central Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5426	008	0	1	01	01	H5426_008_0	3	08/20/2010	2011.01	08/20/2010 05:16:44 PM Eastern Daylight Time	08/20/2010 04:38:24 PM Eastern Daylight Time	08/20/2010 04:19:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-008 (HMO)	01	01		1			H5426	008	0	2011	Gulf Coast and Central Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5426	013	0	1	01	01	H5426_013_0	5	08/20/2010	2011.01	08/20/2010 05:17:28 PM Eastern Daylight Time	08/20/2010 04:36:30 PM Eastern Daylight Time	08/20/2010 04:19:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus SNP-DE H5426-013 (HMO SNP)	01	01		1			H5426	013	0	2011	Treasure Coast Area		2		2		2		1	3		1	2		www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5426	019	0	1	01	01	H5426_019_0	7	08/20/2010	2011.01	08/20/2010 02:15:16 PM Eastern Daylight Time	08/20/2010 04:40:38 PM Eastern Daylight Time	08/20/2010 04:19:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-019 (HMO)	01	01		1			H5426	019	0	2011	Lake, Marion, Sumter Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H5426	020	0	1	01	01	H5426_020_0	4	08/20/2010	2011.01	08/20/2010 05:17:48 PM Eastern Daylight Time	08/20/2010 04:43:24 PM Eastern Daylight Time	08/20/2010 04:20:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-020 (HMO)	01	01		1			H5426	020	0	2011	Broward County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5426	021	0	1	01	01	H5426_021_0	4	08/20/2010	2011.01	08/20/2010 05:18:23 PM Eastern Daylight Time	08/20/2010 04:44:54 PM Eastern Daylight Time	08/20/2010 04:20:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-021 (HMO)	01	01		1			H5426	021	0	2011	Miami-Dade County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5426	023	0	1	01	01	H5426_023_0	4	08/20/2010	2011.01	08/20/2010 05:18:46 PM Eastern Daylight Time	08/20/2010 04:42:46 PM Eastern Daylight Time	08/20/2010 04:20:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Gold Plus H5426-023 (HMO)	01	01		1			H5426	023	0	2011	Palm Beach County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5426	801	0	1	01	01	H5426_801_0	2	06/03/2010	2011.01	06/03/2010 05:17:16 PM Eastern Daylight Time	07/26/2010 02:06:33 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H5426	801	0	2011	Gulf Coast and Central Areas		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5426	802	0	1	01	01	H5426_802_0	2	06/03/2010	2011.01	06/03/2010 05:17:44 PM Eastern Daylight Time	07/26/2010 02:07:01 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H5426	802	0	2011	Gulf Coast and Central Areas		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H5426	803	0	1	01	01	H5426_803_0	2	06/03/2010	2011.01	06/03/2010 05:18:10 PM Eastern Daylight Time	07/26/2010 02:07:23 PM Eastern Daylight Time			07/26/2010 05:42:36 PM Eastern Daylight Time	HUMANA ADVANTAGECARE PLAN, INC.	Humana AdvantageCare Plan, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H5426	803	0	2011	Gulf Coast and Central Areas		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5427	052	0	1	01	01	H5427_052_0	7	07/06/2010	2011.01	07/06/2010 10:09:10 AM Eastern Daylight Time	08/04/2010 09:48:28 AM Eastern Daylight Time			08/04/2010 10:24:19 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Savings Plan (HMO)	01	01		1			H5427	052	0	2011	Select Counties in Florida		2	2530	2				2						http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1
H5427	053	0	1	01	01	H5427_053_0	7	08/23/2010	2011.01	08/23/2010 12:31:45 PM Eastern Daylight Time	08/22/2010 06:08:35 PM Eastern Daylight Time	08/22/2010 06:13:15 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Savings Plan Rx (HMO)	01	01		1			H5427	053	0	2011	Select Counties in Florida		2	5230	2				2						http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	054	0	1	01	01	H5427_054_0	8	08/23/2010	2011.01	08/23/2010 12:32:03 PM Eastern Daylight Time	08/22/2010 06:08:39 PM Eastern Daylight Time	08/22/2010 06:11:50 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Savings Plan Rx (HMO)	01	01		1			H5427	054	0	2011	Select Counties in Florida		2	9165	2				2						http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	059	0	1	01	01	H5427_059_0	7	08/23/2010	2011.01	08/23/2010 12:32:39 PM Eastern Daylight Time	08/20/2010 04:36:17 PM Eastern Daylight Time	08/20/2010 04:44:02 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Medicare Plan Rx (HMO)	01	01		1			H5427	059	0	2011	Select Counties in Florida		2	2873	2				2						http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	060	0	1	01	01	H5427_060_0	8	08/23/2010	2011.01	08/23/2010 12:32:47 PM Eastern Daylight Time	08/20/2010 04:37:05 PM Eastern Daylight Time	08/20/2010 04:43:52 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Medicare Plan Rx (HMO)	01	01		1			H5427	060	0	2011	Select Counties in Florida		2	2545	2				2						http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	062	0	1	01	01	H5427_062_0	8	08/23/2010	2011.01	08/23/2010 12:32:59 PM Eastern Daylight Time	08/20/2010 04:36:59 PM Eastern Daylight Time	08/20/2010 04:44:10 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Medicare Plan Rx (HMO)	01	01		1			H5427	062	0	2011	Miami-Dade		2	21	2				2						http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	070	0	1	01	01	H5427_070_0	5	08/23/2010	2011.01	08/23/2010 12:34:45 PM Eastern Daylight Time	08/21/2010 01:52:50 PM Eastern Daylight Time	08/21/2010 01:45:25 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care (HMO SNP)	01	01		1			H5427	070	0	2011	Select Counties in Florida		2	5771	2				1	4		1		00000000000000000010	http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	072	0	1	01	01	H5427_072_0	5	08/23/2010	2011.01	08/23/2010 12:34:59 PM Eastern Daylight Time	08/21/2010 01:52:47 PM Eastern Daylight Time	08/21/2010 01:45:25 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Savings (HMO SNP)	01	01		1			H5427	072	0	2011	Select Counties in Florida		2	13565	2				1	4		1		00000000000000000010	http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	076	0	1	01	01	H5427_076_0	5	08/23/2010	2011.01	08/23/2010 12:35:13 PM Eastern Daylight Time	08/21/2010 01:52:42 PM Eastern Daylight Time	08/26/2010 08:54:08 AM Eastern Daylight Time		08/26/2010 09:12:35 AM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care COPD (HMO SNP)	01	01		1			H5427	076	0	2011	Select Counties in Florida		2	2013	2				1	4		1		00000000000100000000	http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	077	0	1	01	01	H5427_077_0	4	08/23/2010	2011.01	08/23/2010 12:35:29 PM Eastern Daylight Time	08/21/2010 01:50:23 PM Eastern Daylight Time	08/21/2010 01:44:34 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Savings COPD (HMO SNP)	01	01		1			H5427	077	0	2011	Select Counties in Florida		2	4451	2				1	4		1		00000000000100000000	http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	078	0	1	01	01	H5427_078_0	5	07/06/2010	2011.01	07/06/2010 09:20:40 AM Eastern Daylight Time	08/20/2010 04:36:48 PM Eastern Daylight Time	08/20/2010 04:44:13 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Medi-Medi Partial (HMO SNP)	01	01		1			H5427	078	0	2011	Select Counties in Florida		2	3193	2		2		1	3		1	4		http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	080	0	1	01	01	H5427_080_0	4	08/23/2010	2011.01	08/23/2010 12:35:58 PM Eastern Daylight Time	08/21/2010 01:50:13 PM Eastern Daylight Time	08/21/2010 01:44:32 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care (HMO SNP)	01	01		1			H5427	080	0	2011	Select Counties in Florida		2	137	2				1	4		1		00000000000000000010	http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	081	0	1	01	01	H5427_081_0	4	08/23/2010	2011.01	08/23/2010 12:36:11 PM Eastern Daylight Time	08/21/2010 01:50:26 PM Eastern Daylight Time	08/21/2010 01:44:45 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Care COPD (HMO SNP)	01	01		1			H5427	081	0	2011	Select Counties in Florida		2	37	2				1	4		1		00000000000100000000	http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	082	0	1	01	01	H5427_082_0	4	08/23/2010	2011.01	08/23/2010 12:36:20 PM Eastern Daylight Time	08/21/2010 01:50:04 PM Eastern Daylight Time	08/21/2010 01:44:17 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Savings (HMO SNP)	01	01		1			H5427	082	0	2011	Select Counties in Florida		2	1182	2				1	4		1		00000000000000000010	http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	083	0	1	01	01	H5427_083_0	4	08/23/2010	2011.01	08/23/2010 12:36:58 PM Eastern Daylight Time	08/21/2010 01:50:30 PM Eastern Daylight Time	08/21/2010 01:44:39 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom VIP Savings COPD (HMO SNP)	01	01		1			H5427	083	0	2011	Select Counties in Florida		2	303	2				1	4		1		00000000000100000000	http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	084	0	1	01	01	H5427_084_0	7	08/23/2010	2011.01	08/23/2010 12:32:23 PM Eastern Daylight Time	08/22/2010 06:08:07 PM Eastern Daylight Time	08/22/2010 06:11:42 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Savings Rx (HMO)	01	01		1			H5427	084	0	2011	Clay and Duval Counties		2	244	2				2						http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5427	086	0	1	02	01	H5427_086_0	5	08/23/2010	2011.01	08/23/2010 12:37:23 PM Eastern Daylight Time	08/20/2010 04:37:20 PM Eastern Daylight Time	08/20/2010 04:43:20 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	FREEDOM HEALTH PLAN, INC.	Freedom Health, Inc.	FreedomHealth.com	Freedom Choice (HMO-POS)	01	02		1			H5427	086	0	2011	Select Counties in Florida		2	375	2				2						http://www.FreedomHealth.com	www.freedomhealth.com	www.freedomhealth.com	(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(888)-796-0946		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5428	001	0	1	01	01	H5428_001_0	4	08/19/2010	2011.01	08/19/2010 09:13:06 AM Pacific Daylight Time	08/23/2010 12:53:47 PM Pacific Daylight Time	08/23/2010 08:22:11 AM Pacific Daylight Time		08/23/2010 02:38:34 PM Pacific Daylight Time	SAN MATEO HEALTH COMMISSION	Health Plan of San Mateo	www.hpsm.org	HPSM CareAdvantage (HMO SNP)	01	01		1			H5428	001	0	2011	San Mateo County		2	8200	2		2		1	3		1	5		www.hpsm.org	http://www.hpsm.org/Members.aspx/139.htm	http://www.hpsm.org/Members.aspx/139.htm	(866)-880-0606		(650)-616-2174		(888)-252-3153		(650)-616-1500		(866)-880-0606		(650)-616-2174		(888)-252-3153		(650)-616-1500		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5429	001	0	1	04	01	H5429_001_0	10	09/22/2010	2011.01	09/22/2010 05:19:45 PM Eastern Daylight Time	09/03/2010 01:56:55 PM Eastern Daylight Time	08/23/2010 04:54:30 PM Eastern Daylight Time		09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece (PPO)	01	04		1			H5429	001	0	2011	Florida		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5429	053	0	1	04	01	H5429_053_0	9	09/22/2010	2011.01	09/22/2010 05:20:46 PM Eastern Daylight Time	09/03/2010 02:11:25 PM Eastern Daylight Time			09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE, INC.	Universal Health Care, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (PPO)	01	04		1			H5429	053	0	2011	Florida		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1
H5430	001	0	1	01	01	H5430_001_0	6	08/20/2010	2011.01	08/20/2010 05:20:54 PM US Mountain Standard Time	08/20/2010 05:52:32 PM US Mountain Standard Time	08/18/2010 04:22:36 PM US Mountain Standard Time		08/20/2010 05:24:43 PM US Mountain Standard Time	CARE1ST HEALTH PLAN OF ARIZONA	ONECare by Care1st Health Plan Arizona, Inc.	www.care1st.com/az	ONECare by Care1st Health Plan Arizona, Inc. (HMO SNP)	01	01		1			H5430	001	0	2011	County: Maricopa		2	1875	2		2		1	3		1	5		http://www.care1st.com/az/healthplans/onecare_medicare_directory.asp	https://www.care1st.com/az/index.asp	https://www.care1st.com/az/index.asp	(877)-778-1855		(602)-778-8345		(877)-778-1855		(602)-778-8340		(877)-778-1855		(602)-778-8345		(877)-778-1855		(602)-778-8340		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H5431	001	0	1	01	01	H5431_001_0	5	08/30/2010	2011.01	08/30/2010 05:39:45 PM Eastern Daylight Time	08/22/2010 02:19:18 PM Eastern Daylight Time	08/19/2010 11:10:52 PM Eastern Daylight Time		08/30/2010 05:55:33 PM Eastern Daylight Time	HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.healthsun.com	SunPlus Advantage Plan (HMO)	01	01		1			H5431	001	0	2011	Miami-Dade		2	2945	2				2							www.healthsun.com	www.healthsun.com	(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		1
H5431	002	0	1	01	01	H5431_002_0	5	08/30/2010	2011.01	08/30/2010 05:51:43 PM Eastern Daylight Time	08/22/2010 02:15:54 PM Eastern Daylight Time	08/19/2010 10:21:05 PM Eastern Daylight Time		08/30/2010 05:55:33 PM Eastern Daylight Time	HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.healthsun.com	SunPlus Advantage Plan (HMO)	01	01		1			H5431	002	0	2011	Broward		2	279	2				2							www.healthsun.com	www.healthsun.com	(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		1
H5431	005	0	1	01	01	H5431_005_0	9	10/28/2010	2011.01	10/28/2010 12:26:01 PM Eastern Daylight Time	08/22/2010 02:26:46 PM Eastern Daylight Time	08/19/2010 10:23:24 PM Eastern Daylight Time		10/28/2010 12:27:16 PM Eastern Daylight Time	HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.healthsun.com	Healthy Advantage Plan (HMO)	01	01		1			H5431	005	0	2011	Miami-Dade		2	250	2				2							www.healthsun.com	www.healthsun.com	(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		1
H5431	006	0	1	01	01	H5431_006_0	9	10/27/2010	2011.01	10/27/2010 04:24:47 PM Eastern Daylight Time	08/22/2010 03:12:48 PM Eastern Daylight Time	08/19/2010 10:29:08 PM Eastern Daylight Time		10/27/2010 04:32:31 PM Eastern Daylight Time	HEALTHSUN HEALTH PLANS, INC.	HealthSun Health Plans, Inc.	www.healthsun.com	MediMax (HMO)	01	01		1			H5431	006	0	2011	Broward and Miami-Dade		2	2945	2				2							www.healthsun.com	www.healthsun.com	(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-207-4900		(305)-234-9292		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		(877)-206-0500		1
H5433	001	0	1	01	01	H5433_001_0	4	08/20/2010	2011.01	08/20/2010 02:57:19 PM Pacific Daylight Time	08/23/2010 06:23:27 AM Pacific Daylight Time	08/20/2010 01:53:04 PM Pacific Daylight Time		08/23/2010 08:50:02 AM Pacific Daylight Time	ORANGE COUNTY HEALTH AUTHORITY	OneCare	www.caloptima.org	OneCare (HMO SNP)	01	01		1			H5433	001	0	2011	OneCare (serves only Orange County)		2	12109	2		2		1	3		1	5		www.caloptima.org	http://www.caloptima.org/onecare/documents/ocRXDrugFormulary2010.pdf	http://www.caloptima.org/onecare/index.asp?content=pharmacy	(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(877)-412-2734		(800)-735-2929		(714)-246-8496		(800)-735-2929		(714)-246-8496		(800)-735-2929		(714)-246-8496		(800)-735-2929		(714)-246-8496		1
H5434	002	0	1	04	01	H5434_002_0	10	09/01/2010	2011.01	09/01/2010 09:57:13 AM Eastern Daylight Time	08/19/2010 01:42:36 PM Eastern Daylight Time	08/19/2010 07:18:54 AM Eastern Daylight Time		09/01/2010 11:20:24 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.BlueMedicareFL.com	BlueMedicare PPO (PPO)	01	04		1			H5434	002	0	2011	Select counties in S.FL/ W.FL/C.FL,N.C. FL/N.W FL		2		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5434	801	0	1	04	01	H5434_801_0	11	08/25/2010	2011.01	08/25/2010 04:34:52 PM Eastern Daylight Time	07/16/2010 10:12:17 AM Eastern Daylight Time			08/25/2010 04:36:06 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.BlueMedicareFL.com	BlueMedicare Group PPO (PPO)	01	04		1			H5434	801	0	2011	State of Florida with National Coverage		1		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5434	802	0	1	04	01	H5434_802_0	8	08/25/2010	2011.01	08/25/2010 04:35:11 PM Eastern Daylight Time	07/16/2010 10:13:39 AM Eastern Daylight Time			08/25/2010 04:36:06 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.BlueMedicareFL.com	BlueMedicare Group PPO (PPO)	01	04		1			H5434	802	0	2011	State of Florida with National Coverage		1		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5435	001	0	1	09	04	H5435_001_0	2	05/31/2010	2011.01	05/31/2010 02:04:21 PM Central Daylight Time	07/14/2010 09:24:09 AM Central Daylight Time			07/14/2010 01:10:09 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareDirect Essential (PFFS)	04	09	2	1			H5435	001	0	2011	Select counties nationwide		2		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757										(711)		(711)		(711)		(711)										1
H5435	014	0	1	09	04	H5435_014_0	4	05/31/2010	2011.01	05/31/2010 02:04:33 PM Central Daylight Time	08/19/2010 03:03:25 PM Central Daylight Time	08/18/2010 04:33:46 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareDirect Rx (PFFS)	04	09	2	1			H5435	014	0	2011	Select counties nationwide		2		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5435	024	0	1	09	04	H5435_024_0	4	05/31/2010	2011.01	05/31/2010 02:04:46 PM Central Daylight Time	08/19/2010 03:02:32 PM Central Daylight Time	08/18/2010 04:33:52 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareDirect Rx (PFFS)	04	09	2	1			H5435	024	0	2011	Select States		2		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(866)-579-8774		(866)-579-8774		(800)-555-5757		(800)-555-5757		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5439	001	0	1	04	01	H5439_001_0	3	08/20/2010	2011.01	08/20/2010 08:53:40 AM Pacific Daylight Time	08/20/2010 04:37:26 PM Pacific Daylight Time	08/19/2010 05:33:42 PM Pacific Daylight Time		08/21/2010 07:24:43 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Life Insurance Company	www.healthnet.com	Health Net Violet (PPO)	01	04		1			H5439	001	0	2011	San Diego County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5439	002	0	1	04	01	H5439_002_0	3	08/20/2010	2011.01	08/20/2010 08:44:58 AM Pacific Daylight Time	08/20/2010 04:38:00 PM Pacific Daylight Time	08/19/2010 05:34:30 PM Pacific Daylight Time		08/21/2010 07:24:43 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Life Insurance Company	www.healthnet.com	Health Net Violet (PPO)	01	04		1			H5439	002	0	2011	Sacramento County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5439	003	0	1	04	01	H5439_003_0	3	08/20/2010	2011.01	08/20/2010 08:45:20 AM Pacific Daylight Time	08/21/2010 12:31:02 AM Pacific Daylight Time	08/19/2010 05:35:14 PM Pacific Daylight Time		08/21/2010 07:24:43 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Life Insurance Company	www.healthnet.com	Health Net Violet (PPO)	01	04		1			H5439	003	0	2011	Contra Costa County		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5439	801	0	1	04	01	H5439_801_0	1	06/04/2010	2011.01	06/04/2010 12:27:04 PM Pacific Daylight Time	06/06/2010 11:44:00 PM Pacific Daylight Time			06/07/2010 04:21:24 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Life Insurance Company	www.healthnet.com	Health Net Seniority Plus Employer (PPO)	01	04		1			H5439	801	0	2011	Contra Costa, Sacramento and San Diego Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5439	802	0	1	04	01	H5439_802_0	1	06/04/2010	2011.01	06/04/2010 12:27:22 PM Pacific Daylight Time	06/06/2010 11:44:00 PM Pacific Daylight Time			06/07/2010 04:21:24 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Life Insurance Company	www.healthnet.com	Health Net Seniority Plus Employer (PPO)	01	04		1			H5439	802	0	2011	Contra Costa, Sacramento and San Diego Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1
H5439	803	0	1	04	01	H5439_803_0	1	06/04/2010	2011.01	06/04/2010 12:27:42 PM Pacific Daylight Time	06/06/2010 11:45:00 PM Pacific Daylight Time			06/07/2010 04:21:24 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Life Insurance Company	www.healthnet.com	Health Net Seniority Plus Employer (PPO)	01	04		1			H5439	803	0	2011	Contra Costa, Sacramento and San Diego Counties		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-960-4638		(800)-960-4638		(800)-935-6565		(800)-935-6565		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5440	001	0	1	01	01	H5440_001_0	4	06/01/2010	2011.01	06/01/2010 07:19:46 PM Central Daylight Time	08/19/2010 05:42:19 PM Central Daylight Time	08/18/2010 04:33:57 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Evercare by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH (HMO SNP)	01	01		1			H5440	001	0	2011	Tampa Area		2		2		2		1	3		1	2		www.EvercareHealthPlans.com	EvercareHealthPlans.com/prescription_drug_coverage.jsp	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5470	002	0	1	04	01	H5470_002_0	8	08/20/2010	2011.01	08/20/2010 01:37:03 PM Eastern Daylight Time	08/20/2010 04:32:18 PM Eastern Daylight Time	08/20/2010 04:20:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5470-002 (PPO)	01	04		1			H5470	002	0	2011	Southern Michigan		2		2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5470	005	0	1	04	01	H5470_005_0	8	08/20/2010	2011.01	08/20/2010 01:37:21 PM Eastern Daylight Time	08/20/2010 04:36:48 PM Eastern Daylight Time	08/20/2010 04:20:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5470-005 (PPO)	01	04		1			H5470	005	0	2011	Central Michigan		2		2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5470	007	0	1	04	01	H5470_007_0	7	08/20/2010	2011.01	08/20/2010 01:37:38 PM Eastern Daylight Time	08/20/2010 04:37:32 PM Eastern Daylight Time	08/20/2010 04:20:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5470-007 (PPO)	01	04		1			H5470	007	0	2011	Upper Peninsula		2		2				2						www.humana.com/members/tools	www.humana-medicare.com/member/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5475	001	0	1	01	01	H5475_001_0	4	08/20/2010	2011.01	08/20/2010 02:59:53 PM Eastern Daylight Time	08/20/2010 02:42:38 PM Eastern Daylight Time	08/20/2010 02:42:38 PM Eastern Daylight Time		08/21/2010 02:15:16 PM Eastern Daylight Time	HEALTH PLAN OF MICHIGAN, INC.	Health Plan of Michigan Gold Plan	www.hpmich.com	Health Plan of Michigan Gold Plan (HMO SNP)	01	01		1			H5475	001	0	2011	Macomb, Oakland and Wayne counties		2	126	2		2		1	3		1	5		http://www.hpmich.com/index_1280.html	http://www.hpmich.com/membershome.shtml	http://www.hpmich.com/providershome.shtml			(313)-324-3700				(313)-324-3700		(888)-437-0606		(313)-324-3700		(888)-437-0606		(313)-324-3700		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		1
H5480	801	0	1	09	04	H5480_801_0	3	07/06/2010	2011.01	07/06/2010 01:01:09 PM Mountain Daylight Time	07/30/2010 02:58:52 PM Mountain Daylight Time			08/03/2010 03:24:36 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	Educators Group MA (PFFS)	04	09	1	1			H5480	801	0	2011	Select Counties in the United States		1	2076	1	1			2							http://www.educatorsmutual.com/medicare/emia_plans.aspx	http://www.educatorsmutual.com	(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475										(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475										1
H5480	802	0	1	09	04	H5480_802_0	3	07/06/2010	2011.01	07/06/2010 01:01:01 PM Mountain Daylight Time	07/30/2010 11:02:00 AM Mountain Daylight Time			08/03/2010 03:24:36 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	Educators Group MAPD Plan 1 (PFFS)	04	09	1	1			H5480	802	0	2011	Select Counties in the United States		1	11532	1	1			2							http://www.educatorsmutual.com/medicare/emia_plans.aspx	http://www.educatorsmutual.com	(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		1
H5480	803	0	1	09	04	H5480_803_0	3	07/06/2010	2011.01	07/06/2010 01:00:41 PM Mountain Daylight Time	07/28/2010 01:55:14 PM Mountain Daylight Time			08/03/2010 03:24:36 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	Educators Group MAPD Plan 2 (PFFS)	04	09	1	1			H5480	803	0	2011	Select Counties in the United States		1	96	1	1			2							http://www.educatorsmutual.com/medicare/emia_plans.aspx	http://www.educatorsmutual.com	(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		(888)-236-4823		(801)-262-7475		1
H5507	001	0	1	04	01	H5507_001_0	4	06/01/2010	2011.01	06/01/2010 04:16:39 PM Central Daylight Time	08/19/2010 08:21:52 PM Central Daylight Time	08/18/2010 04:49:04 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H5507	001	0	2011	St. Louis Area		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5508	001	0	1	04	01	H5508_001_0	9	08/05/2010	2011.01	08/05/2010 12:21:04 PM Eastern Daylight Time	08/23/2010 07:40:08 AM Eastern Daylight Time	08/23/2010 07:40:09 AM Eastern Daylight Time		08/23/2010 02:05:01 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Plus Part D Enhanced (PPO)	01	04		1			H5508	001	0	2011	Central Indiana, Allen, Delaware, Howard, StJoseph		2	2258	2				2						www.advantageplan.com	http://www.advantageplan.com/	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(877)-684-0014		(877)-684-0014		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-763-9630		(866)-763-9630		(800)-743-3333		(800)-743-3333		1
H5508	002	0	1	04	01	H5508_002_0	5	08/04/2010	2011.01	08/04/2010 02:32:28 PM Eastern Daylight Time	08/05/2010 06:07:10 PM Eastern Daylight Time			08/09/2010 01:22:41 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Plus (PPO)	01	04		1			H5508	002	0	2011	Central Indiana, Allen, Delaware, Howard, StJoseph		2	494	2				2						www.advantageplan.com	http://www.advantageplan.com/	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H5508	004	0	1	04	01	H5508_004_0	9	08/05/2010	2011.01	08/05/2010 12:22:01 PM Eastern Daylight Time	08/23/2010 07:39:49 AM Eastern Daylight Time	08/23/2010 07:39:47 AM Eastern Daylight Time		08/23/2010 02:05:01 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Enhanced Plus (PPO)	01	04		1			H5508	004	0	2011	Central Indiana, Allen, Delaware, Howard, StJoseph		2	833	2				2						www.advantageplan.com	http://www.advantageplan.com/	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(877)-684-0014		(877)-684-0014		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-763-9630		(866)-763-9630		(800)-743-3333		(800)-743-3333		1
H5508	801	0	1	04	01	H5508_801_0	3	07/02/2010	2011.01	07/02/2010 11:54:07 AM Eastern Daylight Time	08/11/2010 08:49:14 AM Eastern Daylight Time			08/11/2010 12:22:19 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Select Plus Group (PPO)	01	04		1			H5508	801	0	2011	Indiana		1	125	2				2						www.advantageplan.com	http://www.advantageplan.com/	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(877)-684-0014		(877)-684-0014		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-763-9630		(866)-763-9630		(800)-743-3333		(800)-743-3333		1
H5508	802	0	1	04	01	H5508_802_0	3	07/02/2010	2011.01	07/02/2010 11:54:36 AM Eastern Daylight Time	08/11/2010 08:49:13 AM Eastern Daylight Time			08/11/2010 12:22:19 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Group (PPO)	01	04		1			H5508	802	0	2011	Indiana		1	50	2				2						www.advantageplan.com	http://www.advantageplan.com/	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H5508	803	0	1	04	01	H5508_803_0	3	07/02/2010	2011.01	07/02/2010 11:55:02 AM Eastern Daylight Time	08/11/2010 08:49:24 AM Eastern Daylight Time			08/11/2010 12:22:19 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Select Group (PPO)	01	04		1			H5508	803	0	2011	Indiana		1	825	2				2						www.advantageplan.com	http://www.advantageplan.com/	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H5508	804	0	1	04	01	H5508_804_0	3	07/02/2010	2011.01	07/02/2010 11:55:31 AM Eastern Daylight Time	08/11/2010 08:49:23 AM Eastern Daylight Time			08/11/2010 12:22:19 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Plus Group (PPO)	01	04		1			H5508	804	0	2011	Indiana		1	150	2				2						www.advantageplan.com	http://www.advantageplan.com/	http://www.advantageplan.com/	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(877)-684-0014		(877)-684-0014		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-763-9630		(866)-763-9630		(800)-743-3333		(800)-743-3333		1
H5509	001	0	1	04	01	H5509_001_0	12	09/01/2010	2011.01	09/01/2010 03:17:53 PM Central Daylight Time	08/20/2010 04:41:03 PM Central Daylight Time	08/19/2010 01:53:10 PM Central Daylight Time		09/01/2010 03:41:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	001	0	2011	Kansas City Metro Area		2	19261	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	003	0	1	04	01	H5509_003_0	8	09/01/2010	2011.01	09/01/2010 03:19:17 PM Central Daylight Time	08/20/2010 04:42:05 PM Central Daylight Time	08/19/2010 01:53:44 PM Central Daylight Time		09/01/2010 03:41:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	003	0	2011	Wichita Metro Area		2	3935	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	010	0	1	04	01	H5509_010_0	8	09/01/2010	2011.01	09/01/2010 03:20:36 PM Central Daylight Time	08/20/2010 04:46:13 PM Central Daylight Time	08/19/2010 01:54:19 PM Central Daylight Time		09/01/2010 03:41:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	010	0	2011	Southwest Missouri - Joplin		2	779	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	011	0	1	04	01	H5509_011_0	8	09/01/2010	2011.01	09/01/2010 03:22:00 PM Central Daylight Time	08/20/2010 04:47:20 PM Central Daylight Time	08/19/2010 01:55:00 PM Central Daylight Time		09/01/2010 03:41:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	011	0	2011	Springfield Metro Area		2	3075	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	012	0	1	04	01	H5509_012_0	8	09/01/2010	2011.01	09/01/2010 03:04:40 PM Central Daylight Time	08/20/2010 04:53:27 PM Central Daylight Time	08/19/2010 01:55:38 PM Central Daylight Time		09/01/2010 03:41:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	012	0	2011	Topeka Metro Area		2	404	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	014	0	1	04	01	H5509_014_0	8	09/01/2010	2011.01	09/01/2010 03:08:39 PM Central Daylight Time	08/20/2010 04:54:34 PM Central Daylight Time	08/19/2010 01:56:17 PM Central Daylight Time		09/01/2010 03:41:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	014	0	2011	Manhattan		2	168	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	015	0	1	04	01	H5509_015_0	9	09/01/2010	2011.01	09/01/2010 03:12:11 PM Central Daylight Time	08/20/2010 04:55:10 PM Central Daylight Time	08/19/2010 01:58:23 PM Central Daylight Time		09/01/2010 03:41:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	015	0	2011	Branson		2	344	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	016	0	1	04	01	H5509_016_0	7	09/01/2010	2011.01	09/01/2010 03:15:27 PM Central Daylight Time	08/20/2010 05:10:13 PM Central Daylight Time	08/19/2010 01:58:58 PM Central Daylight Time		09/01/2010 03:41:13 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom (PPO)	01	04		1			H5509	016	0	2011	Northwest Arkansas		2	772	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-505-6162		(866)-505-6162		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	801	0	1	04	01	H5509_801_0	4	07/27/2010	2011.01	07/27/2010 03:39:27 PM Central Daylight Time	06/06/2010 06:06:59 PM Central Daylight Time			08/05/2010 04:45:26 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom Employer Group (PPO)	01	04		1			H5509	801	0	2011	Coventry Health and Life Insurance Company		1	933	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5509	802	0	1	04	01	H5509_802_0	4	07/27/2010	2011.01	07/27/2010 03:57:34 PM Central Daylight Time	06/06/2010 06:28:44 PM Central Daylight Time			08/05/2010 04:45:26 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom Employer Group (PPO)	01	04		1			H5509	802	0	2011	Coventry Health and Life Insurance Company		1	28	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125										(711)		(711)		(711)		(711)										1
H5509	803	0	1	04	01	H5509_803_0	4	07/27/2010	2011.01	07/27/2010 03:58:34 PM Central Daylight Time	06/06/2010 06:32:51 PM Central Daylight Time			08/05/2010 04:45:26 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INS. COMPANY	Coventry Health Care	www.kc.chcadvantra.com	Advantra Freedom Employer Group (PPO)	01	04		1			H5509	803	0	2011	Coventry Health and Life Insurance Company		1	226	2				2							http://coventry-medicare.coventryhealthcare.com/advantra-kansas/prescription-drug-benefits/formulary	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(800)-727-9712		(800)-727-9712		(877)-982-9125		(877)-982-9125		(866)-294-9803		(866)-294-9803		(877)-982-9125		(877)-982-9125		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5516	001	0	1	04	01	H5516_001_0	5	06/01/2010	2011.01	06/01/2010 12:44:05 PM Central Daylight Time	08/19/2010 08:04:27 PM Central Daylight Time	08/18/2010 04:49:09 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H5516	001	0	2011	Select Counties in North Carolina		2		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5520	001	0	1	04	01	H5520_001_0	4	08/06/2010	2011.01	08/06/2010 06:12:12 PM Pacific Daylight Time	08/07/2010 12:57:44 AM Pacific Daylight Time			08/07/2010 12:13:44 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Aqua (PPO)	01	04		1			H5520	001	0	2011	Portland, Salem, MidVly, OR and Clark WA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1
H5520	002	0	1	04	01	H5520_002_0	6	08/20/2010	2011.01	08/20/2010 03:18:27 PM Pacific Daylight Time	08/20/2010 05:20:08 PM Pacific Daylight Time	08/19/2010 05:36:00 PM Pacific Daylight Time		08/21/2010 02:19:50 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Option 1 (PPO)	01	04		1			H5520	002	0	2011	Portland, Salem, MidVly, OR and Clark WA		2	14000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5520	003	0	1	04	01	H5520_003_0	4	08/05/2010	2011.01	08/05/2010 04:45:57 PM Pacific Daylight Time	08/07/2010 12:58:44 AM Pacific Daylight Time			08/07/2010 12:13:44 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Aqua (PPO)	01	04		1			H5520	003	0	2011	Douglas, Jackson and Josephine Counties, OR		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1
H5520	004	0	1	04	01	H5520_004_0	6	08/20/2010	2011.01	08/20/2010 03:39:09 PM Pacific Daylight Time	08/20/2010 05:20:38 PM Pacific Daylight Time	08/19/2010 05:36:42 PM Pacific Daylight Time		08/21/2010 02:19:50 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Option 1 (PPO)	01	04		1			H5520	004	0	2011	Douglas, Jackson and Josephine Counties, OR		2	14000	2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5520	005	0	1	04	01	H5520_005_0	6	08/25/2010	2011.01	08/25/2010 09:28:33 AM Pacific Daylight Time	08/25/2010 12:26:12 PM Pacific Daylight Time	08/19/2010 05:37:22 PM Pacific Daylight Time		08/25/2010 04:48:07 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Option 2 (PPO)	01	04		1			H5520	005	0	2011	Portland, Salem, MidVly, OR and Clark WA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5520	006	0	1	04	01	H5520_006_0	6	08/25/2010	2011.01	08/25/2010 09:30:38 AM Pacific Daylight Time	08/25/2010 12:25:36 PM Pacific Daylight Time	08/19/2010 05:38:08 PM Pacific Daylight Time		08/25/2010 04:48:07 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Option 2 (PPO)	01	04		1			H5520	006	0	2011	Douglas, Jackson and Josephine Counties, OR		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5520	009	0	1	04	01	H5520_009_0	5	08/20/2010	2011.01	08/20/2010 01:20:54 PM Pacific Daylight Time	08/20/2010 05:22:14 PM Pacific Daylight Time	08/19/2010 05:38:54 PM Pacific Daylight Time		08/21/2010 02:19:50 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Healthy Heart (PPO)	01	04		1			H5520	009	0	2011	Portland, Salem, MidVly, OR and Clark WA		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5520	010	0	1	04	01	H5520_010_0	5	08/10/2010	2011.01	08/10/2010 01:18:26 PM Pacific Daylight Time	08/20/2010 05:22:52 PM Pacific Daylight Time	08/19/2010 05:39:40 PM Pacific Daylight Time		08/21/2010 02:19:50 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Healthy Heart (PPO)	01	04		1			H5520	010	0	2011	Douglas, Jackson and Josephine Counties, OR		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5520	807	0	1	04	01	H5520_807_0	1	06/05/2010	2011.01	06/05/2010 10:59:41 AM Pacific Daylight Time	06/06/2010 12:11:42 PM Pacific Daylight Time			06/06/2010 12:40:05 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Aqua Employer (PPO)	01	04		1			H5520	807	0	2011	Ptld, Salem, MdVly, Doug, Jkson, Josephine, Clark		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955										1
H5520	808	0	1	04	01	H5520_808_0	1	06/05/2010	2011.01	06/05/2010 11:00:35 AM Pacific Daylight Time	06/06/2010 12:11:43 PM Pacific Daylight Time			06/06/2010 12:40:05 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Employer (PPO)	01	04		1			H5520	808	0	2011	Ptld, Salem, MdVly, Doug, Jkson, Josephine, Clark		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5520	809	0	1	04	01	H5520_809_0	1	06/05/2010	2011.01	06/05/2010 11:01:17 AM Pacific Daylight Time	06/06/2010 12:11:39 PM Pacific Daylight Time			06/06/2010 12:40:05 PM Pacific Daylight Time	HEALTH NET LIFE INSURANCE COMPANY	Health Net Medicare Advantage	www.healthnet.com	Health Net Violet Employer (PPO)	01	04		1			H5520	809	0	2011	Ptld, Salem, MdVly, Doug, Jkson, Josephine, Clark		1		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-949-6165		(800)-949-6165		(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H5521	012	0	1	04	01	H5521_012_0	4	08/20/2010	2011.01	08/20/2010 08:09:02 AM Central Daylight Time	08/19/2010 01:53:43 PM Central Daylight Time	08/19/2010 01:02:05 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	012	0	2011	Central and NE PA		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	013	0	1	04	01	H5521_013_0	4	08/19/2010	2011.01	08/19/2010 05:07:46 PM Central Daylight Time	08/20/2010 09:51:37 AM Central Daylight Time	08/19/2010 01:02:09 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	013	0	2011	Connecticut		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	015	0	1	04	01	H5521_015_0	4	08/19/2010	2011.01	08/19/2010 05:07:53 PM Central Daylight Time	08/19/2010 01:20:46 PM Central Daylight Time	08/19/2010 01:02:13 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	015	0	2011	District of Columbia		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	016	0	1	04	01	H5521_016_0	4	08/20/2010	2011.01	08/20/2010 03:34:34 PM Central Daylight Time	08/19/2010 02:49:43 PM Central Daylight Time	08/19/2010 01:02:17 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	016	0	2011	Cook County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	020	0	1	04	01	H5521_020_0	4	08/20/2010	2011.01	08/20/2010 03:34:39 PM Central Daylight Time	08/19/2010 03:00:57 PM Central Daylight Time	08/19/2010 01:02:21 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	020	0	2011	Ohio		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	022	0	1	04	01	H5521_022_0	4	07/30/2010	2011.01	07/30/2010 08:06:22 AM Central Daylight Time	08/19/2010 02:45:34 PM Central Daylight Time	08/19/2010 01:02:24 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (PPO)	01	04		1			H5521	022	0	2011	Clark County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	027	0	1	04	01	H5521_027_0	4	08/06/2010	2011.01	08/06/2010 09:10:45 AM Central Daylight Time	08/19/2010 01:26:09 PM Central Daylight Time	08/19/2010 01:02:28 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	027	0	2011	Fairfax County and Surrounding Area		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	028	0	1	04	01	H5521_028_0	4	07/30/2010	2011.01	07/30/2010 08:07:52 AM Central Daylight Time	08/19/2010 02:46:22 PM Central Daylight Time	08/19/2010 01:02:32 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (PPO)	01	04		1			H5521	028	0	2011	Denver and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	031	0	1	04	01	H5521_031_0	4	08/20/2010	2011.01	08/20/2010 03:38:23 PM Central Daylight Time	08/20/2010 09:59:25 AM Central Daylight Time	08/19/2010 01:02:36 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	031	0	2011	South Florida		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	032	0	1	04	01	H5521_032_0	4	08/20/2010	2011.01	08/20/2010 03:38:36 PM Central Daylight Time	08/20/2010 10:02:14 AM Central Daylight Time	08/19/2010 01:02:40 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	032	0	2011	Tampa and Sarasota		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	033	0	1	04	01	H5521_033_0	4	08/20/2010	2011.01	08/20/2010 03:38:44 PM Central Daylight Time	08/20/2010 11:57:28 AM Central Daylight Time	08/19/2010 01:03:07 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	033	0	2011	Jacksonville		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	034	0	1	04	01	H5521_034_0	4	08/20/2010	2011.01	08/20/2010 03:38:48 PM Central Daylight Time	08/20/2010 10:28:39 AM Central Daylight Time	08/19/2010 01:02:44 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	034	0	2011	Jacksonville		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	036	0	1	04	01	H5521_036_0	4	08/03/2010	2011.01	08/03/2010 09:31:23 AM Central Daylight Time	08/20/2010 07:16:21 AM Central Daylight Time	08/19/2010 01:02:48 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	036	0	2011	Baltimore and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	037	0	1	04	01	H5521_037_0	4	08/06/2010	2011.01	08/06/2010 09:11:03 AM Central Daylight Time	08/20/2010 09:47:04 AM Central Daylight Time	08/19/2010 01:02:52 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	037	0	2011	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	038	0	1	04	01	H5521_038_0	4	08/03/2010	2011.01	08/03/2010 09:31:42 AM Central Daylight Time	08/20/2010 09:41:20 AM Central Daylight Time	08/19/2010 01:02:56 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (PPO)	01	04		1			H5521	038	0	2011	Northern New Jersey		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	039	0	1	04	01	H5521_039_0	5	08/03/2010	2011.01	08/03/2010 09:31:51 AM Central Daylight Time	08/20/2010 07:41:21 AM Central Daylight Time	08/19/2010 01:03:00 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	039	0	2011	Upstate New York		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	040	0	1	04	01	H5521_040_0	4	08/03/2010	2011.01	08/03/2010 09:31:57 AM Central Daylight Time	08/20/2010 07:44:11 AM Central Daylight Time	08/19/2010 01:03:04 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (PPO)	01	04		1			H5521	040	0	2011	New York, Queens and Richmond Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	801	0	1	04	01	H5521_801_0	3	05/11/2010	2011.01	05/11/2010 11:10:31 AM Eastern Daylight Time	07/14/2010 02:10:31 PM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (PPO)	01	04		1			H5521	801	0	2011	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H5521	802	0	1	04	01	H5521_802_0	3	05/11/2010	2011.01	05/11/2010 11:11:44 AM Eastern Daylight Time	07/28/2010 03:53:01 PM Eastern Daylight Time			08/11/2010 03:57:50 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (PPO)	01	04		1			H5521	802	0	2011	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5521	805	0	2	04	01	H5521_805_0	2	05/11/2010	2011.01	05/11/2010 11:13:32 AM Eastern Daylight Time	07/14/2010 02:31:51 PM Eastern Daylight Time			08/11/2010 11:11:03 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan (PPO)	01	04		2	2		H5521	805	0	2011	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H5521	806	0	2	04	01	H5521_806_0	2	05/11/2010	2011.01	05/11/2010 11:14:52 AM Eastern Daylight Time	07/14/2010 02:35:35 PM Eastern Daylight Time			08/11/2010 11:11:03 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Part B Only Plan w/Rx CY (PPO)	01	04		2	2		H5521	806	0	2011	National Excluding DE, GA, TX		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5522	001	0	1	04	01	H5522_001_0	6	08/18/2010	2011.01	08/18/2010 01:56:29 PM Eastern Daylight Time	08/20/2010 06:15:58 PM Eastern Daylight Time	08/19/2010 02:59:37 PM Eastern Daylight Time		08/23/2010 11:57:26 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	001	0	2011	Allegheny County		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(866)-291-5221		(866)-291-5221		(866)-608-8044		(866)-608-8044		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5522	002	0	1	04	01	H5522_002_0	6	08/08/2010	2011.01	08/08/2010 02:00:25 PM Eastern Daylight Time	08/20/2010 06:20:21 PM Eastern Daylight Time	08/19/2010 03:00:12 PM Eastern Daylight Time		08/23/2010 11:57:26 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	002	0	2011	Central Pennsylvania		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-288-5304		(800)-288-5304		(866)-291-5221		(866)-291-5221		(800)-288-5304		(800)-288-5304		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5522	004	0	1	04	01	H5522_004_0	6	08/23/2010	2011.01	08/23/2010 10:31:21 AM Eastern Daylight Time	08/21/2010 08:31:35 AM Eastern Daylight Time	08/19/2010 03:00:52 PM Eastern Daylight Time		08/23/2010 11:57:26 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Silver (PPO)	01	04		1			H5522	004	0	2011	Central Pennsylvania		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-288-5304		(800)-288-5304		(866)-291-5221		(866)-291-5221		(800)-288-5304		(800)-288-5304		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5522	005	0	1	04	01	H5522_005_0	8	08/25/2010	2011.01	08/25/2010 09:00:17 AM Eastern Daylight Time	08/21/2010 08:32:50 AM Eastern Daylight Time	08/19/2010 03:01:23 PM Eastern Daylight Time		08/25/2010 09:28:06 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Silver (PPO)	01	04		1			H5522	005	0	2011	Western Pennsylvania		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(866)-291-5221		(866)-291-5221		(866)-608-8044		(866)-608-8044		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5522	008	0	1	04	01	H5522_008_0	7	08/25/2010	2011.01	08/25/2010 09:08:35 AM Eastern Daylight Time	08/21/2010 08:34:07 AM Eastern Daylight Time	08/19/2010 03:01:52 PM Eastern Daylight Time		08/25/2010 09:28:06 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Elite (PPO)	01	04		1			H5522	008	0	2011	Central Pennsylvania		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-288-5304		(800)-288-5304		(866)-291-5221		(866)-291-5221		(800)-288-5304		(800)-288-5304		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5522	009	0	1	04	01	H5522_009_0	7	08/25/2010	2011.01	08/25/2010 08:44:59 AM Eastern Daylight Time	08/21/2010 08:35:59 AM Eastern Daylight Time	08/19/2010 03:02:23 PM Eastern Daylight Time		08/25/2010 09:28:06 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Elite (PPO)	01	04		1			H5522	009	0	2011	Western Pennsylvania		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(866)-291-5221		(866)-291-5221		(866)-608-8044		(866)-608-8044		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5522	010	0	1	04	01	H5522_010_0	6	08/11/2010	2011.01	08/11/2010 04:21:17 PM Eastern Daylight Time	08/21/2010 08:37:49 AM Eastern Daylight Time	08/19/2010 03:02:53 PM Eastern Daylight Time		08/23/2010 11:57:26 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Bronze (PPO)	01	04		1			H5522	010	0	2011	Allegheny County		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(866)-291-5221		(866)-291-5221		(866)-608-8044		(866)-608-8044		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5522	802	0	1	04	01	H5522_802_0	7	08/08/2010	2011.01	08/08/2010 01:47:44 PM Eastern Daylight Time	07/16/2010 10:00:20 AM Eastern Daylight Time			08/16/2010 07:32:32 AM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra MA Only (PPO)	01	04		1			H5522	802	0	2011	Pennsylvania		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272										(711)		(711)		(711)		(711)										1
H5522	803	0	1	04	01	H5522_803_0	5	08/13/2010	2011.01	08/13/2010 02:58:13 PM Eastern Daylight Time	07/16/2010 11:23:36 AM Eastern Daylight Time			08/13/2010 03:29:17 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	803	0	2011	Pennsylvania		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5522	805	0	1	04	01	H5522_805_0	5	08/13/2010	2011.01	08/13/2010 02:58:45 PM Eastern Daylight Time	07/16/2010 01:02:41 PM Eastern Daylight Time			08/13/2010 04:13:00 PM Eastern Daylight Time	HEALTHASSURANCE PENNSYLVANIA, INC.	HealthAmerica	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H5522	805	0	2011	Pennsylvania		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(866)-291-5221		(866)-291-5221		(800)-470-4272		(800)-470-4272		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5525	004	0	1	04	01	H5525_004_0	6	08/20/2010	2011.01	08/20/2010 01:51:36 PM Eastern Daylight Time	08/20/2010 04:38:18 PM Eastern Daylight Time	08/20/2010 04:20:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA BENEFIT PLAN OF ILLINOIS, INC.	Humana Benefit Plan of Illinois, Inc.	www.humana-medicare.com	HumanaChoice H5525-004 (PPO)	01	04		1			H5525	004	0	2011	Peoria Illinois		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http:/www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5526	002	0	1	04	01	H5526_002_0	5	08/25/2010	2011.01	08/25/2010 12:15:37 PM Eastern Daylight Time	08/09/2010 10:42:56 AM Eastern Daylight Time			08/25/2010 02:13:39 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com	BlueCross BlueShield Forever Blue Medicare PPO 701 (PPO)	01	04		1			H5526	002	0	2011	Western New York		2	454	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com,    www.bsneny.com	(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1
H5526	003	0	1	04	01	H5526_003_0	8	08/26/2010	2011.01	08/26/2010 11:26:03 AM Eastern Daylight Time	08/23/2010 05:45:00 AM Eastern Daylight Time	08/23/2010 05:35:00 AM Eastern Daylight Time		08/26/2010 11:32:50 AM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bsneny.com	BlueShield Forever Blue Medicare PPO 751 (PPO)	01	04		1			H5526	003	0	2011	Northeastern New York		2	946	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com,    www.bsneny.com	(800)-329-2792		(800)-329-2792		(877)-258-7453		(877)-258-7453		(800)-329-2792		(800)-329-2792		(877)-258-7453		(877)-258-7453		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1
H5526	004	0	1	04	01	H5526_004_0	8	08/25/2010	2011.01	08/25/2010 12:20:26 PM Eastern Daylight Time	08/23/2010 05:46:00 AM Eastern Daylight Time	08/23/2010 05:38:00 AM Eastern Daylight Time		08/25/2010 02:13:39 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com	BlueCross BlueShield Forever Blue Medicare PPO 751 (PPO)	01	04		1			H5526	004	0	2011	Western New York		2	3500	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com,    www.bsneny.com	(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583		(800)-329-2792		(800)-329-2792		(888)-587-2583		(888)-587-2583		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1
H5526	806	0	1	04	01	H5526_806_0	2	08/07/2010	2011.01	08/07/2010 06:40:47 PM Eastern Daylight Time	08/08/2010 04:31:01 PM Eastern Daylight Time			08/08/2010 04:42:03 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	Forever Blue Medicare PPO Group (MA Only) CY (PPO)	01	04		1			H5526	806	0	2011	Western and Northeastern New York		1	2327	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com,    www.bsneny.com	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296										(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710										1
H5526	808	0	1	04	01	H5526_808_0	2	08/08/2010	2011.01	08/08/2010 10:54:18 AM Eastern Daylight Time	08/08/2010 04:32:26 PM Eastern Daylight Time			08/08/2010 04:42:03 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	Forever Blue Medicare PPO Group (MA-PD) CY (PPO)	01	04		1			H5526	808	0	2011	Western and Northeastern New York		1	8400	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com,    www.bsneny.com	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1
H5526	810	0	1	04	01	H5526_810_0	2	08/08/2010	2011.01	08/08/2010 10:54:28 AM Eastern Daylight Time	08/08/2010 04:33:52 PM Eastern Daylight Time			08/08/2010 04:42:03 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	Forever Blue Medicare PPO	www.bcbswny.com (WNY) or www.bsneny.com (NENY)	Forever Blue Medicare PPO Group (MA-PD) NCY (PPO)	01	04		1			H5526	810	0	2011	Western and Northeastern New York		1	500	2				2						www.bcbswny.com (Western New York) or www.bsneny.com (Northeastern New York)	http://www.bcbswny.com/pharmacy  http://www.bsneny.com/pharmacy	www.bcbswny.com,    www.bsneny.com	(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(800)-329-2792		(800)-329-2792		(800)-248-9296		(800)-248-9296		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		(877)-834-6918		(877)-834-6918		(877)-286-5710		(877)-286-5710		1
H5528	001	0	1	04	01	H5528_001_0	4	07/21/2010	2011.01	07/21/2010 03:22:36 PM Eastern Daylight Time	07/28/2010 10:15:51 AM Eastern Daylight Time			07/28/2010 10:58:50 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO I (PPO)	01	04		1			H5528	001	0	2011	Counties of New York City		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454										(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833										1
H5528	002	0	1	04	01	H5528_002_0	6	08/21/2010	2011.01	08/21/2010 09:59:57 AM Eastern Daylight Time	08/21/2010 10:02:45 AM Eastern Daylight Time	08/21/2010 10:03:17 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO II (PPO)	01	04		1			H5528	002	0	2011	Counties of New York City		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	003	0	1	04	01	H5528_003_0	6	07/07/2010	2011.01	07/07/2010 10:48:26 AM Eastern Daylight Time	08/21/2010 10:03:47 AM Eastern Daylight Time	08/21/2010 10:05:20 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO III (PPO)	01	04		1			H5528	003	0	2011	Counties of New York City		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	004	0	1	04	01	H5528_004_0	4	07/07/2010	2011.01	07/07/2010 10:48:59 AM Eastern Daylight Time	07/28/2010 10:23:11 AM Eastern Daylight Time			07/28/2010 10:58:50 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO I (PPO)	01	04		1			H5528	004	0	2011	Nassau, Westchester and Rockland Counties		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454										(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833										1
H5528	005	0	1	04	01	H5528_005_0	8	07/07/2010	2011.01	07/07/2010 10:49:28 AM Eastern Daylight Time	08/25/2010 09:38:06 AM Eastern Daylight Time	08/21/2010 10:06:15 AM Eastern Daylight Time		08/25/2010 09:40:09 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO II (PPO)	01	04		1			H5528	005	0	2011	Nassau, Westchester and Rockland Counties		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	008	0	1	04	01	H5528_008_0	6	07/07/2010	2011.01	07/07/2010 10:49:56 AM Eastern Daylight Time	08/21/2010 10:06:42 AM Eastern Daylight Time	08/21/2010 10:07:08 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO III (PPO)	01	04		1			H5528	008	0	2011	Nassau, Westchester and Rockland Counties		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	009	0	1	04	01	H5528_009_0	5	07/07/2010	2011.01	07/07/2010 10:50:22 AM Eastern Daylight Time	08/05/2010 02:27:55 PM Eastern Daylight Time			08/05/2010 02:38:23 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO I (PPO)	01	04		1			H5528	009	0	2011	Suffolk County		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454										(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833										1
H5528	010	0	1	04	01	H5528_010_0	6	07/07/2010	2011.01	07/07/2010 10:50:48 AM Eastern Daylight Time	08/21/2010 10:07:34 AM Eastern Daylight Time	08/21/2010 10:07:57 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO II (PPO)	01	04		1			H5528	010	0	2011	Suffolk County		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	011	0	1	04	01	H5528_011_0	6	07/07/2010	2011.01	07/07/2010 10:51:19 AM Eastern Daylight Time	08/21/2010 10:08:24 AM Eastern Daylight Time	08/21/2010 10:08:45 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO III (PPO)	01	04		1			H5528	011	0	2011	Suffolk County		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	018	0	1	04	01	H5528_018_0	6	08/18/2010	2011.01	08/18/2010 11:20:13 AM Eastern Daylight Time	08/21/2010 10:09:12 AM Eastern Daylight Time	08/21/2010 10:09:36 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	Dual Eligible (PPO SNP)	01	04		1			H5528	018	0	2011	Counties of NYC, Westchester, Rockland		2	750	2		2		1	3		1	4			www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	019	0	1	04	01	H5528_019_0	5	07/07/2010	2011.01	07/07/2010 10:52:25 AM Eastern Daylight Time	08/21/2010 10:10:06 AM Eastern Daylight Time	08/21/2010 10:10:32 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO High Option (PPO)	01	04		1			H5528	019	0	2011	Counties of NYC		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	020	0	1	04	01	H5528_020_0	4	07/07/2010	2011.01	07/07/2010 10:52:53 AM Eastern Daylight Time	08/21/2010 10:11:01 AM Eastern Daylight Time	08/21/2010 10:11:30 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO High Option (PPO)	01	04		1			H5528	020	0	2011	Nassau, Westchester and Rockland Counties		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	021	0	1	04	01	H5528_021_0	4	07/07/2010	2011.01	07/07/2010 10:53:18 AM Eastern Daylight Time	08/21/2010 10:11:57 AM Eastern Daylight Time	08/21/2010 10:12:19 AM Eastern Daylight Time		08/21/2010 10:24:22 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	PPO High Option (PPO)	01	04		1			H5528	021	0	2011	Suffolk County		2		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5528	804	0	1	04	01	H5528_804_0	4	06/24/2010	2011.01	06/24/2010 03:40:22 PM Eastern Daylight Time	07/28/2010 10:28:58 AM Eastern Daylight Time			07/28/2010 10:58:50 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	Group Access (PPO)	01	04		1			H5528	804	0	2011	United States		1		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454										(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833										1
H5528	807	0	1	04	01	H5528_807_0	4	06/24/2010	2011.01	06/24/2010 03:42:03 PM Eastern Daylight Time	07/28/2010 10:29:32 AM Eastern Daylight Time			07/28/2010 10:58:50 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PPO	www.emblemhealth.com	Group Access Rx (PPO)	01	04		1			H5528	807	0	2011	United States		1		2				2							www.ghi.com	www.ghi.com	(866)-557-7300		(866)-557-7300		(800)-611-8454		(800)-611-8454		(877)-444-7097		(877)-444-7097		(800)-611-8454		(800)-611-8454		(866)-248-0640		(866)-248-0640		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
H5529	001	0	1	04	01	H5529_001_0	7	08/23/2010	2011.01	08/23/2010 10:11:17 AM Eastern Daylight Time	08/23/2010 08:57:36 PM Eastern Daylight Time	08/23/2010 06:43:18 PM Eastern Daylight Time		08/23/2010 10:01:57 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H5529	001	0	2011	Select Counties in Ohio		2	8568	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-1765		(800)-797-1765		(800)-467-1199		(800)-467-1199		(800)-797-1765		(800)-797-1765		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H5529	004	0	1	04	01	H5529_004_0	7	08/23/2010	2011.01	08/23/2010 10:11:38 AM Eastern Daylight Time	08/23/2010 08:57:51 PM Eastern Daylight Time	08/23/2010 06:43:27 PM Eastern Daylight Time		08/23/2010 10:01:57 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H5529	004	0	2011	Select Counties in Ohio		2	9783	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-1765		(800)-797-1765		(800)-467-1199		(800)-467-1199		(800)-797-1765		(800)-797-1765		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H5529	804	0	1	04	01	H5529_804_0	5	08/20/2010	2011.01	08/20/2010 02:47:13 PM Eastern Daylight Time	07/22/2010 08:05:58 PM Eastern Daylight Time			08/20/2010 03:04:16 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H5529	804	0	2011	Ohio		1	4688	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H5529	805	0	1	04	01	H5529_805_0	5	08/20/2010	2011.01	08/20/2010 02:47:21 PM Eastern Daylight Time	07/22/2010 08:06:51 PM Eastern Daylight Time			08/20/2010 03:04:16 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H5529	805	0	2011	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H5529	806	0	1	04	01	H5529_806_0	5	08/20/2010	2011.01	08/20/2010 02:47:34 PM Eastern Daylight Time	07/22/2010 08:07:57 PM Eastern Daylight Time			08/20/2010 03:04:16 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H5529	806	0	2011	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H5529	807	0	1	04	01	H5529_807_0	5	08/20/2010	2011.01	08/20/2010 02:47:43 PM Eastern Daylight Time	07/22/2010 08:09:13 PM Eastern Daylight Time			08/20/2010 03:04:16 PM Eastern Daylight Time	COMMUNITY INSURANCE COMPANY	Anthem Blue Cross and Blue Shield	www.anthem.com	Anthem Medicare Preferred (PPO)	01	04		1			H5529	807	0	2011	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H5530	001	0	1	04	01	H5530_001_0	9	08/23/2010	2011.01	08/23/2010 10:07:12 AM Eastern Daylight Time	08/24/2010 09:23:48 AM Eastern Daylight Time	08/24/2010 09:16:33 AM Eastern Daylight Time		08/24/2010 09:42:33 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Standard (PPO)	01	04		1			H5530	001	0	2011	Select Counties in Kentucky		2	2859	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-1759		(800)-797-1759		(800)-467-1199		(800)-467-1199		(800)-797-1759		(800)-797-1759		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H5530	004	0	1	04	01	H5530_004_0	8	08/23/2010	2011.01	08/23/2010 10:08:10 AM Eastern Daylight Time	08/24/2010 09:24:44 AM Eastern Daylight Time	08/24/2010 09:16:49 AM Eastern Daylight Time		08/24/2010 09:42:33 AM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred Select (PPO)	01	04		1			H5530	004	0	2011	Select Counties in Kentucky		2	780	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-1759		(800)-797-1759		(800)-467-1199		(800)-467-1199		(800)-797-1759		(800)-797-1759		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H5530	804	0	1	04	01	H5530_804_0	6	08/20/2010	2011.01	08/20/2010 02:48:03 PM Eastern Daylight Time	07/22/2010 07:50:35 PM Eastern Daylight Time			08/20/2010 03:04:16 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5530	804	0	2011	Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H5530	805	0	1	04	01	H5530_805_0	6	08/20/2010	2011.01	08/20/2010 02:48:12 PM Eastern Daylight Time	07/22/2010 07:51:29 PM Eastern Daylight Time			08/20/2010 03:04:16 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5530	805	0	2011	Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H5530	806	0	1	04	01	H5530_806_0	6	08/20/2010	2011.01	08/20/2010 02:48:28 PM Eastern Daylight Time	07/22/2010 07:52:21 PM Eastern Daylight Time			08/20/2010 03:04:16 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5530	806	0	2011	Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
H5530	807	0	1	04	01	H5530_807_0	6	08/20/2010	2011.01	08/20/2010 02:48:36 PM Eastern Daylight Time	07/22/2010 07:53:13 PM Eastern Daylight Time			08/20/2010 03:04:16 PM Eastern Daylight Time	ANTHEM HEALTH PLANS OF KENTUCKY, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Anthem Medicare Preferred (PPO)	01	04		1			H5530	807	0	2011	Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5169		(866)-803-5169										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
H5532	001	0	1	04	01	H5532_001_0	5	06/01/2010	2011.01	06/01/2010 12:47:35 PM Central Daylight Time	08/19/2010 05:09:32 PM Central Daylight Time	08/18/2010 04:49:14 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (PPO)	01	04		1			H5532	001	0	2011	Charlotte,Hernando,Hillsborough,Lee,Pasco,Pinellas		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5533	003	0	1	04	01	H5533_003_0	7	08/20/2010	2011.01	08/20/2010 09:29:24 AM Eastern Daylight Time	08/19/2010 03:47:37 PM Eastern Daylight Time	08/20/2010 08:13:36 AM Eastern Daylight Time		08/20/2010 01:34:45 PM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO High Deductible with Rx (PPO)	01	04		1			H5533	003	0	2011	Western Pennsylvania		2	600	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H5533	004	0	1	04	01	H5533_004_0	7	08/09/2010	2011.01	08/09/2010 12:43:29 PM Eastern Daylight Time	08/19/2010 03:49:53 PM Eastern Daylight Time	08/19/2010 03:49:05 PM Eastern Daylight Time		08/20/2010 09:43:11 AM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO Rx (PPO)	01	04		1			H5533	004	0	2011	Western Pennsylvania		2	500	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H5533	801	0	1	04	01	H5533_801_0	4	06/30/2010	2011.01	06/30/2010 10:38:49 AM Eastern Daylight Time	07/28/2010 02:17:54 PM Eastern Daylight Time			07/28/2010 03:03:19 PM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PPO)	01	04		1			H5533	801	0	2011	Western Pennsylvania		1	100	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1
H5533	802	0	1	04	01	H5533_802_0	5	06/30/2010	2011.01	06/30/2010 10:39:14 AM Eastern Daylight Time	07/28/2010 02:19:02 PM Eastern Daylight Time			07/28/2010 03:03:19 PM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (PPO)	01	04		1			H5533	802	0	2011	Western Pennsylvania		1	600	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H5533	803	0	1	04	01	H5533_803_0	4	06/30/2010	2011.01	06/30/2010 10:39:39 AM Eastern Daylight Time	07/28/2010 02:20:10 PM Eastern Daylight Time			07/28/2010 03:03:19 PM Eastern Daylight Time	UPMC HEALTH NETWORK	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (PPO)	01	04		1			H5533	803	0	2011	Western Pennsylvania		1	100	2				2						www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H5549	001	0	1	01	01	H5549_001_0	4	07/23/2010	2011.01	07/23/2010 01:07:41 PM Eastern Daylight Time	07/15/2010 09:27:01 AM Eastern Daylight Time	07/15/2010 09:26:28 AM Eastern Daylight Time		07/23/2010 06:15:31 PM Eastern Daylight Time	VNS CHOICE	VNSNY CHOICE Medicare	www.vnsnychoice.org	VNSNY CHOICE Medicare Option 1 (HMO SNP)	01	01		1			H5549	001	0	2011	Bronx, Kings, New York, Queens, Richmond Counties		2	1405	2		2		1	3		1	2			http://www.vnschoice.org/	http://www.vnschoice.org/	(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5549	002	0	1	01	01	H5549_002_0	4	07/23/2010	2011.01	07/23/2010 01:07:50 PM Eastern Daylight Time	07/15/2010 09:27:01 AM Eastern Daylight Time	07/15/2010 09:26:28 AM Eastern Daylight Time		07/23/2010 06:15:31 PM Eastern Daylight Time	VNS CHOICE	VNSNY CHOICE Medicare	www.vnsnychoice.org	VNSNY CHOICE Medicare Option 2 (HMO SNP)	01	01		1			H5549	002	0	2011	Bronx, Kings, New York, Queens, Richmond Counties		2	4440	2		2		1	3		1	2			http://www.vnschoice.org/	http://www.vnschoice.org/	(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5549	003	0	1	01	01	H5549_003_0	5	07/23/2010	2011.01	07/23/2010 01:07:56 PM Eastern Daylight Time	07/15/2010 09:27:01 AM Eastern Daylight Time	07/15/2010 09:26:28 AM Eastern Daylight Time		07/23/2010 06:15:31 PM Eastern Daylight Time	VNS CHOICE	VNSNY CHOICE Medicare	www.vnsnychoice.org	VNSNY CHOICE Managed Long Term Care Plus (HMO SNP)	01	01		1			H5549	003	0	2011	Bronx, Kings, New York, Queens, Richmond Counties		2	74	2		2		1	3		1	5			http://www.vnschoice.org/	http://www.vnschoice.org/	(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(866)-597-6674		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5549	004	0	1	01	01	H5549_004_0	9	08/23/2010	2011.01	08/23/2010 02:10:31 PM Eastern Daylight Time	08/23/2010 12:33:00 PM Eastern Daylight Time	08/23/2010 11:42:00 AM Eastern Daylight Time		08/23/2010 02:30:05 PM Eastern Daylight Time	VNS CHOICE	VNSNY CHOICE Medicare	www.vnsnychoice.org	VNSNY CHOICE Medicare Option 5 (HMO)	01	01		1			H5549	004	0	2011	Bronx, Kings, New York, Queens, Richmond Counties		2	1655	2				2							http://www.vnschoice.org/	http://www.vnschoice.org/	(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5549	005	0	1	01	01	H5549_005_0	6	07/23/2010	2011.01	07/23/2010 01:08:08 PM Eastern Daylight Time	08/22/2010 04:20:00 PM Eastern Daylight Time	08/22/2010 04:10:00 PM Eastern Daylight Time		08/23/2010 12:12:17 PM Eastern Daylight Time	VNS CHOICE	VNSNY CHOICE Medicare	www.vnsnychoice.org	VNSNY CHOICE Medicare Option 6 (HMO)	01	01		1			H5549	005	0	2011	Bronx, Kings, New York, Queens, Richmond Counties		2	200	2				2							http://www.vnschoice.org/	http://www.vnschoice.org/	(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(866)-783-1444		(866)-783-1444		(866)-867-0047		(866)-867-0047		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5575	005	0	1	01	01	H5575_005_0	7	08/30/2010	2011.01	08/30/2010 04:27:37 PM Central Daylight Time	08/23/2010 01:52:14 PM Central Daylight Time	08/23/2010 01:52:10 PM Central Daylight Time		08/30/2010 04:45:58 PM Central Daylight Time	FIDELIS SECURECARE OF NORTH CAROLINA	Fidelis SecureCare of North Carolina	www.fidelissc.com	Fidelis Secure Comfort (HMO SNP)	01	01		1			H5575	005	0	2011	North Carolina		2		2				1	1	1	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/nc_partD.asp	http://www.fidelissc.com/ourplans/nc_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5575	006	0	1	01	01	H5575_006_0	6	07/01/2010	2011.01	07/01/2010 11:14:50 AM Central Daylight Time	08/23/2010 01:52:15 PM Central Daylight Time	08/23/2010 01:52:15 PM Central Daylight Time		08/23/2010 05:39:44 PM Central Daylight Time	FIDELIS SECURECARE OF NORTH CAROLINA	Fidelis SecureCare of North Carolina	www.fidelissc.com	Fidelis Secure Comfort Plus (HMO SNP)	01	01		1			H5575	006	0	2011	North Carolina		2		2				1	1	1	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/nc_partD.asp	http://www.fidelissc.com/ourplans/nc_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5575	007	0	1	01	01	H5575_007_0	6	08/23/2010	2011.01	08/23/2010 02:16:55 PM Central Daylight Time	08/23/2010 01:52:26 PM Central Daylight Time	08/23/2010 01:52:20 PM Central Daylight Time		08/23/2010 05:39:44 PM Central Daylight Time	FIDELIS SECURECARE OF NORTH CAROLINA	Fidelis SecureCare of North Carolina	www.fidelissc.com	Fidelis Secure Independence (HMO SNP)	01	01		1			H5575	007	0	2011	North Carolina		2		2				1	1	2	1			www.fidelissc.com	http://www.fidelissc.com/ourplans/nc_partD.asp	http://www.fidelissc.com/ourplans/nc_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5576	006	0	1	02	01	H5576_006_0	10	10/18/2010	2011.01	10/18/2010 02:10:52 PM Central Daylight Time	08/22/2010 04:32:23 PM Central Daylight Time	08/22/2010 04:32:22 PM Central Daylight Time		10/18/2010 03:32:57 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA3 Vantage PREMIUM (HMO-POS)	01	02		1			H5576	006	0	2011	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	www.catalystrx.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1
H5576	007	0	1	02	01	H5576_007_0	10	10/18/2010	2011.01	10/18/2010 02:12:57 PM Central Daylight Time	08/26/2010 02:01:38 PM Central Daylight Time	08/22/2010 04:33:04 PM Central Daylight Time		10/18/2010 03:32:57 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA0 Vantage ZERO (HMO-POS)	01	02		1			H5576	007	0	2011	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	www.catalystrx.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1
H5576	008	0	1	01	01	H5576_008_0	10	10/01/2010	2011.01	10/01/2010 09:32:43 AM Central Daylight Time	08/20/2010 05:15:22 PM Central Daylight Time	08/20/2010 05:15:21 PM Central Daylight Time		10/01/2010 05:17:14 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA4 Vantage TRADITIONAL PLUS (HMO)	01	01		1			H5576	008	0	2011	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	www.catalystrx.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1
H5576	009	0	1	02	01	H5576_009_0	9	10/18/2010	2011.01	10/18/2010 02:15:29 PM Central Daylight Time	08/22/2010 04:32:54 PM Central Daylight Time	08/22/2010 04:32:52 PM Central Daylight Time		10/18/2010 03:32:57 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA1 Vantage VALUE (HMO-POS)	01	02		1			H5576	009	0	2011	North Louisiana, Central Louisiana and Baton Rouge		2		2				2						www.vhp-medicare.com	www.vhp-medicare.com	www.catalystrx.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1
H5576	010	0	1	02	01	H5576_010_0	9	10/01/2010	2011.01	10/01/2010 09:03:10 AM Central Daylight Time	08/22/2010 04:32:06 PM Central Daylight Time	08/20/2010 05:15:32 PM Central Daylight Time		10/01/2010 05:08:19 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	AAA5 Vantage DUAL SNP (HMO-POS SNP)	01	02		1			H5576	010	0	2011	Ouachita Parish		2		2		2		1	3		1	5		www.vhp-medicare.com	www.vhp-medicare.com	www.catalystrx.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1
H5576	801	0	1	02	01	H5576_801_0	4	08/11/2010	2011.01	08/11/2010 03:52:42 PM Central Daylight Time	06/06/2010 10:33:44 AM Central Daylight Time			08/12/2010 10:53:07 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	Vantage - MAPD Employer Calendar (HMO-POS)	01	02		1			H5576	801	0	2011	Louisiana		1		2				2						www.vhp-medicare.com	www.vhp-medicare.com	www.catalystrx.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1
H5576	802	0	1	02	01	H5576_802_0	4	08/11/2010	2011.01	08/11/2010 03:52:56 PM Central Daylight Time	06/06/2010 10:42:52 AM Central Daylight Time			08/12/2010 10:53:07 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	Vantage - MAPD Emp Non-Calendar (HMO-POS)	01	02		1			H5576	802	0	2011	Louisiana		1		2				2						www.vhp-medicare.com	www.vhp-medicare.com	www.catalystrx.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1	(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131		1
H5576	803	0	1	02	01	H5576_803_0	3	08/11/2010	2011.01	08/11/2010 03:53:07 PM Central Daylight Time	06/06/2010 09:36:35 PM Central Daylight Time			08/12/2010 10:53:07 PM Central Daylight Time	VANTAGE  HEALTH PLAN, INC.	Vantage Health Plan, Inc.	www.vhp-medicare.com	Vantage - MA Employer Calendar (HMO-POS)	01	02		1			H5576	803	0	2011	Louisiana		1		2				2						www.vhp-medicare.com	www.vhp-medicare.com	www.catalystrx.com	(888)-823-1910	1	(318)-361-0900	1	(888)-823-1910	1	(318)-361-0900	1									(866)-524-5144		(318)-361-2131		(866)-524-5144		(318)-361-2131										1
H5577	002	0	1	01	01	H5577_002_0	14	08/20/2010	2011.01	08/20/2010 06:05:40 PM SA Western Standard Time	08/20/2010 05:22:18 PM SA Western Standard Time	08/25/2010 11:59:56 AM SA Western Standard Time		08/25/2010 12:58:03 PM SA Western Standard Time	MCS ADVANTAGE INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Especial (HMO SNP)	01	01		1			H5577	002	0	2011	Puerto Rico		2	54880	2		1	1	1	3		1	3		www.mcsclassicare.com	www.mcsclassicare.com	www.mcsclassicare.com	(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
H5578	002	0	1	01	01	H5578_002_0	6	08/21/2010	2011.01	08/21/2010 11:04:49 AM Central Daylight Time	08/21/2010 12:29:57 PM Central Daylight Time	08/18/2010 06:12:18 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	002	0	2011	Savannah		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5578	006	0	1	01	01	H5578_006_0	7	08/21/2010	2011.01	08/21/2010 11:07:06 AM Central Daylight Time	08/20/2010 11:15:29 PM Central Daylight Time	08/18/2010 06:12:44 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	006	0	2011	Athens, Macon		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5578	007	0	1	01	01	H5578_007_0	7	08/11/2010	2011.01	08/11/2010 10:13:14 PM Central Daylight Time	08/23/2010 02:50:14 PM Central Daylight Time	08/18/2010 06:13:39 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Dual Plus (HMO SNP)	01	01		1			H5578	007	0	2011	Athens, Columbus, Macon		2		2		2		1	3		1	1			http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5578	009	0	1	01	01	H5578_009_0	5	08/20/2010	2011.01	08/20/2010 04:11:00 PM Central Daylight Time	08/20/2010 11:17:19 PM Central Daylight Time	08/18/2010 06:14:07 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	009	0	2011	Augusta		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5578	013	0	1	01	01	H5578_013_0	6	08/20/2010	2011.01	08/20/2010 06:43:12 PM Central Daylight Time	08/20/2010 11:19:14 PM Central Daylight Time	08/18/2010 06:15:00 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5578	013	0	2011	Columbus		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5578	801	0	1	01	01	H5578_801_0	4	07/28/2010	2011.01	07/28/2010 05:44:13 PM Central Daylight Time	07/26/2010 12:59:44 PM Central Daylight Time			07/28/2010 05:48:38 PM Central Daylight Time	ARCADIAN HEALTH PLAN OF GEORGIA, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - EGWP (HMO)	01	01		1			H5578	801	0	2011	Georgia		1		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(800)-573-8597		(800)-573-8597		(888)-701-2678		(478)-474-2678		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5580	001	0	1	01	01	H5580_001_0	3	08/23/2010	2011.01	08/23/2010 05:25:50 PM Central Daylight Time	08/23/2010 05:37:52 PM Central Daylight Time	08/23/2010 05:24:50 PM Central Daylight Time		08/23/2010 05:43:02 PM Central Daylight Time	SOUTHWEST CATHOLIC HEALTH NETWORK CORPORATION	Mercy Care Advantage	www.mercycareadvantage.com	Mercy Care Advantage (HMO SNP)	01	01		1			H5580	001	0	2011	Maricopa, Pima, and Santa Cruz Counties		2		2		2		1	3		1	3		http://www.mercycareadvantage.com	http://www.mercycareadvantage.com/AdvantageDrug.html	http://www.mercycareadvantage.com/AdvantageDrug.html	(800)-624-3879		(602)-263-3000		(866)-571-5781		(602)-414-7630		(800)-624-3879		(602)-263-3000		(866)-571-5781		(602)-414-7630		(866)-602-1982		(602)-248-9273		(866)-602-1982		(602)-248-9273		(866)-602-1982		(602)-248-9273		(866)-602-1982		(602)-248-9273		1
H5587	001	0	1	01	01	H5587_001_0	3	08/04/2010	2011.01	08/04/2010 11:00:55 AM US Mountain Standard Time	08/02/2010 12:44:15 PM US Mountain Standard Time	07/28/2010 08:00:24 AM US Mountain Standard Time		08/04/2010 11:20:42 AM US Mountain Standard Time	HEALTH CHOICE ARIZONA, INC.	Health Choice Generations	www.hcgenerations.com	Health Choice Generations (HMO SNP)	01	01		1			H5587	001	0	2011	Counties: APA, CCN, MAR, NAV, PIM, PIN		2	3600	2		2		1	3		1	3		https://www.HCGenerations.com	http://www.hcgenerations.com/index.asp?page=formulary.aspf=partd	http://www.express-scripts.com	(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		1
H5587	002	0	1	01	01	H5587_002_0	2	08/04/2010	2011.01	08/04/2010 11:02:20 AM US Mountain Standard Time	08/02/2010 12:44:15 PM US Mountain Standard Time	06/06/2010 12:59:32 PM US Mountain Standard Time		08/04/2010 11:20:42 AM US Mountain Standard Time	HEALTH CHOICE ARIZONA, INC.	Health Choice Generations	www.hcgenerations.com	Health Choice Generations (HMO SNP)	01	01		1			H5587	002	0	2011	Counties: APA, CCN, NAV, MAR, MOH, YUM, PIM, SAN		2	700	2		2		1	3		1	4		https://www.HCGenerations.com	http://www.hcgenerations.com/index.asp?page=formulary.aspf=partd	http://www.express-scripts.com	(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-656-8991		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		(800)-842-4681		1
H5590	001	0	1	01	01	H5590_001_0	4	07/12/2010	2011.01	07/12/2010 09:15:26 AM Pacific Daylight Time	08/18/2010 06:10:33 PM Pacific Daylight Time	08/18/2010 02:05:07 PM Pacific Daylight Time		08/19/2010 12:34:13 PM Pacific Daylight Time	BRIDGEWAY HEALTH SOLUTIONS	Advantage by Bridgeway Health Solutions	http://medicare.bridgewayhs.com/	Bridgeway Health Solutions (HMO SNP)	01	01		1			H5590	001	0	2011	Maricopa and Yuma Counties		2	1860	2		2		1	3		1	3		http://medicare.bridgewayhs.com/	http://medicare.bridgewayhs.com/home/prescription-drug-part-d-benefit-information/formulary/	http://medicare.bridgewayhs.com/home/prescription-drug-part-d-benefit-information/	(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		1
H5590	002	0	1	01	01	H5590_002_0	6	07/12/2010	2011.01	07/12/2010 09:15:33 AM Pacific Daylight Time	08/19/2010 08:22:12 AM Pacific Daylight Time	08/18/2010 02:05:50 PM Pacific Daylight Time		08/19/2010 12:34:13 PM Pacific Daylight Time	BRIDGEWAY HEALTH SOLUTIONS	Advantage by Bridgeway Health Solutions	http://medicare.bridgewayhs.com/	Bridgeway Health Solutions (HMO SNP)	01	01		1			H5590	002	0	2011	Maricopa, Pima, Santa Cruz, Yuma, and Yavapai Co.		2	3731	2		2		1	3		1	5		http://medicare.bridgewayhs.com/	http://medicare.bridgewayhs.com/home/prescription-drug-part-d-benefit-information/formulary/	http://medicare.bridgewayhs.com/home/prescription-drug-part-d-benefit-information/	(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(866)-475-3129		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		(877)-613-2076		1
H5591	001	0	1	02	01	H5591_001_0	9	08/21/2010	2011.01	08/21/2010 04:57:24 PM Eastern Daylight Time	08/21/2010 04:45:50 PM Eastern Daylight Time	08/20/2010 01:46:41 PM Eastern Daylight Time		08/21/2010 05:01:00 PM Eastern Daylight Time	MARTIN'S POINT GENERATIONS, LLC	Martin's Point Generations Advantage	www.martinspoint.org/medicare	Martin's Point Generations Advantage Prime (HMO-POS)	01	02		1			H5591	001	0	2011	State of Maine		2		2				2						www.martinspoint.org	www.martinspoint.org	www.martinspoint.org	(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423		(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423		(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502		(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502		1
H5591	003	0	1	01	01	H5591_003_0	8	08/14/2010	2011.01	08/14/2010 09:52:01 AM Eastern Daylight Time	08/13/2010 04:52:19 PM Eastern Daylight Time			08/14/2010 09:53:32 AM Eastern Daylight Time	MARTIN'S POINT GENERATIONS, LLC	Martin's Point Generations Advantage	www.martinspoint.org/medicare	Martin's Point Generations Advantage Value (HMO)	01	01		1			H5591	003	0	2011	State of Maine		2		2				2						www.martinspoint.org	www.martinspoint.org	www.martinspoint.org	(866)-544-7504		(866)-544-7504		(888)-640-4423		(888)-640-4423										(866)-544-7503		(866)-544-7503		(866)-544-7502		(866)-544-7502										1
H5594	001	0	1	02	01	H5594_001_0	8	08/23/2010	2011.01	08/23/2010 11:49:35 AM Eastern Daylight Time	08/22/2010 04:28:25 PM Eastern Daylight Time	08/26/2010 11:08:56 AM Eastern Daylight Time		08/26/2010 11:14:39 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Gold Plan (HMO-POS)	01	02		1			H5594	001	0	2011	Select Counties in Florida		2	9662	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	002	0	1	01	01	H5594_002_0	6	08/23/2010	2011.01	08/23/2010 12:27:06 PM Eastern Daylight Time	08/22/2010 04:28:29 PM Eastern Daylight Time	08/26/2010 08:51:08 AM Eastern Daylight Time		08/26/2010 09:12:35 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plan (HMO)	01	01		1			H5594	002	0	2011	Select Counties in Florida		2	2973	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	006	0	1	02	01	H5594_006_0	7	08/23/2010	2011.01	08/23/2010 12:27:25 PM Eastern Daylight Time	08/22/2010 04:29:16 PM Eastern Daylight Time	08/26/2010 08:51:22 AM Eastern Daylight Time		08/26/2010 09:12:35 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plan (HMO-POS)	01	02		1			H5594	006	0	2011	Select Counties in Florida		2	1151	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	016	0	1	01	01	H5594_016_0	4	07/01/2010	2011.01	07/01/2010 08:41:42 AM Eastern Daylight Time	08/22/2010 04:24:54 PM Eastern Daylight Time	08/22/2010 04:20:07 PM Eastern Daylight Time		08/23/2010 01:46:37 PM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Emerald Partial (HMO SNP)	01	01		1			H5594	016	0	2011	Select Counties in Florida		2	248	2		2		1	3		1	4		www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	017	0	1	01	01	H5594_017_0	6	07/01/2010	2011.01	07/01/2010 08:41:59 AM Eastern Daylight Time	08/22/2010 04:28:19 PM Eastern Daylight Time	08/26/2010 08:51:28 AM Eastern Daylight Time		08/26/2010 09:12:35 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Emerald Full (HMO SNP)	01	01		1			H5594	017	0	2011	Select Counties in Florida		2	785	2		2		1	3		1	5		www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	018	0	1	02	01	H5594_018_0	9	08/23/2010	2011.01	08/23/2010 11:49:51 AM Eastern Daylight Time	08/22/2010 04:28:07 PM Eastern Daylight Time	08/26/2010 11:08:55 AM Eastern Daylight Time		08/26/2010 11:14:39 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Gold Plan (HMO-POS)	01	02		1			H5594	018	0	2011	Select Counties in Florida		2	679	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	019	0	1	02	01	H5594_019_0	8	08/23/2010	2011.01	08/23/2010 12:27:45 PM Eastern Daylight Time	08/22/2010 04:24:57 PM Eastern Daylight Time	08/26/2010 08:51:37 AM Eastern Daylight Time		08/26/2010 09:12:35 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plus (HMO-POS)	01	02		1			H5594	019	0	2011	Select Counties in Florida		2	526	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	022	0	1	02	01	H5594_022_0	8	08/23/2010	2011.01	08/23/2010 11:50:12 AM Eastern Daylight Time	08/22/2010 04:24:29 PM Eastern Daylight Time	08/26/2010 11:08:55 AM Eastern Daylight Time		08/26/2010 11:14:39 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Gold Plan (HMO-POS)	01	02		1			H5594	022	0	2011	Orange, Osceola, and Seminole Counties		2	733	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	023	0	1	02	01	H5594_023_0	7	08/23/2010	2011.01	08/23/2010 12:27:59 PM Eastern Daylight Time	08/22/2010 04:24:43 PM Eastern Daylight Time	08/26/2010 08:52:15 AM Eastern Daylight Time		08/26/2010 09:12:35 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plus (HMO-POS)	01	02		1			H5594	023	0	2011	Orange, Osceola, and Seminole Counties		2	322	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	024	0	1	02	01	H5594_024_0	7	08/23/2010	2011.01	08/23/2010 12:28:11 PM Eastern Daylight Time	08/22/2010 04:28:30 PM Eastern Daylight Time	08/26/2010 08:52:31 AM Eastern Daylight Time		08/26/2010 09:12:35 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plus (HMO-POS)	01	02		1			H5594	024	0	2011	Hernando County		2	150	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5594	025	0	1	02	01	H5594_025_0	7	08/23/2010	2011.01	08/23/2010 12:31:18 PM Eastern Daylight Time	08/22/2010 04:24:50 PM Eastern Daylight Time	08/26/2010 08:52:32 AM Eastern Daylight Time		08/26/2010 09:12:35 AM Eastern Daylight Time	OPTIMUM HEALTHCARE, INC.	Optimum HealthCare, Inc.	www.YourOptimumHealthcare.com	Optimum Platinum Plus (HMO-POS)	01	02		1			H5594	025	0	2011	Select Counties in Florida		2	450	2				2						www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	www.youroptimumhealthcare.com	(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(866)-245-5360		(352)-688-9131		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5608	001	0	1	01	01	H5608_001_0	5	10/12/2010	2011.01	10/12/2010 08:58:27 AM Mountain Daylight Time	08/20/2010 09:20:58 AM Mountain Daylight Time	08/19/2010 09:45:32 AM Mountain Daylight Time		10/13/2010 12:48:49 PM Mountain Daylight Time	DENVER HEALTH MEDICAL PLAN, INC.	Denver Health Medical Plan	http://DenverHealth.MedicarePlanRx.net	Denver Health Medicare Choice (HMO SNP)	01	01		1			H5608	001	0	2011	Denver County		2	1200	2		2		1	3		1	2		http://DenverHealth.MedicarePlanRx.net	http://denverhealth.medicareplanrx.net	www.caremark.com	(877)-956-2111		(720)-956-2111		(877)-956-2111		(720)-956-2111		(877)-956-2111		(720)-956-2111		(877)-956-2111		(720)-956-2111		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		1
H5608	002	0	1	01	01	H5608_002_0	4	08/23/2010	2011.01	08/23/2010 03:26:04 PM Mountain Daylight Time	08/23/2010 09:44:18 AM Mountain Daylight Time	08/19/2010 09:46:28 AM Mountain Daylight Time		08/23/2010 03:38:27 PM Mountain Daylight Time	DENVER HEALTH MEDICAL PLAN, INC.	Denver Health Medical Plan	http://DenverHealth.MedicarePlanRx.net	Denver Health Medicare Select (HMO)	01	01		1			H5608	002	0	2011	Denver County		2	1900	2				2						http://DenverHealth.MedicarePlanRx.net	http://denverhealth.medicareplanrx.net	www.caremark.com	(877)-956-2111		(720)-956-2111		(877)-956-2111		(720)-956-2111		(877)-956-2111		(720)-956-2111		(877)-956-2111		(720)-956-2111		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		(877)-486-2048		(720)-956-2370		1
H5609	001	0	1	01	01	H5609_001_0	7	08/31/2010	2011.01	08/31/2010 08:21:04 PM Eastern Daylight Time	08/23/2010 12:05:02 PM Eastern Daylight Time	08/23/2010 12:05:03 PM Eastern Daylight Time		08/31/2010 08:21:56 PM Eastern Daylight Time	GEMCARE HEALTH PLAN INC.	GEMCARE Health Plan	www.gemcarehealthplan.com	GEMCare Medicare Plus (HMO)	01	01		1			H5609	001	0	2011	Kern County		2	5500	2				2						www.gemcarehealthplan.com	www.gemcarehealthplan.com	www.gemcarehealthplan.com	(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		1
H5609	801	0	1	01	01	H5609_801_0	4	08/06/2010	2011.01	08/06/2010 06:48:59 PM Eastern Daylight Time	06/07/2010 11:54:38 PM Eastern Daylight Time			08/06/2010 06:51:07 PM Eastern Daylight Time	GEMCARE HEALTH PLAN INC.	GEMCARE Health Plan	www.gemcarehealthplan.com	GEMCARE Medicare Plus ES Plan (HMO)	01	01		1			H5609	801	0	2011	Kern County		1	170	2				2						www.gemcarehealthplan.com	www.gemcarehealthplan.com	www.gemcarehealthplan.com	(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(877)-697-2464		(661)-716-8800		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		(888)-833-9312		1
H5610	001	0	1	20	08	H5610_001_0	1	05/24/2010	2011.01	05/24/2010 11:23:12 AM Eastern Daylight Time		05/20/2010 09:33:47 AM Eastern Daylight Time		05/24/2010 11:26:51 AM Eastern Daylight Time	CARE RESOURCES, INC.	Care Resources	www.care-resources.org	Care Resources (PACE)	08	20		1			H5610	001	0	2011	Kent County		2		2				2							www.care-resources.org	www.care-resources.org									(800)-610-6299		(616)-913-2006		(800)-610-6299		(616)-913-2006										(800)-649-3777		(616)-913-2006		(800)-649-3777		(616)-913-2006		1
H5610	003	0	1	20	08	H5610_003_0	2	05/24/2010	2011.01	05/24/2010 01:26:14 PM Eastern Daylight Time		05/20/2010 09:33:47 AM Eastern Daylight Time		05/24/2010 01:35:34 PM Eastern Daylight Time	CARE RESOURCES, INC.	Care Resources	www.care-resources.org	Care Resources (PACE)	08	20		1			H5610	003	0	2011	Kent County		2		2				2							www.care-resources.org	www.care-resources.org									(800)-610-6299		(616)-913-2006		(800)-610-6299		(616)-913-2006										(800)-649-3777		(616)-913-2006		(800)-649-3777		(616)-913-2006		1
H5619	001	0	1	01	01	H5619_001_0	6	08/20/2010	2011.01	08/20/2010 06:45:11 PM Central Daylight Time	08/21/2010 01:12:00 AM Central Daylight Time	08/18/2010 06:15:25 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Plus (HMO)	01	01		1			H5619	001	0	2011	Southern Maine		2		2				2							http://www.northeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5619	003	0	1	01	01	H5619_003_0	7	08/23/2010	2011.01	08/23/2010 11:15:42 AM Central Daylight Time	08/23/2010 01:14:57 AM Central Daylight Time	08/18/2010 06:16:20 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Dual Plus (HMO SNP)	01	01		1			H5619	003	0	2011	Cumberland, York, Lewiston, and Bangor		2		2		2		1	3		1	1			http://www.northeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5619	004	0	1	01	01	H5619_004_0	7	08/21/2010	2011.01	08/21/2010 10:02:33 AM Central Daylight Time	08/21/2010 01:22:49 AM Central Daylight Time	08/18/2010 06:16:52 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Plus (HMO)	01	01		1			H5619	004	0	2011	Northern Maine		2		2				2							http://www.northeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5619	007	0	1	01	01	H5619_007_0	7	08/21/2010	2011.01	08/21/2010 10:07:18 AM Central Daylight Time	08/21/2010 12:31:20 PM Central Daylight Time	08/18/2010 06:17:38 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Plus (HMO)	01	01		1			H5619	007	0	2011	Mid- Maine		2		2				2							http://www.northeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5619	009	0	1	01	01	H5619_009_0	6	08/23/2010	2011.01	08/23/2010 11:15:59 AM Central Daylight Time	08/23/2010 01:16:45 AM Central Daylight Time	08/18/2010 06:18:34 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - Dual Plus (HMO SNP)	01	01		1			H5619	009	0	2011	Maine		2		2		2		1	3		1	5			http://www.northeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5619	801	0	1	01	01	H5619_801_0	3	07/28/2010	2011.01	07/28/2010 04:29:11 PM Central Daylight Time	07/26/2010 01:02:46 PM Central Daylight Time			08/06/2010 09:18:26 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Northeast Community Care	www.northeastcommunitycare.com	Northeast Community Care - EGWP (HMO)	01	01		1			H5619	801	0	2011	Maine		1		2				2							http://www.northeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(800)-573-8597		(800)-573-8597		(800)-998-3056		(207)-773-3920		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5628	001	0	1	01	01	H5628_001_0	7	08/23/2010	2011.01	08/23/2010 11:49:32 AM Pacific Daylight Time	08/20/2010 08:11:00 PM Pacific Daylight Time	08/20/2010 09:01:00 AM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF UTAH, INC.	Molina Healthcare of Utah	www.molinamedicare.com	Molina Medicare Options Plus (HMO SNP)	01	01		1			H5628	001	0	2011	Northern, Central and Southern Utah		2	3872	2		2		1	3		1	1		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(888)-665-1328		(888)-665-1328		(866)-403-8293		(866)-403-8293		(888)-665-1328		(888)-665-1328		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5628	002	0	1	01	01	H5628_002_0	9	08/30/2010	2011.01	08/30/2010 08:20:00 AM Pacific Daylight Time	08/20/2010 08:12:00 PM Pacific Daylight Time	08/20/2010 09:01:00 AM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF UTAH, INC.	Molina Healthcare of Utah	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5628	002	0	2011	Northern, Central and Southern Utah		2	3548	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(888)-665-1328		(888)-665-1328		(866)-403-8293		(866)-403-8293		(888)-665-1328		(888)-665-1328		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5628	006	0	1	01	01	H5628_006_0	7	08/23/2010	2011.01	08/23/2010 11:51:57 AM Pacific Daylight Time	08/20/2010 08:12:00 PM Pacific Daylight Time	08/20/2010 09:02:00 AM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF UTAH, INC.	Molina Healthcare of Utah	www.molinamedicare.com	Healthy Advantage (HMO SNP)	01	01		1			H5628	006	0	2011	Northern and Central Utah		2	2358	2		2		1	3		1	5		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(888)-665-1328		(888)-665-1328		(866)-403-8293		(866)-403-8293		(888)-665-1328		(888)-665-1328		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5629	001	0	1	20	08	H5629_001_0	1	05/20/2010	2011.01	05/20/2010 09:14:03 AM Pacific Daylight Time		05/19/2010 07:17:37 AM Pacific Daylight Time		05/20/2010 09:26:33 AM Pacific Daylight Time	COMMUNITY ELDERCARE OF  SAN DIEGO	St. Paul's PACE	http://www.stpaulspace.org/	St. Paul's PACE (PACE)	08	20		1			H5629	001	0	2011	San Diego Metro Area		2		2				2							stpaulspace.org	stpaulspace.org									(619)-239-6900		(619)-239-6900		(619)-239-6900		(619)-239-6900										(800)-735-2922		(800)-735-2922		(800)-735-2922		(800)-735-2922		1
H5629	002	0	1	20	08	H5629_002_0	1	05/20/2010	2011.01	05/20/2010 09:14:25 AM Pacific Daylight Time		05/19/2010 07:17:36 AM Pacific Daylight Time		05/20/2010 09:26:33 AM Pacific Daylight Time	COMMUNITY ELDERCARE OF  SAN DIEGO	St. Paul's PACE	http://www.stpaulspace.org/	St. Paul's PACE (PACE)	08	20		1			H5629	002	0	2011	San Diego Metro Area		2		2				2							stpaulspace.org	stpaulspace.org									(619)-239-6900		(619)-239-6900		(619)-239-6900		(619)-239-6900										(800)-735-2922		(800)-735-2922		(800)-735-2922		(800)-735-2922		1
H5640	001	0	1	01	01	H5640_001_0	5	07/28/2010	2011.01	07/28/2010 03:38:38 PM Pacific Daylight Time	08/23/2010 09:15:04 AM Pacific Daylight Time	08/23/2010 09:15:04 AM Pacific Daylight Time		08/23/2010 10:16:39 AM Pacific Daylight Time	IEHP HEALTH ACCESS	IEHP Medicare DualChoice HMO	www.iehp.org	IEHP Medicare DualChoice (HMO SNP)	01	01		1			H5640	001	0	2011	Riverside and San Bernardino Counties		2		2		2		1	3		1	5		www.iehp.org	www.iehp.org	www.iehp.org	(877)-273-4347		(909)-890-2000		(877)-273-4347		(909)-890-2000		(877)-273-4347		(909)-890-2000		(877)-273-4347		(909)-890-2000		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		(800)-718-4347		1
H5649	001	0	1	01	01	H5649_001_0	7	08/20/2010	2011.01	08/20/2010 10:01:02 AM Pacific Daylight Time	08/20/2010 12:36:14 PM Pacific Daylight Time	08/23/2010 10:29:48 AM Pacific Daylight Time		08/23/2010 10:50:13 AM Pacific Daylight Time	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	Central Health Medicare Plan	http://www.centralhealthplan.com	Central Health Medicare Plan (HMO)	01	01		1			H5649	001	0	2011	Counties:  LA, partial OC, partial SB		2	5000	2				2						http://www.centralhealthplan.com/ProviderDirectory.html	http://www.centralhealthplan.com/Benefits/Formulary.aspx	http://www.centralhealthplan.com/Benefits/PharmacyList.aspx	(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		1
H5649	002	0	1	01	01	H5649_002_0	11	08/20/2010	2011.01	08/20/2010 10:21:10 AM Pacific Daylight Time	08/20/2010 12:36:34 PM Pacific Daylight Time	08/23/2010 10:29:46 AM Pacific Daylight Time		08/23/2010 10:50:13 AM Pacific Daylight Time	CENTRAL HEALTH PLAN OF CALIFORNIA, INC.	Central Health Medicare Plan	http://www.centralhealthplan.com	Central Health Medi-Medi Plan (HMO SNP)	01	01		1			H5649	002	0	2011	Los Angeles and Partial San Bernardino County		2	1500	2		2		1	3		1	2		http://www.centralhealthplan.com/ProviderDirectory.html	http://www.centralhealthplan.com/Benefits/Formulary.aspx	http://www.centralhealthplan.com/Benefits/PharmacyList.aspx	(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(866)-314-2427		(626)-388-2390		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		(888)-205-7671		(626)-388-2391		1
H5652	001	0	1	02	01	H5652_001_0	6	08/10/2010	2011.01	08/10/2010 03:18:01 PM Central Daylight Time	08/19/2010 12:17:13 PM Central Daylight Time	08/18/2010 04:34:01 PM Central Daylight Time		08/20/2010 05:30:01 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature with Drugs (HMO-POS)	01	02		1			H5652	001	0	2011	Erickson Campuses - CO,KS,IL,MD,MA,MI,NJ,PA,TX,VA		2		2				2						www.ericksonadvantage.com	www.EricksonAdvantage.com/formulary.asp	www.PrescriptionSolutions.com	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5652	002	0	1	02	01	H5652_002_0	3	08/10/2010	2011.01	08/10/2010 03:18:28 PM Central Daylight Time	08/11/2010 11:46:05 AM Central Daylight Time			08/13/2010 12:16:06 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Signature without Drugs (HMO-POS)	01	02		1			H5652	002	0	2011	Erickson Campuses - CO,KS,IL,MD,MA,MI,NJ,PA,TX,VA		2		2				2						www.ericksonadvantage.com	www.EricksonAdvantage.com/formulary.asp	www.PrescriptionSolutions.com	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839										(711)		(711)		(711)		(711)										1
H5652	003	0	1	02	01	H5652_003_0	6	08/20/2010	2011.01	08/20/2010 04:35:00 PM Central Daylight Time	08/19/2010 04:40:36 PM Central Daylight Time	08/18/2010 04:34:06 PM Central Daylight Time		08/20/2010 05:30:01 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Guardian (HMO-POS SNP)	01	02		1			H5652	003	0	2011	Erickson Campuses - IL, MD, MA, MI, NJ, PA, and VA		2		2				1	1	1	1			www.ericksonadvantage.com	www.EricksonAdvantage.com/formulary.asp	www.PrescriptionSolutions.com	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5652	004	0	1	02	01	H5652_004_0	6	08/10/2010	2011.01	08/10/2010 03:18:46 PM Central Daylight Time	08/19/2010 12:16:56 PM Central Daylight Time	08/18/2010 04:34:10 PM Central Daylight Time		08/20/2010 05:30:01 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	Erickson Advantage	www.ericksonadvantage.com	Erickson Advantage Champion (HMO-POS SNP)	01	02		1			H5652	004	0	2011	Erickson Campuses - CO,KS,IL,MD,MA,MI,NJ,PA,TX,VA		2		2				1	4		1		00011010000000000000	www.ericksonadvantage.com	www.EricksonAdvantage.com/formulary.asp	www.PrescriptionSolutions.com	(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(866)-314-8188		(866)-314-8188		(800)-704-7839		(800)-704-7839		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5656	001	0	1	01	01	H5656_001_0	8	08/20/2010	2011.01	08/20/2010 10:50:21 AM Central Daylight Time	08/20/2010 10:45:16 AM Central Daylight Time	08/19/2010 01:42:38 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texanplus.com	TexanPlus Classic powered by CCRx (HMO)	01	01		1			H5656	001	0	2011	North Texas		2		2				2						www.texanplus.com	http://www.texas-first.com/PresentFormulary	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5656	003	0	1	01	01	H5656_003_0	5	07/23/2010	2011.01	07/23/2010 05:06:45 PM Central Daylight Time	06/07/2010 09:20:46 AM Central Daylight Time			07/30/2010 04:25:17 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texanplus.com	TexanPlus Value (HMO)	01	01		1			H5656	003	0	2011	North Texas		2		2				2						www.texanplus.com	http://www.texas-first.com/PresentFormulary	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5656	014	0	1	01	01	H5656_014_0	7	08/19/2010	2011.01	08/19/2010 05:33:21 PM Central Daylight Time	08/19/2010 08:50:08 PM Central Daylight Time	08/19/2010 01:43:34 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texanplus.com	Today's Options of IN Classic powered by CCRx (HMO)	01	01		1			H5656	014	0	2011	Indiana Counties Hamilton, Johnson, and Marion		2	0	2				2						www.texanplus.com	http://www.texas-first.com/PresentFormulary	http://www.texas-first.com/PresentFormulary	(866)-802-8571		(866)-802-8571		(866)-245-4143		(866)-245-4143		(866)-802-8571		(866)-802-8571		(866)-245-4143		(866)-245-4143		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5656	015	0	1	01	01	H5656_015_0	9	08/30/2010	2011.01	08/30/2010 10:16:47 AM Central Daylight Time	08/20/2010 05:36:46 PM Central Daylight Time	08/19/2010 01:44:04 PM Central Daylight Time		08/30/2010 10:41:13 AM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texanplus.com	Today's Options of IN Premier powered by CCRx (HMO)	01	01		1			H5656	015	0	2011	Indiana Counties Hamilton, Johnson, and Marion		2	50	2				2						www.texanplus.com	http://www.texas-first.com/PresentFormulary	http://www.texas-first.com/PresentFormulary	(866)-802-8571		(866)-802-8571		(866)-245-4143		(866)-245-4143		(866)-802-8571		(866)-802-8571		(866)-245-4143		(866)-245-4143		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5656	801	0	1	01	01	H5656_801_0	7	08/10/2010	2011.01	08/10/2010 06:01:27 PM Central Daylight Time	06/07/2010 09:21:53 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texanplus.com	Retiree - MA-PD CY (HMO)	01	01		1			H5656	801	0	2011	Employer Group--North Texas (MAPD--CY)		1	700	2				2						www.texanplus.com	http://www.texas-first.com/PresentFormulary	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5656	802	0	1	01	01	H5656_802_0	7	08/10/2010	2011.01	08/10/2010 06:01:27 PM Central Daylight Time	06/07/2010 09:23:33 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texanplus.com	Retiree - MA-PD non-CY (HMO)	01	01		1			H5656	802	0	2011	Employer Group--North Texas (MAPD--non-CY)		1	700	2				2						www.texanplus.com	http://www.texas-first.com/PresentFormulary	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H5656	803	0	1	01	01	H5656_803_0	7	08/10/2010	2011.01	08/10/2010 06:01:28 PM Central Daylight Time	06/07/2010 09:24:58 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	SELECTCARE HEALTH PLANS, INC.	Universal American	www.texanplus.com	Retiree - MA (HMO)	01	01		1			H5656	803	0	2011	Employer Group--North Texas (MA--CY)		1	700	2				2						www.texanplus.com	http://www.texas-first.com/PresentFormulary	http://www.texas-first.com/PresentFormulary	(800)-958-2707		(800)-958-2707		(866)-245-4143		(866)-245-4143										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H5665	002	0	1	01	01	H5665_002_0	6	08/20/2010	2011.01	08/20/2010 09:03:05 PM Eastern Daylight Time	08/19/2010 04:09:34 PM Eastern Daylight Time	08/20/2010 02:52:14 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS  OF MARYLAND, INC.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus Gold Rx (HMO SNP)	01	01		1			H5665	002	0	2011	Maryland		2	2000	2				1	4		1		00000000000000000100	www.careimprovementplus.com	http://careimprovementplus.com/members/maryland/medicarePartD/formulary.aspx	http://careimprovementplus.com/members/maryland/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
H5679	001	0	1	01	01	H5679_001_0	9	08/25/2010	2011.01	08/25/2010 03:18:56 PM Eastern Daylight Time	08/23/2010 04:32:37 PM Eastern Daylight Time	08/23/2010 04:36:00 PM Eastern Daylight Time		08/25/2010 03:22:10 PM Eastern Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SureValue Basic (HMO)	01	01		1			H5679	001	0	2011	Denver Metro Area in Colorado		2	987	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(800)-797-1746		(800)-797-1746		(866)-408-7086		(866)-408-7086		(800)-797-1746		(800)-797-1746		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(800)-297-1538		(800)-297-1538		(800)-241-6894		(800)-241-6894		1
H5679	002	0	1	01	01	H5679_002_0	7	08/23/2010	2011.01	08/23/2010 04:06:50 PM Eastern Daylight Time	08/23/2010 04:33:00 PM Eastern Daylight Time	08/23/2010 04:36:11 PM Eastern Daylight Time		08/23/2010 04:41:40 PM Eastern Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	SureValue Enhanced (HMO)	01	01		1			H5679	002	0	2011	Denver Metro Area in Colorado		2	363	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(800)-797-1746		(800)-797-1746		(866)-408-7086		(866)-408-7086		(800)-797-1746		(800)-797-1746		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(800)-297-1538		(800)-297-1538		(800)-241-6894		(800)-241-6894		1
H5679	801	0	1	01	01	H5679_801_0	4	08/20/2010	2011.01	08/20/2010 11:30:19 AM Pacific Daylight Time	06/07/2010 07:17:06 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	SureValue (HMO)	01	01		1			H5679	801	0	2011	Denver Metro Area		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(800)-297-1538		(800)-297-1538		(800)-241-6894		(800)-241-6894		1
H5679	802	0	1	01	01	H5679_802_0	4	08/20/2010	2011.01	08/20/2010 11:31:00 AM Pacific Daylight Time	06/07/2010 07:15:00 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	SureValue (HMO)	01	01		1			H5679	802	0	2011	Denver Metro Area		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1
H5679	803	0	1	01	01	H5679_803_0	4	08/20/2010	2011.01	08/20/2010 11:31:50 AM Pacific Daylight Time	06/07/2010 07:13:34 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	HMO COLORADO, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	SureValue (HMO)	01	01		1			H5679	803	0	2011	Denver Metro Area		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(866)-408-7086		(866)-408-7086		(888)-211-9815		(888)-211-9815		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(800)-297-1538		(800)-297-1538		(800)-241-6894		(800)-241-6894		1
H5685	001	0	1	01	01	H5685_001_0	6	08/31/2010	2011.01	08/31/2010 01:08:48 PM Eastern Daylight Time	08/23/2010 02:45:48 PM Eastern Daylight Time	08/23/2010 11:25:04 AM Eastern Daylight Time		08/31/2010 02:06:12 PM Eastern Daylight Time	MIDWEST HEALTH PLAN, INC.	Midwest Advantage	Midwestadvantage.org	Midwest  Advantage (HMO SNP)	01	01		1			H5685	001	0	2011	Midwest Advantage of Wayne and Oakland Counties		2	535	2		2		1	3		1	3		www.midwestadvantage.org	www.midwestadvantage.org	www.midwestadvantage.org	(888)-654-0706		(313)-581-3700		(888)-654-0706		(313)-581-3700		(888)-654-0706		(313)-581-3700		(888)-654-0706		(313)-581-3700		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		(800)-649-3777		1
H5696	001	0	1	01	01	H5696_001_0	6	08/20/2010	2011.01	08/20/2010 05:30:30 PM Eastern Daylight Time	08/20/2010 01:11:00 PM Eastern Daylight Time	08/19/2010 10:04:00 AM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	001	0	2011	Polk County		2	1500	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	002	0	1	01	01	H5696_002_0	7	08/20/2010	2011.01	08/20/2010 06:05:27 PM Eastern Daylight Time	08/20/2010 05:35:00 PM Eastern Daylight Time	08/19/2010 10:26:00 AM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	002	0	2011	Polk County		2	3087	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	003	0	1	01	01	H5696_003_0	7	08/20/2010	2011.01	08/20/2010 05:35:17 PM Eastern Daylight Time	08/20/2010 05:36:00 PM Eastern Daylight Time	08/20/2010 02:14:00 PM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	003	0	2011	Central Florida		2	1739	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	004	0	1	01	01	H5696_004_0	7	08/20/2010	2011.01	08/20/2010 05:38:42 PM Eastern Daylight Time	08/20/2010 01:39:00 PM Eastern Daylight Time	08/19/2010 11:55:00 AM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	004	0	2011	Central Florida		2	2531	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	019	0	1	01	01	H5696_019_0	5	08/12/2010	2011.01	08/12/2010 10:43:06 AM Eastern Daylight Time	07/29/2010 12:26:00 PM Eastern Daylight Time			08/12/2010 11:10:55 AM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Perks (HMO)	01	01		1			H5696	019	0	2011	Central and South Florida		2	351	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771										1
H5696	021	0	1	01	01	H5696_021_0	7	08/20/2010	2011.01	08/20/2010 05:40:29 PM Eastern Daylight Time	08/19/2010 03:14:00 PM Eastern Daylight Time	08/19/2010 02:18:00 PM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Extra (HMO SNP)	01	01		1			H5696	021	0	2011	Orlando Metro Area and Tampa Metro Area		2	1500	2		2		1	3		1	2		www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	023	0	1	01	01	H5696_023_0	7	08/20/2010	2011.01	08/20/2010 05:41:37 PM Eastern Daylight Time	08/20/2010 01:47:00 PM Eastern Daylight Time	08/20/2010 02:28:00 PM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	023	0	2011	Brevard, Marion and Pasco Counties		2	1123	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	024	0	1	01	01	H5696_024_0	7	08/20/2010	2011.01	08/20/2010 05:42:19 PM Eastern Daylight Time	08/20/2010 05:38:00 PM Eastern Daylight Time	08/19/2010 01:18:00 PM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	024	0	2011	Marion and Pasco Counties		2	516	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	025	0	1	01	01	H5696_025_0	8	08/20/2010	2011.01	08/20/2010 05:43:09 PM Eastern Daylight Time	08/20/2010 02:12:00 PM Eastern Daylight Time	08/19/2010 01:38:00 PM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	025	0	2011	Miami-Dade County		2	50	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	027	0	1	01	01	H5696_027_0	7	08/20/2010	2011.01	08/20/2010 05:44:23 PM Eastern Daylight Time	08/20/2010 02:20:00 PM Eastern Daylight Time	08/19/2010 01:45:00 PM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Easy (HMO)	01	01		1			H5696	027	0	2011	Broward and Palm Beach Counties		2	100	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	028	0	1	01	01	H5696_028_0	7	08/20/2010	2011.01	08/20/2010 05:47:16 PM Eastern Daylight Time	08/20/2010 02:24:00 PM Eastern Daylight Time	08/19/2010 01:58:00 PM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Rewards (HMO)	01	01		1			H5696	028	0	2011	Miami-Dade, Broward and Palm Beach Counties		2	120	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	030	0	1	01	01	H5696_030_0	8	08/20/2010	2011.01	08/20/2010 05:46:48 PM Eastern Daylight Time	08/20/2010 02:38:00 PM Eastern Daylight Time	08/19/2010 01:58:00 PM Eastern Daylight Time		08/20/2010 07:15:45 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Plus (HMO)	01	01		1			H5696	030	0	2011	Polk County		2	2013	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5696	031	0	1	01	01	H5696_031_0	10	08/20/2010	2011.01	08/20/2010 06:22:15 PM Eastern Daylight Time	08/24/2010 04:43:01 PM Eastern Daylight Time	08/19/2010 02:05:00 PM Eastern Daylight Time		08/24/2010 04:59:30 PM Eastern Daylight Time	PHYSICIANS UNITED PLAN, INC.	PUP	www.pupcorp.com	PUP Elite (HMO)	01	01		1			H5696	031	0	2011	Central Florida		2	805	2				2						www.pupcorp.com	www.pupcorp.com	www.pupcorp.com	(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(866)-571-0693		(866)-571-0693		(888)-827-5787		(888)-827-5787		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H5698	003	0	1	01	01	H5698_003_0	7	08/30/2010	2011.01	08/30/2010 12:03:45 PM Central Daylight Time	08/23/2010 01:32:19 PM Central Daylight Time	08/19/2010 02:53:05 PM Central Daylight Time		08/30/2010 12:33:05 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO SNP)	01	01		1			H5698	003	0	2011	Middle Tennessee and Central Alabama		2	1687	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	009	0	1	01	01	H5698_009_0	8	08/30/2010	2011.01	08/30/2010 12:04:40 PM Central Daylight Time	08/26/2010 01:12:04 PM Central Daylight Time	08/19/2010 02:54:01 PM Central Daylight Time		08/30/2010 12:33:05 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO SNP)	01	01		1			H5698	009	0	2011	West Tennessee and North Mississippi		2	2976	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	020	0	1	01	01	H5698_020_0	8	08/06/2010	2011.01	08/06/2010 12:58:01 PM Central Daylight Time	08/20/2010 11:11:29 AM Central Daylight Time	08/19/2010 03:27:03 PM Central Daylight Time		08/23/2010 09:36:39 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	020	0	2011	Arkansas		2	1715	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	028	0	1	01	01	H5698_028_0	7	08/06/2010	2011.01	08/06/2010 12:58:54 PM Central Daylight Time	08/20/2010 11:12:46 AM Central Daylight Time	08/19/2010 03:27:25 PM Central Daylight Time		08/23/2010 09:36:39 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	028	0	2011	Mississippi		2	3308	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	030	0	1	01	01	H5698_030_0	6	08/30/2010	2011.01	08/30/2010 12:04:40 PM Central Daylight Time	08/23/2010 01:29:10 PM Central Daylight Time	08/19/2010 02:54:47 PM Central Daylight Time		08/30/2010 12:33:05 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comprehensive Plan (HMO SNP)	01	01		1			H5698	030	0	2011	Central Mississippi		2	2335	2		2		1	3		1	2		www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	035	0	1	01	01	H5698_035_0	5	08/05/2010	2011.01	08/05/2010 04:41:47 PM Central Daylight Time	06/08/2010 10:11:40 PM Central Daylight Time			08/06/2010 10:43:59 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Silver Plan (HMO)	01	01		1			H5698	035	0	2011	AL, AR, MS, SC, and TN		2	1157	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313										(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617										1
H5698	036	0	1	01	01	H5698_036_0	8	08/06/2010	2011.01	08/06/2010 12:58:54 PM Central Daylight Time	08/20/2010 11:13:57 AM Central Daylight Time	08/19/2010 03:27:46 PM Central Daylight Time		08/23/2010 09:36:39 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	036	0	2011	Tennessee		2	2886	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	061	0	1	01	01	H5698_061_0	5	08/05/2010	2011.01	08/05/2010 04:44:32 PM Central Daylight Time	08/20/2010 11:14:37 AM Central Daylight Time	08/19/2010 03:29:23 PM Central Daylight Time		08/23/2010 09:36:39 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	061	0	2011	Mississippi		2	566	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	062	0	1	01	01	H5698_062_0	6	08/05/2010	2011.01	08/05/2010 04:55:58 PM Central Daylight Time	08/20/2010 11:15:09 AM Central Daylight Time	08/19/2010 03:29:44 PM Central Daylight Time		08/23/2010 09:36:39 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	062	0	2011	Tennessee		2	1720	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	063	0	1	01	01	H5698_063_0	6	08/05/2010	2011.01	08/05/2010 04:56:00 PM Central Daylight Time	08/20/2010 11:19:21 AM Central Daylight Time	08/19/2010 03:55:48 PM Central Daylight Time		08/23/2010 09:36:39 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	063	0	2011	Arkansas		2	1286	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	067	0	1	01	01	H5698_067_0	7	08/20/2010	2011.01	08/20/2010 06:57:56 PM Central Daylight Time	08/20/2010 03:02:59 PM Central Daylight Time	08/20/2010 01:52:25 PM Central Daylight Time		08/23/2010 09:45:20 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	067	0	2011	Mississippi		2	3276	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	068	0	1	01	01	H5698_068_0	8	08/20/2010	2011.01	08/23/2010 09:21:37 AM Central Daylight Time	08/20/2010 02:59:16 PM Central Daylight Time	08/20/2010 01:52:56 PM Central Daylight Time		08/23/2010 09:45:20 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	068	0	2011	Tennessee		2	968	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	069	0	1	01	01	H5698_069_0	7	08/20/2010	2011.01	08/23/2010 09:21:40 AM Central Daylight Time	08/20/2010 03:00:09 PM Central Daylight Time	08/20/2010 01:53:50 PM Central Daylight Time		08/23/2010 09:45:20 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	069	0	2011	Arkansas		2	520	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	122	0	1	01	01	H5698_122_0	7	08/05/2010	2011.01	08/05/2010 04:51:35 PM Central Daylight Time	08/23/2010 03:21:44 PM Central Daylight Time	08/19/2010 02:55:24 PM Central Daylight Time		08/23/2010 04:07:16 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comp Plus Plan (HMO SNP)	01	01		1			H5698	122	0	2011	Alabama		2	135	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	128	0	1	01	01	H5698_128_0	7	08/30/2010	2011.01	08/30/2010 12:04:40 PM Central Daylight Time	08/23/2010 01:30:00 PM Central Daylight Time	08/19/2010 02:55:59 PM Central Daylight Time		08/30/2010 12:33:05 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comp Plus Plan (HMO SNP)	01	01		1			H5698	128	0	2011	Arkansas		2	2541	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	129	0	1	01	01	H5698_129_0	8	08/05/2010	2011.01	08/05/2010 04:49:44 PM Central Daylight Time	08/19/2010 03:21:21 PM Central Daylight Time	08/19/2010 02:56:49 PM Central Daylight Time		08/23/2010 09:45:20 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Fusion Plan (HMO SNP)	01	01		1			H5698	129	0	2011	Arkansas		2	266	2				1	4		1		00000000000010000000	www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	134	0	1	01	01	H5698_134_0	6	08/30/2010	2011.01	08/30/2010 12:04:41 PM Central Daylight Time	08/23/2010 01:30:24 PM Central Daylight Time	08/19/2010 02:57:36 PM Central Daylight Time		08/30/2010 12:33:05 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comp Plus Plan (HMO SNP)	01	01		1			H5698	134	0	2011	Mississippi		2	2084	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	140	0	1	01	01	H5698_140_0	7	08/30/2010	2011.01	08/30/2010 12:04:41 PM Central Daylight Time	08/23/2010 03:22:20 PM Central Daylight Time	08/19/2010 02:58:39 PM Central Daylight Time		08/30/2010 12:33:05 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comp Plus Plan (HMO SNP)	01	01		1			H5698	140	0	2011	Tennessee		2	2617	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	141	0	1	01	01	H5698_141_0	7	08/05/2010	2011.01	08/05/2010 04:57:09 PM Central Daylight Time	08/19/2010 03:21:46 PM Central Daylight Time	08/19/2010 02:59:08 PM Central Daylight Time		08/23/2010 09:45:20 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Fusion Plan (HMO SNP)	01	01		1			H5698	141	0	2011	Tennessee		2	199	2				1	4		1		00000000000010000000	www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	150	0	1	01	01	H5698_150_0	5	08/05/2010	2011.01	08/05/2010 04:56:00 PM Central Daylight Time	08/20/2010 11:20:08 AM Central Daylight Time	08/20/2010 09:20:36 AM Central Daylight Time		08/23/2010 09:45:20 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	150	0	2011	Alabama		2	239	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	151	0	1	01	01	H5698_151_0	8	08/06/2010	2011.01	08/06/2010 12:58:55 PM Central Daylight Time	08/20/2010 11:20:30 AM Central Daylight Time	08/19/2010 03:28:09 PM Central Daylight Time		08/23/2010 09:45:20 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	151	0	2011	Alabama		2	119	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	152	0	1	01	01	H5698_152_0	6	08/20/2010	2011.01	08/23/2010 09:21:44 AM Central Daylight Time	08/20/2010 03:00:47 PM Central Daylight Time	08/20/2010 01:54:54 PM Central Daylight Time		08/23/2010 09:45:20 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	152	0	2011	Alabama		2	12	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	153	0	1	01	01	H5698_153_0	5	08/05/2010	2011.01	08/05/2010 04:51:14 PM Central Daylight Time	08/19/2010 03:19:14 PM Central Daylight Time	08/19/2010 02:59:37 PM Central Daylight Time		08/23/2010 09:51:34 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO SNP)	01	01		1			H5698	153	0	2011	Alabama		2	7	2				1	4		1		00000010000000000000	www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	154	0	1	01	01	H5698_154_0	6	08/05/2010	2011.01	08/05/2010 04:57:57 PM Central Daylight Time	08/19/2010 03:19:45 PM Central Daylight Time	08/19/2010 03:00:13 PM Central Daylight Time		08/23/2010 09:51:34 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO SNP)	01	01		1			H5698	154	0	2011	Arkansas		2	76	2				1	4		1		00000010000000000000	www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	155	0	1	01	01	H5698_155_0	7	08/05/2010	2011.01	08/05/2010 04:57:58 PM Central Daylight Time	08/19/2010 03:20:07 PM Central Daylight Time	08/19/2010 03:00:41 PM Central Daylight Time		08/23/2010 09:51:34 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO SNP)	01	01		1			H5698	155	0	2011	Mississippi		2	135	2				1	4		1		00000010000000000000	www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	156	0	1	01	01	H5698_156_0	7	08/05/2010	2011.01	08/05/2010 04:57:59 PM Central Daylight Time	08/19/2010 03:20:29 PM Central Daylight Time	08/19/2010 03:01:17 PM Central Daylight Time		08/23/2010 09:51:34 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO SNP)	01	01		1			H5698	156	0	2011	Tennessee		2	98	2				1	4		1		00000010000000000000	www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	157	0	1	01	01	H5698_157_0	7	08/06/2010	2011.01	08/06/2010 12:58:55 PM Central Daylight Time	08/20/2010 11:20:56 AM Central Daylight Time	08/19/2010 03:28:30 PM Central Daylight Time		08/23/2010 09:51:34 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Gold Plan (HMO)	01	01		1			H5698	157	0	2011	South Carolina		2	776	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	158	0	1	01	01	H5698_158_0	6	08/30/2010	2011.01	08/30/2010 12:04:41 PM Central Daylight Time	08/23/2010 01:44:46 PM Central Daylight Time	08/19/2010 03:01:56 PM Central Daylight Time		08/30/2010 12:33:05 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Comp Plus Plan (HMO SNP)	01	01		1			H5698	158	0	2011	South Carolina		2	672	2		2		1	3		1	4		www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	159	0	1	01	01	H5698_159_0	5	08/05/2010	2011.01	08/05/2010 04:56:02 PM Central Daylight Time	08/20/2010 11:21:20 AM Central Daylight Time	08/20/2010 09:20:56 AM Central Daylight Time		08/23/2010 09:51:34 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Emerald Plan (HMO)	01	01		1			H5698	159	0	2011	South Carolina		2	195	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	160	0	1	01	01	H5698_160_0	6	08/20/2010	2011.01	08/23/2010 09:21:47 AM Central Daylight Time	08/20/2010 03:01:51 PM Central Daylight Time	08/20/2010 01:55:39 PM Central Daylight Time		08/23/2010 09:51:34 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diamond Plan (HMO)	01	01		1			H5698	160	0	2011	South Carolina		2	146	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	163	0	1	01	01	H5698_163_0	7	08/05/2010	2011.01	08/05/2010 04:58:00 PM Central Daylight Time	08/19/2010 03:20:58 PM Central Daylight Time	08/19/2010 03:02:32 PM Central Daylight Time		08/23/2010 09:51:34 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Diabetes Plan (HMO SNP)	01	01		1			H5698	163	0	2011	South Carolina		2	6	2				1	4		1		00000010000000000000	www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	801	0	1	01	01	H5698_801_0	4	08/05/2010	2011.01	08/05/2010 04:58:19 PM Central Daylight Time	07/30/2010 05:13:04 PM Central Daylight Time			08/06/2010 11:03:37 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Employer Plan Part D (CY) (HMO)	01	01		1			H5698	801	0	2011	AL, AR, MS, SC and TN		1	350	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5698	802	0	1	01	01	H5698_802_0	4	08/05/2010	2011.01	08/05/2010 04:58:20 PM Central Daylight Time	07/30/2010 05:13:54 PM Central Daylight Time			08/06/2010 11:03:37 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Employer Plan (CY) (HMO)	01	01		1			H5698	802	0	2011	AL, AR, MS, SC, and TN		1	350	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313										(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617										1
H5698	803	0	1	01	01	H5698_803_0	4	08/05/2010	2011.01	08/05/2010 04:58:22 PM Central Daylight Time	07/30/2010 05:14:28 PM Central Daylight Time			08/06/2010 01:09:00 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Employer Plan (NonCY) (HMO)	01	01		1			H5698	803	0	2011	AL, AR, MS, SC and TN		1	350	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313										(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617										1
H5698	804	0	1	01	01	H5698_804_0	4	08/05/2010	2011.01	08/05/2010 04:58:23 PM Central Daylight Time	07/30/2010 05:14:58 PM Central Daylight Time			08/06/2010 11:03:37 AM Central Daylight Time	WINDSOR HEALTH PLAN, INC.	Windsor Medicare Extra	www.windsorextra.com	Windsor Medicare Extra Employer Part D (NonCY) (HMO)	01	01		1			H5698	804	0	2011	AL, AR, MS, SC and TN		1	350	2				2						www.windsorextra.com	www.windsorextra.com	www.windsorextra.com	(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(800)-316-2273		(615)-782-7878		(866)-448-8313		(866)-448-8313		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		(866)-460-7617		1
H5700	002	0	1	01	01	H5700_002_0	5	08/22/2010	2011.01	08/22/2010 09:44:21 AM Central Daylight Time	08/22/2010 12:50:12 AM Central Daylight Time	08/18/2010 06:19:06 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community  Care -  Plus (HMO)	01	01		1			H5700	002	0	2011	Northwest Arkansas		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5700	005	0	1	01	01	H5700_005_0	8	08/21/2010	2011.01	08/21/2010 10:47:41 AM Central Daylight Time	08/21/2010 12:33:43 PM Central Daylight Time	08/18/2010 06:19:35 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Plus (HMO)	01	01		1			H5700	005	0	2011	Central Arkansas		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5700	009	0	1	01	01	H5700_009_0	6	08/21/2010	2011.01	08/21/2010 11:10:14 AM Central Daylight Time	08/21/2010 11:11:22 PM Central Daylight Time	08/18/2010 06:20:00 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Plus (HMO)	01	01		1			H5700	009	0	2011	Fort Smith		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5700	018	0	1	01	01	H5700_018_0	7	08/23/2010	2011.01	08/23/2010 11:26:24 AM Central Daylight Time	08/23/2010 01:18:47 AM Central Daylight Time	08/18/2010 06:21:03 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care -Dual Plus (HMO SNP)	01	01		1			H5700	018	0	2011	Arkansas		2		2		2		1	3		1	1			http://www.arkansascommunitycare.com/central/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5700	020	0	1	01	01	H5700_020_0	7	08/21/2010	2011.01	08/21/2010 11:11:13 AM Central Daylight Time	08/21/2010 12:35:07 PM Central Daylight Time	08/18/2010 06:21:32 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Texarkana Community Care - Plus (HMO)	01	01		1			H5700	020	0	2011	Texarkana		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5700	027	0	1	01	01	H5700_027_0	8	08/21/2010	2011.01	08/21/2010 10:09:25 AM Central Daylight Time	08/21/2010 12:36:28 PM Central Daylight Time	08/18/2010 06:21:59 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Plus (HMO)	01	01		1			H5700	027	0	2011	Pulaski / Saline		2		2				2							http://www.arkansascommunitycare.com/central/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5700	028	0	1	01	01	H5700_028_0	5	08/23/2010	2011.01	08/23/2010 11:26:38 AM Central Daylight Time	08/23/2010 12:33:10 AM Central Daylight Time	08/18/2010 06:22:57 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - Dual Plus (HMO SNP)	01	01		1			H5700	028	0	2011	Arkansas		2		2		2		1	3		1	5			http://www.arkansascommunitycare.com/central/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5700	801	0	1	01	01	H5700_801_0	3	07/28/2010	2011.01	07/28/2010 04:29:38 PM Central Daylight Time	07/26/2010 01:05:44 PM Central Daylight Time			08/06/2010 09:18:26 PM Central Daylight Time	ARKANSAS COMMUNITY CARE, INC.	Arkansas Community Care, Inc.	www.arkansascommunitycare.com	Arkansas Community Care - EGWP (HMO)	01	01		1			H5700	801	0	2011	Arkansas		1		2				2							http://www.arkansascommunitycare.com/central/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(800)-573-8597		(800)-573-8597		(800)-705-0766		(501)-223-9088		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5703	001	0	1	01	01	H5703_001_0	4	06/07/2010	2011.01	06/07/2010 03:09:22 PM Central Daylight Time	08/19/2010 05:59:31 PM Central Daylight Time	08/19/2010 05:59:31 PM Central Daylight Time		08/23/2010 12:49:44 AM Central Daylight Time	SOUTH COUNTRY HEALTH ALLIANCE	South Country Health Alliance	www.mnscha.org	AbilityCare (HMO SNP)	01	01		1			H5703	001	0	2011	Select Counties in Minnesota		2	794	1	1	2		1	3		1	5		www.mnscha.org	https://www.myprime.com	www.primetherapeutics.com	(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(866)-567-7242		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		(877)-824-5611		1
H5732	001	0	1	01	01	H5732_001_0	8	08/23/2010	2011.01	08/23/2010 02:00:51 PM SA Western Standard Time	08/23/2010 01:13:28 PM SA Western Standard Time	08/23/2010 01:12:04 PM SA Western Standard Time		08/23/2010 05:38:53 PM SA Western Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, INC.	www.ssspr.com	Auxilio Platino Clsico (HMO)	01	01		1			H5732	001	0	2011	Puerto Rico		2		2				2						http://www.ssspr.com/SSSPortal/ProviderSearch.ASPX	http://www.ssspr.com/sssportal/	http://www.sssplanesmedicare.com/planes-medicare/auxilio-platino/farmacias-aceptan-plan.htm	(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-510-0722		(787)-774-6083		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
H5746	006	0	1	01	01	H5746_006_0	4	08/21/2010	2011.01	08/21/2010 08:02:47 AM Eastern Daylight Time	08/22/2010 01:54:20 PM Eastern Daylight Time	08/20/2010 05:36:05 PM Eastern Daylight Time		08/23/2010 09:08:34 AM Eastern Daylight Time	AMERIGROUP NEW MEXICO, INC.	AMERIGROUP Community Care of New Mexico	http://www.myamerigroup.com/medicare	Amerivantage Specialty + Rx (HMO SNP)	01	01		1			H5746	006	0	2011	Albuquerque Metro Area and Santa Fe		2	598	2		2		1	3		1	1		http://www.myamerigroup.com/medicare	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H5746	012	0	1	02	01	H5746_012_0	5	08/21/2010	2011.01	08/21/2010 08:03:36 AM Eastern Daylight Time	08/20/2010 06:00:20 PM Eastern Daylight Time	08/20/2010 05:36:49 PM Eastern Daylight Time		08/23/2010 09:08:34 AM Eastern Daylight Time	AMERIGROUP NEW MEXICO, INC.	AMERIGROUP Community Care of New Mexico	http://www.myamerigroup.com/medicare	Amerivantage Choice + Rx (HMO-POS)	01	02		1			H5746	012	0	2011	Albuquerque Metro Area and Santa Fe		2	1196	2				2						http://www.myamerigroup.com/medicare	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H5749	001	0	1	02	01	H5749_001_0	4	05/31/2010	2011.01	05/31/2010 02:05:06 PM Central Daylight Time	08/19/2010 06:46:22 PM Central Daylight Time	08/18/2010 04:49:19 PM Central Daylight Time		08/20/2010 04:12:40 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus Plan 1 (HMO-POS)	01	02		1			H5749	001	0	2011	Johnson, Cass, Jackson, and Lafayette Counties		2		2				2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(800)-643-4845		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5749	801	0	1	02	01	H5749_801_0	1	05/27/2010	2011.01	05/27/2010 08:32:46 AM Central Daylight Time	06/01/2010 07:33:19 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5749	801	0	2011	Johnson, Cass, Jackson, and Lafayette Counties		1		2				2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5749	802	0	1	02	01	H5749_802_0	1	05/27/2010	2011.01	05/27/2010 08:33:08 AM Central Daylight Time	06/01/2010 07:33:35 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5749	802	0	2011	Johnson, Cass, Jackson, and Lafayette Counties		1		2				2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H5749	803	0	1	02	01	H5749_803_0	1	05/27/2010	2011.01	05/27/2010 08:33:29 AM Central Daylight Time	06/01/2010 07:33:52 PM Central Daylight Time			06/04/2010 11:01:38 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H5749	803	0	2011	Johnson , Cass, Jackson, LaFayette Counties		1		2				2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5750	004	0	1	01	01	H5750_004_0	7	07/29/2010	2011.01	07/29/2010 11:36:46 AM Central Daylight Time	08/19/2010 03:11:06 PM Central Daylight Time	08/19/2010 03:11:08 PM Central Daylight Time		08/19/2010 04:47:56 PM Central Daylight Time	METROPOLITAN HEALTH PLAN	North Star Advantage / North Star Advantage Plus	www.cornerstone-solutions.org	Cornerstone Solutions (HMO SNP)	01	01		1			H5750	004	0	2011	Hennepin County		2	330	2		2		1	3		1	5		www.mhpnorthstarplans.org	www.mhpnorthstarplans.org	http://www.advancerx.com	(866)-903-4733		(866)-903-4733		(866)-601-8962		(866)-601-8962		(866)-903-4733		(866)-903-4733		(866)-601-8962		(866)-601-8962		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		(800)-627-3529		1
H5774	003	0	1	01	01	H5774_003_0	3	06/07/2010	2011.01	06/07/2010 03:31:00 PM SA Western Standard Time	06/07/2010 04:40:40 PM SA Western Standard Time			06/07/2010 05:28:18 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Basic (HMO)	01	01		1			H5774	003	0	2011	Puerto Rico		2		2				2						www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420										(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520										1
H5774	005	0	1	01	01	H5774_005_0	5	08/20/2010	2011.01	08/20/2010 10:40:18 AM SA Western Standard Time	08/20/2010 10:51:15 AM SA Western Standard Time	08/20/2010 10:51:33 AM SA Western Standard Time		08/20/2010 11:07:24 AM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Standard (HMO)	01	01		1			H5774	005	0	2011	Puerto Rico		2		2				2						www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1
H5774	008	0	1	01	01	H5774_008_0	5	08/20/2010	2011.01	08/20/2010 10:40:28 AM SA Western Standard Time	08/20/2010 10:51:15 AM SA Western Standard Time	08/20/2010 10:51:33 AM SA Western Standard Time		08/20/2010 11:07:24 AM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Classic (HMO)	01	01		1			H5774	008	0	2011	Puerto Rico		2		2				2						www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1
H5774	009	0	1	01	01	H5774_009_0	4	08/20/2010	2011.01	08/20/2010 10:40:43 AM SA Western Standard Time	08/20/2010 10:51:15 AM SA Western Standard Time	08/20/2010 10:51:33 AM SA Western Standard Time		08/20/2010 11:07:24 AM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Classic Plus (HMO SNP)	01	01		1			H5774	009	0	2011	Puerto Rico		2		2				1	4		1		00000010000000000000	www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1
H5774	014	0	1	02	01	H5774_014_0	7	08/20/2010	2011.01	08/20/2010 10:40:58 AM SA Western Standard Time	08/20/2010 10:51:15 AM SA Western Standard Time	08/20/2010 10:51:33 AM SA Western Standard Time		08/20/2010 11:07:24 AM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Opal (HMO-POS)	01	02		1			H5774	014	0	2011	Puerto Rico		2		2				2						www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1
H5774	019	0	1	01	01	H5774_019_0	7	08/20/2010	2011.01	08/20/2010 10:41:15 AM SA Western Standard Time	08/20/2010 10:51:15 AM SA Western Standard Time	08/20/2010 10:51:33 AM SA Western Standard Time		08/20/2010 11:07:24 AM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Platino Plus (HMO SNP)	01	01		1			H5774	019	0	2011	Puerto Rico		2		2		1	1	1	3		1	3		www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1
H5774	802	0	1	01	01	H5774_802_0	4	07/29/2010	2011.01	07/29/2010 11:00:06 AM SA Western Standard Time	06/07/2010 04:42:22 PM SA Western Standard Time			07/29/2010 12:18:10 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Executive Group (HMO)	01	01		1			H5774	802	0	2011	Puerto Rico		1		2				2						www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420										(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520										1
H5774	806	0	1	01	01	H5774_806_0	2	06/07/2010	2011.01	06/07/2010 03:56:01 PM SA Western Standard Time	06/07/2010 04:42:35 PM SA Western Standard Time			06/07/2010 05:28:18 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_ELA Premier (HMO)	01	01		1			H5774	806	0	2011	Puerto Rico		1		2				2						www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1
H5774	808	0	1	01	01	H5774_808_0	4	07/29/2010	2011.01	07/29/2010 11:00:53 AM SA Western Standard Time	06/07/2010 04:43:12 PM SA Western Standard Time			07/29/2010 12:18:10 PM SA Western Standard Time	AMERICAN HEALTH, INC.	American Health Medicare	www.ahmpr.com	AHM_Executive Group Plus (HMO)	01	01		1			H5774	808	0	2011	Puerto Rico		1		2				2						www.ahmpr.com	www.caremark.com	www.caremark.com	(888)-620-1919		(888)-620-1919		(888)-620-1919		(888)-620-1919		(866)-620-2420		(866)-620-2420		(866)-620-2420		(866)-620-2420		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		(866)-620-2520		1
H5782	001	0	1	01	01	H5782_001_0	5	08/20/2010	2011.01	08/20/2010 05:04:33 PM Pacific Daylight Time	08/20/2010 05:03:54 PM Pacific Daylight Time	08/20/2010 05:03:56 PM Pacific Daylight Time		08/20/2010 05:06:27 PM Pacific Daylight Time	PARTNERSHIP HEALTHPLAN OF CALIFORNIA	Partnership HealthPlan of California	www.partnershiphp.org	PartnershipAdvantage (HMO SNP)	01	01		1			H5782	001	0	2011	Napa, Solano, and Yolo Counties		2	6017	2		2		1	3		1	5		www.partnershiphp.org	www.partnershiphp.org	www.partnershiphp.org	(866)-264-3626		(866)-264-3626		(866)-249-9933		(866)-249-9933		(866)-264-3626		(866)-264-3626		(866)-249-9933		(866)-249-9933		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5783	002	0	1	01	01	H5783_002_0	6	08/21/2010	2011.01	08/21/2010 10:49:34 AM Central Daylight Time	08/20/2010 11:27:03 PM Central Daylight Time	08/18/2010 06:23:22 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care- Plus (HMO)	01	01		1			H5783	002	0	2011	Charleston		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5783	006	0	1	01	01	H5783_006_0	7	08/21/2010	2011.01	08/21/2010 11:12:18 AM Central Daylight Time	08/20/2010 11:29:06 PM Central Daylight Time	08/18/2010 06:23:49 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5783	006	0	2011	Greenville / Spartanburg		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5783	008	0	1	01	01	H5783_008_0	7	08/23/2010	2011.01	08/23/2010 11:32:47 AM Central Daylight Time	08/23/2010 01:20:45 AM Central Daylight Time	08/18/2010 06:24:46 PM Central Daylight Time		08/23/2010 06:12:05 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Dual Plus (HMO SNP)	01	01		1			H5783	008	0	2011	Greenville, Pickens, Spartanburg		2		2		2		1	3		1	1			http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5783	011	0	1	01	01	H5783_011_0	5	08/23/2010	2011.01	08/23/2010 11:27:23 AM Central Daylight Time	08/23/2010 01:22:37 AM Central Daylight Time	08/18/2010 06:25:48 PM Central Daylight Time		08/23/2010 07:23:37 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Dual Plus (HMO SNP)	01	01		1			H5783	011	0	2011	South Carolina		2		2		2		1	3		1	5			http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5783	012	0	1	01	01	H5783_012_0	6	08/20/2010	2011.01	08/20/2010 06:51:23 PM Central Daylight Time	08/20/2010 11:30:59 PM Central Daylight Time	08/18/2010 06:26:22 PM Central Daylight Time		08/23/2010 07:28:53 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - Plus (HMO)	01	01		1			H5783	012	0	2011	Pickens		2		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5783	801	0	1	01	01	H5783_801_0	4	07/28/2010	2011.01	07/28/2010 05:44:29 PM Central Daylight Time	07/26/2010 01:08:56 PM Central Daylight Time			07/28/2010 05:48:38 PM Central Daylight Time	ARCADIAN HEALTH PLAN, INC.	Southeast Community Care	www.southeastcommunitycare.com	Southeast Community Care - EGWP (HMO)	01	01		1			H5783	801	0	2011	South Carolina		1		2				2							http://www.southeastcommunitycare.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(800)-573-8597		(800)-573-8597		(888)-998-3055		(843)-746-9990		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H5793	001	0	1	01	01	H5793_001_0	3	08/20/2010	2011.01	08/20/2010 03:35:17 PM Central Daylight Time	08/20/2010 09:52:45 AM Central Daylight Time	08/19/2010 01:03:11 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5793	001	0	2011	Connecticut		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5793	008	0	1	01	01	H5793_008_0	3	08/05/2010	2011.01	08/05/2010 02:47:47 PM Central Daylight Time	08/20/2010 09:55:10 AM Central Daylight Time	08/19/2010 01:03:15 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H5793	008	0	2011	Connecticut		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5793	801	0	1	01	01	H5793_801_0	2	05/11/2010	2011.01	05/11/2010 11:16:00 AM Eastern Daylight Time	07/16/2010 10:22:55 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5793	801	0	2011	Connecticut		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H5793	802	0	1	01	01	H5793_802_0	2	05/11/2010	2011.01	05/11/2010 11:18:08 AM Eastern Daylight Time	07/16/2010 10:25:00 AM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5793	802	0	2011	Connecticut		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5810	001	0	1	01	01	H5810_001_0	9	08/23/2010	2011.01	08/23/2010 11:54:00 AM Pacific Daylight Time	08/20/2010 08:13:00 PM Pacific Daylight Time	08/20/2010 09:02:00 AM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Molina Medicare Options Plus (HMO SNP)	01	01		1			H5810	001	0	2011	Southern California		2	2746	2		2		1	3		1	1		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5810	002	0	1	01	01	H5810_002_0	11	08/30/2010	2011.01	08/30/2010 08:20:23 AM Pacific Daylight Time	08/20/2010 08:13:00 PM Pacific Daylight Time	08/20/2010 09:02:00 AM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5810	002	0	2011	Southern California		2	618	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5810	007	0	1	01	01	H5810_007_0	9	08/23/2010	2011.01	08/23/2010 11:55:08 AM Pacific Daylight Time	08/20/2010 08:13:00 PM Pacific Daylight Time	08/20/2010 09:03:00 AM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Molina Medicare Options Plus (HMO SNP)	01	01		1			H5810	007	0	2011	Sacramento County		2	464	2		2		1	3		1	5		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5810	009	0	1	01	01	H5810_009_0	11	08/30/2010	2011.01	08/30/2010 08:20:38 AM Pacific Daylight Time	08/20/2010 08:14:00 PM Pacific Daylight Time	08/20/2010 09:03:00 AM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF CALIFORNIA	Molina Healthcare of California	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5810	009	0	2011	Sacramento County		2	60	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-665-0898		(800)-665-0898		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5811	001	0	1	01	01	H5811_001_0	9	09/15/2010	2011.01	09/15/2010 02:01:08 PM Pacific Daylight Time	08/23/2010 02:51:45 PM Pacific Daylight Time	08/18/2010 03:53:08 PM Pacific Daylight Time		09/16/2010 10:00:28 AM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H5811	001	0	2011	San Joaquin County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5811	002	0	1	01	01	H5811_002_0	5	09/15/2010	2011.01	09/15/2010 02:03:10 PM Pacific Daylight Time	08/23/2010 06:53:18 PM Pacific Daylight Time	08/18/2010 03:53:26 PM Pacific Daylight Time		09/16/2010 10:00:28 AM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Connections (HMO SNP)	01	01		1			H5811	002	0	2011	San Joaquin County		2		2		2		1	3		1	2		www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(866)-722-6725		(866)-722-6725		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5811	005	0	1	01	01	H5811_005_0	8	08/31/2010	2011.01	08/31/2010 02:47:09 PM Pacific Daylight Time	08/24/2010 11:09:56 AM Pacific Daylight Time	08/18/2010 03:53:46 PM Pacific Daylight Time		08/31/2010 06:53:47 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Options (HMO)	01	01		1			H5811	005	0	2011	San Joaquin County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5813	003	0	1	01	01	H5813_003_0	3	08/02/2010	2011.01	08/02/2010 11:25:35 AM Central Daylight Time	08/19/2010 01:28:15 PM Central Daylight Time	08/19/2010 01:03:19 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Standard Plan (HMO)	01	01		1			H5813	003	0	2011	New Castle County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5813	006	0	1	01	01	H5813_006_0	3	08/02/2010	2011.01	08/02/2010 11:25:46 AM Central Daylight Time	08/19/2010 01:29:46 PM Central Daylight Time	08/19/2010 01:03:23 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Premier Plan (HMO)	01	01		1			H5813	006	0	2011	New Castle County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5813	801	0	1	01	01	H5813_801_0	1	05/11/2010	2011.01	05/11/2010 11:20:29 AM Eastern Daylight Time	06/03/2010 10:49:30 AM Eastern Daylight Time			06/04/2010 03:28:22 PM Eastern Daylight Time	AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5813	801	0	2011	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H5813	802	0	1	01	01	H5813_802_0	2	05/11/2010	2011.01	05/11/2010 11:23:21 AM Eastern Daylight Time	06/07/2010 04:16:14 PM Eastern Daylight Time			06/07/2010 04:38:21 PM Eastern Daylight Time	AETNA HEALTH, INC	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5813	802	0	2011	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5817	009	0	1	01	01	H5817_009_0	6	08/31/2010	2011.01	08/31/2010 03:02:01 PM Eastern Daylight Time	08/22/2010 01:40:34 PM Eastern Daylight Time	08/20/2010 05:37:10 PM Eastern Daylight Time		08/31/2010 03:36:35 PM Eastern Daylight Time	AMERIGROUP TEXAS, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Specialty + Rx (HMO SNP)	01	01		1			H5817	009	0	2011	Houston Metro Area - San Antonio - Fort Worth		2	7011	2		2		1	3		1	1		http://www.myamerigroup.com/medicare	https://www.amerigroupcorp.com/members/amerivantage/_documents/Amvtg_FORMULARY.pdf	https://www.amerigroupcorp.com/members/amerivantage/	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H5817	010	0	1	01	01	H5817_010_0	7	08/23/2010	2011.01	08/23/2010 08:00:19 AM Eastern Daylight Time	08/20/2010 07:33:43 PM Eastern Daylight Time	08/20/2010 05:37:24 PM Eastern Daylight Time		08/23/2010 09:08:34 AM Eastern Daylight Time	AMERIGROUP TEXAS, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Classic + Rx (HMO)	01	01		1			H5817	010	0	2011	Houston Metro Area - San Antonio - Fort Worth		2	1658	2				2						http://www.myamerigroup.com/medicare	https://www.amerigroupcorp.com/members/amerivantage/_documents/Amvtg_FORMULARY.pdf	https://www.amerigroupcorp.com/members/amerivantage/	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H5820	002	0	1	09	04	H5820_002_0	8	09/22/2010	2011.01	09/22/2010 07:19:28 PM Eastern Daylight Time	08/25/2010 06:39:50 PM Eastern Daylight Time	08/23/2010 04:35:25 PM Eastern Daylight Time		09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Gold (PFFS)	04	09	2	1			H5820	002	0	2011	National PFFS		2		2				2							www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5820	008	0	1	09	04	H5820_008_0	8	09/22/2010	2011.01	09/22/2010 07:20:32 PM Eastern Daylight Time	08/23/2010 04:32:32 PM Eastern Daylight Time	08/23/2010 04:36:37 PM Eastern Daylight Time		09/22/2010 08:06:09 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Platinum (PFFS)	04	09	2	1			H5820	008	0	2011	National PFFS		2		2				2							www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5820	011	0	1	09	04	H5820_011_0	10	10/01/2010	2011.01	10/01/2010 11:57:10 AM Eastern Daylight Time	08/25/2010 06:41:33 PM Eastern Daylight Time	08/23/2010 04:38:28 PM Eastern Daylight Time		10/04/2010 07:41:40 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Gold (PFFS)	04	09	2	1			H5820	011	0	2011	National PFFS		2		2				2							www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5820	026	0	1	09	04	H5820_026_0	8	10/01/2010	2011.01	10/01/2010 11:57:29 AM Eastern Daylight Time	08/25/2010 06:46:09 PM Eastern Daylight Time			10/04/2010 07:41:40 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Gold MA Only (PFFS)	04	09	2	1			H5820	026	0	2011	National PFFS		2		2				2							www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1
H5820	029	0	1	09	04	H5820_029_0	8	10/01/2010	2011.01	10/01/2010 11:57:44 AM Eastern Daylight Time	08/25/2010 06:53:47 PM Eastern Daylight Time			10/04/2010 07:41:40 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	Any, Any, Any Gold MA Only (PFFS)	04	09	2	1			H5820	029	0	2011	National PFFS		2		2				2							www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1
H5820	032	0	1	09	04	H5820_032_0	11	10/01/2010	2011.01	10/01/2010 11:58:03 AM Eastern Daylight Time	08/25/2010 06:55:39 PM Eastern Daylight Time	08/23/2010 04:38:57 PM Eastern Daylight Time		10/04/2010 07:41:40 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	e-Any, Any, Any Gold Direct (PFFS)	04	09	2	1			H5820	032	0	2011	National PFFS		2		2				2							www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5820	033	0	1	09	04	H5820_033_0	11	10/01/2010	2011.01	10/01/2010 11:58:19 AM Eastern Daylight Time	08/25/2010 06:59:25 PM Eastern Daylight Time	08/23/2010 04:39:22 PM Eastern Daylight Time		10/04/2010 07:41:40 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	UNIVERSAL HEALTH CARE INSURANCE COMPANY, INC.	http://www.univhc.com	e-Any, Any, Any Gold Direct (PFFS)	04	09	2	1			H5820	033	0	2011	National PFFS		2		2				2							www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H5821	001	0	1	02	01	H5821_001_0	11	08/23/2010	2011.01	08/23/2010 03:36:32 PM SA Western Standard Time	08/23/2010 03:25:34 PM SA Western Standard Time	08/23/2010 03:25:34 PM SA Western Standard Time		08/23/2010 03:46:04 PM SA Western Standard Time	MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE INSURANCE COMPANY	www.mapfremedicare.com	MAPFRE Medicare Excel (HMO-POS)	01	02		1			H5821	001	0	2011	State of Puerto Rico		2	681	2				2						www.mapfremedicare.com	http://ww2.mapfremedicare.com/MAPFREMedicare/test.htm	www.mapfremedicare.com	(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		1
H5821	013	0	1	02	01	H5821_013_0	8	08/23/2010	2011.01	08/23/2010 03:38:22 PM SA Western Standard Time	08/23/2010 03:25:49 PM SA Western Standard Time	08/23/2010 03:25:49 PM SA Western Standard Time		08/23/2010 03:46:04 PM SA Western Standard Time	MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE INSURANCE COMPANY	www.mapfremedicare.com	MAPFRE Medicare Excel Extended (HMO-POS)	01	02		1			H5821	013	0	2011	State of Puerto Rico		2	6616	2				2						www.mapfremedicare.com	http://ww2.mapfremedicare.com/MAPFREMedicare/test.htm	www.mapfremedicare.com	(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		1
H5821	020	0	1	01	01	H5821_020_0	11	08/23/2010	2011.01	08/23/2010 03:39:12 PM SA Western Standard Time	08/25/2010 05:12:07 PM SA Western Standard Time	08/23/2010 03:25:52 PM SA Western Standard Time		08/26/2010 08:18:26 AM SA Western Standard Time	MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE INSURANCE COMPANY	www.mapfremedicare.com	MAPFRE Medicare Excel VIP (HMO)	01	01		1			H5821	020	0	2011	State of Puerto Rico		2	4636	2				2						www.mapfremedicare.com	http://ww2.mapfremedicare.com/MAPFREMedicare/test.htm	www.mapfremedicare.com	(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		1
H5821	804	0	1	02	01	H5821_804_0	6	07/08/2010	2011.01	07/08/2010 08:29:42 AM SA Western Standard Time	07/27/2010 01:00:03 PM SA Western Standard Time			07/27/2010 01:33:28 PM SA Western Standard Time	MAPFRE LIFE INSURANCE COMPANY	MAPFRE LIFE INSURANCE COMPANY	www.mapfremedicare.com	MAPFRE Medicare Excel Employer Plan (HMO-POS)	01	02		1			H5821	804	0	2011	State of Puerto Rico		1	735	2				2						www.mapfremedicare.com	http://ww2.mapfremedicare.com/MAPFREMedicare/test.htm	www.mapfremedicare.com	(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(888)-750-5288		(787)-250-5288		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		(877)-486-2048		(866)-479-6677		1
H5822	001	0	1	20	08	H5822_001_0	1	05/26/2010	2011.01	05/26/2010 05:01:36 PM Central Daylight Time		05/19/2010 04:23:59 PM Central Daylight Time		05/27/2010 06:08:51 PM Central Daylight Time	MIDLAND CARE CONNECTION	Midland PACE	www.midlandcc.org	Midland Care Connection - Dual Eligibles (PACE)	08	20		1			H5822	001	0	2011	Counties: DG, JA, JF, OS, PT, SN, WB		2		2				2							www.midlandcc.org	www.midlandcc.org									(800)-491-3691		(785)-232-2044		(800)-491-3691		(785)-232-2044										(800)-491-3691		(785)-232-2044		(800)-491-3691		(785)-232-2044		1
H5822	002	0	1	20	08	H5822_002_0	1	05/26/2010	2011.01	05/26/2010 05:02:15 PM Central Daylight Time		05/19/2010 04:23:59 PM Central Daylight Time		05/27/2010 06:08:51 PM Central Daylight Time	MIDLAND CARE CONNECTION	Midland PACE	www.midlandcc.org	Midland Care Connection - Medicare Only (PACE)	08	20		1			H5822	002	0	2011	Counties: DG, JA, JF, OS, PT, SN, WB		2		2				2							www.midlandcc.org	www.midlandcc.org									(800)-491-3691		(785)-232-2044		(800)-491-3691		(785)-232-2044										(800)-491-3691		(785)-232-2044		(800)-491-3691		(785)-232-2044		1
H5823	002	0	1	01	01	H5823_002_0	8	08/30/2010	2011.01	08/30/2010 08:20:58 AM Pacific Daylight Time	08/20/2010 08:14:00 PM Pacific Daylight Time	08/20/2010 09:04:00 AM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF WASHINGTON, INC.	Molina Healthcare of Washington, Inc.	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5823	002	0	2011	Western and Eastern Washington		2	861	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-1029		(800)-665-1029		(866)-403-8293		(866)-403-8293		(800)-665-1029		(800)-665-1029		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5823	004	0	1	01	01	H5823_004_0	9	08/30/2010	2011.01	08/30/2010 08:21:09 AM Pacific Daylight Time	08/20/2010 08:15:00 PM Pacific Daylight Time	08/20/2010 09:04:00 AM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF WASHINGTON, INC.	Molina Healthcare of Washington, Inc.	www.molinamedicare.com	ChoicePartners Medicare (HMO)	01	01		1			H5823	004	0	2011	Eastern Washington		2	108	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-1029		(800)-665-1029		(866)-403-8293		(866)-403-8293		(800)-665-1029		(800)-665-1029		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5823	006	0	1	01	01	H5823_006_0	7	08/23/2010	2011.01	08/23/2010 11:57:44 AM Pacific Daylight Time	08/20/2010 08:15:00 PM Pacific Daylight Time	08/20/2010 09:04:00 AM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF WASHINGTON, INC.	Molina Healthcare of Washington, Inc.	www.molinamedicare.com	Molina Medicare Options Plus (HMO SNP)	01	01		1			H5823	006	0	2011	Western and Eastern Washington		2	2624	2		2		1	3		1	5		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-1029		(800)-665-1029		(866)-403-8293		(866)-403-8293		(800)-665-1029		(800)-665-1029		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5826	005	0	1	01	01	H5826_005_0	5	08/23/2010	2011.01	08/23/2010 12:38:29 PM Pacific Daylight Time	08/23/2010 08:46:35 AM Pacific Daylight Time	08/23/2010 08:46:36 AM Pacific Daylight Time		08/23/2010 12:41:30 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst Medicare Advantage SNP (HMO SNP)	01	01		1			H5826	005	0	2011	Eastern and Western Washington State		2		2		2		1	3		1	3		www.healthfirst.chpw.org	www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1
H5826	006	0	1	01	01	H5826_006_0	4	08/02/2010	2011.01	08/02/2010 03:16:08 PM Pacific Daylight Time	07/16/2010 08:28:11 AM Pacific Daylight Time			08/02/2010 03:40:03 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst Medicare Advantage (HMO)	01	01		1			H5826	006	0	2011	Western Washington, Spokane and Yakima Counties		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247										(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479										1
H5826	008	0	1	01	01	H5826_008_0	5	08/02/2010	2011.01	08/02/2010 03:16:36 PM Pacific Daylight Time	08/23/2010 08:46:52 AM Pacific Daylight Time	08/23/2010 08:46:52 AM Pacific Daylight Time		08/23/2010 12:41:30 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst MA Plan with Pharmacy (HMO)	01	01		1			H5826	008	0	2011	Western Washington, Spokane and Yakima Counties		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1
H5826	009	0	1	01	01	H5826_009_0	5	08/02/2010	2011.01	08/02/2010 03:17:14 PM Pacific Daylight Time	08/23/2010 08:47:10 AM Pacific Daylight Time	08/23/2010 08:47:11 AM Pacific Daylight Time		08/23/2010 12:41:30 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst MA Plan with Pharmacy (HMO)	01	01		1			H5826	009	0	2011	Eastern and Western Washington State		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1
H5826	010	0	1	01	01	H5826_010_0	6	08/23/2010	2011.01	08/23/2010 12:38:58 PM Pacific Daylight Time	08/23/2010 08:47:34 AM Pacific Daylight Time	08/23/2010 08:47:35 AM Pacific Daylight Time		08/23/2010 12:41:30 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst Medicare Advantage Extra (HMO)	01	01		1			H5826	010	0	2011	Western Washington, Spokane and Yakima Counties		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1
H5826	011	0	1	02	01	H5826_011_0	4	08/02/2010	2011.01	08/02/2010 03:18:38 PM Pacific Daylight Time	08/23/2010 08:47:48 AM Pacific Daylight Time	08/23/2010 08:47:49 AM Pacific Daylight Time		08/23/2010 12:41:30 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst Medicare Advantage Premium (HMO-POS)	01	02		1			H5826	011	0	2011	Eastern and Western Washington State		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(800)-942-0247		(800)-942-0247		(800)-944-1247		(800)-944-1247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1
H5826	012	0	1	01	01	H5826_012_0	5	08/02/2010	2011.01	08/02/2010 03:20:20 PM Pacific Daylight Time	08/23/2010 08:48:02 AM Pacific Daylight Time	08/23/2010 08:48:02 AM Pacific Daylight Time		08/23/2010 12:41:30 PM Pacific Daylight Time	COMMUNITY HEALTH PLAN OF WASHINGTON	Community HealthFirst Medicare Advantage Plan	www.healthfirst.chpw.org	Community HealthFirst MA Plan, Enhanced Pharmacy (HMO)	01	01		1			H5826	012	0	2011	Eastern and Western Washington State		2		2				2						www.healthfirst.chpw.org	www.healthfirst.chpw.org	www.healthfirst.chpw.org	(800)-942-0247		(800)-942-0247		(800)-942-0247		(800)-942-0247		(800)-942-0247		(800)-942-0247		(800)-942-0247		(800)-942-0247		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		(866)-816-2479		1
H5832	001	0	1	01	01	H5832_001_0	3	08/20/2010	2011.01	08/20/2010 09:27:12 AM Central Daylight Time	08/19/2010 02:54:29 PM Central Daylight Time	08/19/2010 01:03:27 PM Central Daylight Time		08/20/2010 04:07:56 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5832	001	0	2011	Oklahoma County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5832	801	0	1	01	01	H5832_801_0	1	05/11/2010	2011.01	05/11/2010 11:24:55 AM Eastern Daylight Time	06/01/2010 11:49:07 AM Eastern Daylight Time			06/04/2010 03:28:22 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5832	801	0	2011	Oklahoma		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H5832	802	0	1	01	01	H5832_802_0	1	05/11/2010	2011.01	05/11/2010 11:26:17 AM Eastern Daylight Time	06/01/2010 11:51:44 AM Eastern Daylight Time			06/04/2010 03:28:22 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5832	802	0	2011	Oklahoma		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5850	002	0	1	01	01	H5850_002_0	5	08/22/2010	2011.01	08/22/2010 10:22:02 AM Eastern Daylight Time	08/20/2010 09:02:16 PM Eastern Daylight Time	08/19/2010 03:05:54 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Maximum (HMO SNP)	01	01		1			H5850	002	0	2011	Broward and Miami-Dade counties		2	6550	2		2		1	3		1	2		www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	003	0	1	01	01	H5850_003_0	6	08/22/2010	2011.01	08/22/2010 10:22:45 AM Eastern Daylight Time	08/20/2010 09:03:17 PM Eastern Daylight Time	08/19/2010 03:06:26 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Ideal (HMO)	01	01		1			H5850	003	0	2011	Broward County		2	3635	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	004	0	1	01	01	H5850_004_0	6	08/22/2010	2011.01	08/22/2010 10:23:27 AM Eastern Daylight Time	08/20/2010 09:04:12 PM Eastern Daylight Time	08/19/2010 03:10:25 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Ideal (HMO)	01	01		1			H5850	004	0	2011	Palm Beach County		2	1674	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	005	0	1	01	01	H5850_005_0	6	08/22/2010	2011.01	08/22/2010 10:24:05 AM Eastern Daylight Time	08/20/2010 09:05:13 PM Eastern Daylight Time	08/19/2010 03:10:55 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Ideal (HMO)	01	01		1			H5850	005	0	2011	Martin County		2	676	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	006	0	1	01	01	H5850_006_0	6	08/22/2010	2011.01	08/22/2010 10:29:37 AM Eastern Daylight Time	08/20/2010 09:06:17 PM Eastern Daylight Time	08/19/2010 03:11:26 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Plus (HMO)	01	01		1			H5850	006	0	2011	Miami-Dade County		2	2112	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	007	0	1	01	01	H5850_007_0	7	08/22/2010	2011.01	08/22/2010 10:35:57 AM Eastern Daylight Time	08/20/2010 09:07:11 PM Eastern Daylight Time	08/19/2010 03:11:55 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Ideal (HMO)	01	01		1			H5850	007	0	2011	St. Lucie County		2	3535	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	012	0	1	01	01	H5850_012_0	6	08/22/2010	2011.01	08/22/2010 11:16:20 AM Eastern Daylight Time	08/20/2010 09:26:11 PM Eastern Daylight Time	08/19/2010 03:12:26 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Ideal (HMO)	01	01		1			H5850	012	0	2011	Miami-Dade County		2	3777	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	016	0	1	01	01	H5850_016_0	7	08/22/2010	2011.01	08/22/2010 10:43:32 AM Eastern Daylight Time	08/20/2010 09:08:23 PM Eastern Daylight Time	08/19/2010 03:12:59 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Advantra Ideal (HMO)	01	01		1			H5850	016	0	2011	Hillsborough and Polk counties		2	687	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	017	0	1	02	01	H5850_017_0	7	08/22/2010	2011.01	08/22/2010 10:44:01 AM Eastern Daylight Time	08/20/2010 09:09:21 PM Eastern Daylight Time	08/19/2010 03:13:29 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Advantra Select (HMO-POS)	01	02		1			H5850	017	0	2011	Hillsborough, Pasco, Pinellas and Polk Counties		2	886	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	019	0	1	01	01	H5850_019_0	6	08/22/2010	2011.01	08/22/2010 11:37:51 AM Eastern Daylight Time	08/20/2010 09:10:27 PM Eastern Daylight Time	08/19/2010 03:14:05 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Advantra Plus (HMO)	01	01		1			H5850	019	0	2011	Hernando, Hillsborough, Pasco, Pinellas, Polk area		2	6514	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	020	0	1	01	01	H5850_020_0	7	08/22/2010	2011.01	08/22/2010 11:35:21 AM Eastern Daylight Time	08/20/2010 09:11:33 PM Eastern Daylight Time	08/19/2010 03:14:36 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Advantra Ideal (HMO)	01	01		1			H5850	020	0	2011	Hernando County		2	337	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	021	0	1	01	01	H5850_021_0	5	08/22/2010	2011.01	08/22/2010 10:48:26 AM Eastern Daylight Time	08/20/2010 09:12:29 PM Eastern Daylight Time	08/19/2010 03:15:07 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Advantra Maximum (HMO SNP)	01	01		1			H5850	021	0	2011	Hernando, Hillsborough, Pasco, Pinellas, Polk area		2	3005	2		2		1	3		1	2		www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	022	0	1	01	01	H5850_022_0	6	08/22/2010	2011.01	08/22/2010 10:34:47 AM Eastern Daylight Time	08/20/2010 09:13:36 PM Eastern Daylight Time	08/19/2010 03:15:43 PM Eastern Daylight Time		08/22/2010 12:57:44 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Plus (HMO)	01	01		1			H5850	022	0	2011	Broward County		2	95	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	802	0	1	01	01	H5850_802_0	2	07/23/2010	2011.01	07/23/2010 10:42:32 AM Eastern Daylight Time	07/26/2010 11:10:41 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Group Ideal (HMO)	01	01		1			H5850	802	0	2011	Nationwide		1	116	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5850	803	0	1	01	01	H5850_803_0	2	07/23/2010	2011.01	07/23/2010 10:42:37 AM Eastern Daylight Time	07/26/2010 11:06:30 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Group Value (HMO)	01	01		1			H5850	803	0	2011	Nationwide		1	116	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506										(711)		(711)		(711)		(711)										1
H5850	805	0	1	01	01	H5850_805_0	2	07/23/2010	2011.01	07/23/2010 10:42:41 AM Eastern Daylight Time	07/26/2010 11:08:39 AM Eastern Daylight Time			08/11/2010 10:50:18 PM Eastern Daylight Time	COVENTRY SUMMIT HEALTH PLAN, INC.	Summit/Advantra	www.summithealthplan.com	Coventry Summit Group Choice (HMO)	01	01		1			H5850	805	0	2011	Nationwide		1	116	2				2						www.summithealthplan.com	coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits/formulary	http://coventry-medicare.coventryhealthcare.com/summit-health-plans/prescription-drug-benefits	(800)-847-3995		(800)-847-3995		(866)-988-7506		(866)-988-7506		(866)-797-8648		(866)-797-8648		(866)-988-7506		(866)-988-7506		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H5852	001	0	1	01	01	H5852_001_0	4	08/21/2010	2011.01	08/21/2010 12:53:51 PM Pacific Daylight Time	08/20/2010 08:20:31 PM Pacific Daylight Time	08/20/2010 08:20:31 PM Pacific Daylight Time		08/21/2010 01:00:56 PM Pacific Daylight Time	AIDS HEALTHCARE FOUNDATION	POSITIVE HEALTHCARE PARTNERS	www.positivehealthcare.org	POSITIVE HEALTHCARE PARTNERS (HMO SNP)	01	01		1			H5852	001	0	2011	POSITIVE HEALTHCARE PARTNERS LOS ANGELES COUNTY		2		2				1	4		1		00000000001000000000	http://www.positivehealthcare.org/california/pages-img/downloadabledocuments.html	https://www.catalystrx.com/www/MedicareD/index.jsp?src=ahf	http://www.positivehealthcare.org/california/pages-img/pharmacy.html	(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-263-0067		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5854	002	0	1	01	01	H5854_002_0	7	08/23/2010	2011.01	08/23/2010 09:12:23 AM Pacific Daylight Time	08/23/2010 08:16:42 AM Pacific Daylight Time	08/23/2010 08:48:30 AM Pacific Daylight Time		08/23/2010 10:41:14 AM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	https://www.anthem.com	MediBlue Plus (HMO)	01	01		1			H5854	002	0	2011	State of Connecticut		2	1224	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-797-0984		(800)-797-0984		(866)-673-4157		(866)-673-4157		(800)-797-0984		(800)-797-0984		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H5854	004	0	1	01	01	H5854_004_0	4	08/20/2010	2011.01	08/20/2010 11:08:00 AM Pacific Daylight Time	07/29/2010 01:08:05 PM Pacific Daylight Time			08/20/2010 12:19:43 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	https://www.anthem.com	MediBlue Essential (HMO)	01	01		1			H5854	004	0	2011	State of Connecticut		2	603	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-797-0984		(800)-797-0984										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1
H5854	005	0	1	01	01	H5854_005_0	7	08/23/2010	2011.01	08/23/2010 09:11:49 AM Pacific Daylight Time	08/23/2010 08:16:38 AM Pacific Daylight Time	08/23/2010 08:49:21 AM Pacific Daylight Time		08/23/2010 10:41:14 AM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	https://www.anthem.com	MediBlue Value (HMO)	01	01		1			H5854	005	0	2011	State of Connecticut		2	1247	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-797-0984		(800)-797-0984		(866)-673-4157		(866)-673-4157		(800)-797-0984		(800)-797-0984		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H5854	801	0	1	01	01	H5854_801_0	4	08/20/2010	2011.01	08/20/2010 11:32:45 AM Pacific Daylight Time	06/07/2010 07:13:04 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	MediBlue (HMO)	01	01		1			H5854	801	0	2011	Connecticut		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H5854	803	0	1	01	01	H5854_803_0	4	08/20/2010	2011.01	08/20/2010 11:33:39 AM Pacific Daylight Time	06/07/2010 07:11:40 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	MediBlue (HMO)	01	01		1			H5854	803	0	2011	Connecticut		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143										(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894										1
H5854	805	0	1	01	01	H5854_805_0	4	08/20/2010	2011.01	08/20/2010 11:34:20 AM Pacific Daylight Time	06/07/2010 07:11:00 PM Pacific Daylight Time			08/20/2010 12:23:11 PM Pacific Daylight Time	ANTHEM HEALTH PLANS, INC	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	MediBlue (HMO)	01	01		1			H5854	805	0	2011	Connecticut		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(866)-673-4157		(866)-673-4157		(800)-238-1143		(800)-238-1143		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		(800)-241-6894		1
H5859	001	0	1	02	01	H5859_001_0	7	08/19/2010	2011.01	08/19/2010 06:03:24 PM Pacific Daylight Time	08/19/2010 06:17:42 PM Pacific Daylight Time	08/19/2010 06:17:42 PM Pacific Daylight Time		08/19/2010 08:51:29 PM Pacific Daylight Time	HEALTH PLAN OF CAREOREGON, INC.	CareOregon Advantage	www.careoregonadvantage.org	CareOregon Advantage Plus (HMO-POS SNP)	01	02		1			H5859	001	0	2011	Portland/Salem Area, Northwest and Southern Oregon		2	82415	2		2		1	3		1	3		http://www.careoregonadvantage.org	http://www.careoregon.org/medicare/formulary.html	http://www.careoregonadvantage.org	(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H5859	003	0	1	02	01	H5859_003_0	8	08/19/2010	2011.01	08/19/2010 03:26:46 PM Pacific Daylight Time	08/19/2010 05:05:48 PM Pacific Daylight Time	08/19/2010 05:05:47 PM Pacific Daylight Time		08/19/2010 08:51:29 PM Pacific Daylight Time	HEALTH PLAN OF CAREOREGON, INC.	CareOregon Advantage	www.careoregonadvantage.org	CareOregon Advantage Star (HMO-POS)	01	02		1			H5859	003	0	2011	Portland/Salem Area, Northwest and Southern Oregon		2	8017	2				2						http://www.careoregonadvantage.org	http://www.careoregon.org/medicare/formulary.html	http://www.careoregonadvantage.org	(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-224-4840		(503)-416-4100		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H5862	001	0	1	09	04	H5862_001_0	5	08/13/2010	2011.01	08/13/2010 03:33:43 PM Mountain Daylight Time	08/20/2010 01:21:33 PM Mountain Daylight Time	08/20/2010 01:21:40 PM Mountain Daylight Time		08/23/2010 10:20:48 AM Mountain Daylight Time	BLUE CROSS OF IDAHO HEALTH SERVICES, INC.	Blue Cross of Idaho	www.bcidaho.com/medicare	Flexi Blue (PFFS)	04	09	2	1			H5862	001	0	2011	Select Counties in Idaho		2	770	2				2							bcidaho.com/ma_formulary	bcidaho.com/ma_formulary	(866)-588-6167		(208)-395-8200		(888)-492-2583		(208)-387-6673		(866)-588-6167		(208)-395-8200		(888)-492-2583		(208)-387-6673		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		(800)-377-1363		1
H5868	001	0	1	04	01	H5868_001_0	6	08/21/2010	2011.01	08/21/2010 03:15:53 PM Eastern Daylight Time	08/20/2010 03:18:36 PM Eastern Daylight Time	08/20/2010 04:21:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5868-001 (PPO)	01	04		1			H5868	001	0	2011	Iowa Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5868	004	0	1	04	01	H5868_004_0	4	06/07/2010	2011.01	06/07/2010 12:05:41 PM Eastern Daylight Time	07/24/2010 09:45:04 AM Eastern Daylight Time			07/26/2010 06:24:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5868-004 (PPO)	01	04		1			H5868	004	0	2011	Iowa Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H5868	007	0	1	04	01	H5868_007_0	7	08/21/2010	2011.01	08/21/2010 03:16:10 PM Eastern Daylight Time	08/20/2010 03:20:30 PM Eastern Daylight Time	08/20/2010 04:21:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H5868-007 (PPO)	01	04		1			H5868	007	0	2011	Iowa Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H5883	001	1	1	02	01	H5883_001_1	11	08/09/2010	2011.01	08/09/2010 03:41:30 PM Eastern Daylight Time	08/02/2010 12:37:32 PM Eastern Daylight Time			08/09/2010 04:43:37 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 1 (HMO-POS)	01	02		1			H5883	001	1	2011	Michigan	Cnty: Kent, Newaygo, Ott, Musk, Algn, VanB, Oceana	2	425	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583										(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704										1
H5883	001	2	1	02	01	H5883_001_2	9	07/29/2010	2011.01	07/29/2010 11:04:24 AM Eastern Daylight Time	08/03/2010 10:15:28 AM Eastern Daylight Time			08/09/2010 04:43:37 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 1 (HMO-POS)	01	02		1			H5883	001	2	2011	Michigan	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2	210	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583										(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704										1
H5883	001	3	1	02	01	H5883_001_3	9	07/29/2010	2011.01	07/29/2010 11:04:32 AM Eastern Daylight Time	08/03/2010 10:28:14 AM Eastern Daylight Time			08/09/2010 04:43:37 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 1 (HMO-POS)	01	02		1			H5883	001	3	2011	Michigan	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2	275	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583										(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704										1
H5883	001	4	1	02	01	H5883_001_4	9	07/29/2010	2011.01	07/29/2010 11:04:42 AM Eastern Daylight Time	08/03/2010 10:34:37 AM Eastern Daylight Time			08/09/2010 04:43:37 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 1 (HMO-POS)	01	02		1			H5883	001	4	2011	Michigan	Cnty: Bay, Gen, Lap, Sag, Shia, Tus	2	210	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583										(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704										1
H5883	001	5	1	02	01	H5883_001_5	9	07/29/2010	2011.01	07/29/2010 11:04:51 AM Eastern Daylight Time	08/03/2010 10:44:48 AM Eastern Daylight Time			08/09/2010 04:43:37 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 1 (HMO-POS)	01	02		1			H5883	001	5	2011	Michigan	Macomb, Oakland, St. Clair, Wayne counties	2	709	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583										(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704										1
H5883	002	1	1	02	01	H5883_002_1	9	08/09/2010	2011.01	08/09/2010 03:41:51 PM Eastern Daylight Time	08/19/2010 11:29:18 AM Eastern Daylight Time	08/23/2010 04:58:47 PM Eastern Daylight Time		08/23/2010 05:52:01 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 2 (HMO-POS)	01	02		1			H5883	002	1	2011	Michigan	Cnty: Kent, Newaygo, Ott, Musk, Algn, VanB, Oceana	2	825	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	002	2	1	02	01	H5883_002_2	9	08/09/2010	2011.01	08/09/2010 03:42:29 PM Eastern Daylight Time	08/19/2010 11:32:01 AM Eastern Daylight Time	08/23/2010 04:59:23 PM Eastern Daylight Time		08/23/2010 05:52:01 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 2 (HMO-POS)	01	02		1			H5883	002	2	2011	Michigan	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2	925	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	002	3	1	02	01	H5883_002_3	9	08/09/2010	2011.01	08/09/2010 03:42:30 PM Eastern Daylight Time	08/19/2010 11:34:17 AM Eastern Daylight Time	08/23/2010 05:00:04 PM Eastern Daylight Time		08/23/2010 05:52:01 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 2 (HMO-POS)	01	02		1			H5883	002	3	2011	Michigan	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2	1980	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	002	4	1	02	01	H5883_002_4	9	08/09/2010	2011.01	08/09/2010 03:42:31 PM Eastern Daylight Time	08/19/2010 11:35:52 AM Eastern Daylight Time	08/23/2010 05:00:48 PM Eastern Daylight Time		08/23/2010 05:52:01 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 2 (HMO-POS)	01	02		1			H5883	002	4	2011	Michigan	Cnty: Bay, Gen, Lap, Sag, Shia, Tus	2	1770	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	002	7	1	02	01	H5883_002_7	9	08/17/2010	2011.01	08/17/2010 10:18:33 AM Eastern Daylight Time	08/19/2010 11:38:18 AM Eastern Daylight Time	08/23/2010 04:41:09 PM Eastern Daylight Time		08/23/2010 04:54:42 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 2 (HMO-POS)	01	02		1			H5883	002	7	2011	Michigan	Macomb, Oakland, St. Clair, Wayne counties	2	6495	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	003	1	1	02	01	H5883_003_1	11	08/23/2010	2011.01	08/23/2010 10:27:38 PM Eastern Daylight Time	08/19/2010 11:47:19 AM Eastern Daylight Time	08/23/2010 09:41:36 PM Eastern Daylight Time		08/23/2010 10:52:58 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 3 (HMO-POS)	01	02		1			H5883	003	1	2011	Michigan	Cnty: Kent, Newaygo, Ott, Musk, Algn, VanB, Oceana	2	875	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	003	2	1	02	01	H5883_003_2	11	08/23/2010	2011.01	08/23/2010 10:26:33 PM Eastern Daylight Time	08/19/2010 11:50:11 AM Eastern Daylight Time	08/23/2010 09:42:06 PM Eastern Daylight Time		08/23/2010 10:52:58 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 3 (HMO-POS)	01	02		1			H5883	003	2	2011	Michigan	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2	975	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	003	3	1	02	01	H5883_003_3	11	08/23/2010	2011.01	08/23/2010 10:25:22 PM Eastern Daylight Time	08/19/2010 11:51:58 AM Eastern Daylight Time	08/23/2010 09:42:35 PM Eastern Daylight Time		08/23/2010 10:52:58 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 3 (HMO-POS)	01	02		1			H5883	003	3	2011	Michigan	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2	930	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	003	4	1	02	01	H5883_003_4	11	08/23/2010	2011.01	08/23/2010 10:23:42 PM Eastern Daylight Time	08/19/2010 11:54:21 AM Eastern Daylight Time	08/23/2010 09:43:01 PM Eastern Daylight Time		08/23/2010 10:52:58 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 3 (HMO-POS)	01	02		1			H5883	003	4	2011	Michigan	Cnty: Bay, Gen, Lap, Sag, Shia, Tus	2	1035	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	003	5	1	02	01	H5883_003_5	11	08/23/2010	2011.01	08/23/2010 10:22:09 PM Eastern Daylight Time	08/19/2010 11:57:26 AM Eastern Daylight Time	08/23/2010 09:40:05 PM Eastern Daylight Time		08/23/2010 10:52:58 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Option 3 (HMO-POS)	01	02		1			H5883	003	5	2011	Michigan	Macomb, Oakland, St. Clair, Wayne counties	2	3060	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	004	1	1	02	01	H5883_004_1	10	09/21/2010	2011.01	09/21/2010 03:11:15 PM Eastern Daylight Time	08/25/2010 06:03:15 PM Eastern Daylight Time	08/23/2010 06:04:09 PM Eastern Daylight Time		09/21/2010 03:55:32 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Basic (HMO-POS)	01	02		1			H5883	004	1	2011	Michigan	Cnty: Kent, Newaygo, Ott, Musk, Algn, VanB, Oceana	2	90	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	004	2	1	02	01	H5883_004_2	10	09/21/2010	2011.01	09/21/2010 10:44:33 AM Eastern Daylight Time	08/25/2010 06:00:54 PM Eastern Daylight Time	08/23/2010 06:04:42 PM Eastern Daylight Time		09/21/2010 03:55:32 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Basic (HMO-POS)	01	02		1			H5883	004	2	2011	Michigan	Cnty: Clin, Eat, Ing, Kzoo, Barry, Grat, Ion, Mid	2	100	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	004	3	1	02	01	H5883_004_3	10	09/21/2010	2011.01	09/21/2010 10:44:38 AM Eastern Daylight Time	08/25/2010 05:57:31 PM Eastern Daylight Time	08/23/2010 06:05:13 PM Eastern Daylight Time		09/21/2010 03:55:32 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Basic (HMO-POS)	01	02		1			H5883	004	3	2011	Michigan	Cnty: Calh, Jack, Liv, Monroe, Mont, Wash	2	215	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	004	4	1	02	01	H5883_004_4	10	09/21/2010	2011.01	09/21/2010 10:44:43 AM Eastern Daylight Time	08/25/2010 05:52:47 PM Eastern Daylight Time	08/23/2010 06:06:31 PM Eastern Daylight Time		09/21/2010 03:55:32 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Basic (HMO-POS)	01	02		1			H5883	004	4	2011	Michigan	Cnty: Bay, Gen, Lap, Sag, Shia, Tus	2	195	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	004	5	1	02	01	H5883_004_5	11	09/21/2010	2011.01	09/21/2010 10:44:49 AM Eastern Daylight Time	08/25/2010 05:49:23 PM Eastern Daylight Time	08/23/2010 06:01:33 PM Eastern Daylight Time		09/21/2010 03:55:32 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage Basic (HMO-POS)	01	02		1			H5883	004	5	2011	Michigan	Macomb, Oakland, St. Clair, Wayne counties	2	715	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-450-3680		(800)-450-3680		(877)-469-2583		(877)-469-2583		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		(800)-430-3211		(800)-430-3211		(800)-481-8704		(800)-481-8704		1
H5883	801	0	1	02	01	H5883_801_0	9	08/18/2010	2011.01	08/18/2010 02:40:40 PM Eastern Daylight Time	08/03/2010 02:22:44 PM Eastern Daylight Time			08/18/2010 02:46:13 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage (HMO-POS)	01	02		1			H5883	801	0	2011	Employer Group		1	7985	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583										(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944										1
H5883	805	0	1	02	01	H5883_805_0	8	08/18/2010	2011.01	08/18/2010 02:43:11 PM Eastern Daylight Time	08/03/2010 02:23:49 PM Eastern Daylight Time			08/18/2010 02:46:13 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage (HMO-POS)	01	02		1			H5883	805	0	2011	Employer Group		1	1765	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1
H5883	807	0	1	02	01	H5883_807_0	8	08/18/2010	2011.01	08/18/2010 02:43:30 PM Eastern Daylight Time	08/03/2010 02:24:59 PM Eastern Daylight Time			08/18/2010 02:46:13 PM Eastern Daylight Time	BLUE CARE NETWORK OF MICHIGAN	Blue Care Network	http://www.mibcn.com/medicare	BCN Advantage (HMO-POS)	01	02		1			H5883	807	0	2011	Employer Group		1	1875	2				2						http://www.mibcn.com/medicareproviders	http://www.mibcn.com/medicareformulary	http://www.mibcn.com/medicarepharmacies	(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-450-3680		(800)-450-3680		(866)-966-2583		(866)-966-2583		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		(800)-430-3211		(800)-430-3211		(800)-431-7944		(800)-431-7944		1
H5884	007	0	1	09	04	H5884_007_0	6	08/22/2010	2011.01	08/22/2010 08:08:28 PM Eastern Daylight Time	08/20/2010 03:36:44 PM Eastern Daylight Time	08/20/2010 03:37:56 PM Eastern Daylight Time		08/23/2010 06:02:40 PM Eastern Daylight Time	BLUECROSS BLUESHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Gold (PFFS)	04	09	2	1			H5884	007	0	2011	East Tennessee		2	1500	1	1			2							www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H5887	001	0	1	01	01	H5887_001_0	10	08/19/2010	2011.01	08/19/2010 04:05:14 PM SA Western Standard Time	08/19/2010 02:06:58 PM SA Western Standard Time	08/19/2010 02:39:46 PM SA Western Standard Time		08/19/2010 04:08:44 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First Care+Plus (HMO)	01	01		1			H5887	001	0	2011	Entire Island Puerto Rico		2		2				2						www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H5887	006	0	1	01	01	H5887_006_0	7	08/19/2010	2011.01	08/19/2010 04:05:23 PM SA Western Standard Time	08/19/2010 02:07:58 PM SA Western Standard Time	08/19/2010 02:40:14 PM SA Western Standard Time		08/19/2010 04:08:44 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Titanio (HMO SNP)	01	01		1			H5887	006	0	2011	Entire Island Puerto Rico		2		2		1	2	1	3		1	3		www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H5887	007	0	1	01	01	H5887_007_0	9	08/19/2010	2011.01	08/19/2010 04:05:32 PM SA Western Standard Time	08/19/2010 02:08:52 PM SA Western Standard Time	08/19/2010 02:40:50 PM SA Western Standard Time		08/19/2010 04:08:44 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Complete (HMO SNP)	01	01		1			H5887	007	0	2011	Entire Island Puerto Rico		2		2				1	4		1		00000010000000000000	www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H5887	010	0	1	01	01	H5887_010_0	10	11/24/2010	2011.01	11/24/2010 02:09:12 PM SA Western Standard Time	08/19/2010 02:09:46 PM SA Western Standard Time	08/19/2010 02:41:18 PM SA Western Standard Time		11/24/2010 03:05:54 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC.	First Medical Health Plan, Inc.	www.firstpluspr.com	First+Plus Platino (HMO SNP)	01	01		1			H5887	010	0	2011	Entire Island of Puerto Rico		2		2		1	1	1	3		1	5		www.firstpluspr.com	http://www.firstpluspr.com	http://www.firstpluspr.com	(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
H5895	001	0	1	01	01	H5895_001_0	4	07/26/2010	2011.01	07/26/2010 04:21:32 PM Pacific Daylight Time	08/19/2010 12:11:27 PM Pacific Daylight Time	08/19/2010 12:11:28 PM Pacific Daylight Time		08/19/2010 12:19:12 PM Pacific Daylight Time	CONTRA COSTA CO MED SVCS DBA CONTRA COSTA HEALTH	Contra Costa Health Plan	http://www.contracostahealthplan.org	SelectCare (HMO SNP)	01	01		1			H5895	001	0	2011	Contra Costa County		2	150	2		2		1	3		1	5		http://cchp.prismisp.com/	http://www.contracostahealthplan.org	http://www.contracostahealthplan.org	(877)-661-6230		(925)-313-6000		(877)-661-6230		(925)-313-6000		(877)-661-6230		(925)-313-6000		(877)-661-6230		(925)-313-6000		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5896	007	0	1	01	01	H5896_007_0	3	08/20/2010	2011.01	08/20/2010 10:49:58 AM Eastern Daylight Time	08/22/2010 01:53:42 PM Eastern Daylight Time	08/20/2010 05:39:49 PM Eastern Daylight Time		08/23/2010 09:08:34 AM Eastern Daylight Time	AMERIGROUP MARYLAND, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Specialty + Rx (HMO SNP)	01	01		1			H5896	007	0	2011	Central Maryland		2	1153	2		2		1	3		1	1		http://www.myamerigroup.com/medicare	https://www.amerigroupcorp.com/members/Amerivantage/_documents/Amvtg_Formulary	https://amerigroupcorp.com/members/amerivantage	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H5902	001	0	1	20	08	H5902_001_0	1	02/08/2011	2011.01	02/08/2011 01:41:40 PM Eastern Standard Time		01/27/2011 10:41:16 AM Eastern Standard Time		02/08/2011 01:43:20 PM Eastern Standard Time	SENIOR LIFE ALTOONA, INC.	Senior LIFE Ebensburg	www.seniorlifeebensburg.com	Senior LIFE Altoona, Inc. - Dual Eligible (PACE)	08	20		1			H5902	001	0	2011	Cambria, Blair, Indiana Senior LIFE		2	20	2				2							NA	NA									(877)-998-5433	102	(814)-535-6000	102	(877)-998-5433	102	(814)-535-6000	102									(877)-998-5433		(814)-535-6000		(877)-998-5433		(814)-535-6000		1
H5902	002	0	1	20	08	H5902_002_0	1	02/08/2011	2011.01	02/08/2011 01:42:12 PM Eastern Standard Time		01/27/2011 10:41:17 AM Eastern Standard Time		02/08/2011 01:43:20 PM Eastern Standard Time	SENIOR LIFE ALTOONA, INC.	Senior LIFE Ebensburg	www.seniorlifeebensburg.com	Senior LIFE Altoona, Inc. - Medicare Only (PACE)	08	20		1			H5902	002	0	2011	Cambria, Balir, Indiana - Senior LIFE Medicare Onl		2	0	2				2							NA	NA									(877)-998-5433	102	(814)-535-6000	102	(877)-998-5433	102	(814)-535-6000	102									(877)-998-5433		(814)-535-6000		(877)-998-5433		(814)-535-6000		1
H5926	001	0	1	01	01	H5926_001_0	7	08/23/2010	2011.01	08/23/2010 11:58:31 AM Pacific Daylight Time	08/20/2010 08:16:00 PM Pacific Daylight Time	08/20/2010 09:05:00 AM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF MICHIGAN	Molina Healthcare of Michigan	www.molinamedicare.com	Molina Medicare Options Plus (HMO SNP)	01	01		1			H5926	001	0	2011	Western and Metro Detroit Michigan		2	6040	2		2		1	3		1	5		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-3072		(800)-665-3072		(866)-403-8293		(866)-403-8293		(800)-665-3072		(800)-665-3072		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5926	002	0	1	01	01	H5926_002_0	9	08/30/2010	2011.01	08/30/2010 08:21:29 AM Pacific Daylight Time	08/20/2010 08:16:00 PM Pacific Daylight Time	08/20/2010 06:48:00 PM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF MICHIGAN	Molina Healthcare of Michigan	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H5926	002	0	2011	Metro Detroit Michigan		2	1601	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(800)-665-3072		(800)-665-3072		(866)-403-8293		(866)-403-8293		(800)-665-3072		(800)-665-3072		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H5928	001	0	1	01	01	H5928_001_0	9	08/19/2010	2011.01	08/19/2010 04:47:38 PM Pacific Daylight Time	08/20/2010 12:24:40 PM Pacific Daylight Time	08/18/2010 04:23:26 PM Pacific Daylight Time		08/20/2010 05:45:05 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Value Plan (HMO SNP)	01	01		1			H5928	001	0	2011	Care1st Health Plan Los Angeles County		2		2		2		1	3		1	2		www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	004	0	1	01	01	H5928_004_0	7	08/23/2010	2011.01	08/23/2010 01:30:30 PM Pacific Daylight Time	08/20/2010 05:41:54 PM Pacific Daylight Time	08/18/2010 04:24:08 PM Pacific Daylight Time		08/23/2010 01:56:24 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Platinum Plan (HMO)	01	01		1			H5928	004	0	2011	Care1st Health Plan Los Angeles County		2		2				2						www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	005	0	1	01	01	H5928_005_0	6	08/05/2010	2011.01	08/05/2010 04:16:33 PM Pacific Daylight Time	08/20/2010 12:25:52 PM Pacific Daylight Time	08/18/2010 04:24:44 PM Pacific Daylight Time		08/20/2010 05:45:05 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Value Plan (HMO SNP)	01	01		1			H5928	005	0	2011	Care1st Health Plan Orange County		2		2		2		1	3		1	2		www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	006	0	1	01	01	H5928_006_0	5	08/23/2010	2011.01	08/23/2010 01:30:46 PM Pacific Daylight Time	08/23/2010 01:55:54 PM Pacific Daylight Time	08/18/2010 04:25:30 PM Pacific Daylight Time		08/23/2010 01:56:24 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Value Plus Plan (HMO)	01	01		1			H5928	006	0	2011	Care1st Health Plan Orange County		2		2				2						www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	007	0	1	01	01	H5928_007_0	7	08/05/2010	2011.01	08/05/2010 04:16:50 PM Pacific Daylight Time	08/20/2010 12:28:34 PM Pacific Daylight Time	08/18/2010 04:26:08 PM Pacific Daylight Time		08/20/2010 05:45:05 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Value Plan (HMO SNP)	01	01		1			H5928	007	0	2011	Care1st Health Plan San Bernardino County		2		2		2		1	3		1	2		www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	008	0	1	01	01	H5928_008_0	5	08/23/2010	2011.01	08/23/2010 01:31:02 PM Pacific Daylight Time	08/23/2010 02:53:40 PM Pacific Daylight Time	08/18/2010 04:26:46 PM Pacific Daylight Time		08/23/2010 01:56:24 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Value Plan (HMO)	01	01		1			H5928	008	0	2011	Care1st Health Plan San Bernardino County		2		2				2						www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	009	0	1	01	01	H5928_009_0	6	08/05/2010	2011.01	08/05/2010 04:17:10 PM Pacific Daylight Time	08/20/2010 12:30:32 PM Pacific Daylight Time	08/18/2010 04:27:18 PM Pacific Daylight Time		08/20/2010 05:45:05 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Plan (HMO SNP)	01	01		1			H5928	009	0	2011	Care1st Health Plan San Diego County		2		2		2		1	3		1	2		www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	010	0	1	01	01	H5928_010_0	5	08/23/2010	2011.01	08/23/2010 01:31:18 PM Pacific Daylight Time	08/23/2010 02:59:12 PM Pacific Daylight Time	08/18/2010 04:27:56 PM Pacific Daylight Time		08/23/2010 01:56:24 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Value Plan (HMO)	01	01		1			H5928	010	0	2011	Care1st Health Plan San Diego County		2		2				2						www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	012	0	1	01	01	H5928_012_0	4	08/23/2010	2011.01	08/23/2010 01:31:33 PM Pacific Daylight Time	08/23/2010 03:00:30 PM Pacific Daylight Time	08/18/2010 04:28:40 PM Pacific Daylight Time		08/23/2010 01:56:24 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Value Plan (HMO)	01	01		1			H5928	012	0	2011	Care1st Health Plan Riverside County		2		2				2						www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	015	0	1	01	01	H5928_015_0	6	08/05/2010	2011.01	08/05/2010 04:17:28 PM Pacific Daylight Time	08/20/2010 12:31:28 PM Pacific Daylight Time	08/18/2010 04:29:26 PM Pacific Daylight Time		08/20/2010 05:45:05 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Advantage Plan (HMO SNP)	01	01		1			H5928	015	0	2011	Care1st Health Plan Riverside County		2		2		2		1	3		1	5		www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	016	0	1	01	01	H5928_016_0	4	08/23/2010	2011.01	08/23/2010 01:31:52 PM Pacific Daylight Time	08/23/2010 02:09:44 PM Pacific Daylight Time	08/18/2010 04:30:00 PM Pacific Daylight Time		08/23/2010 01:56:24 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Medicare Advantage Value Plus Plan (HMO)	01	01		1			H5928	016	0	2011	Care1st Health Plan Santa Clara County		2		2				2						www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5928	017	0	1	01	01	H5928_017_0	6	08/05/2010	2011.01	08/05/2010 04:17:46 PM Pacific Daylight Time	08/20/2010 12:33:10 PM Pacific Daylight Time	08/18/2010 04:30:36 PM Pacific Daylight Time		08/20/2010 05:45:05 PM Pacific Daylight Time	CARE1ST HEALTH PLAN	Care1st Medicare Advantage Plan	www.care1st.com	Care1st Dual Plus Advantage Plan (HMO SNP)	01	01		1			H5928	017	0	2011	Care1st Health Plan Santa Clara County		2		2		2		1	3		1	5		www.care1st.com	www.care1st.com	www.care1st.com	(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-544-0088		(800)-544-0088		(800)-847-1222		(800)-847-1222		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H5932	001	0	1	01	01	H5932_001_0	3	06/06/2010	2011.01	06/06/2010 02:03:54 PM Eastern Daylight Time	07/21/2010 09:17:50 AM Eastern Daylight Time	06/06/2010 01:36:53 PM Eastern Daylight Time		07/21/2010 09:41:52 AM Eastern Daylight Time	GATEWAY HEALTH PLAN, INC.	Gateway Health Plan Medicare Assured	www.gatewayhealthplan.com	Gateway Health Plan Medicare Assured (HMO SNP)	01	01		1			H5932	001	0	2011	Pennsylvania		2	26145	2		2		1	3		1	1		www.gatewayhealthplan.com	www.gatewayhealthplan.com	www.gatewayhealthplan.com	(800)-685-5209		(412)-255-1323		(877)-428-3929		(412)-255-1323		(800)-685-5209		(412)-255-1323		(877)-428-3929		(412)-255-1323		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		(800)-654-5988		1
H5934	001	0	1	20	08	H5934_001_0	1	05/20/2010	2011.01	05/20/2010 12:12:37 PM Eastern Daylight Time		05/18/2010 01:35:04 PM Eastern Daylight Time		05/20/2010 12:14:03 PM Eastern Daylight Time	HOPE HOSPICE AND COMMUNITY SERVICES, INC.	Hope Select Care	hopehospice.org	Hope Select Care (PACE)	08	20		1			H5934	001	0	2011	Lee and Charlotte Counties Florida		2		2				2							hopehospice.org	hopehospice.org									(186)-665-9722		(239)-985-6400	67406	(186)-665-9722		(239)-985-6400										(186)-665-9722		(239)-985-6400	67406	(186)-665-9722		(239)-985-6400	67406	1
H5934	002	0	1	20	08	H5934_002_0	1	05/20/2010	2011.01	05/20/2010 12:12:59 PM Eastern Daylight Time		05/18/2010 01:35:09 PM Eastern Daylight Time		05/20/2010 12:14:03 PM Eastern Daylight Time	HOPE HOSPICE AND COMMUNITY SERVICES, INC.	Hope Select Care	hopehospice.org	Hope Select  Care (PACE)	08	20		1			H5934	002	0	2011	Lee County Florida		2		2				2							hopehospice.org	hopehospice.org									(186)-665-9722		(239)-985-6400	67406	(186)-665-9722		(239)-985-6400										(186)-665-9722		(239)-985-6400	67406	(186)-665-9722		(239)-985-6400	67406	1
H5938	001	0	1	01	01	H5938_001_0	7	09/01/2010	2011.01	09/01/2010 03:50:25 PM Eastern Daylight Time	08/22/2010 09:52:51 AM Eastern Daylight Time	08/22/2010 09:53:49 AM Eastern Daylight Time		09/01/2010 04:38:12 PM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2011	Capital Health Plan Advantage Plus (HMO)	01	01		1			H5938	001	0	2011	Calhoun Gadsden  Jefferson Leon Liberty Wakulla		2	3751	2				2						www.capitalhealth.com/Medicare2/Physician-Provider-Directory	www.capitalhealth.com/Medicare	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		1
H5938	006	0	1	01	01	H5938_006_0	5	09/01/2010	2011.01	09/01/2010 02:38:35 PM Eastern Daylight Time	08/22/2010 09:54:23 AM Eastern Daylight Time	08/22/2010 09:54:44 AM Eastern Daylight Time		09/01/2010 04:38:12 PM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2011	Capital Health Plan Preferred Advantage (HMO)	01	01		1			H5938	006	0	2011	Calhoun Gadsden  Jefferson Leon Liberty Wakulla		2	3751	2				2						www.capitalhealth.com/Medicare2/Physician-Provider-Directory	www.capitalhealth.com/Medicare	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		1
H5938	802	0	1	01	01	H5938_802_0	5	08/03/2010	2011.01	08/03/2010 03:20:43 PM Eastern Daylight Time	08/02/2010 04:09:10 PM Eastern Daylight Time			08/03/2010 04:45:16 PM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2011	Capital Health Plan Retiree Advantage (HMO)	01	01		1			H5938	802	0	2011	Calhoun Gadsden  Jefferson Leon Liberty Wakulla		1	4867	2				2						www.capitalhealth.com/Medicare2/Physician-Provider-Directory	www.capitalhealth.com/Medicare	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		1
H5938	803	0	1	01	01	H5938_803_0	5	08/03/2010	2011.01	08/03/2010 03:23:06 PM Eastern Daylight Time	08/02/2010 04:09:43 PM Eastern Daylight Time			08/03/2010 04:45:16 PM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2011	Capital Health Plan Retiree Advantage (HMO)	01	01		1			H5938	803	0	2011	Calhoun Gadsden  Jefferson Leon Liberty Wakulla		1	4867	2				2						www.capitalhealth.com/Medicare2/Physician-Provider-Directory	www.capitalhealth.com/Medicare	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441										(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534										1
H5938	804	0	1	01	01	H5938_804_0	4	08/03/2010	2011.01	08/03/2010 03:24:31 PM Eastern Daylight Time	08/02/2010 04:10:12 PM Eastern Daylight Time			08/03/2010 04:45:16 PM Eastern Daylight Time	CAPITAL HEALTH PLAN	Capital Health Plan	www.capitalhealth.com/Medicare-2011	Capital Health Plan Retiree Advantage (HMO)	01	01		1			H5938	804	0	2011	Calhoun Gadsden  Jefferson Leon Liberty Wakulla		1	4867	2				2						www.capitalhealth.com/Medicare2/Physician-Provider-Directory	www.capitalhealth.com/Medicare	www.capitalhealth.com/Medicare	(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(877)-247-6512		(850)-523-7441		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		(800)-955-8771		(850)-383-3534		1
H5943	001	0	1	39	01	H5943_001_0	5	09/01/2010	2011.01	09/01/2010 12:51:03 PM Pacific Daylight Time		08/23/2010 11:47:13 AM Pacific Daylight Time		09/01/2010 01:16:49 PM Pacific Daylight Time	SCAN HEALTH PLAN	VillageHealth	www.villagehealthca.com	VillageHealth (HMO-POS SNP)	01	39		1			H5943	001	0	2011	Riverside and  San Bernardino County		2		2				1	4		1		00000000100000000000	www.villagehealthca.com	http://www.villagehealthca.com	http://www.villagehealthca.com	(877)-586-1648		(877)-586-1648		(877)-916-1234		(877)-916-1234		(877)-586-1648		(877)-586-1648		(877)-916-1234		(877)-916-1234		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		(866)-525-7833		1
H5948	001	0	1	01	01	H5948_001_0	6	08/20/2010	2011.01	08/20/2010 11:58:17 AM Central Daylight Time	08/20/2010 05:01:45 PM Central Daylight Time	08/20/2010 04:59:45 PM Central Daylight Time		08/20/2010 05:09:10 PM Central Daylight Time	ARTA MEDICARE HEALTH PLAN, INC.	Arta Medicare Health Plan	www.artamedicare.com	ARTA Medicare Health Plan (HMO)	01	01		1			H5948	001	0	2011	Orange and Riverside Counties		2	2229	2				2						www.artamedicare.com	www.artamedicare.com	www.artamedicare.com	(866)-376-8294		(866)-438-2782		(866)-376-8294		(562)-344-3400		(888)-816-7978		(888)-816-7978		(866)-376-8294		(562)-344-3400		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(866)-236-1069		(866)-236-1069		(800)-735-2929		(800)-735-2929		1
H5948	002	0	1	01	01	H5948_002_0	4	07/30/2010	2011.01	07/30/2010 11:45:07 AM Central Daylight Time	08/24/2010 11:25:44 AM Central Daylight Time	08/24/2010 11:25:42 AM Central Daylight Time		08/24/2010 10:39:19 AM Central Daylight Time	ARTA MEDICARE HEALTH PLAN, INC.	Arta Medicare Health Plan	www.artamedicare.com	Arta Medicare Health Plan (HMO SNP)	01	01		1			H5948	002	0	2011	Orange and Riverside Counties		2	5063	2		2		1	3		1	5		www.artamedicare.com	www.artamedicare.com	www.artamedicare.com	(866)-376-8294		(866)-438-2782		(866)-376-8294		(562)-344-3400		(888)-816-7978		(888)-816-7978		(866)-376-8294		(562)-344-3400		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(866)-236-1069		(866)-236-1069		(800)-735-2929		(800)-735-2929		1
H5950	001	0	1	01	01	H5950_001_0	3	08/20/2010	2011.01	08/20/2010 03:40:08 PM Central Daylight Time	08/20/2010 10:36:01 AM Central Daylight Time	08/19/2010 01:03:31 PM Central Daylight Time		08/20/2010 04:57:14 PM Central Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Value Plan (HMO)	01	01		1			H5950	001	0	2011	Nashville		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5950	801	0	1	01	01	H5950_801_0	1	06/04/2010	2011.01	06/04/2010 03:14:36 PM Eastern Daylight Time	06/04/2010 03:46:35 PM Eastern Daylight Time			06/07/2010 08:44:10 AM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H5950	801	0	2011	Tennessee		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H5950	802	0	1	01	01	H5950_802_0	1	05/11/2010	2011.01	05/11/2010 11:42:47 AM Eastern Daylight Time	06/03/2010 08:54:25 AM Eastern Daylight Time			06/04/2010 03:28:22 PM Eastern Daylight Time	AETNA HEALTH INC.	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H5950	802	0	2011	Tennessee		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H5969	001	0	1	01	01	H5969_001_0	12	09/27/2010	2011.01	09/27/2010 08:12:36 AM Hawaiian Standard Time	08/23/2010 08:32:19 AM Hawaiian Standard Time	08/23/2010 08:32:19 AM Hawaiian Standard Time		09/27/2010 08:27:14 AM Hawaiian Standard Time	ALOHACARE	AlohaCare	http://AlohaCare.org	AlohaCare Advantage (HMO)	01	01		1			H5969	001	0	2011	State of Hawaii		2	1873	2				2						http://www.AlohaCare.org/ProviderSearch	http://www.AlohaCare.org/formulary	http://www.AlohaCare.org/providersearch	(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1
H5969	002	0	1	01	01	H5969_002_0	9	08/25/2010	2011.01	08/25/2010 02:36:42 PM Hawaiian Standard Time	08/23/2010 08:32:19 AM Hawaiian Standard Time	08/23/2010 08:32:19 AM Hawaiian Standard Time		08/25/2010 02:45:37 PM Hawaiian Standard Time	ALOHACARE	AlohaCare	http://AlohaCare.org	AlohaCare Advantage Plus (HMO SNP)	01	01		1			H5969	002	0	2011	State of Hawaii		2	716	2		2		1	3		1	3		http://www.AlohaCare.org/ProviderSearch	http://www.AlohaCare.org/formulary	http://www.AlohaCare.org/providersearch	(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1
H5969	801	0	1	01	01	H5969_801_0	8	08/25/2010	2011.01	08/25/2010 10:01:41 AM Hawaiian Standard Time	07/21/2010 02:36:00 PM Hawaiian Standard Time			08/25/2010 02:45:37 PM Hawaiian Standard Time	ALOHACARE	AlohaCare	http://AlohaCare.org	AlohaCare Advantage for Groups (HMO)	01	01		1			H5969	801	0	2011	State of Hawaii		1	135	2				2						http://www.AlohaCare.org/ProviderSearch	http://www.AlohaCare.org/formulary	http://www.AlohaCare.org/providersearch	(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(866)-973-6395		(808)-973-6395		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		(877)-447-5990		1
H5970	001	0	1	04	01	H5970_001_0	5	08/20/2010	2011.01	08/20/2010 01:28:12 PM Eastern Daylight Time	08/19/2010 06:31:30 PM Eastern Daylight Time	08/20/2010 04:21:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	HumanaChoice H5970-001 (PPO)	01	04		1			H5970	001	0	2011	Southern Tier Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H5970	002	0	1	04	01	H5970_002_0	5	08/20/2010	2011.01	08/20/2010 01:28:39 PM Eastern Daylight Time	08/19/2010 06:33:34 PM Eastern Daylight Time	08/20/2010 04:21:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	HumanaChoice H5970-002 (PPO)	01	04		1			H5970	002	0	2011	Oneida, Onondaga, Oswego counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H5970	004	0	1	04	01	H5970_004_0	5	08/20/2010	2011.01	08/20/2010 01:29:00 PM Eastern Daylight Time	08/19/2010 06:49:42 PM Eastern Daylight Time	08/20/2010 04:21:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	HumanaChoice H5970-004 (PPO)	01	04		1			H5970	004	0	2011	Select Counties in New York		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H5970	801	0	1	04	01	H5970_801_0	3	06/05/2010	2011.01	06/05/2010 09:20:51 AM Eastern Daylight Time	07/26/2010 01:25:31 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5970	801	0	2011	State of New York		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5970	802	0	1	04	01	H5970_802_0	3	06/05/2010	2011.01	06/05/2010 09:21:19 AM Eastern Daylight Time	07/26/2010 01:38:32 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H5970	802	0	2011	State of New York		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H5970	803	0	1	04	01	H5970_803_0	3	06/05/2010	2011.01	06/05/2010 09:21:44 AM Eastern Daylight Time	07/26/2010 01:38:58 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H5970	803	0	2011	State of New York		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5970	805	0	2	04	01	H5970_805_0	5	06/05/2010	2011.01	06/05/2010 09:29:31 AM Eastern Daylight Time	07/26/2010 04:03:38 PM Eastern Daylight Time			07/26/2010 05:15:52 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		2	2		H5970	805	0	2011	State of New York		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5970	806	0	2	04	01	H5970_806_0	5	06/05/2010	2011.01	06/05/2010 09:29:59 AM Eastern Daylight Time	07/26/2010 04:04:18 PM Eastern Daylight Time			07/26/2010 05:15:52 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		2	2		H5970	806	0	2011	State of New York		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H5970	807	0	2	04	01	H5970_807_0	5	06/05/2010	2011.01	06/05/2010 09:30:25 AM Eastern Daylight Time	07/26/2010 04:04:56 PM Eastern Daylight Time			07/26/2010 05:15:52 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		2	2		H5970	807	0	2011	State of New York		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.medicare.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H5978	001	0	1	20	08	H5978_001_0	1	05/20/2010	2011.01	05/20/2010 12:10:14 PM Eastern Daylight Time		05/18/2010 08:27:06 PM Eastern Daylight Time		05/20/2010 12:13:49 PM Eastern Daylight Time	PHI LIFE	PHI LIFE dba everyday LIFE	www.everydaylifecenters.org	PHI LIFE dba everyday LIFE (PACE)	08	20		1			H5978	001	0	2011	Northampton and Lehigh counties		2		2				2							www.everydaylifecenters.org	www.everydaylifecenters.org									(877)-895-4330		(610)-954-5433		(877)-895-4330		(610)-954-5433										(877)-895-4330		(610)-954-5433		(877)-895-4330		(610)-954-5433		1
H5978	002	0	1	20	08	H5978_002_0	1	05/20/2010	2011.01	05/20/2010 12:10:26 PM Eastern Daylight Time		05/18/2010 08:27:06 PM Eastern Daylight Time		05/20/2010 12:13:49 PM Eastern Daylight Time	PHI LIFE	PHI LIFE dba everyday LIFE	www.everydaylifecenters.org	PHI LIFE dba everyday LIFE (PACE)	08	20		1			H5978	002	0	2011	Lehigh and Northampton counties		2		2				2							www.everydaylifecenters.org	www.everydaylifecenters.org									(877)-895-4330		(610)-954-5433		(877)-895-4330		(610)-954-5433										(877)-895-4330		(610)-954-5433		(877)-895-4330		(610)-954-5433		1
H5980	005	0	1	01	01	H5980_005_0	7	08/30/2010	2011.01	08/30/2010 04:29:55 PM Central Daylight Time	08/23/2010 01:52:31 PM Central Daylight Time	08/23/2010 01:52:22 PM Central Daylight Time		08/30/2010 04:45:58 PM Central Daylight Time	FIDELIS SECURECARE OF TEXAS, INC.	Fidelis SecureCare of Texas, Inc.	www.fidelissc.com	Fidelis Secure Comfort (HMO SNP)	01	01		1			H5980	005	0	2011	Texas Area		2		2				1	1	1	1				http://www.fidelissc.com/ourplans/t_partD.asp	http://www.fidelissc.com/ourplans/t_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5980	006	0	1	01	01	H5980_006_0	6	07/01/2010	2011.01	07/01/2010 11:17:20 AM Central Daylight Time	08/23/2010 01:52:32 PM Central Daylight Time	08/23/2010 01:52:25 PM Central Daylight Time		08/23/2010 05:39:44 PM Central Daylight Time	FIDELIS SECURECARE OF TEXAS, INC.	Fidelis SecureCare of Texas, Inc.	www.fidelissc.com	Fidelis Secure Comfort Plus (HMO SNP)	01	01		1			H5980	006	0	2011	Texas Area		2		2				1	1	1	1				http://www.fidelissc.com/ourplans/t_partD.asp	http://www.fidelissc.com/ourplans/t_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5980	007	0	1	01	01	H5980_007_0	9	08/23/2010	2011.01	08/23/2010 02:18:09 PM Central Daylight Time	08/25/2010 02:08:00 PM Central Daylight Time	08/23/2010 01:52:30 PM Central Daylight Time		08/25/2010 03:33:14 PM Central Daylight Time	FIDELIS SECURECARE OF TEXAS, INC.	Fidelis SecureCare of Texas, Inc.	www.fidelissc.com	Fidelis Secure Independence (HMO SNP)	01	01		1			H5980	007	0	2011	Texas Area		2		2				1	1	2	1				http://www.fidelissc.com/ourplans/t_partD.asp	http://www.fidelissc.com/ourplans/t_partD.asp	(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(877)-372-8085		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H5985	001	0	1	01	01	H5985_001_0	7	08/20/2010	2011.01	08/20/2010 03:49:14 PM US Mountain Standard Time	08/25/2010 12:59:48 PM US Mountain Standard Time	08/19/2010 03:05:14 PM US Mountain Standard Time		08/25/2010 01:54:01 PM US Mountain Standard Time	ABRAZO ADVANTAGE HEALTH PLAN	Abrazo Advantage Health Plan	www.abrazoadvantage.com	Abrazo Advantage (HMO)	01	01		1			H5985	001	0	2011	Central Arizona		2	605	2				2						http://www.abrazoadvantage.com/find_a_doctor.aspx	AbrazoAdvantage.com	AbrazoAdvantage.com	(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		1
H5985	002	0	1	01	01	H5985_002_0	4	08/20/2010	2011.01	08/20/2010 03:48:53 PM US Mountain Standard Time	08/19/2010 02:58:25 PM US Mountain Standard Time	08/19/2010 03:05:14 PM US Mountain Standard Time		08/21/2010 05:08:40 PM US Mountain Standard Time	ABRAZO ADVANTAGE HEALTH PLAN	Abrazo Advantage Health Plan	AbrazoAdvantage.com	Abrazo Advantage Plus (HMO SNP)	01	01		1			H5985	002	0	2011	Central Arizona		2	2809	2		2		1	3		1	3		http://www.abrazoadvantage.com/find_a_doctor.aspx	AbrazoAdvantage.com	AbrazoAdvantage.com	(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(888)-864-1114		(602)-824-3900		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		(800)-489-1472		(602)-824-3909		1
H5989	002	0	1	01	01	H5989_002_0	9	08/20/2010	2011.01	08/20/2010 10:20:51 AM Central Daylight Time	08/20/2010 02:14:35 PM Central Daylight Time	08/20/2010 02:16:20 PM Central Daylight Time		08/20/2010 03:13:22 PM Central Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCM Direct Complete Plan (HMO SNP)	01	01		1			H5989	002	0	2011	New York City Metro Area and Westchester County		2	340	2				1	1	3	1			www.ccmny.org	http://www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1
H5989	004	0	1	01	01	H5989_004_0	6	08/20/2010	2011.01	08/20/2010 10:21:23 AM Central Daylight Time	08/20/2010 02:15:00 PM Central Daylight Time	08/20/2010 02:16:43 PM Central Daylight Time		08/20/2010 03:13:22 PM Central Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCM Direct Value Plan (HMO)	01	01		1			H5989	004	0	2011	New York City Metro Area and Westchester County		2	64	2				2						www.ccmny.org	http://www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1
H5989	005	0	1	01	01	H5989_005_0	8	08/20/2010	2011.01	08/20/2010 02:53:53 PM Central Daylight Time	08/20/2010 02:15:24 PM Central Daylight Time	08/20/2010 02:17:01 PM Central Daylight Time		08/20/2010 03:13:22 PM Central Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCM Direct Choice Plan (HMO)	01	01		1			H5989	005	0	2011	New York City Metro Area and Westchester County		2	295	2				2						www.ccmny.org	http://www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1
H5989	007	0	1	01	01	H5989_007_0	6	08/20/2010	2011.01	08/20/2010 10:23:53 AM Central Daylight Time	08/20/2010 02:15:49 PM Central Daylight Time	08/20/2010 02:17:24 PM Central Daylight Time		08/20/2010 03:13:22 PM Central Daylight Time	COMPREHENSIVE CARE MANAGEMENT CORP.	Comprehensive Care Management Corp.	www.ccmny.org	CCM Total Plan (HMO SNP)	01	01		1			H5989	007	0	2011	New York City Metro Area and Westchester County		2	39	2		2		1	3		1	5		www.ccmny.org	http://www.ccmny.org	http://www.ccmny.org	(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(877)-226-8500		(718)-515-8600		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		(800)-650-2774		1
H5991	001	0	1	01	01	H5991_001_0	9	08/25/2010	2011.01	08/25/2010 01:21:34 PM Eastern Daylight Time	08/25/2010 01:15:29 PM Eastern Daylight Time	08/23/2010 04:18:00 PM Eastern Daylight Time		08/25/2010 02:52:48 PM Eastern Daylight Time	AFFINITY HEALTH PLAN, INC.	Affinity Health Plan	www.affinityplan.org	Affinity Medicare Ultimate (HMO SNP)	01	01		1			H5991	001	0	2011	New York City (5 Boroughs)		2	2686	2		2		1	3		1	3		https://www.affinityplan.org/medicare.asp	www.affinityplan.org	www.affinityplan.org	(877)-234-4499		(877)-234-4499		(877)-234-4499		(877)-234-4499		(800)-417-3367		(800)-417-3367		(877)-234-4499		(877)-234-4499		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-899-2114		(800)-899-2114		(800)-662-1220		(800)-662-1220		1
H5991	002	0	1	01	01	H5991_002_0	9	08/23/2010	2011.01	08/23/2010 04:46:17 PM Eastern Daylight Time	08/23/2010 04:19:00 PM Eastern Daylight Time	08/23/2010 04:20:00 PM Eastern Daylight Time		08/23/2010 05:07:18 PM Eastern Daylight Time	AFFINITY HEALTH PLAN, INC.	Affinity Health Plan	www.affinityplan.org	Affinity Medicare Solutions (HMO SNP)	01	01		1			H5991	002	0	2011	New York City (5 Boroughs)		2	1045	2		2		1	3		1	2		https://www.affinityplan.org/medicare.asp	www.affinityplan.org	www.affinityplan.org	(877)-234-4499		(877)-234-4499		(877)-234-4499		(877)-234-4499		(800)-417-3367		(800)-417-3367		(877)-234-4499		(877)-234-4499		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-899-2114		(800)-899-2114		(800)-662-1220		(800)-662-1220		1
H5992	005	0	1	01	01	H5992_005_0	7	08/30/2010	2011.01	08/30/2010 04:07:12 PM Eastern Daylight Time	08/30/2010 04:21:59 PM Eastern Daylight Time	08/23/2010 02:41:52 PM Eastern Daylight Time		08/31/2010 10:39:24 AM Eastern Daylight Time	SENIOR WHOLE HEALTH, LLC	Senior Whole Health of New York	www.seniorwholehealth.com	Senior Whole Health of New York (HMO SNP)	01	01		1			H5992	005	0	2011	Capital District, Hudson Valley, Adirondacks		2	1600	2		2		1	3		1	5		www.seniorwholehealth.com	www.seniorwholehealth.com	www.seniorwholehealth.com	(866)-211-1777		(518)-472-5200		(866)-211-1777		(518)-472-5200		(866)-211-1777		(518)-472-5200		(866)-211-1777		(518)-472-5200		(866)-404-9507		(518)-472-5219		(866)-404-9507		(518)-472-5219		(866)-404-9507		(518)-472-5219		(866)-404-9507		(518)-472-5219		1
H5995	001	0	1	01	01	H5995_001_0	5	08/20/2010	2011.01	08/20/2010 03:54:33 PM Pacific Daylight Time	08/23/2010 08:32:10 AM Pacific Daylight Time	08/23/2010 08:32:27 AM Pacific Daylight Time		08/23/2010 08:47:58 AM Pacific Daylight Time	MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage, Inc.	www.mpchpa.org	Marion Polk Community Health Plan Advantage (HMO SNP)	01	01		1			H5995	001	0	2011	Marion and Polk Counties In Oregon		2	3150	2		2		1	3		1	3		http://www.physicianschoiceplans.com/providerfinder	www.mpchpa.org	www.mpchpa.org	(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H5998	003	0	1	01	01	H5998_003_0	3	06/03/2010	2011.01	06/03/2010 04:22:45 PM Central Daylight Time	08/19/2010 06:13:05 PM Central Daylight Time	08/18/2010 04:34:20 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNISON HEALTH PLAN OF TENNESSEE, INC.	Unison Advantage	www.unisonhealthplan.com	UnitedHealthcare Dual Complete (HMO SNP)	01	01		1			H5998	003	0	2011	Southwest Tennessee		2		2		2		1	3		1	5		www.unisonhealthplan.com	http://www.unisonhealthplan.com	www.prescriptionsolutions.com	(800)-290-4009		(800)-290-4009		(888)-565-8170		(888)-565-8170		(800)-290-4009		(800)-290-4009		(888)-727-8604		(888)-727-8604		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6059	001	0	1	20	08	H6059_001_0	2	10/26/2010	2011.01	10/26/2010 10:52:47 AM Eastern Daylight Time		10/27/2010 09:18:08 AM Eastern Daylight Time		11/01/2010 10:38:03 AM Eastern Daylight Time	PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC.	PACE OF THE TRIAD	Paceofthetriad.org	PACE of The Triad - Dual (PACE)	08	20		1			H6059	001	0	2011	PACE of The Triad - Dual		2		2				2							Paceofthetriad.org	Paceofthetriad.org									(336)-550-4056		(336)-550-4056		(336)-550-4056		(336)-550-4056										(336)-621-2478		(336)-621-2478		(336)-621-2478		(336)-621-2478		1
H6059	002	0	1	20	08	H6059_002_0	1	10/26/2010	2011.01	10/26/2010 10:53:49 AM Eastern Daylight Time		10/27/2010 09:17:18 AM Eastern Daylight Time		10/29/2010 03:40:42 PM Eastern Daylight Time	PACE OF GUILFORD AND ROCKINGHAM COUNTIES, INC.	PACE OF THE TRIAD	Paceofthetriad.org	PACE of The Triad - Medicare only (PACE)	08	20		1			H6059	002	0	2011	PACE of The Triad - Medicare only		2		2				2							Paceofthetriad.org	Paceofthetriad.org									(336)-550-4056		(336)-550-4056		(336)-550-4056		(336)-550-4056										(336)-621-2478		(336)-621-2478		(336)-621-2478		(336)-621-2478		1
H6169	001	0	1	09	04	H6169_001_0	6	07/23/2010	2011.01	07/23/2010 04:29:52 PM Central Daylight Time	07/20/2010 09:41:31 AM Central Daylight Time			07/26/2010 06:43:46 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 100 (PFFS)	04	09	1	1			H6169	001	0	2011	Select counties in Midwest, Southeast, Southwest		2	85679	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H6169	011	0	1	09	04	H6169_011_0	9	08/30/2010	2011.01	08/30/2010 09:50:18 AM Central Daylight Time	07/29/2010 01:20:46 PM Central Daylight Time			08/30/2010 10:41:13 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 600 (PFFS)	04	09	1	1			H6169	011	0	2011	Select counties in Midwest, Southeast, Southwest		2	89723	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H6169	012	0	1	09	04	H6169_012_0	9	08/31/2010	2011.01	08/31/2010 04:41:42 PM Central Daylight Time	07/29/2010 01:25:50 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 700 (PFFS)	04	09	1	1			H6169	012	0	2011	Select counties in Midwest, Southeast, Southwest		2	23053	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H6169	013	0	1	09	04	H6169_013_0	9	08/31/2010	2011.01	08/31/2010 03:50:01 PM Central Daylight Time	07/29/2010 01:31:57 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	1	1			H6169	013	0	2011	Select counties in Midwest, Southeast, Southwest		2	14840	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H6169	014	0	1	09	04	H6169_014_0	9	08/31/2010	2011.01	08/31/2010 03:50:04 PM Central Daylight Time	07/29/2010 01:35:04 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	1	1			H6169	014	0	2011	Select counties in Midwest, Southeast, Southwest		2	12357	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H6169	015	0	1	09	04	H6169_015_0	9	08/31/2010	2011.01	08/31/2010 03:50:07 PM Central Daylight Time	07/29/2010 01:38:49 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	1	1			H6169	015	0	2011	Select counties in Midwest, Southeast, Southwest		2	3545	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H6169	016	0	1	09	04	H6169_016_0	10	08/31/2010	2011.01	08/31/2010 03:50:11 PM Central Daylight Time	07/29/2010 01:42:14 PM Central Daylight Time			08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 800 (PFFS)	04	09	1	1			H6169	016	0	2011	Select counties in Midwest, Southeast, Southwest		2	10609	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H6169	021	0	1	09	04	H6169_021_0	8	07/23/2010	2011.01	07/23/2010 04:30:00 PM Central Daylight Time	08/20/2010 06:17:26 AM Central Daylight Time	08/19/2010 01:19:04 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 150 A powered by CCRx (PFFS)	04	09	1	1			H6169	021	0	2011	Select counties in Midwest, Southeast, Southwest		2	14241	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	024	0	1	09	04	H6169_024_0	7	07/23/2010	2011.01	07/23/2010 04:30:02 PM Central Daylight Time	08/20/2010 06:19:30 AM Central Daylight Time	08/19/2010 01:19:38 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 450 A powered by CCRx (PFFS)	04	09	1	1			H6169	024	0	2011	Select counties in Midwest, Southeast, Southwest		2	11970	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	031	0	1	09	04	H6169_031_0	12	08/30/2010	2011.01	08/30/2010 09:49:49 AM Central Daylight Time	08/20/2010 06:21:24 AM Central Daylight Time	08/19/2010 01:32:20 PM Central Daylight Time		08/30/2010 10:41:13 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 650 B powered by CCRx (PFFS)	04	09	1	1			H6169	031	0	2011	Select counties in Midwest, Southeast, Southwest		2	34336	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	032	0	1	09	04	H6169_032_0	13	08/31/2010	2011.01	08/31/2010 04:41:28 PM Central Daylight Time	08/20/2010 06:23:39 AM Central Daylight Time	08/19/2010 01:45:28 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 750 B powered by CCRx (PFFS)	04	09	1	1			H6169	032	0	2011	Select counties in Midwest, Southeast, Southwest		2	28582	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	033	0	1	09	04	H6169_033_0	11	08/31/2010	2011.01	08/31/2010 03:50:21 PM Central Daylight Time	08/20/2010 06:25:33 AM Central Daylight Time	08/19/2010 01:32:48 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 F powered by CCRx (PFFS)	04	09	1	1			H6169	033	0	2011	Select counties in Midwest, Southeast, Southwest		2	45545	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	034	0	1	09	04	H6169_034_0	10	08/31/2010	2011.01	08/31/2010 03:50:24 PM Central Daylight Time	08/20/2010 06:27:23 AM Central Daylight Time	08/19/2010 01:33:16 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 E powered by CCRx (PFFS)	04	09	1	1			H6169	034	0	2011	Select counties in Midwest, Southeast, Southwest		2	23003	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	035	0	1	09	04	H6169_035_0	10	08/31/2010	2011.01	08/31/2010 03:50:27 PM Central Daylight Time	08/20/2010 06:37:24 AM Central Daylight Time	08/19/2010 01:33:46 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 F powered by CCRx (PFFS)	04	09	1	1			H6169	035	0	2011	Select counties in Midwest, Southeast, Southwest		2	4094	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	036	0	1	09	04	H6169_036_0	13	08/31/2010	2011.01	08/31/2010 03:50:31 PM Central Daylight Time	08/20/2010 06:39:11 AM Central Daylight Time	08/19/2010 01:34:16 PM Central Daylight Time		08/31/2010 05:27:56 PM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options Premier 850 D powered by CCRx (PFFS)	04	09	1	1			H6169	036	0	2011	Select counties in Midwest, Southeast, Southwest		2	18448	2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	801	0	1	09	04	H6169_801_0	5	08/09/2010	2011.01	08/09/2010 10:09:23 AM Central Daylight Time	06/06/2010 04:55:07 PM Central Daylight Time			08/09/2010 10:20:18 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options PFFS - MA Group Plan (PFFS)	04	09	1	1			H6169	801	0	2011	National		1		2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H6169	802	0	1	09	04	H6169_802_0	5	08/09/2010	2011.01	08/09/2010 10:09:59 AM Central Daylight Time	06/06/2010 05:18:48 PM Central Daylight Time			08/09/2010 10:20:18 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options PFFS - MAPD Group Plan (PFFS)	04	09	1	1			H6169	802	0	2011	National		1		2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6169	803	0	1	09	04	H6169_803_0	5	08/09/2010	2011.01	08/09/2010 10:10:00 AM Central Daylight Time	06/06/2010 05:20:28 PM Central Daylight Time			08/09/2010 10:20:18 AM Central Daylight Time	THE PYRAMID LIFE INSURANCE COMPANY	Universal American	www.todaysoptions.com	Today's Options PFFS - MAPD Group Plan - NCY (PFFS)	04	09	1	1			H6169	803	0	2011	National		1		2				2							www.todaysoptions.com	www.todaysoptions.com	(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(866)-568-8921		(866)-568-8921		(800)-996-8867		(800)-996-8867		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H6178	001	0	1	01	01	H6178_001_0	8	08/30/2010	2011.01	08/30/2010 03:59:07 PM Eastern Daylight Time	08/23/2010 11:29:48 AM Eastern Daylight Time	08/25/2010 04:58:07 PM Eastern Daylight Time		08/30/2010 04:10:40 PM Eastern Daylight Time	CARESOURCE	CareSource	www.caresource.com	CareSource Advantage (HMO SNP)	01	01		1			H6178	001	0	2011	54 counties in the State of Ohio		2	1277	2		2		1	3		1	3		www.caresource.com	www.caresource.com	www.caresource.com	(800)-708-8729		(800)-708-8729		(800)-708-8729		(800)-708-8729		(800)-708-8729		(800)-708-8729		(800)-708-8729		(800)-708-8729		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
H6181	007	0	1	01	01	H6181_007_0	5	08/21/2010	2011.01	08/21/2010 08:05:21 AM Eastern Daylight Time	08/22/2010 01:37:45 PM Eastern Daylight Time	08/20/2010 05:39:34 PM Eastern Daylight Time		08/23/2010 09:14:21 AM Eastern Daylight Time	AMERIGROUP NEW YORK, LLC	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Specialty + Rx (HMO SNP)	01	01		1			H6181	007	0	2011	New York City Area		2	493	2		2		1	3		1	1		http://www.myamerigroup.com/medicare	http://www.amerigroupcorp.com/Members/amerivantage/_documents	http://www.amerigroupcorp.com/Members/amerivantage	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H6181	009	0	1	01	01	H6181_009_0	6	08/21/2010	2011.01	08/21/2010 08:10:44 AM Eastern Daylight Time	08/20/2010 06:19:07 PM Eastern Daylight Time	08/20/2010 05:39:18 PM Eastern Daylight Time		08/23/2010 09:14:21 AM Eastern Daylight Time	AMERIGROUP NEW YORK, LLC	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Balance + Rx (HMO)	01	01		1			H6181	009	0	2011	New York City Area		2	527	2				2						http://www.myamerigroup.com/medicare	http://www.amerigroupcorp.com/Members/amerivantage/_documents	http://www.amerigroupcorp.com/Members/amerivantage	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H6231	001	0	1	20	08	H6231_001_0	1	05/26/2010	2011.01	05/26/2010 03:35:50 PM Central Daylight Time		05/26/2010 03:01:31 PM Central Daylight Time		05/26/2010 03:39:31 PM Central Daylight Time	FRANCISCAN PACE, INC.	PACE Baton Rouge	www.fmolhs.org	Franciscan PACE, Inc. (PACE)	08	20		1			H6231	001	0	2011	PACE Baton Rouge		2		1	1			2							www.ololrmc.com	www.ololrmc.com									(800)-789-2863		(225)-490-0604		(800)-789-2863		(225)-490-0604										(800)-789-2863		(225)-490-0604		(800)-789-2863		(225)-490-0604		1
H6231	002	0	1	20	08	H6231_002_0	1	05/26/2010	2011.01	05/26/2010 03:36:08 PM Central Daylight Time		05/26/2010 03:01:31 PM Central Daylight Time		05/26/2010 03:39:31 PM Central Daylight Time	FRANCISCAN PACE, INC.	PACE Baton Rouge	www.fmolhs.org	Franciscan PACE, Inc. (PACE)	08	20		1			H6231	002	0	2011	PACE Baton Rouge		2		1	1			2							www.ololrmc.com	www.ololrmc.com									(800)-789-2863		(225)-490-0604		(800)-789-2863		(225)-490-0604										(800)-789-2863		(225)-490-0604		(800)-789-2863		(225)-490-0604		1
H6264	001	0	1	01	01	H6264_001_0	7	09/29/2010	2011.01	09/29/2010 10:04:20 AM Eastern Daylight Time	08/23/2010 03:42:46 PM Eastern Daylight Time	08/23/2010 03:42:01 PM Eastern Daylight Time		09/29/2010 10:12:40 AM Eastern Daylight Time	HEALTHPLUS PHSP, INC.	Health Plus Elite	www.healthplus-ny.org	Health Plus Elite - MAPD (HMO)	01	01		1			H6264	001	0	2011	New York City and Nassau		2	180	2				2						www.healthplus-ny.org	https://mp.medimpact.com/pharmacyportal/public/Login.jsp?viewtype=mi	https://mp.medimpact.com/pharmacyportal/public/Login.jsp?viewtype=mi	(800)-300-8181		(718)-369-5400		(866)-509-7999		(718)-369-5400		(800)-300-8181		(718)-369-5400		(866)-509-7999		(718)-369-5400		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		1
H6264	002	0	1	01	01	H6264_002_0	5	08/23/2010	2011.01	08/23/2010 03:02:06 PM Eastern Daylight Time	08/23/2010 03:42:36 PM Eastern Daylight Time	08/23/2010 03:42:01 PM Eastern Daylight Time		08/23/2010 06:01:25 PM Eastern Daylight Time	HEALTHPLUS PHSP, INC.	Health Plus Elite	www.healthplus-ny.org	Health Plus Elite - Dual Special Needs Plan (HMO SNP)	01	01		1			H6264	002	0	2011	New York City and Nassau		2	2815	2		2		1	3		1	5		www.healthplus-ny.org	https://mp.medimpact.com/pharmacyportal/public/Login.jsp?viewtype=mi	https://mp.medimpact.com/pharmacyportal/public/Login.jsp?viewtype=mi	(800)-300-8181		(718)-369-5400		(866)-509-7999		(718)-369-5400		(800)-300-8181		(718)-369-5400		(866)-509-7999		(718)-369-5400		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		(800)-662-1229		1
H6328	001	0	1	04	01	H6328_001_0	12	08/30/2010	2011.01	08/30/2010 05:06:20 PM Central Daylight Time	08/23/2010 09:57:00 AM Central Daylight Time	08/26/2010 10:20:00 AM Central Daylight Time		08/30/2010 05:25:46 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan I (PPO)	01	04		1			H6328	001	0	2011	Tarrant County, Johnson County and Parker County		2		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213		(800)-260-1327		(800)-260-1327		(866)-684-4333		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1
H6328	002	0	1	04	01	H6328_002_0	11	08/30/2010	2011.01	08/30/2010 05:06:47 PM Central Daylight Time	08/26/2010 10:32:00 AM Central Daylight Time	08/26/2010 10:21:00 AM Central Daylight Time		08/30/2010 05:25:46 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan II (PPO)	01	04		1			H6328	002	0	2011	Tarrant County, Johnson County and Parker County		2		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213		(800)-260-1327		(800)-260-1327		(866)-684-4333		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1
H6328	003	0	1	04	01	H6328_003_0	11	08/30/2010	2011.01	08/30/2010 05:07:30 PM Central Daylight Time	08/26/2010 10:34:00 AM Central Daylight Time	08/26/2010 10:21:00 AM Central Daylight Time		08/30/2010 05:25:46 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan III (PPO)	01	04		1			H6328	003	0	2011	Tarrant County, Johnson County and Parker County		2		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213		(800)-260-1327		(800)-260-1327		(866)-684-4333		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1
H6328	005	0	1	04	01	H6328_005_0	8	08/30/2010	2011.01	08/30/2010 05:08:07 PM Central Daylight Time	07/30/2010 10:08:00 AM Central Daylight Time			08/30/2010 05:25:46 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan I MA-Only (PPO)	01	04		1			H6328	005	0	2011	Tarrant County, Johnson County and Parker County		2		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213										(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268										1
H6328	006	0	1	04	01	H6328_006_0	9	08/30/2010	2011.01	08/30/2010 05:08:23 PM Central Daylight Time	07/29/2010 05:48:00 PM Central Daylight Time			08/30/2010 05:25:46 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan II MA-Only (PPO)	01	04		1			H6328	006	0	2011	Tarrant County, Johnson County and Parker County		2		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213										(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268										1
H6328	801	0	1	04	01	H6328_801_0	2	06/04/2010	2011.01	06/04/2010 02:53:07 PM Central Daylight Time	06/07/2010 01:35:00 PM Central Daylight Time			06/07/2010 05:45:19 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan Employer Group CY (PPO)	01	04		1			H6328	801	0	2011	Tarrant County, Johnson County and Parker County		1		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213		(800)-260-1327		(800)-260-1327		(866)-684-4333		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1
H6328	802	0	1	04	01	H6328_802_0	2	06/04/2010	2011.01	06/04/2010 02:53:25 PM Central Daylight Time	06/07/2010 01:36:00 PM Central Daylight Time			06/07/2010 05:45:19 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan Employer Group NCY (PPO)	01	04		1			H6328	802	0	2011	Tarrant County, Johnson County and Parker County		1		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213		(800)-260-1327		(800)-260-1327		(866)-684-4333		(817)-810-5213		(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268		(866)-547-0773		(866)-547-0773		(877)-374-7994		(817)-529-5268		1
H6328	803	0	1	04	01	H6328_803_0	2	06/04/2010	2011.01	06/04/2010 02:53:28 PM Central Daylight Time	06/07/2010 01:34:00 PM Central Daylight Time			06/07/2010 05:45:19 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan Employer Group CY (PPO)	01	04		1			H6328	803	0	2011	Tarrant County, Johnson County and Parker County		1		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213										(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268										1
H6328	804	0	1	04	01	H6328_804_0	2	06/04/2010	2011.01	06/04/2010 02:53:32 PM Central Daylight Time	06/07/2010 01:37:00 PM Central Daylight Time			06/07/2010 05:45:19 PM Central Daylight Time	CARE N' CARE INSURANCE COMPANY, INC.	Care N' Care Health Plan	www.cnchealthplan.com	Care N' Care Health Plan Employer Group NCY (PPO)	01	04		1			H6328	804	0	2011	Tarrant County, Johnson County and Parker County		1		2				2						www.cnchealthplan.com	www.cnchealthplan.com	www.cnchealthplan.com	(877)-374-7993		(817)-529-5267		(866)-684-4333		(817)-810-5213										(877)-374-7994		(817)-529-5268		(877)-374-7994		(817)-529-5268										1
H6360	001	0	1	18	06	H6360_001_0	5	08/19/2010	2011.01	08/19/2010 05:32:13 PM Eastern Daylight Time		08/19/2010 03:48:38 PM Eastern Daylight Time		08/20/2010 05:25:48 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus I (Cost)	06	18		1			H6360	001	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	7919	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		1
H6360	002	0	1	18	06	H6360_002_0	4	07/29/2010	2011.01	07/29/2010 02:30:01 PM Eastern Daylight Time		08/19/2010 03:50:04 PM Eastern Daylight Time		08/20/2010 05:25:48 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus II (Cost)	06	18		1			H6360	002	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	1852	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		1
H6360	004	0	1	18	06	H6360_004_0	3	07/29/2010	2011.01	07/29/2010 02:30:38 PM Eastern Daylight Time				07/30/2010 07:27:35 AM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic I (Cost)	06	18		1			H6360	004	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	14	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495										(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054										1
H6360	006	0	1	18	06	H6360_006_0	4	07/29/2010	2011.01	07/29/2010 02:31:30 PM Eastern Daylight Time		08/19/2010 03:50:58 PM Eastern Daylight Time		08/20/2010 05:25:48 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus III (Cost)	06	18		1			H6360	006	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	1196	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		1
H6360	007	0	1	18	06	H6360_007_0	3	07/29/2010	2011.01	07/29/2010 02:31:51 PM Eastern Daylight Time				07/30/2010 07:27:35 AM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic II (Cost)	06	18		1			H6360	007	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	75	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495										(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054										1
H6360	008	0	1	18	06	H6360_008_0	3	07/29/2010	2011.01	07/29/2010 02:32:14 PM Eastern Daylight Time				07/30/2010 07:27:35 AM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic III (Cost)	06	18		1			H6360	008	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	304	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495										(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054										1
H6360	009	0	2	18	06	H6360_009_0	5	08/05/2010	2011.01	08/05/2010 08:17:28 AM Eastern Daylight Time		08/19/2010 03:52:55 PM Eastern Daylight Time		08/20/2010 05:25:48 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus I - B only (Cost)	06	18		2	1		H6360	009	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	2	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		1
H6360	010	0	1	18	06	H6360_010_0	4	07/29/2010	2011.01	07/29/2010 02:32:57 PM Eastern Daylight Time		08/19/2010 03:53:52 PM Eastern Daylight Time		08/20/2010 05:25:48 PM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus IV (Cost)	06	18		1			H6360	010	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	200	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054		1
H6360	011	0	1	18	06	H6360_011_0	3	07/29/2010	2011.01	07/29/2010 02:33:14 PM Eastern Daylight Time				07/30/2010 07:27:35 AM Eastern Daylight Time	KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Basic IV (Cost)	06	18		1			H6360	011	0	2011	Counties: Cuy, Gea, Lak, Lor, Med, Por, Sum		2	13	2				2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(877)-408-3495		(877)-408-3495										(866)-513-9966		(216)-635-4444		(888)-758-6054		(888)-758-6054										1
H6360	801	0		18	06	H6360_801_0	3	06/03/2010	2011.01						KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Group (Cost)	06	18					H6360	801	0	2011	Ohio		1						2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353				(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-635-4444		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-635-4444		(877)-479-5741		(877)-479-5741		1
H6360	805	0		18	06	H6360_805_0	3	06/01/2010	2011.01						KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	Kaiser Permanente Medicare Plus Group - B only (Cost)	06	18					H6360	805	0	2011	Ohio		1						2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353				(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-635-4444		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-635-4444		(877)-479-5741		(877)-479-5741		1
H6360	806	0		18	06	H6360_806_0	3	05/26/2010	2011.01						KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	FEHB AB with D (Cost)	06	18					H6360	806	0	2011	Ohio		1						2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353				(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-635-4444		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-635-4444		(877)-479-5741		(877)-479-5741		1
H6360	807	0		18	06	H6360_807_0	3	05/14/2010	2011.01						KAISER FOUNDATION HP OF OHIO	Kaiser Permanente Medicare Plus	kp.org	FEHB B only with D (Cost)	06	18					H6360	807	0	2011	Ohio		1						2							www.kp.org/seniorrx	www.kp.org/seniorrx	(800)-493-6004		(216)-621-7100		(800)-551-5353				(800)-493-6004		(216)-621-7100		(800)-551-5353		(800)-551-5353		(866)-513-9966		(216)-635-4444		(877)-479-5741		(877)-479-5741		(866)-513-9966		(216)-635-4444		(877)-479-5741		(877)-479-5741		1
H6371	001	0	1	20	08	H6371_001_0	1	05/28/2010	2011.01	05/28/2010 08:32:32 AM Mountain Daylight Time		05/28/2010 08:25:01 AM Mountain Daylight Time		05/28/2010 10:56:52 AM Mountain Daylight Time	LUTERHAN SENIOR HEALTHCARE, INC.	Lutheran Senior LIFE	www.lsmnj.org	Lutheran Senior Healthcare (PACE)	08	20		1			H6371	001	0	2011	Lutheran Senior LIFE		2		2				2							www.lsmnj.org	www.lsmnj.org									(800)-386-7171		(609)-386-7171		(800)-386-7171		(609)-386-7171										(800)-386-7171		(609)-386-7171		(800)-386-7171		(609)-386-7171		1
H6371	002	0	1	20	08	H6371_002_0	1	05/28/2010	2011.01	05/28/2010 08:32:43 AM Mountain Daylight Time		05/28/2010 08:25:01 AM Mountain Daylight Time		05/28/2010 10:56:52 AM Mountain Daylight Time	LUTERHAN SENIOR HEALTHCARE, INC.	Lutheran Senior LIFE	lsmjn.org	Lutheran Senior Healthcare (PACE)	08	20		1			H6371	002	0	2011	Lutheran Senior LIFE		2		2				2							www.lsmnj.org	www.lsmnj.org									(800)-386-7171		(609)-386-7171		(800)-386-7171		(609)-386-7171										(800)-386-7171		(609)-386-7171		(800)-386-7171		(609)-386-7171		1
H6411	002	0	1	04	01	H6411_002_0	4	08/20/2010	2011.01	08/20/2010 01:42:53 PM Eastern Daylight Time	08/19/2010 10:19:42 PM Eastern Daylight Time	08/20/2010 04:21:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6411-002 (PPO)	01	04		1			H6411	002	0	2011	Dona Ana, Luna, Otero, and El Paso (TX) Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6411	007	0	1	04	01	H6411_007_0	4	08/20/2010	2011.01	08/20/2010 01:43:09 PM Eastern Daylight Time	08/19/2010 11:18:34 PM Eastern Daylight Time	08/20/2010 04:21:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6411-007 (PPO)	01	04		1			H6411	007	0	2011	Select Counties of New Mexico		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6411	008	0	1	04	01	H6411_008_0	3	06/05/2010	2011.01	06/05/2010 11:42:26 AM Eastern Daylight Time	07/26/2010 11:07:50 AM Eastern Daylight Time			07/26/2010 07:47:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6411-008 (PPO)	01	04		1			H6411	008	0	2011	Select Counties of New Mexico and Texas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H6528	001	0	1	04	01	H6528_001_0	5	08/20/2010	2011.01	08/20/2010 09:04:34 PM Eastern Daylight Time	08/19/2010 01:09:38 PM Eastern Daylight Time	08/20/2010 02:53:04 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Medicare Advantage (PPO)	01	04		1			H6528	001	0	2011	Arkansas		2	488	2				2						http://www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/arkansas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
H6528	005	0	1	04	01	H6528_005_0	5	08/20/2010	2011.01	08/20/2010 09:06:39 PM Eastern Daylight Time	08/19/2010 01:10:42 PM Eastern Daylight Time	08/20/2010 02:55:36 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Medicare Advantage (PPO)	01	04		1			H6528	005	0	2011	Missouri		2	417	2				2						http://www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/arkansas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
H6528	006	0	1	04	01	H6528_006_0	5	08/20/2010	2011.01	08/20/2010 09:07:44 PM Eastern Daylight Time	08/19/2010 01:11:54 PM Eastern Daylight Time	08/20/2010 02:56:40 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Medicare Advantage (PPO)	01	04		1			H6528	006	0	2011	Georgia		2	275	2				2						http://www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/arkansas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
H6528	007	0	1	04	01	H6528_007_0	5	08/20/2010	2011.01	08/20/2010 09:09:03 PM Eastern Daylight Time	08/19/2010 01:12:58 PM Eastern Daylight Time	08/20/2010 02:57:24 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Medicare Advantage (PPO)	01	04		1			H6528	007	0	2011	South Carolina		2	50	2				2						http://www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/arkansas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
H6551	001	0	1	20	08	H6551_001_0	1	05/28/2010	2011.01	05/28/2010 02:07:30 PM Eastern Daylight Time		05/19/2010 04:45:55 PM Eastern Daylight Time		05/28/2010 02:10:20 PM Eastern Daylight Time	LIFE ST. MARY, INC.	LIFE St. Mary	www.stmaryhealthcare.org	LIFE St. Mary (PACE)	08	20		1			H6551	001	0	2011	LIFE St. Mary		2		2				2							stmaryhealthcare.org	stmaryhealthcare.org									(800)-630-8147		(215)-630-8147		(800)-630-8147		(215)-630-8147										(800)-630-8147		(215)-630-8147		(800)-630-8147		(215)-630-8147		1
H6551	002	0	1	20	08	H6551_002_0	1	05/28/2010	2011.01	05/28/2010 02:07:52 PM Eastern Daylight Time		05/19/2010 04:45:55 PM Eastern Daylight Time		05/28/2010 02:10:20 PM Eastern Daylight Time	LIFE ST. MARY, INC.	LIFE St. Mary	stmaryhealthcare.org	LIFE St. Mary (PACE)	08	20		1			H6551	002	0	2011	LIFE St. Mary		2		2				2							stmaryhealthcare.org	stmaryhealthcare.org									(800)-630-8147		(215)-630-8147		(800)-630-8147		(215)-630-8147										(800)-630-8147		(215)-630-8147		(800)-630-8147		(215)-630-8147		1
H6609	001	0	1	04	01	H6609_001_0	3	08/21/2010	2011.01	08/21/2010 02:56:40 PM Eastern Daylight Time	08/20/2010 03:17:58 PM Eastern Daylight Time	08/20/2010 04:22:00 PM Eastern Daylight Time		08/21/2010 07:34:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-001 (PPO)	01	04		1			H6609	001	0	2011	South Dakota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	002	0	1	04	01	H6609_002_0	2	06/04/2010	2011.01	06/04/2010 02:05:36 PM Eastern Daylight Time	07/24/2010 09:46:50 AM Eastern Daylight Time			07/26/2010 04:04:09 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-002 (PPO)	01	04		1			H6609	002	0	2011	South Dakota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H6609	003	0	1	04	01	H6609_003_0	4	08/21/2010	2011.01	08/21/2010 02:55:12 PM Eastern Daylight Time	08/20/2010 03:15:30 PM Eastern Daylight Time	08/20/2010 04:22:00 PM Eastern Daylight Time		08/21/2010 07:34:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-003 (PPO)	01	04		1			H6609	003	0	2011	Omaha Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	004	0	1	04	01	H6609_004_0	2	06/04/2010	2011.01	06/04/2010 02:22:06 PM Eastern Daylight Time	07/24/2010 09:42:44 AM Eastern Daylight Time			07/26/2010 06:24:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-004 (PPO)	01	04		1			H6609	004	0	2011	Omaha Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H6609	005	0	1	04	01	H6609_005_0	4	08/21/2010	2011.01	08/21/2010 03:59:08 PM Eastern Daylight Time	08/20/2010 03:19:14 PM Eastern Daylight Time	08/20/2010 04:22:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-005 (PPO)	01	04		1			H6609	005	0	2011	Minnesota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	006	0	1	04	01	H6609_006_0	3	07/20/2010	2011.01	07/20/2010 03:04:18 PM Eastern Daylight Time	07/24/2010 09:48:00 AM Eastern Daylight Time			07/26/2010 06:24:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-006 (PPO)	01	04		1			H6609	006	0	2011	Minnesota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H6609	009	0	1	04	01	H6609_009_0	4	08/20/2010	2011.01	08/20/2010 01:59:09 PM Eastern Daylight Time	08/20/2010 12:45:47 PM Eastern Daylight Time	08/20/2010 04:22:00 PM Eastern Daylight Time		08/21/2010 08:39:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-009 (PPO)	01	04		1			H6609	009	0	2011	Ada, Canyon, Gem, Owyhee and Payette Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	010	0	1	04	01	H6609_010_0	4	08/20/2010	2011.01	08/20/2010 02:00:45 PM Eastern Daylight Time	08/20/2010 01:08:09 PM Eastern Daylight Time	08/20/2010 04:22:00 PM Eastern Daylight Time		08/21/2010 08:39:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-010 (PPO)	01	04		1			H6609	010	0	2011	Kootenai County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	011	0	1	04	01	H6609_011_0	5	08/20/2010	2011.01	08/20/2010 01:59:32 PM Eastern Daylight Time	08/20/2010 12:46:30 PM Eastern Daylight Time	08/20/2010 04:22:00 PM Eastern Daylight Time		08/21/2010 08:39:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-011 (PPO)	01	04		1			H6609	011	0	2011	Idaho Falls Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	012	0	1	04	01	H6609_012_0	3	06/07/2010	2011.01	06/07/2010 11:29:23 AM Eastern Daylight Time	06/07/2010 11:38:01 AM Eastern Daylight Time			07/26/2010 04:59:34 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-012 (PPO)	01	04		1			H6609	012	0	2011	Boise Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H6609	013	0	1	04	01	H6609_013_0	4	08/20/2010	2011.01	08/20/2010 02:06:17 PM Eastern Daylight Time	08/20/2010 12:47:17 PM Eastern Daylight Time	08/20/2010 04:22:00 PM Eastern Daylight Time		08/21/2010 09:12:16 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-013 (PPO)	01	04		1			H6609	013	0	2011	King, Pierce and Snohomish Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	014	0	1	04	01	H6609_014_0	4	08/20/2010	2011.01	08/20/2010 02:06:32 PM Eastern Daylight Time	08/20/2010 12:48:01 PM Eastern Daylight Time	08/20/2010 04:23:00 PM Eastern Daylight Time		08/21/2010 09:12:16 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-014 (PPO)	01	04		1			H6609	014	0	2011	King, Pierce and Snohomish Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	015	0	1	04	01	H6609_015_0	4	08/20/2010	2011.01	08/20/2010 02:08:49 PM Eastern Daylight Time	08/20/2010 12:44:56 PM Eastern Daylight Time	08/20/2010 04:23:00 PM Eastern Daylight Time		08/21/2010 09:19:42 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-015 (PPO)	01	04		1			H6609	015	0	2011	Clark County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	016	0	1	04	01	H6609_016_0	4	08/20/2010	2011.01	08/20/2010 02:09:24 PM Eastern Daylight Time	08/20/2010 01:10:33 PM Eastern Daylight Time	08/20/2010 04:23:00 PM Eastern Daylight Time		08/21/2010 09:19:42 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-016 (PPO)	01	04		1			H6609	016	0	2011	Clark County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	017	0	1	04	01	H6609_017_0	3	08/21/2010	2011.01	08/21/2010 04:11:12 PM Eastern Daylight Time	08/20/2010 03:21:06 PM Eastern Daylight Time	08/20/2010 04:23:00 PM Eastern Daylight Time		08/21/2010 07:34:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-017 (PPO)	01	04		1			H6609	017	0	2011	North Dakota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	018	0	1	04	01	H6609_018_0	5	08/21/2010	2011.01	08/21/2010 05:31:25 PM Eastern Daylight Time	08/20/2010 03:23:00 PM Eastern Daylight Time	08/20/2010 04:23:00 PM Eastern Daylight Time		08/21/2010 07:34:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-018 (PPO)	01	04		1			H6609	018	0	2011	North Dakota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	019	0	1	04	01	H6609_019_0	5	08/21/2010	2011.01	08/21/2010 05:25:03 PM Eastern Daylight Time	08/20/2010 03:23:42 PM Eastern Daylight Time	08/20/2010 04:23:00 PM Eastern Daylight Time		08/21/2010 07:34:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-019 (PPO)	01	04		1			H6609	019	0	2011	South Dakota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	021	0	1	04	01	H6609_021_0	3	08/21/2010	2011.01	08/21/2010 03:43:54 PM Eastern Daylight Time	08/20/2010 03:21:44 PM Eastern Daylight Time	08/20/2010 04:23:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-021 (PPO)	01	04		1			H6609	021	0	2011	Rochester Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	022	0	1	04	01	H6609_022_0	8	08/21/2010	2011.01	08/21/2010 03:53:58 PM Eastern Daylight Time	08/20/2010 03:22:22 PM Eastern Daylight Time	08/20/2010 04:24:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-022 (PPO)	01	04		1			H6609	022	0	2011	Minnesota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	023	0	1	04	01	H6609_023_0	8	08/21/2010	2011.01	08/21/2010 07:25:03 PM Eastern Daylight Time	08/20/2010 03:24:18 PM Eastern Daylight Time	08/20/2010 04:24:00 PM Eastern Daylight Time		08/21/2010 07:34:29 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-023 (PPO)	01	04		1			H6609	023	0	2011	Omaha Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	024	0	1	04	01	H6609_024_0	2	06/04/2010	2011.01	06/04/2010 03:50:33 PM Eastern Daylight Time	07/24/2010 09:58:34 AM Eastern Daylight Time			07/26/2010 04:04:09 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-024 (PPO)	01	04		1			H6609	024	0	2011	North Dakota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H6609	028	0	1	04	01	H6609_028_0	6	08/21/2010	2011.01	08/21/2010 03:42:42 PM Eastern Daylight Time	08/20/2010 03:26:12 PM Eastern Daylight Time	08/20/2010 04:24:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-028 (PPO)	01	04		1			H6609	028	0	2011	Rochester Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	029	0	1	04	01	H6609_029_0	4	08/20/2010	2011.01	08/20/2010 02:02:05 PM Eastern Daylight Time	08/20/2010 01:13:26 PM Eastern Daylight Time	08/20/2010 04:24:00 PM Eastern Daylight Time		08/21/2010 08:48:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-029 (PPO)	01	04		1			H6609	029	0	2011	Montana		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	036	0	1	04	01	H6609_036_0	3	08/20/2010	2011.01	08/20/2010 02:04:11 PM Eastern Daylight Time	08/20/2010 01:16:35 PM Eastern Daylight Time	08/20/2010 04:24:00 PM Eastern Daylight Time		08/21/2010 09:00:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-036 (PPO)	01	04		1			H6609	036	0	2011	Wyoming		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	038	0	1	04	01	H6609_038_0	4	08/20/2010	2011.01	08/20/2010 02:00:20 PM Eastern Daylight Time	08/20/2010 01:12:51 PM Eastern Daylight Time	08/20/2010 04:24:00 PM Eastern Daylight Time		08/21/2010 08:39:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-038 (PPO)	01	04		1			H6609	038	0	2011	Idaho		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	041	0	1	04	01	H6609_041_0	4	08/20/2010	2011.01	08/20/2010 02:07:46 PM Eastern Daylight Time	08/20/2010 01:19:57 PM Eastern Daylight Time	08/20/2010 04:24:00 PM Eastern Daylight Time		08/21/2010 09:12:16 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-041 (PPO)	01	04		1			H6609	041	0	2011	Mount Vernon, WA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	042	0	1	04	01	H6609_042_0	4	08/20/2010	2011.01	08/20/2010 02:08:01 PM Eastern Daylight Time	08/20/2010 01:14:15 PM Eastern Daylight Time	08/20/2010 04:25:00 PM Eastern Daylight Time		08/21/2010 09:12:16 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-042 (PPO)	01	04		1			H6609	042	0	2011	Mount Vernon, WA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	045	0	1	04	01	H6609_045_0	4	08/20/2010	2011.01	08/20/2010 02:06:50 PM Eastern Daylight Time	08/20/2010 01:18:12 PM Eastern Daylight Time	08/20/2010 04:25:00 PM Eastern Daylight Time		08/21/2010 09:12:16 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-045 (PPO)	01	04		1			H6609	045	0	2011	Spokane, WA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	046	0	1	04	01	H6609_046_0	4	08/20/2010	2011.01	08/20/2010 02:07:03 PM Eastern Daylight Time	08/20/2010 01:14:58 PM Eastern Daylight Time	08/20/2010 04:25:00 PM Eastern Daylight Time		08/21/2010 09:12:16 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-046 (PPO)	01	04		1			H6609	046	0	2011	Spokane, WA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	049	0	1	04	01	H6609_049_0	5	08/20/2010	2011.01	08/20/2010 02:07:17 PM Eastern Daylight Time	08/25/2010 02:58:44 PM Eastern Daylight Time	08/20/2010 04:25:00 PM Eastern Daylight Time		08/25/2010 03:35:47 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-049 (PPO)	01	04		1			H6609	049	0	2011	Yakima, WA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	050	0	1	04	01	H6609_050_0	4	08/20/2010	2011.01	08/20/2010 02:07:30 PM Eastern Daylight Time	08/20/2010 01:15:48 PM Eastern Daylight Time	08/20/2010 04:25:00 PM Eastern Daylight Time		08/21/2010 09:12:16 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-050 (PPO)	01	04		1			H6609	050	0	2011	Yakima, WA		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	051	0	1	04	01	H6609_051_0	4	08/21/2010	2011.01	08/21/2010 03:17:06 PM Eastern Daylight Time	08/20/2010 03:26:48 PM Eastern Daylight Time	08/20/2010 04:25:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6609-051 (PPO)	01	04		1			H6609	051	0	2011	Minnesota Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6609	801	0	1	04	01	H6609_801_0	2	06/05/2010	2011.01	06/05/2010 09:06:00 AM Eastern Daylight Time	06/05/2010 02:56:01 PM Eastern Daylight Time			06/05/2010 03:20:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H6609	801	0	2011	Select Counties in Multi-States		1	3833	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H6609	802	0	1	04	01	H6609_802_0	2	06/05/2010	2011.01	06/05/2010 09:22:13 AM Eastern Daylight Time	06/05/2010 02:50:24 PM Eastern Daylight Time			06/05/2010 03:20:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		1			H6609	802	0	2011	Select Counties in Multi-States		1	1965	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H6609	803	0	1	04	01	H6609_803_0	2	06/05/2010	2011.01	06/05/2010 09:22:38 AM Eastern Daylight Time	06/05/2010 02:51:42 PM Eastern Daylight Time			06/05/2010 03:20:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		1			H6609	803	0	2011	Select Counties in Multi-States		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H6609	805	0	2	04	01	H6609_805_0	5	06/05/2010	2011.01	06/05/2010 09:10:41 AM Eastern Daylight Time	07/16/2010 09:52:06 AM Eastern Daylight Time			07/16/2010 10:16:06 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		2	2		H6609	805	0	2011	Select Counties in Multi-States		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H6609	806	0	2	04	01	H6609_806_0	5	06/05/2010	2011.01	06/05/2010 09:30:53 AM Eastern Daylight Time	07/16/2010 09:53:22 AM Eastern Daylight Time			07/16/2010 10:16:06 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PPO)	01	04		2	2		H6609	806	0	2011	Select Counties in Multi-States		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H6609	807	0	2	04	01	H6609_807_0	5	06/05/2010	2011.01	06/05/2010 09:31:19 AM Eastern Daylight Time	07/16/2010 09:54:40 AM Eastern Daylight Time			07/16/2010 10:16:06 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PPO)	01	04		2	2		H6609	807	0	2011	Select Counties in Multi-States		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H6622	001	0	1	02	01	H6622_001_0	9	08/20/2010	2011.01	08/20/2010 01:40:39 PM Eastern Daylight Time	08/20/2010 04:49:14 PM Eastern Daylight Time	08/20/2010 04:25:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA WISCONSINHEALTH ORGANIZATION INSURANCE CORP	Humana Wisconsin Health Organization Insurance Cor	www.humana-medicare.com	Humana Gold Plus H6622-001 (HMO-POS)	01	02		1			H6622	001	0	2011	Green Bay		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-533-2364		(800)-533-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6622	002	0	1	02	01	H6622_002_0	10	08/20/2010	2011.01	08/20/2010 01:40:10 PM Eastern Daylight Time	08/20/2010 04:49:58 PM Eastern Daylight Time	08/20/2010 04:26:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA WISCONSINHEALTH ORGANIZATION INSURANCE CORP	Humana Wisconsin Health Organization Insurance Cor	www.humana-medicare.com	Humana Gold Plus H6622-002 (HMO-POS)	01	02		1			H6622	002	0	2011	Milwaukee		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-533-2364		(800)-533-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H6622	801	0	1	01	01	H6622_801_0	2	06/03/2010	2011.01	06/03/2010 05:18:36 PM Eastern Daylight Time	06/03/2010 03:03:50 PM Eastern Daylight Time			06/03/2010 07:37:20 PM Eastern Daylight Time	HUMANA WISCONSINHEALTH ORGANIZATION INSURANCE CORP	Humana Wisconsin Health Organization Insurance Cor	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H6622	801	0	2011	Milwaukee and Green Bay		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H6622	802	0	1	01	01	H6622_802_0	2	06/03/2010	2011.01	06/03/2010 05:19:05 PM Eastern Daylight Time	06/03/2010 03:04:13 PM Eastern Daylight Time			06/03/2010 07:37:20 PM Eastern Daylight Time	HUMANA WISCONSINHEALTH ORGANIZATION INSURANCE CORP	Humana Wisconsin Health Organization Insurance Cor	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H6622	802	0	2011	Milwaukee and Green Bay		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H6622	803	0	1	01	01	H6622_803_0	2	06/03/2010	2011.01	06/03/2010 05:19:31 PM Eastern Daylight Time	06/03/2010 03:04:35 PM Eastern Daylight Time			06/03/2010 07:37:20 PM Eastern Daylight Time	HUMANA WISCONSINHEALTH ORGANIZATION INSURANCE CORP	Humana Wisconsin Health Organization Insurance Cor	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H6622	803	0	2011	Milwaukee and Green Bay		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H6642	001	0	1	02	01	H6642_001_0	8	09/24/2010	2011.01	09/24/2010 11:15:02 AM Eastern Daylight Time	08/23/2010 03:25:01 PM Eastern Daylight Time	08/23/2010 03:28:21 PM Eastern Daylight Time		09/24/2010 11:57:35 AM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO-POS)	01	02		1			H6642	001	0	2011	Texas HMO		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H6642	002	0	1	02	01	H6642_002_0	8	09/24/2010	2011.01	09/24/2010 11:15:15 AM Eastern Daylight Time	08/23/2010 03:25:41 PM Eastern Daylight Time	08/23/2010 04:05:02 PM Eastern Daylight Time		09/24/2010 11:57:35 AM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO-POS)	01	02		1			H6642	002	0	2011	Texas HMO		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H6642	004	0	1	02	01	H6642_004_0	7	09/24/2010	2011.01	09/24/2010 11:15:28 AM Eastern Daylight Time	08/15/2010 09:39:40 AM Eastern Daylight Time			09/24/2010 11:57:35 AM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	http://www.univhc.com	Medicare Masterpiece MA Only (HMO-POS)	01	02		1			H6642	004	0	2011	Texas HMO		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1
H6642	005	0	1	02	01	H6642_005_0	8	09/24/2010	2011.01	09/24/2010 11:15:42 AM Eastern Daylight Time	08/23/2010 03:26:27 PM Eastern Daylight Time	08/23/2010 04:26:57 PM Eastern Daylight Time		09/24/2010 11:57:35 AM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	http://www.univhc.com	e-Medicare Masterpiece Direct (HMO-POS)	01	02		1			H6642	005	0	2011	Texas HMO		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H6642	006	0	1	02	01	H6642_006_0	8	09/24/2010	2011.01	09/24/2010 11:15:53 AM Eastern Daylight Time	08/23/2010 03:27:11 PM Eastern Daylight Time	08/23/2010 04:27:24 PM Eastern Daylight Time		09/24/2010 11:57:35 AM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	http://www.univhc.com	e-Medicare Masterpiece Direct (HMO-POS)	01	02		1			H6642	006	0	2011	Texas HMO		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H6642	007	0	1	01	01	H6642_007_0	6	09/22/2010	2011.01	09/22/2010 07:32:21 PM Eastern Daylight Time	08/23/2010 03:27:43 PM Eastern Daylight Time	08/23/2010 04:27:48 PM Eastern Daylight Time		09/23/2010 05:26:06 PM Eastern Daylight Time	UNIVERSAL HMO OF TEXAS, INC.	Universal HMO of Texas, Inc.	http://www.univhc.com	Medicare Masterpiece Premier SNP - Diabetes (HMO SNP)	01	01		1			H6642	007	0	2011	Texas HMO		2		2				1	4		1		00000010000000000000	www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H6705	001	0	1	02	01	H6705_001_0	9	09/24/2010	2011.01	09/24/2010 11:16:15 AM Eastern Daylight Time	08/23/2010 04:28:21 PM Eastern Daylight Time	08/23/2010 04:29:58 PM Eastern Daylight Time		09/24/2010 11:57:35 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE OF NEVADA, INC.	Universal Health Care of Nevada, Inc.	http://www.univhc.com	Medicare Masterpiece (HMO-POS)	01	02		1			H6705	001	0	2011	Nevada HMO		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H6705	002	0	1	02	01	H6705_002_0	9	09/24/2010	2011.01	09/24/2010 11:16:29 AM Eastern Daylight Time	08/23/2010 04:29:14 PM Eastern Daylight Time	08/23/2010 04:31:10 PM Eastern Daylight Time		09/24/2010 11:57:35 AM Eastern Daylight Time	UNIVERSAL HEALTH CARE OF NEVADA, INC.	Universal Health Care of Nevada, Inc.	http://www.univhc.com	e-Medicare Masterpiece Direct (HMO-POS)	01	02		1			H6705	002	0	2011	Nevada HMO		2		2				2						www.univhc.com	www.univhc.com/medicare/members/medicare-formulary.php	http://www.univhc.com	(866)-690-4842		(866)-690-4842		(800)-965-7034		(800)-965-7034		(877)-204-8149		(877)-204-8149		(877)-204-8149		(877)-204-8149		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H6743	001	0	1	04	01	H6743_001_0	8	08/22/2010	2011.01	08/22/2010 02:51:46 PM Pacific Daylight Time	08/23/2010 12:46:28 PM Pacific Daylight Time	08/20/2010 01:26:58 PM Pacific Daylight Time		08/23/2010 04:24:49 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	ATRIO Bronze Rx (PPO)	01	04		1			H6743	001	0	2011	Douglas and Klamath Counties		2	250	1	1			2						www.atriohp.com	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Formulary%20Information	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Pharmacy%20Directory	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1
H6743	002	0	1	04	01	H6743_002_0	7	08/03/2010	2011.01	08/03/2010 07:19:40 AM Pacific Daylight Time	07/26/2010 01:50:52 PM Pacific Daylight Time			08/03/2010 07:25:49 AM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	ATRIO Silver (PPO)	01	04		1			H6743	002	0	2011	Douglas and Klamath Counties		2	400	1	1			2						www.atriohp.com	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Formulary%20Information	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Pharmacy%20Directory	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620										(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900										1
H6743	003	0	1	04	01	H6743_003_0	10	08/22/2010	2011.01	08/22/2010 03:00:31 PM Pacific Daylight Time	08/23/2010 12:54:28 PM Pacific Daylight Time	08/20/2010 01:27:38 PM Pacific Daylight Time		08/23/2010 04:24:49 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	ATRIO Silver Rx (PPO)	01	04		1			H6743	003	0	2011	Douglas and Klamath Counties		2	725	1	1			2						www.atriohp.com	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Formulary%20Information	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Pharmacy%20Directory	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1
H6743	004	0	1	04	01	H6743_004_0	10	08/22/2010	2011.01	08/22/2010 03:01:09 PM Pacific Daylight Time	08/23/2010 12:56:26 PM Pacific Daylight Time	08/20/2010 01:28:00 PM Pacific Daylight Time		08/23/2010 04:24:49 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	ATRIO Gold Rx (PPO)	01	04		1			H6743	004	0	2011	Douglas and Klamath Counties		2	950	1	1			2						www.atriohp.com	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Formulary%20Information	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Pharmacy%20Directory	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1
H6743	005	0	1	04	01	H6743_005_0	9	08/22/2010	2011.01	08/22/2010 03:00:58 PM Pacific Daylight Time	08/23/2010 12:59:40 PM Pacific Daylight Time	08/20/2010 01:28:18 PM Pacific Daylight Time		08/23/2010 04:24:49 PM Pacific Daylight Time	ATRIO HEALTH PLANS	ATRIO MyAdvantage	www.atriohp.com	ATRIO Platinum Rx (PPO)	01	04		1			H6743	005	0	2011	Douglas and Klamath Counties		2	400	1	1			2						www.atriohp.com	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Formulary%20Information	http://www.atriohp.com/index.cfm?nav=Current%20Memberslev1=Pharmacy%20Directory	(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(877)-672-8620		(541)-672-8620		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		(800)-735-2900		(541)-735-2900		1
H6815	001	0	1	01	01	H6815_001_0	5	08/19/2010	2011.01	08/19/2010 05:23:03 PM Pacific Daylight Time	08/21/2010 12:44:44 AM Pacific Daylight Time	08/19/2010 05:40:24 PM Pacific Daylight Time		08/21/2010 02:19:50 PM Pacific Daylight Time	HEALTH NET HEALTH PLAN OF OREGON	Health Net Medicare Advantage	www.healthnet.com	Health Net Ruby (HMO)	01	01		1			H6815	001	0	2011	Clackamas, Multnomah, Washington, OR		2		2				2						www.healthnet.com	https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm	(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(888)-445-8913		(888)-445-8913		(800)-822-7698		(800)-822-7698		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
H6864	001	0	1	02	01	H6864_001_0	7	08/23/2010	2011.01	08/23/2010 02:29:11 PM Eastern Daylight Time	08/23/2010 12:20:49 PM Eastern Daylight Time	08/23/2010 12:20:49 PM Eastern Daylight Time		08/23/2010 03:22:36 PM Eastern Daylight Time	GUILDNET, INC.	GuildNet	www.jgb.org	GuildNet Gold (HMO-POS SNP)	01	02		1			H6864	001	0	2011	Bronx, Kings, New York and Queens Counties		2	482	2		2		1	3		1	5		www.jgb.org/guildnet	http://www.jgb.org/guildnet	http://www.jgb.org/guildnet	(800)-932-4703		(800)-932-4703		(800)-932-4703		(800)-932-4703		(877)-444-3973		(877)-444-3973		(800)-932-4703		(800)-932-4703		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(866)-248-0640		(866)-248-0640		(800)-662-1220		(800)-662-1220		1
H6881	001	0	1	04	01	H6881_001_0	5	06/30/2010	2011.01	06/30/2010 04:20:06 PM Eastern Daylight Time	08/16/2010 04:34:08 PM Eastern Daylight Time			08/16/2010 05:23:41 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	America's 1st Choice Insurance Company of NC	www.americas1stchoice.com	Ambassador (PPO)	01	04		1			H6881	001	0	2011	Select Counties in NC		2	126	2				2						www.americas1stchoice.com	www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962										1
H6881	002	0	1	04	01	H6881_002_0	7	08/23/2010	2011.01	08/23/2010 12:01:45 PM Eastern Daylight Time	08/22/2010 03:13:41 PM Eastern Daylight Time	08/22/2010 03:14:36 PM Eastern Daylight Time		08/23/2010 02:28:09 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE INSURANCE COMPANY OF NC, INC.	America's 1st Choice Insurance Company of NC	www.americas1stchoice.com	Ambassador Plus (PPO)	01	04		1			H6881	002	0	2011	Select Counties in NC		2	505	2				2						www.americas1stchoice.com	www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		(800)-735-2962		1
H6887	001	0	1	20	08	H6887_001_0	1	06/16/2011	2011.01	06/16/2011 10:40:08 AM Mountain Daylight Time		06/15/2011 11:49:51 AM Mountain Daylight Time		06/16/2011 10:49:39 AM Mountain Daylight Time	SJH LIFE, INC.	SJH LIFE	www.sjhealthcare.net	SJH LIFE (PACE)	08	20		1			H6887	001	0	2011	SJH LIFE		2		2				2							www.sjhealthcare.net	www.sjhealthcare.net									(800)-000-0000		(856)-759-2132		(800)-000-0000		(856)-759-2132										(800)-000-0000		(856)-759-2132		(800)-000-0000		(856)-759-2132		1
H6887	002	0	1	20	08	H6887_002_0	1	06/16/2011	2011.01	06/16/2011 10:47:51 AM Mountain Daylight Time		06/15/2011 11:49:51 AM Mountain Daylight Time		06/16/2011 10:49:39 AM Mountain Daylight Time	SJH LIFE, INC.	SJH LIFE	www.sjhealthcare.net	SJH LIFE (PACE)	08	20		1			H6887	002	0	2011	SJH LIFE		2		2				2							www.sjhealthcare.net	www.sjhealthcare.net									(800)-000-0000		(856)-759-2132		(800)-000-0000		(856)-759-2132										(800)-000-0000		(856)-759-2132		(800)-000-0000		(856)-759-2132		1
H6900	001	0	1	04	01	H6900_001_0	4	08/20/2010	2011.01	08/20/2010 01:29:23 PM Eastern Daylight Time	08/19/2010 06:26:26 PM Eastern Daylight Time	08/20/2010 04:26:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6900-001 (PPO)	01	04		1			H6900	001	0	2011	North Central PA Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H6900	002	0	1	04	01	H6900_002_0	6	08/20/2010	2011.01	08/20/2010 01:29:47 PM Eastern Daylight Time	08/19/2010 06:27:34 PM Eastern Daylight Time	08/20/2010 04:26:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6900-002 (PPO)	01	04		1			H6900	002	0	2011	Erie PA Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H6900	004	0	1	04	01	H6900_004_0	6	08/20/2010	2011.01	08/20/2010 01:30:08 PM Eastern Daylight Time	08/19/2010 06:33:06 PM Eastern Daylight Time	08/20/2010 04:26:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6900-004 (PPO)	01	04		1			H6900	004	0	2011	South Central PA Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H6900	005	0	1	04	01	H6900_005_0	5	08/20/2010	2011.01	08/20/2010 01:30:30 PM Eastern Daylight Time	08/19/2010 06:50:10 PM Eastern Daylight Time	08/20/2010 04:26:00 PM Eastern Daylight Time		08/21/2010 12:44:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H6900-005 (PPO)	01	04		1			H6900	005	0	2011	Lancaster County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H6923	001	0	1	01	01	H6923_001_0	3	08/20/2010	2011.01	08/20/2010 01:42:29 PM Central Daylight Time	08/19/2010 03:28:39 PM Central Daylight Time	08/19/2010 01:03:35 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetna.com/members/medicare/	Aetna Medicare Select Plan (HMO)	01	01		1			H6923	001	0	2011	Denver and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H6923	003	0	1	01	01	H6923_003_0	3	07/30/2010	2011.01	07/30/2010 08:11:50 AM Central Daylight Time	08/19/2010 02:47:27 PM Central Daylight Time	08/19/2010 01:03:38 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetna.com/members/medicare/	Aetna Medicare Premier Plan (HMO)	01	01		1			H6923	003	0	2011	Denver and Surrounding Counties		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H6923	801	0	1	01	01	H6923_801_0	1	05/11/2010	2011.01	05/11/2010 11:44:51 AM Eastern Daylight Time	06/02/2010 12:36:15 PM Eastern Daylight Time			06/04/2010 03:28:22 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetna.com/members/medicare/	Aetna Medicare Plan (HMO)	01	01		1			H6923	801	0	2011	Colorado		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H6923	802	0	1	01	01	H6923_802_0	1	05/11/2010	2011.01	05/11/2010 11:46:11 AM Eastern Daylight Time	06/02/2010 12:39:29 PM Eastern Daylight Time			06/04/2010 03:28:22 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetna.com/members/medicare/	Aetna Medicare Plan w/ RX CY (HMO)	01	01		1			H6923	802	0	2011	Colorado		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H6952	002	0	1	01	01	H6952_002_0	5	06/04/2010	2011.01	06/04/2010 09:41:29 AM Central Daylight Time	08/19/2010 06:17:04 PM Central Daylight Time	08/18/2010 04:34:25 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	GREAT LAKES HEALTH PLAN, INC.	Great Lakes Personal Care Plus	http://www.glhp.com	UnitedHealthcare Dual Complete (HMO SNP)	01	01		1			H6952	002	0	2011	Michigan Counties		2		2		2		1	3		1	5		http://www.glhp.com/ProviderDirectory.aspx	www.glhp.com	www.rxamerica.com	(888)-903-7587		(888)-903-7587		(888)-565-8170		(888)-565-8170		(888)-903-7587		(888)-903-7587		(866)-257-3891		(866)-257-3891		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7002	002	0	1	04	01	H7002_002_0	4	08/20/2010	2011.01	08/20/2010 01:47:29 PM Eastern Daylight Time	08/20/2010 01:52:12 PM Eastern Daylight Time	08/20/2010 04:26:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H7002-002 (PPO)	01	04		1			H7002	002	0	2011	Select Louisiana Parishes		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7006	001	0	1	04	01	H7006_001_0	11	01/21/2011	2011.01	01/21/2011 09:04:21 AM Pacific Standard Time	08/23/2010 08:31:57 AM Pacific Standard Time	08/23/2010 08:32:29 AM Pacific Standard Time		01/21/2011 12:51:39 PM Pacific Standard Time	MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage, Inc.	www.physicianschoiceplans.com	Physicians Choice Preferred + Rx (PPO)	01	04		1			H7006	001	0	2011	Marion and Polk Counties in Oregon		2	1135	2				2						http://www.physicianschoiceplans.com/providerfinder	www.mpchpa.org	www.mpchpa.org	(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H7006	002	0	1	04	01	H7006_002_0	7	08/04/2010	2011.01	08/04/2010 09:13:59 AM Pacific Daylight Time	08/03/2010 01:02:50 PM Pacific Daylight Time			08/04/2010 09:30:15 AM Pacific Daylight Time	MARION POLK COMMUNITY HEALTH PLAN ADVANTAGE, INC.	Marion Polk Community Health Plan Advantage, Inc.	www.physicianschoiceplans.com	Physicians Choice Preferred (PPO)	01	04		1			H7006	002	0	2011	Marion and Polk Counties in Oregon		2	195	2				2						http://www.physicianschoiceplans.com/providerfinder	www.mpchpa.org	www.mpchpa.org	(888)-462-2708		(503)-584-4210		(888)-236-2496		(503)-315-4101										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1
H7015	001	0	1	01	01	H7015_001_0	8	08/24/2010	2011.01	08/24/2010 02:55:48 PM Eastern Daylight Time	08/19/2010 04:37:47 PM Eastern Daylight Time	08/19/2010 04:42:12 PM Eastern Daylight Time		08/24/2010 04:35:20 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ Medicare Plan	www.healthfirstnj.org	Healthfirst NJ Medicare Plus Plan (HMO)	01	01		1			H7015	001	0	2011	Bergen, Essex, Hudson, Passaic, and Union Counties		2	2226	2				2						www.healthfirstnj.org	www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308		(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		1
H7015	002	0	1	01	01	H7015_002_0	7	08/24/2010	2011.01	08/24/2010 02:53:02 PM Eastern Daylight Time	08/19/2010 04:34:56 PM Eastern Daylight Time	08/19/2010 04:43:07 PM Eastern Daylight Time		08/24/2010 04:35:20 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ Medicare Plan	www.healthfirstnj.org	Healthfirst NJ Increased Benefits Plan (HMO)	01	01		1			H7015	002	0	2011	Bergen, Essex, Hudson, Passaic, and Union Counties		2	3231	2				2						www.healthfirstnj.org	www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308		(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		1
H7015	003	0	1	01	01	H7015_003_0	6	08/24/2010	2011.01	08/24/2010 02:57:31 PM Eastern Daylight Time	08/03/2010 02:00:43 PM Eastern Daylight Time			08/24/2010 04:35:20 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ Medicare Plan	www.healthfirstnj.org	Healthfirst NJ Coordinated Benefits Plan (HMO)	01	01		1			H7015	003	0	2011	Bergen, Essex, Hudson, Passaic, and Union Counties		2	297	2				2						www.healthfirstnj.org	www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308										(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897										1
H7015	004	0	1	01	01	H7015_004_0	7	08/24/2010	2011.01	08/24/2010 02:59:02 PM Eastern Daylight Time	08/19/2010 04:33:22 PM Eastern Daylight Time	08/19/2010 04:39:23 PM Eastern Daylight Time		08/24/2010 04:35:20 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ Medicare Plan	www.healthfirstnj.org	Healthfirst NJ Maximum Plan (HMO SNP)	01	01		1			H7015	004	0	2011	Bergen, Essex, Hudson, Passaic, and Union Counties		2	974	2		2		1	3		1	2		www.healthfirstnj.org	www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308		(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		1
H7015	801	0	1	01	01	H7015_801_0	7	08/24/2010	2011.01	08/24/2010 03:00:16 PM Eastern Daylight Time	08/03/2010 02:06:02 PM Eastern Daylight Time			08/24/2010 04:35:20 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ Medicare Plan	www.healthfirstnj.org	Employer Group 1 (HMO)	01	01		1			H7015	801	0	2011	National		1	2	2				2						www.healthfirstnj.org	www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308		(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897		1
H7015	802	0	1	01	01	H7015_802_0	7	08/24/2010	2011.01	08/24/2010 03:01:31 PM Eastern Daylight Time	08/03/2010 01:54:02 PM Eastern Daylight Time			08/24/2010 04:35:20 PM Eastern Daylight Time	HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.	Healthfirst NJ Medicare Plan	www.healthfirstnj.org	Employer Group 2 (HMO)	01	01		1			H7015	802	0	2011	National		1	2	2				2						www.healthfirstnj.org	www.healthfirstnj.org	www.healthfirstnj.org	(877)-464-4365		(877)-464-4365		(877)-237-1308		(877)-237-1308										(800)-852-7897		(800)-852-7897		(800)-852-7897		(800)-852-7897										1
H7086	001	0	1	01	01	H7086_001_0	2	08/23/2010	2011.01	08/23/2010 12:35:09 PM Pacific Daylight Time	08/23/2010 12:25:07 PM Pacific Daylight Time	08/23/2010 10:36:14 AM Pacific Daylight Time		08/23/2010 12:38:39 PM Pacific Daylight Time	COMMUNITY HEALTH GROUP	Community Health Group	www.chgsd.com	CommuniCare Advantage (HMO SNP)	01	01		1			H7086	001	0	2011	San Diego County California		2		2		2		1	3		1	5		www.chgsd.com/CHGSDphysHospFinder/physicianFinderLite.aspx	www.chgsd.com	www.chgsd.com	(888)-244-4430		(619)-422-0422		(888)-244-4430		(619)-422-0422		(888)-244-4430		(619)-422-0422		(888)-244-4430		(619)-422-0422		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H7149	001	0	1	01	01	H7149_001_0	11	08/23/2010	2011.01	08/23/2010 01:11:43 PM Central Daylight Time	08/21/2010 11:16:11 AM Central Daylight Time	08/19/2010 02:16:20 PM Central Daylight Time		08/23/2010 03:56:51 PM Central Daylight Time	COVENTRY HEALTH CARE OF NEBRASKA, INC.	Coventry Health Care	www.ne.chcadvantra.com	Advantra Silver (HMO)	01	01		1			H7149	001	0	2011	Partial State of Nebraska		2	4611	2				2						www.ne.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-nebraska/prescription-drug-benefits/formula	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7051		(800)-707-7051		(877)-982-9127		(877)-982-9127		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7149	801	0	1	01	01	H7149_801_0	5	08/03/2010	2011.01	08/03/2010 03:43:05 PM Central Daylight Time	06/05/2010 11:47:58 PM Central Daylight Time			08/05/2010 02:31:40 PM Central Daylight Time	COVENTRY HEALTH CARE OF NEBRASKA, INC.	Coventry Health Care	www.ne.chcadvantra.com	Advantra Silver Employee Plan (HMO)	01	01		1			H7149	801	0	2011	Nebraska		1	0	1	1			2						www.ne.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-nebraska/prescription-drug-benefits/formula	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127										(711)		(711)		(711)		(711)										1
H7149	802	0	1	01	01	H7149_802_0	4	08/03/2010	2011.01	08/03/2010 03:43:23 PM Central Daylight Time	06/06/2010 03:37:46 PM Central Daylight Time			08/05/2010 02:31:40 PM Central Daylight Time	COVENTRY HEALTH CARE OF NEBRASKA, INC.	Coventry Health Care	www.ne.chcadvantra.com	Advantra Silver Rx CY Employee Plan (HMO)	01	01		1			H7149	802	0	2011	Nebraska		1	0	1	1			2						www.ne.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-nebraska/prescription-drug-benefits/formula	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7051		(800)-707-7051		(877)-982-9127		(877)-982-9127		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7149	803	0	1	01	01	H7149_803_0	4	08/03/2010	2011.01	08/03/2010 03:43:43 PM Central Daylight Time	06/06/2010 03:42:24 PM Central Daylight Time			08/05/2010 02:31:40 PM Central Daylight Time	COVENTRY HEALTH CARE OF NEBRASKA, INC.	Coventry Health Care	www.ne.chcadvantra.com	Advantra Silver Rx Employee Plan (HMO)	01	01		1			H7149	803	0	2011	Nebraska		1	0	1	1			2						www.ne.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-nebraska/prescription-drug-benefits/formula	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7051		(800)-707-7051		(877)-982-9127		(877)-982-9127		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7173	001	0	1	01	01	H7173_001_0	4	07/12/2010	2011.01	07/12/2010 09:15:06 AM Pacific Daylight Time	08/18/2010 06:13:44 PM Pacific Daylight Time	08/18/2010 04:20:39 PM Pacific Daylight Time		08/19/2010 12:34:13 PM Pacific Daylight Time	PEACH STATE HEALTH PLAN, INC.	Advantage by Peach State	www.pshpgeorgia.com	Peach State Health Plan (HMO SNP)	01	01		1			H7173	001	0	2011	DeKalb, Fulton, and Gwinnett Counties		2	112	2		2		1	3		1	5		www.pshpgeorgia.com	http://www.pshpgeorgia.com/	http://www.pshpgeorgia.com/			(877)-725-7748				(877)-725-7748		(877)-725-7748		(877)-725-7748		(877)-725-7748		(877)-725-7748		(800)-659-7487		(800)-659-7487		(800)-659-7487		(800)-659-7487		(800)-659-7487		(800)-659-7487		(800)-659-7487		(800)-659-7487		1
H7179	001	0	1	01	01	H7179_001_0	8	11/29/2010	2011.01	11/29/2010 02:50:59 PM Central Standard Time	08/21/2010 12:38:15 PM Central Standard Time	08/18/2010 06:27:20 PM Central Standard Time		12/01/2010 08:52:19 AM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	001	0	2011	Lake Charles		2		2				2						www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7179	002	0	1	01	01	H7179_002_0	9	11/29/2010	2011.01	11/29/2010 02:50:41 PM Central Standard Time	08/21/2010 12:39:26 PM Central Standard Time	08/18/2010 06:27:45 PM Central Standard Time		12/01/2010 08:52:19 AM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	002	0	2011	Monroe		2		2				2						www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7179	003	0	1	01	01	H7179_003_0	9	11/29/2010	2011.01	11/29/2010 02:50:27 PM Central Standard Time	08/23/2010 01:24:27 AM Central Standard Time	08/18/2010 06:28:41 PM Central Standard Time		12/01/2010 08:52:19 AM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Dual Plus (HMO SNP)	01	01		1			H7179	003	0	2011	Shreveport, Monroe and Lake Charles		2		2		2		1	3		1	1		www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7179	007	0	1	01	01	H7179_007_0	8	11/29/2010	2011.01	11/29/2010 02:49:49 PM Central Standard Time	08/21/2010 12:40:23 PM Central Standard Time	08/18/2010 06:29:14 PM Central Standard Time		12/01/2010 08:52:19 AM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	007	0	2011	Shreveport		2		2				2						www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7179	010	0	1	01	01	H7179_010_0	7	11/29/2010	2011.01	11/29/2010 02:49:18 PM Central Standard Time	08/20/2010 11:32:49 PM Central Standard Time	08/18/2010 06:29:42 PM Central Standard Time		12/01/2010 08:52:19 AM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care  - Plus (HMO)	01	01		1			H7179	010	0	2011	Lafayette		2		2				2						www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7179	011	0	1	01	01	H7179_011_0	6	11/29/2010	2011.01	11/29/2010 03:03:29 PM Central Standard Time	08/21/2010 12:41:34 PM Central Standard Time	08/18/2010 06:30:10 PM Central Standard Time		11/29/2010 03:10:08 PM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	011	0	2011	Alexandria		2		2				2						www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7179	012	0	1	01	01	H7179_012_0	6	11/29/2010	2011.01	11/29/2010 03:03:43 PM Central Standard Time	08/21/2010 12:43:01 PM Central Standard Time	08/18/2010 06:30:47 PM Central Standard Time		11/29/2010 03:10:08 PM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Plus (HMO)	01	01		1			H7179	012	0	2011	Baton Rouge		2		2				2						www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7179	013	0	1	01	01	H7179_013_0	7	11/29/2010	2011.01	11/29/2010 02:51:29 PM Central Standard Time	08/23/2010 01:26:26 AM Central Standard Time	08/18/2010 06:31:40 PM Central Standard Time		12/01/2010 08:52:19 AM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - Dual Plus (HMO SNP)	01	01		1			H7179	013	0	2011	Alexandria, Baton Rouge, Lafayette		2		2		2		1	3		1	5		www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7179	801	0	1	01	01	H7179_801_0	5	11/29/2010	2011.01	11/29/2010 02:51:49 PM Central Standard Time	07/26/2010 01:12:31 PM Central Standard Time			12/01/2010 08:52:19 AM Central Standard Time	ARCADIAN HEALTH PLAN OF LOUISIANA, INC.	Arcadian Community Care	www.arcadiancommunitycare.com	Arcadian Community Care - EGWP (HMO)	01	01		1			H7179	801	0	2011	Louisiana		1		2				2						www.arcadiancommunitycare.com	http://www.arcadianhealthplanlouisiana.com/formulary.html	www.caremark.com	(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(800)-573-8597		(800)-573-8597		(888)-261-1061		(318)-865-1061		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		(866)-573-8591		(866)-573-8591		(866)-573-8613		(866)-573-8613		1
H7187	002	0	1	02	01	H7187_002_0	3	06/01/2010	2011.01	06/01/2010 07:24:33 PM Central Daylight Time	08/19/2010 06:50:03 PM Central Daylight Time	08/18/2010 04:34:31 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan DH-POS (HMO-POS SNP)	01	02		1			H7187	002	0	2011	Chesterfld,Goochlnd,Hanover,Henrico,Richmond City		2		2		2		1	3		1	2			www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7187	003	0	1	02	01	H7187_003_0	4	06/03/2010	2011.01	06/03/2010 05:27:54 PM Central Daylight Time	08/19/2010 09:24:19 PM Central Daylight Time	08/18/2010 04:49:30 PM Central Daylight Time		08/20/2010 04:55:08 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H7187	003	0	2011	Richmond and Roanoke areas		2		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7187	009	0	1	02	01	H7187_009_0	4	06/03/2010	2011.01	06/03/2010 05:27:24 PM Central Daylight Time	08/19/2010 06:50:20 PM Central Daylight Time	08/18/2010 04:49:35 PM Central Daylight Time		08/20/2010 04:55:08 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H7187	009	0	2011	Portsmouth, Norfolk, Newport News counties		2		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7187	801	0	1	02	01	H7187_801_0	1	05/27/2010	2011.01	05/27/2010 09:57:07 AM Central Daylight Time	06/03/2010 03:12:59 PM Central Daylight Time			06/06/2010 11:36:33 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H7187	801	0	2011	Chest.,Goochl.,Hanover,Henrico,Richmond City Cos		1		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7187	803	0	1	02	01	H7187_803_0	1	05/27/2010	2011.01	05/27/2010 09:57:16 AM Central Daylight Time	06/03/2010 03:13:12 PM Central Daylight Time			06/06/2010 11:36:33 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H7187	803	0	2011	Chest.,Goochl.,Hanover,Henrico,Richmond City Cos		1		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H7187	804	0	1	02	01	H7187_804_0	1	05/27/2010	2011.01	05/27/2010 09:58:03 AM Central Daylight Time	06/03/2010 03:13:25 PM Central Daylight Time			06/06/2010 11:36:33 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H7187	804	0	2011	Select Counties in VA		1		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7188	003	0	1	04	01	H7188_003_0	8	08/20/2010	2011.01	08/20/2010 03:16:13 PM Eastern Daylight Time	08/20/2010 12:07:04 PM Eastern Daylight Time	08/20/2010 04:27:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H7188-003 (PPO)	01	04		1			H7188	003	0	2011	SE KS, SW MO, Central and NW AR Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7188	005	0	1	04	01	H7188_005_0	3	08/20/2010	2011.01	08/20/2010 03:16:45 PM Eastern Daylight Time	08/20/2010 12:18:32 PM Eastern Daylight Time	08/20/2010 04:27:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H7188-005 (PPO)	01	04		1			H7188	005	0	2011	Faulkner and Pulaski Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7195	001	0	1	20	08	H7195_001_0	1	05/20/2010	2011.01	05/20/2010 01:08:47 PM Central Daylight Time		05/18/2010 02:50:39 PM Central Daylight Time		05/20/2010 01:46:31 PM Central Daylight Time	NORTHLAND PACE PROGRAM	Northland PACE Program	www.northlandhealth.com	Northland PACE - Dual (PACE)	08	20		1			H7195	001	0	2011	Burleigh, Morton, and Stark Counties		2		1	1			2							n/a	n/a									(888)-883-8959		(701)-751-3050		(888)-883-8959		(701)-751-3050										(888)-838-8959		(701)-751-3050		(888)-838-8959		(701)-751-3050		1
H7195	002	0	1	20	08	H7195_002_0	1	05/20/2010	2011.01	05/20/2010 01:09:43 PM Central Daylight Time		05/18/2010 02:50:39 PM Central Daylight Time		05/20/2010 01:46:31 PM Central Daylight Time	NORTHLAND PACE PROGRAM	Northland PACE Program	www.northlandhealth.com	Northland PACE - Medicare Only (PACE)	08	20		1			H7195	002	0	2011	Burleigh, Morton, and Stark Counties		2		1	1			2							n/a	n/a									(888)-883-8959		(701)-751-3050		(888)-883-8959		(701)-751-3050										(888)-838-8959		(701)-751-3050		(888)-838-8959		(701)-751-3050		1
H7200	006	0	1	01	01	H7200_006_0	3	08/21/2010	2011.01	08/21/2010 08:12:15 AM Eastern Daylight Time	08/22/2010 01:44:24 PM Eastern Daylight Time	08/20/2010 05:39:03 PM Eastern Daylight Time		08/23/2010 09:14:21 AM Eastern Daylight Time	AMERIGROUP TENNESSEE, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Specialty + Rx (HMO SNP)	01	01		1			H7200	006	0	2011	Nashville Metro Area		2	1291	2		2		1	3		1	1		http://www.myamerigroup.com/medicare	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H7200	007	0	1	01	01	H7200_007_0	5	08/21/2010	2011.01	08/21/2010 08:16:52 AM Eastern Daylight Time	08/20/2010 06:19:27 PM Eastern Daylight Time	08/20/2010 05:38:47 PM Eastern Daylight Time		08/23/2010 09:14:21 AM Eastern Daylight Time	AMERIGROUP TENNESSEE, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Classic + Rx (HMO)	01	01		1			H7200	007	0	2011	Nashville Metro Area		2	282	2				2						http://www.myamerigroup.com/medicare	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	https://www.myamerigroup.com/english/pages/2009medicarememberlogin.aspx	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H7220	001	0	1	01	01	H7220_001_0	5	08/03/2010	2011.01	08/03/2010 03:53:28 PM Eastern Daylight Time	08/02/2010 03:45:16 PM Eastern Daylight Time			08/03/2010 04:12:50 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Clarian Medicare Value (HMO)	01	01		1			H7220	001	0	2011	State of Indiana - 32 counties		2	345	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(866)-404-4305		(866)-404-4305										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H7220	002	0	1	01	01	H7220_002_0	5	08/03/2010	2011.01	08/03/2010 02:25:44 PM Eastern Daylight Time	08/02/2010 03:45:15 PM Eastern Daylight Time			08/03/2010 04:12:50 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Clarian Medicare Select (HMO)	01	01		1			H7220	002	0	2011	State of Indiana - 32 counties		2	395	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(866)-404-4305		(866)-404-4305										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H7220	003	0	1	01	01	H7220_003_0	8	08/16/2010	2011.01	08/16/2010 11:02:48 PM Eastern Daylight Time	08/16/2010 11:01:10 PM Eastern Daylight Time	07/28/2010 05:34:47 PM Eastern Daylight Time		08/16/2010 11:04:46 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Clarian Medicare Select Plus (HMO)	01	01		1			H7220	003	0	2011	State of Indiana - 32 counties		2	1558	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(866)-404-4305		(866)-404-4305		(866)-907-1587		(866)-907-1587		(866)-907-1587		(866)-907-1587		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1
H7220	004	0	1	02	01	H7220_004_0	10	08/31/2010	2011.01	08/31/2010 03:48:34 PM Eastern Daylight Time	08/31/2010 03:14:27 PM Eastern Daylight Time	08/31/2010 03:14:27 PM Eastern Daylight Time		08/31/2010 03:51:02 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Clarian Medicare Choice (HMO-POS)	01	02		1			H7220	004	0	2011	State of Indiana - 32 counties		2	8378	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(866)-404-4305		(866)-404-4305		(866)-907-1587		(866)-907-1587		(866)-907-1587		(866)-907-1587		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1
H7220	801	0	1	02	01	H7220_801_0	5	08/03/2010	2011.01	08/03/2010 01:13:00 PM Eastern Daylight Time	08/02/2010 04:01:46 PM Eastern Daylight Time			08/03/2010 04:12:50 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Premiere Plus EGWP CY (HMO-POS)	01	02		1			H7220	801	0	2011	State of IN -  32 Counties		1	500	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(866)-404-4305		(866)-404-4305		(866)-907-1587		(866)-907-1587		(866)-907-1587		(866)-907-1587		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1
H7220	802	0	1	02	01	H7220_802_0	5	08/03/2010	2011.01	08/03/2010 01:12:40 PM Eastern Daylight Time	08/02/2010 04:02:55 PM Eastern Daylight Time			08/03/2010 04:12:50 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Premiere Plus EGWP NCY (HMO-POS)	01	02		1			H7220	802	0	2011	State of IN - 32 Counties		1	500	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(866)-404-4305		(866)-404-4305		(866)-907-1587		(866)-907-1587		(866)-907-1587		(866)-907-1587		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1
H7220	804	0	1	01	01	H7220_804_0	5	08/03/2010	2011.01	08/03/2010 01:12:05 PM Eastern Daylight Time	08/02/2010 04:02:54 PM Eastern Daylight Time			08/03/2010 04:12:50 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Premiere EGWP CY (HMO)	01	01		1			H7220	804	0	2011	State of IN - 32 Counties		1	500	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(866)-404-4305		(866)-404-4305		(866)-907-1587		(866)-907-1587		(866)-907-1587		(866)-907-1587		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1
H7220	805	0	1	01	01	H7220_805_0	5	08/03/2010	2011.01	08/03/2010 01:11:50 PM Eastern Daylight Time	08/02/2010 04:02:54 PM Eastern Daylight Time			08/03/2010 04:12:50 PM Eastern Daylight Time	CLARIAN HEALTH PLANS, INC.	Clarian Health Plans, Inc. - Clarian Medicare	www.clarianhealthplans.org	Premiere EGWP NCY (HMO)	01	01		1			H7220	805	0	2011	State of IN- 32 Counties		1	500	2				2						www.clarianhealthplans.org	www.clarianhealthplans.org	www.clarianhealthplans.org	(800)-455-9776		(317)-963-9700		(866)-404-4305		(866)-404-4305		(866)-907-1587		(866)-907-1587		(866)-907-1587		(866)-907-1587		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		1
H7281	001	0	1	02	01	H7281_001_0	5	08/20/2010	2011.01	08/20/2010 08:23:28 AM Eastern Daylight Time	08/20/2010 04:28:46 PM Eastern Daylight Time	08/19/2010 09:47:08 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health	www.mybravohealth.com	Bravo Classic Plus (HMO-POS)	01	02		1			H7281	001	0	2011	Camden, Burlington and Gloucester Counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7281	002	0	1	02	01	H7281_002_0	3	05/27/2010	2011.01	05/27/2010 01:40:18 PM Eastern Daylight Time	08/21/2010 11:16:28 AM Eastern Daylight Time	08/19/2010 09:46:24 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health	www.mybravohealth.com	Bravo Premier Plus (HMO-POS)	01	02		1			H7281	002	0	2011	Camden, Burlington  and Gloucester counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7281	003	0	1	01	01	H7281_003_0	2	05/27/2010	2011.01	05/27/2010 01:40:31 PM Eastern Daylight Time	08/23/2010 01:03:07 PM Eastern Daylight Time	08/19/2010 09:46:06 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health	www.mybravohealth.com	Bravo Complete (HMO)	01	01		1			H7281	003	0	2011	Camden, Burlington and Gloucester counties		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7281	004	0	1	01	01	H7281_004_0	2	08/20/2010	2011.01	08/20/2010 08:23:59 AM Eastern Daylight Time	08/21/2010 11:17:28 AM Eastern Daylight Time	08/19/2010 09:45:16 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health	www.mybravohealth.com	Bravo Traditions (HMO SNP)	01	01		1			H7281	004	0	2011	Camden, Burlington and Gloucester counties		2		2				1	1	1	1			www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7281	005	0	1	01	01	H7281_005_0	4	08/20/2010	2011.01	08/20/2010 08:24:21 AM Eastern Daylight Time	08/21/2010 11:18:02 AM Eastern Daylight Time	08/19/2010 09:43:36 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH PENNSYLVANIA, INC.	Bravo Health	www.mybravohealth.com	Bravo Achieve (HMO SNP)	01	01		1			H7281	005	0	2011	Camden, Burlington and Gloucester Counties		2		2				1	4		1		00000010000000000000	www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(800)-291-0396		(800)-291-0396		(866)-862-4624		(866)-862-4624		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7292	001	0	1	01	01	H7292_001_0	3	06/08/2010	2011.01	06/08/2010 11:15:16 AM Pacific Daylight Time	06/07/2010 04:59:54 PM Pacific Daylight Time	06/07/2010 05:23:22 PM Pacific Daylight Time		06/11/2010 05:31:54 PM Pacific Daylight Time	ALAMEDA ALLIANCE JOINT POWERS AUTHORITY (JPA)	Alameda Alliance for Health	http://www.alliancecompletecare.org	Alliance CompleteCare (HMO SNP)	01	01		1			H7292	001	0	2011	Alameda County		2	3100	2		2		1	3		1	5		http://www.alliancecompletecare.org	http://www.alliancecompletecare.org	http://www.alliancecompletecare.org	(877)-585-7526		(510)-747-4560		(877)-585-7526		(510)-747-4560		(877)-585-7526		(510)-747-4560		(877)-585-7526		(510)-747-4560		(888)-747-1574		(510)-747-4561		(888)-747-1574		(510)-747-4561		(888)-747-1574		(510)-747-4561		(888)-747-1574		(510)-747-4561		1
H7301	002	0	1	04	01	H7301_002_0	13	08/13/2010	2011.01	08/13/2010 11:34:02 AM Central Daylight Time	08/13/2010 11:31:29 AM Central Daylight Time	07/26/2010 08:47:34 AM Central Daylight Time		08/13/2010 12:52:50 PM Central Daylight Time	PERSONAL CARE INSURANCE OF ILLINOIS	PersonalCare	www.pcadvantra.com	PersonalCare (PPO)	01	04		1			H7301	002	0	2011	Central and Northern Illinois		2	6848	2				2						www.pcadvantra.com	http://coventry-medicare.coventryhealthcare.com/personalcare-advantra/prescription-drug-benefits	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4916		(866)-784-4916		(877)-983-7775		(877)-983-7775		(800)-707-9372		(800)-707-9372		(877)-983-7775		(877)-983-7775		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7301	801	0	1	04	01	H7301_801_0	14	07/14/2010	2011.01	07/14/2010 02:36:29 PM Central Daylight Time	06/06/2010 11:34:59 PM Central Daylight Time			07/14/2010 05:17:58 PM Central Daylight Time	PERSONAL CARE INSURANCE OF ILLINOIS	PersonalCare	www.pcadvantra.com	PersonalCare MA Integrated Calendar (PPO)	01	04		1			H7301	801	0	2011	Central and Northern Illinois		1	130	2				2						www.pcadvantra.com	http://coventry-medicare.coventryhealthcare.com/personalcare-advantra/prescription-drug-benefits	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4916		(866)-784-4916		(877)-983-7775		(877)-983-7775		(800)-707-9372		(800)-707-9372		(877)-983-7775		(877)-983-7775		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7301	802	0	1	04	01	H7301_802_0	12	07/14/2010	2011.01	07/14/2010 02:37:08 PM Central Daylight Time	06/06/2010 11:40:31 PM Central Daylight Time			07/14/2010 05:19:41 PM Central Daylight Time	PERSONAL CARE INSURANCE OF ILLINOIS	PersonalCare	www.pcadvantra.com	PersonalCare MA Integrated Non-Calendar (PPO)	01	04		1			H7301	802	0	2011	Central and Northern Illinois		1	130	2				2						www.pcadvantra.com	http://coventry-medicare.coventryhealthcare.com/personalcare-advantra/prescription-drug-benefits	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4916		(866)-784-4916		(877)-983-7775		(877)-983-7775		(800)-707-9372		(800)-707-9372		(877)-983-7775		(877)-983-7775		(866)-784-4931		(866)-784-4931		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7301	803	0	1	04	01	H7301_803_0	5	07/14/2010	2011.01	07/14/2010 02:37:53 PM Central Daylight Time	06/06/2010 11:46:13 PM Central Daylight Time			07/14/2010 03:36:04 PM Central Daylight Time	PERSONAL CARE INSURANCE OF ILLINOIS	PersonalCare	www.pcadvantra.com	PersonalCare MA Only (PPO)	01	04		1			H7301	803	0	2011	Central and Northern Illinois		1	130	2				2						www.pcadvantra.com	http://coventry-medicare.coventryhealthcare.com/personalcare-advantra/prescription-drug-benefits	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4916		(866)-784-4916		(877)-983-7775		(877)-983-7775										(711)		(711)		(711)		(711)										1
H7306	001	0	1	04	01	H7306_001_0	10	08/31/2010	2011.01	08/31/2010 05:05:10 PM Eastern Daylight Time	08/23/2010 11:24:39 AM Eastern Daylight Time	08/19/2010 03:17:33 PM Eastern Daylight Time		08/31/2010 05:15:42 PM Eastern Daylight Time	FIRST HEALTH LIFE  HEALTH INSURANCE COMPANY	Coventry Health Care	www.tx.chcadvantra.com	Advantra (PPO)	01	04		1			H7306	001	0	2011	Dallas/Houston and select Texas counties		2	2296	2				2						www.tx.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/formulary/	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/index.htm	(866)-731-9570		(866)-731-9570		(877)-983-7780		(877)-983-7780		(866)-544-2965		(866)-544-2965		(877)-983-7780		(877)-983-7780		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7306	801	0	1	04	01	H7306_801_0	4	07/13/2010	2011.01	07/13/2010 12:00:16 PM Eastern Daylight Time	06/06/2010 09:24:52 PM Eastern Daylight Time			07/14/2010 11:29:13 AM Eastern Daylight Time	FIRST HEALTH LIFE  HEALTH INSURANCE COMPANY	Coventry Health Care	www.tx.chcadvantra.com	Advantra (PPO)	01	04		1			H7306	801	0	2011	Texas		1	100	2				2						www.tx.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/formulary/	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/index.htm	(866)-731-9570		(866)-731-9570		(877)-983-7780		(877)-983-7780										(711)		(711)		(711)		(711)										1
H7306	803	0	1	04	01	H7306_803_0	4	07/13/2010	2011.01	07/13/2010 12:00:37 PM Eastern Daylight Time	06/06/2010 09:42:02 PM Eastern Daylight Time			07/14/2010 11:29:13 AM Eastern Daylight Time	FIRST HEALTH LIFE  HEALTH INSURANCE COMPANY	Coventry Health Care	www.tx.chcadvantra.com	Advantra (PPO)	01	04		1			H7306	803	0	2011	Texas		1	100	2				2						www.tx.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/formulary/	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/index.htm	(866)-731-9570		(866)-731-9570		(877)-983-7780		(877)-983-7780		(866)-544-2965		(866)-544-2965		(877)-983-7780		(877)-983-7780		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7306	804	0	1	04	01	H7306_804_0	5	07/13/2010	2011.01	07/13/2010 12:00:54 PM Eastern Daylight Time	06/21/2010 01:34:30 PM Eastern Daylight Time			07/14/2010 11:29:13 AM Eastern Daylight Time	FIRST HEALTH LIFE  HEALTH INSURANCE COMPANY	Coventry Health Care	www.tx.chcadvantra.com	Advantra (PPO)	01	04		1			H7306	804	0	2011	Texas		1	100	2				2						www.tx.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/formulary/	http://coventry-medicare.coventryhealthcare.com/advantra-texas/prescription-drug-benefits/index.htm	(866)-731-9570		(866)-731-9570		(877)-983-7780		(877)-983-7780		(866)-544-2965		(866)-544-2965		(877)-983-7780		(877)-983-7780		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H7341	001	1	1	09	04	H7341_001_1	6	08/03/2010	2011.01	08/03/2010 12:22:46 PM Eastern Daylight Time	08/22/2010 10:14:12 PM Eastern Daylight Time	08/22/2010 10:13:12 PM Eastern Daylight Time		08/23/2010 01:40:14 PM Eastern Daylight Time	GUARDIAN HEALTHCARE, INC.	Guardian Healthcare, Inc.	www.myguardianhealth.com	Guardian Tribute (PFFS)	04	09	1	1			H7341	001	1	2011	Limited Counties in South Carolina-Check with Plan	Selected Counties-Upstate, Midlands,  Lowcountry	2		2				2							myguardianhealth.com	myguardianhealth.com	(866)-850-1256		(864)-527-0472		(877)-661-7181		(864)-527-0472		(866)-909-5168		(864)-527-0472		(877)-661-7181		(864)-527-0472		(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771		(866)-763-9630		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H7341	001	2	1	09	04	H7341_001_2	5	08/03/2010	2011.01	08/03/2010 12:23:03 PM Eastern Daylight Time	08/22/2010 10:14:11 PM Eastern Daylight Time	08/22/2010 10:13:12 PM Eastern Daylight Time		08/23/2010 01:40:14 PM Eastern Daylight Time	GUARDIAN HEALTHCARE, INC.	Guardian Healthcare, Inc.	www.myguardianhealth.com	Guardian Tribute (PFFS)	04	09	1	1			H7341	001	2	2011	Limited Counties in South Carolina-Check with Plan	Selected Counties-Upstate, Midlands,  Lowcountry	2		2				2							myguardianhealth.com	myguardianhealth.com	(866)-850-1256		(864)-527-0472		(877)-661-7181		(864)-527-0472		(866)-909-5168		(864)-527-0472		(877)-661-7181		(864)-527-0472		(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771		(866)-763-9630		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H7341	002	1	1	09	04	H7341_002_1	3	07/28/2010	2011.01	07/28/2010 04:24:24 PM Eastern Daylight Time	07/28/2010 05:08:41 PM Eastern Daylight Time			07/28/2010 05:34:37 PM Eastern Daylight Time	GUARDIAN HEALTHCARE, INC.	Guardian Healthcare, Inc.	www.myguardianhealth.com	Guardian Tribute Pride (PFFS)	04	09	1	1			H7341	002	1	2011	Limited Counties in South Carolina-Check with Plan	Selected Counties-Upstate, Midlands,  Lowcountry	2		2				2							myguardianhealth.com	myguardianhealth.com	(866)-850-1256		(864)-527-0472		(877)-661-7181		(864)-527-0472										(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771										1
H7341	002	2	1	09	04	H7341_002_2	3	07/28/2010	2011.01	07/28/2010 04:24:55 PM Eastern Daylight Time	07/28/2010 05:09:12 PM Eastern Daylight Time			07/28/2010 05:34:37 PM Eastern Daylight Time	GUARDIAN HEALTHCARE, INC.	Guardian Healthcare, Inc.	www.myguardianhealth.com	Guardian Tribute Pride (PFFS)	04	09	1	1			H7341	002	2	2011	Limited Counties in South Carolina-Check with Plan	Selected Counties-Upstate, Midlands,  Lowcountry	2		2				2							myguardianhealth.com	myguardianhealth.com	(866)-850-1256		(864)-527-0472		(877)-661-7181		(864)-527-0472										(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771										1
H7352	002	0	1	01	01	H7352_002_0	5	08/23/2010	2011.01	08/23/2010 05:35:56 PM Central Daylight Time	08/23/2010 05:40:03 PM Central Daylight Time	08/23/2010 02:43:07 PM Central Daylight Time		08/23/2010 05:49:01 PM Central Daylight Time	UPH/MIHS VENTURES L.L.C.	University Physicians/Maricopa Care Advantage	www.upcareaz.com and www.mcareaz.com	University Physicians Care Advantage (HMO SNP)	01	01		1			H7352	002	0	2011	Pima County		2		2		2		1	3		1	2		www.upcareaz.com and www.mcareaz.com	www.express-scripts.com	www.express-scripts.com	(877)-874-3930		(520)-874-3930		(877)-874-3938		(520)-874-3938		(877)-874-3930		(520)-874-3930		(877)-874-3938		(520)-874-3938		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		1
H7352	003	0	1	01	01	H7352_003_0	5	08/23/2010	2011.01	08/23/2010 05:31:48 PM Central Daylight Time	08/23/2010 05:40:26 PM Central Daylight Time	08/23/2010 02:39:29 PM Central Daylight Time		08/23/2010 05:49:01 PM Central Daylight Time	UPH/MIHS VENTURES L.L.C.	University Physicians/Maricopa Care Advantage	www.upcareaz.com and www.mcareaz.com	Maricopa Care Advantage (HMO SNP)	01	01		1			H7352	003	0	2011	Maricopa County		2		2		2		1	3		1	2		www.upcareaz.com and www.mcareaz.com	www.express-scripts.com	www.express-scripts.com	(877)-874-3935		(520)-874-3935		(877)-874-3938		(520)-874-3938		(877)-874-3935		(520)-874-3935		(877)-874-3938		(520)-874-3938		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		1
H7352	004	0	1	01	01	H7352_004_0	4	08/23/2010	2011.01	08/23/2010 05:32:56 PM Central Daylight Time	08/23/2010 05:40:46 PM Central Daylight Time	08/23/2010 02:42:35 PM Central Daylight Time		08/23/2010 05:49:01 PM Central Daylight Time	UPH/MIHS VENTURES L.L.C.	University Physicians/Maricopa Care Advantage	www.upcareaz.com and www.mcareaz.com	University Physicians Care Advantage (HMO SNP)	01	01		1			H7352	004	0	2011	Pinal, Chocise, Santa Cruz Counties		2		2		2		1	3		1	5		www.upcareaz.com and www.mcareaz.com	www.express-scripts.com	www.express-scripts.com	(877)-874-3930		(520)-874-3930		(877)-874-3938		(520)-874-3938		(877)-874-3930		(520)-874-3930		(877)-874-3938		(520)-874-3938		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		(800)-367-8939		(866)-327-8877		1
H7475	001	0	1	01	01	H7475_001_0	8	07/22/2010	2011.01	07/22/2010 04:19:06 PM Central Daylight Time	08/26/2010 12:45:00 PM Central Daylight Time	08/26/2010 03:53:00 PM Central Daylight Time		08/27/2010 10:08:23 AM Central Daylight Time	CARE WISCONSIN HEALTH PLAN, INC.	Care Wisconsin Health Plan, Inc.	www.carewisconsinhealthplan.org	Partnership (HMO SNP)	01	01		1			H7475	001	0	2011	Columbia, Dodge, Jefferson and Sauk Counties		2		2		2		1	3		1	5		www.carewisconsinhealthplan.org	www.carewisconsinhealthplan.org	www.carewisconsinhealthplan.org	(800)-963-0035		(608)-240-0035		(800)-963-0035		(608)-245-3075		(800)-963-0035		(608)-240-0035		(800)-963-0035		(608)-245-3075		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		(800)-947-3529		1
H7526	001	0	1	01	01	H7526_001_0	5	06/04/2010	2011.01	06/04/2010 02:33:03 PM Central Daylight Time	07/29/2010 05:00:29 PM Central Daylight Time	07/29/2010 05:14:43 PM Central Daylight Time		07/30/2010 10:45:05 AM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Complete Solution - Dementia (HMO SNP)	01	01		1			H7526	001	0	2011	Specific Minnesota Counties		2	1449	2				1	4		1		00000100000000000000	https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H7526	003	0	1	01	01	H7526_003_0	4	06/04/2010	2011.01	06/04/2010 02:32:47 PM Central Daylight Time	07/29/2010 04:41:50 PM Central Daylight Time	07/29/2010 05:13:06 PM Central Daylight Time		07/30/2010 10:45:05 AM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Complete Solution - Chronic Lung Disorders (HMO SNP)	01	01		1			H7526	003	0	2011	Select Minnesota Counties		2	472	2				1	4		1		00000000000100000000	https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H7526	004	0	1	01	01	H7526_004_0	5	06/04/2010	2011.01	06/04/2010 02:32:33 PM Central Daylight Time	07/29/2010 04:40:16 PM Central Daylight Time	07/29/2010 05:12:10 PM Central Daylight Time		07/30/2010 10:45:05 AM Central Daylight Time	MEDICA HEALTH PLANS	Medica Health Plans	www.medica.com	Medica Complete Solution-Diabetes, Cardio Dis, HF (HMO SNP)	01	01		1			H7526	004	0	2011	Selected Minnesota Counties		2	1229	2				1	4		1		00000000000000000010	https://www.medica.com/C11/FindADoctor/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	http://www.medica.com/C12/DrugFormularyPartD/default.aspx	(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-234-8755		(952)-992-2300		(800)-266-2157		(952)-992-2030		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H7660	001	0	1	20	08	H7660_001_0	1	06/02/2010	2011.01	06/02/2010 05:37:58 PM Eastern Daylight Time		06/02/2010 12:39:06 PM Eastern Daylight Time		06/02/2010 05:41:22 PM Eastern Daylight Time	VIECARE BEAVER LLC DBA LIFE BEAVER COUNTY	LIFE-Beaver County	http://www.lutheranseniorlife.org	LIFE Beaver-Dual (PACE)	08	20		1			H7660	001	0	2011	LIFE-Beaver County		2		2				2							www.lutheranseniorlife.org	www.lutheranseniorlife.org									(724)-378-5400		(724)-378-5400		(724)-378-5400		(724)-378-5400										(724)-378-5400		(724)-378-5400		(724)-378-5400		(724)-378-5400		1
H7660	002	0	1	20	08	H7660_002_0	1	06/02/2010	2011.01	06/02/2010 05:38:43 PM Eastern Daylight Time		06/02/2010 12:39:06 PM Eastern Daylight Time		06/02/2010 05:41:22 PM Eastern Daylight Time	VIECARE BEAVER LLC DBA LIFE BEAVER COUNTY	LIFE-Beaver County	www.Lutheran SeniorLife.org	LIFE Beaver-Medicare only (PACE)	08	20		1			H7660	002	0	2011	LIFE Beaver County		2		2				2							www.lutheranseniorlife.org	www.lutheranseniorlife.org									(724)-378-5400		(724)-378-5400		(724)-378-5400		(724)-378-5400										(724)-378-5400		(724)-378-5400		(724)-378-5400		(724)-378-5400		1
H7678	001	0	1	01	01	H7678_001_0	8	08/23/2010	2011.01	08/23/2010 12:01:20 PM Pacific Daylight Time	08/20/2010 08:17:00 PM Pacific Daylight Time	08/20/2010 09:06:00 AM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF TEXAS, INC.	Molina Healthcare of Texas, Inc.	www.molinamedicare.com	Molina Medicare Options Plus (HMO SNP)	01	01		1			H7678	001	0	2011	South Central and Eastern Texas		2	1678	2		2		1	3		1	1		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-440-0012		(866)-440-0012		(866)-403-8293		(866)-403-8293		(866)-440-0012		(866)-440-0012		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H7678	002	0	1	01	01	H7678_002_0	9	08/30/2010	2011.01	08/30/2010 08:22:48 AM Pacific Daylight Time	08/20/2010 08:17:00 PM Pacific Daylight Time	08/20/2010 06:48:00 PM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF TEXAS, INC.	Molina Healthcare of Texas, Inc.	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H7678	002	0	2011	South Central and Eastern Texas		2	416	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-440-0012		(866)-440-0012		(866)-403-8293		(866)-403-8293		(866)-440-0012		(866)-440-0012		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H7731	001	0	1	01	01	H7731_001_0	4	08/20/2010	2011.01	08/20/2010 11:58:39 AM Central Daylight Time	08/20/2010 05:03:03 PM Central Daylight Time	08/20/2010 05:00:12 PM Central Daylight Time		08/20/2010 05:09:10 PM Central Daylight Time	MD CARE, INC.	MD Care Health Plan	www.mdcareadvantage.com	Advantage 1 MAPD (HMO)	01	01		1			H7731	001	0	2011	Counties:  LA, OC, RV, SB		2	13057	2				2						mdcareadvantage.com	MDCareAdvantage.com	Silverscript.com	(888)-285-9676		(562)-344-3400		(888)-285-9676		(562)-344-3400		(888)-816-7978		(888)-816-7978		(888)-285-9676		(562)-344-3400		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(866)-236-1069		(866)-236-1069		(800)-735-2929		(800)-735-2929		1
H7731	007	0	1	01	01	H7731_007_0	3	08/03/2010	2011.01	08/03/2010 01:36:04 PM Central Daylight Time	08/03/2010 05:54:31 PM Central Daylight Time			08/03/2010 06:01:29 PM Central Daylight Time	MD CARE, INC.	MD Care Health Plan	www.mdcareadvantage.com	Advantage Select MA (HMO)	01	01		1			H7731	007	0	2011	Counties:  LA, OC, RV, SB		2	230	2				2						mdcareadvantage.com	MDCareAdvantage.com	Silverscript.com	(888)-285-9676		(562)-344-3400		(888)-285-9676		(562)-344-3400										(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929										1
H7731	008	0	1	01	01	H7731_008_0	3	07/30/2010	2011.01	07/30/2010 11:37:22 AM Central Daylight Time	08/24/2010 11:25:56 AM Central Daylight Time	08/24/2010 11:25:56 AM Central Daylight Time		08/24/2010 10:39:19 AM Central Daylight Time	MD CARE, INC.	MD Care Health Plan	www.mdcareadvantage.com	Preferred Dual SNP (HMO SNP)	01	01		1			H7731	008	0	2011	Counties:  LA, OC, RV, SB		2	5226	2		2		1	3		1	5		mdcareadvantage.com	MDCareAdvantage.com	Silverscript.com	(888)-285-9676		(562)-344-3400		(888)-285-9676		(562)-344-3400		(888)-816-7978		(888)-816-7978		(888)-285-9676		(562)-344-3400		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(866)-236-1069		(866)-236-1069		(800)-735-2929		(800)-735-2929		1
H7787	001	0	1	04	01	H7787_001_0	6	08/19/2010	2011.01	08/19/2010 04:51:57 PM Central Daylight Time	08/20/2010 02:21:06 PM Central Daylight Time	08/19/2010 02:53:25 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Medicare Advantage PPO	www.healthspring.com	HealthyAdvantage Plus DFW (PPO)	01	04		1			H7787	001	0	2011	North Texas		2	2833	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-1120		(888)-501-1120		(800)-846-4896		(800)-846-4896		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
H7787	002	0	1	04	01	H7787_002_0	5	08/25/2010	2011.01	08/25/2010 01:20:43 PM Central Daylight Time	06/02/2010 12:09:23 PM Central Daylight Time			08/25/2010 03:50:09 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Medicare Advantage PPO	www.healthspring.com	HealthyAdvantage (PPO)	01	04		1			H7787	002	0	2011	North Texas		2	326	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-1120		(888)-501-1120		(800)-846-4896		(800)-846-4896										(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504										1
H7787	004	0	1	04	01	H7787_004_0	7	08/19/2010	2011.01	08/19/2010 04:50:50 PM Central Daylight Time	08/20/2010 02:21:58 PM Central Daylight Time	08/19/2010 02:54:25 PM Central Daylight Time		08/23/2010 04:54:30 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Medicare Advantage PPO	www.healthspring.com	HealthyAdvantage Plus (PPO)	01	04		1			H7787	004	0	2011	North Texas		2	1426	2				2						www.healthspring.com	www.healthspring.com	www.healthspring.com	(888)-501-1120		(888)-501-1120		(800)-846-4896		(800)-846-4896		(800)-331-6293		(800)-331-6293		(800)-331-6293		(800)-331-6293		(877)-893-1504		(877)-893-1504		(877)-893-1504		(877)-893-1504		(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
H7908	001	0	1	01	01	H7908_001_0	3	08/20/2010	2011.01	08/20/2010 01:43:25 PM Central Daylight Time	08/19/2010 03:32:31 PM Central Daylight Time	08/19/2010 01:03:42 PM Central Daylight Time		08/20/2010 03:15:23 PM Central Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Select Plan (HMO)	01	01		1			H7908	001	0	2011	Clark County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	www.aetnapharmacy.com	www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H7908	801	0	1	01	01	H7908_801_0	1	05/11/2010	2011.01	05/11/2010 11:48:40 AM Eastern Daylight Time	06/01/2010 12:32:37 PM Eastern Daylight Time			06/04/2010 03:28:22 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan (HMO)	01	01		1			H7908	801	0	2011	Nevada		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	www.aetnapharmacy.com	www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H7908	802	0	1	01	01	H7908_802_0	1	05/11/2010	2011.01	05/11/2010 11:59:29 AM Eastern Daylight Time	06/01/2010 12:40:34 PM Eastern Daylight Time			06/04/2010 03:28:22 PM Eastern Daylight Time	AETNA HEALTH	Aetna Medicare	http://www.aetnamedicare.com	Aetna Medicare Plan w/Rx CY (HMO)	01	01		1			H7908	802	0	2011	Nevada		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	www.aetnapharmacy.com	www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(800)-282-5366		(800)-282-5366		(800)-455-1560		(800)-455-1560		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H7917	008	0	1	04	01	H7917_008_0	7	08/23/2010	2011.01	08/23/2010 05:57:30 PM Eastern Daylight Time	08/20/2010 03:39:42 PM Eastern Daylight Time	08/20/2010 03:41:04 PM Eastern Daylight Time		08/23/2010 06:05:41 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Diamond (PPO)	01	04		1			H7917	008	0	2011	West Tennessee		2	3101	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	009	0	1	04	01	H7917_009_0	7	08/23/2010	2011.01	08/23/2010 05:57:22 PM Eastern Daylight Time	08/20/2010 03:42:20 PM Eastern Daylight Time	08/20/2010 03:44:20 PM Eastern Daylight Time		08/23/2010 06:09:38 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Diamond (PPO)	01	04		1			H7917	009	0	2011	Middle Tennessee		2	3621	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	010	0	1	04	01	H7917_010_0	7	08/23/2010	2011.01	08/23/2010 05:57:39 PM Eastern Daylight Time	08/20/2010 03:45:44 PM Eastern Daylight Time	08/20/2010 03:48:08 PM Eastern Daylight Time		08/23/2010 06:23:57 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Diamond (PPO)	01	04		1			H7917	010	0	2011	Southeast Tennessee		2	10877	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	011	0	1	04	01	H7917_011_0	6	08/23/2010	2011.01	08/23/2010 05:57:06 PM Eastern Daylight Time	08/20/2010 03:50:42 PM Eastern Daylight Time	08/20/2010 03:51:42 PM Eastern Daylight Time		08/23/2010 06:27:14 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Diamond (PPO)	01	04		1			H7917	011	0	2011	Northeast Tennessee		2	10903	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	012	0	1	04	01	H7917_012_0	7	08/25/2010	2011.01	08/25/2010 05:22:46 PM Eastern Daylight Time	08/25/2010 05:04:48 PM Eastern Daylight Time	08/25/2010 05:04:49 PM Eastern Daylight Time		08/25/2010 05:24:57 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Ruby (PPO)	01	04		1			H7917	012	0	2011	West Tennessee		2	1185	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	013	0	1	04	01	H7917_013_0	7	08/25/2010	2011.01	08/25/2010 05:22:52 PM Eastern Daylight Time	08/25/2010 05:04:50 PM Eastern Daylight Time	08/25/2010 05:04:50 PM Eastern Daylight Time		08/25/2010 05:28:44 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Ruby (PPO)	01	04		1			H7917	013	0	2011	Middle Tennessee		2	1267	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	014	0	1	04	01	H7917_014_0	7	08/27/2010	2011.01	08/27/2010 10:35:27 AM Eastern Daylight Time	08/26/2010 05:43:24 PM Eastern Daylight Time	08/20/2010 03:58:14 PM Eastern Daylight Time		08/27/2010 10:41:58 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Ruby (PPO)	01	04		1			H7917	014	0	2011	Southeast Tennessee		2	2535	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	015	0	1	04	01	H7917_015_0	7	08/27/2010	2011.01	08/27/2010 10:35:27 AM Eastern Daylight Time	08/26/2010 05:43:25 PM Eastern Daylight Time	08/20/2010 04:00:32 PM Eastern Daylight Time		08/27/2010 10:49:41 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Ruby (PPO)	01	04		1			H7917	015	0	2011	Northeast Tennessee		2	1862	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	026	0	1	04	01	H7917_026_0	5	08/11/2010	2011.01	08/11/2010 10:22:34 PM Eastern Daylight Time	08/06/2010 09:51:50 AM Eastern Daylight Time			08/11/2010 11:03:30 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Emerald (PPO)	01	04		1			H7917	026	0	2011	West Tennessee		2	1058	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										1
H7917	027	0	1	04	01	H7917_027_0	5	08/11/2010	2011.01	08/11/2010 10:21:28 PM Eastern Daylight Time	08/06/2010 09:52:08 AM Eastern Daylight Time			08/11/2010 11:06:43 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Emerald (PPO)	01	04		1			H7917	027	0	2011	East Tennessee		2	1163	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										1
H7917	801	0	1	04	01	H7917_801_0	3	08/11/2010	2011.01	08/11/2010 04:55:03 PM Eastern Daylight Time	06/03/2010 02:49:12 PM Eastern Daylight Time			08/11/2010 05:01:47 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Plus (PPO)	01	04		1			H7917	801	0	2011	22 County Region		1	12	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	802	0	1	04	01	H7917_802_0	3	08/11/2010	2011.01	08/11/2010 04:55:18 PM Eastern Daylight Time	06/03/2010 02:49:32 PM Eastern Daylight Time			08/11/2010 05:06:09 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage Plus (PPO)	01	04		1			H7917	802	0	2011	22 County Region		1	12	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422		1
H7917	803	0	1	04	01	H7917_803_0	3	08/11/2010	2011.01	08/11/2010 04:55:29 PM Eastern Daylight Time	06/03/2010 02:49:58 PM Eastern Daylight Time			08/11/2010 05:07:41 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF TENNESSEE	BlueCross BlueShield of Tennessee	www.bcbst-medicare.com	BlueAdvantage (PPO)	01	04		1			H7917	803	0	2011	22 County Region		1	12	1	1			2						www.bcbst-medicare.com	www.bcbst-medicare.com	www.bcbst-medicare.com	(800)-841-7434		(800)-841-7434		(800)-292-5146		(800)-292-5146										(888)-423-9490		(888)-423-9490		(877)-664-6422		(877)-664-6422										1
H7949	001	0	1	01	01	H7949_001_0	4	06/07/2010	2011.01	06/07/2010 05:08:55 PM Central Daylight Time	08/19/2010 07:02:49 PM Central Daylight Time	08/19/2010 10:05:17 AM Central Daylight Time		08/20/2010 03:04:42 PM Central Daylight Time	PACIFICARE OF NEVADA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete (HMO)	01	01		1			H7949	001	0	2011	Clark county		2		2				2							www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(800)-950-9355		(800)-950-9355		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7949	801	0	1	01	01	H7949_801_0	2	06/02/2010	2011.01	06/02/2010 09:26:24 AM Central Daylight Time	06/07/2010 05:39:58 PM Central Daylight Time			06/07/2010 06:20:29 PM Central Daylight Time	PACIFICARE OF NEVADA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H7949	801	0	2011	NV Employer Sponsored Plan Service Area		1		2				2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H7949	803	0	1	01	01	H7949_803_0	2	06/01/2010	2011.01	06/01/2010 11:57:58 AM Central Daylight Time	06/07/2010 05:40:19 PM Central Daylight Time			06/07/2010 06:20:29 PM Central Daylight Time	PACIFICARE OF NEVADA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H7949	803	0	2011	NV Employer Sponsored Plan Service Area		1		2				2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(800)-610-2660		(800)-610-2660		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H7949	804	0	1	01	01	H7949_804_0	2	06/01/2010	2011.01	06/01/2010 11:58:06 AM Central Daylight Time	06/07/2010 05:40:53 PM Central Daylight Time			06/07/2010 06:20:29 PM Central Daylight Time	PACIFICARE OF NEVADA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H7949	804	0	2011	NV Employer Sponsored Plan Service Area		1		2				2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8050	001	0	1	02	01	H8050_001_0	9	08/26/2010	2011.01	08/26/2010 06:35:17 PM Eastern Daylight Time	08/23/2010 02:10:05 PM Eastern Daylight Time	08/23/2010 02:09:56 PM Eastern Daylight Time		08/26/2010 06:40:19 PM Eastern Daylight Time	CARILION CLINIC MEDICARE RESOURCES, LLC	Carilion Clinic Medicare Health Plan	www.carilionmedicare.com	Carilion Clinic Medicare Health Plan Gold (HMO-POS)	01	02		1			H8050	001	0	2011	western Virginia		2	1070	2				2							www.carilionmedicare.com	www.carilionmedicare.com	(877)-233-7057		(877)-233-7057		(877)-335-0202		(877)-335-0202		(866)-544-6981		(866)-544-6981		(866)-544-6981		(866)-544-6981		(888)-844-5530		(888)-844-5530		(877)-846-3942		(877)-846-3942		(888)-844-5530		(888)-844-5530		(800)-716-3231		(800)-716-3231		1
H8050	005	0	1	01	01	H8050_005_0	8	10/13/2010	2011.01	10/13/2010 09:00:10 AM Eastern Daylight Time	08/26/2010 04:25:09 PM Eastern Daylight Time	08/23/2010 02:10:09 PM Eastern Daylight Time		10/13/2010 09:01:46 AM Eastern Daylight Time	CARILION CLINIC MEDICARE RESOURCES, LLC	Carilion Clinic Medicare Health Plan	www.carilionmedicare.com	Carilion Clinic Medicare Health Plan Bronze (HMO)	01	01		1			H8050	005	0	2011	western Virginia		2	731	2				2							www.carilionmedicare.com	www.carilionmedicare.com	(877)-233-7055		(877)-233-7055		(877)-335-0202		(877)-335-0202		(866)-544-6981		(866)-544-6981		(866)-544-6981		(866)-544-6981		(888)-844-5530		(888)-844-5530		(877)-846-3942		(877)-846-3942		(888)-844-5530		(888)-844-5530		(800)-716-3231		(800)-716-3231		1
H8050	006	0	1	02	01	H8050_006_0	5	08/23/2010	2011.01	08/23/2010 12:03:46 PM Eastern Daylight Time	08/23/2010 02:10:44 PM Eastern Daylight Time	08/23/2010 02:10:24 PM Eastern Daylight Time		08/23/2010 02:24:55 PM Eastern Daylight Time	CARILION CLINIC MEDICARE RESOURCES, LLC	Carilion Clinic Medicare Health Plan	www.carilionmedicare.com	Carilion Clinic Medicare Health Plan Silver (HMO-POS)	01	02		1			H8050	006	0	2011	western Virginia		2	1258	2				2							www.carilionmedicare.com	www.carilionmedicare.com	(877)-233-7056		(877)-233-7056		(877)-335-0202		(877)-335-0202		(866)-544-6981		(866)-544-6981		(866)-544-6981		(866)-544-6981		(888)-844-5530		(888)-844-5530		(877)-846-3942		(877)-846-3942		(888)-844-5530		(888)-844-5530		(800)-716-3231		(800)-716-3231		1
H8050	007	0	1	02	01	H8050_007_0	7	08/04/2010	2011.01	08/04/2010 03:24:25 PM Eastern Daylight Time	08/23/2010 02:10:48 PM Eastern Daylight Time	08/23/2010 02:10:39 PM Eastern Daylight Time		08/23/2010 02:24:55 PM Eastern Daylight Time	CARILION CLINIC MEDICARE RESOURCES, LLC	Carilion Clinic Medicare Health Plan	www.carilionmedicare.com	Carilion Clinic Medicare Health Plan Platinum (HMO-POS)	01	02		1			H8050	007	0	2011	western Virginia		2	141	2				2							www.carilionmedicare.com	www.carilionmedicare.com	(877)-233-7057		(877)-233-7057		(877)-335-0202		(877)-335-0202		(866)-544-6981		(866)-544-6981		(866)-544-6981		(866)-544-6981		(888)-844-5530		(888)-844-5530		(877)-846-3942		(877)-846-3942		(888)-844-5530		(888)-844-5530		(800)-716-3231		(800)-716-3231		1
H8091	001	0	1	04	01	H8091_001_0	5	08/20/2010	2011.01	08/20/2010 04:47:34 PM Central Daylight Time	08/20/2010 04:33:13 PM Central Daylight Time	08/20/2010 04:34:10 PM Central Daylight Time		08/20/2010 04:53:02 PM Central Daylight Time	ARKANSAS BLUE CROSS AND BLUE SHIELD	Arkansas Blue Cross and Blue Shield	www.abcbs.com	Medi-Pak Advantage . St. Vincent (PPO)	01	04		1			H8091	001	0	2011	Pulaski County AR		2	2000	2				2						www.arkansasbluecross.com/providers/MedipakAdvantage.aspx	http://www.arkansasbluecross.com	http://www.arkansasbluecross.com			(501)-378-2000		(877)-233-7022		(501)-378-2000		(877)-233-7022		(501)-378-2000		(877)-233-7022		(501)-378-2000		(501)-378-2000		(501)-378-2000		(888)-448-5530		(888)-448-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		(888)-844-5530		1
H8096	001	0	1	20	08	H8096_001_0	1	05/26/2010	2011.01	05/26/2010 01:32:14 PM Eastern Daylight Time		05/18/2010 06:26:42 PM Eastern Daylight Time		05/26/2010 01:33:50 PM Eastern Daylight Time	CENTRA HEALTH, INC.	Centra PACE	http://www.centrahealth.com/pace-program	Centra PACE - Dual (PACE)	08	20		1			H8096	001	0	2011	Centra PACE - Lynchburg		2		2				2							http:\\www.centrahealth.com	www.centrahealth.com									(888)-316-9540		(434)-200-6516		(888)-316-9540		(434)-200-6516										(434)-200-6516		(434)-200-6516		(434)-200-6516		(434)-200-6516		1
H8096	002	0	1	20	08	H8096_002_0	1	05/26/2010	2011.01	05/26/2010 01:32:31 PM Eastern Daylight Time		05/18/2010 06:26:43 PM Eastern Daylight Time		05/26/2010 01:33:50 PM Eastern Daylight Time	CENTRA HEALTH, INC.	Centra PACE	http://www.centrahealth.com/pace-program	Centra PACE - Medicare only (PACE)	08	20		1			H8096	002	0	2011	Centra PACE - Lynchburg		2		2				2							http:\\www.centrahealth.com	www.centrahealth.com									(888)-316-9540		(434)-200-6516		(888)-316-9540		(434)-200-6516										(434)-200-6516		(434)-200-6516		(434)-200-6516		(434)-200-6516		1
H8098	001	0	1	09	04	H8098_001_0	12	09/01/2010	2011.01	09/01/2010 07:50:51 PM Eastern Daylight Time	08/25/2010 07:01:11 PM Eastern Daylight Time	08/23/2010 04:42:30 PM Eastern Daylight Time		09/01/2010 08:17:55 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	Universal Health Care Insurance Company, Inc.	http://www.univhc.com	Any, Any, Any Gold (PFFS)	04	09	1	1			H8098	001	0	2011	National Network PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	http://www.univhc.com	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H8098	003	0	1	09	04	H8098_003_0	10	09/01/2010	2011.01	09/01/2010 07:53:43 PM Eastern Daylight Time	08/25/2010 07:01:43 PM Eastern Daylight Time			09/01/2010 08:17:55 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	Universal Health Care Insurance Company, Inc.	http://www.univhc.com	Any, Any, Any Gold MA Only (PFFS)	04	09	1	1			H8098	003	0	2011	National Network PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	http://www.univhc.com	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446										(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177										1
H8098	005	0	1	09	04	H8098_005_0	11	09/01/2010	2011.01	09/01/2010 07:53:25 PM Eastern Daylight Time	08/25/2010 07:02:21 PM Eastern Daylight Time	08/23/2010 04:43:13 PM Eastern Daylight Time		09/01/2010 08:17:55 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	Universal Health Care Insurance Company, Inc.	http://www.univhc.com	e-Any, Any, Any Gold Direct (PFFS)	04	09	1	1			H8098	005	0	2011	National Network PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	http://www.univhc.com	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H8098	009	0	1	09	04	H8098_009_0	9	09/01/2010	2011.01	09/01/2010 07:53:33 PM Eastern Daylight Time	08/23/2010 04:42:05 PM Eastern Daylight Time	08/23/2010 04:43:44 PM Eastern Daylight Time		09/01/2010 08:17:55 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	Universal Health Care Insurance Company, Inc.	http://www.univhc.com	Any, Any, Any Platinum (PFFS)	04	09	1	1			H8098	009	0	2011	National Network PFFS		2		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	http://www.univhc.com	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H8098	801	0	1	09	04	H8098_801_0	4	08/05/2010	2011.01	08/05/2010 12:04:24 PM Eastern Daylight Time	08/03/2010 08:44:00 PM Eastern Daylight Time			08/05/2010 12:05:49 PM Eastern Daylight Time	UNIVERSAL HEALTH CARE INSURANCE COMPANY	Universal Health Care Insurance Company, Inc.	http://www.univhc.com	Universal EGWP (PFFS)	04	09	1	1			H8098	801	0	2011	National PFFS		1		2				2							http://www.univhc.com/Formulary/Plans_mp.asp	http://www.univhc.com	(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(866)-690-4842		(727)-822-3446		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		(800)-617-0177		1
H8130	001	0	1	01	01	H8130_001_0	7	08/23/2010	2011.01	08/23/2010 12:26:31 PM Pacific Daylight Time	08/20/2010 08:18:00 PM Pacific Daylight Time	08/20/2010 06:48:00 PM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF FLORIDA, INC.	Molina Healthcare of Florida	www.molinamedicare.com	Molina Medicare Options Plus (HMO SNP)	01	01		1			H8130	001	0	2011	Broward, Miami, Palm Bch, Hillsborough  Pinellas		2	1701	2		2		1	3		1	5		www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-553-9494		(866)-553-9494		(866)-403-8293		(866)-403-8293		(866)-553-9494		(866)-553-9494		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H8130	002	0	1	01	01	H8130_002_0	8	08/23/2010	2011.01	08/23/2010 12:33:08 PM Pacific Daylight Time	08/20/2010 08:18:00 PM Pacific Daylight Time	08/20/2010 06:49:00 PM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF FLORIDA, INC.	Molina Healthcare of Florida	www.molinamedicare.com	Molina Medicare Options Miami-Dade  Broward Co. (HMO)	01	01		1			H8130	002	0	2011	Miami-Dade  Broward Counties		2	155	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-553-9494		(866)-553-9494		(866)-403-8293		(866)-403-8293		(866)-553-9494		(866)-553-9494		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H8130	004	0	1	01	01	H8130_004_0	8	08/23/2010	2011.01	08/23/2010 12:34:08 PM Pacific Daylight Time	08/20/2010 08:19:00 PM Pacific Daylight Time	08/20/2010 06:49:00 PM Pacific Daylight Time		08/23/2010 02:45:22 PM Pacific Daylight Time	MOLINA HEALTHCARE OF FLORIDA, INC.	Molina Healthcare of Florida	www.molinamedicare.com	Molina Medicare Options Palm Beach, Hillsb  Pinel (HMO)	01	01		1			H8130	004	0	2011	Palm Beach, Hillsborough  Pinellas Counties		2	505	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-553-9494		(866)-553-9494		(866)-403-8293		(866)-403-8293		(866)-553-9494		(866)-553-9494		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H8145	001	0	1	09	04	H8145_001_0	5	08/20/2010	2011.01	08/20/2010 03:17:26 PM Eastern Daylight Time	08/20/2010 12:40:08 PM Eastern Daylight Time	08/20/2010 04:27:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-001 (PFFS)	04	09	1	1			H8145	001	0	2011	Select counties in Oklahoma		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	003	0	1	09	04	H8145_003_0	5	08/20/2010	2011.01	08/20/2010 01:35:46 PM Eastern Daylight Time	08/19/2010 06:48:44 PM Eastern Daylight Time	08/20/2010 04:27:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-003 (PFFS)	04	09	1	1			H8145	003	0	2011	Select Counties in Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	004	0	1	09	04	H8145_004_0	5	08/20/2010	2011.01	08/20/2010 01:36:07 PM Eastern Daylight Time	08/19/2010 06:48:18 PM Eastern Daylight Time	08/20/2010 04:27:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-004 (PFFS)	04	09	1	1			H8145	004	0	2011	Select Counties in Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	005	0	1	09	04	H8145_005_0	6	08/20/2010	2011.01	08/20/2010 01:41:26 PM Eastern Daylight Time	08/20/2010 04:42:40 PM Eastern Daylight Time	08/20/2010 04:27:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-005 (PFFS)	04	09	1	1			H8145	005	0	2011	Select Counties in Michigan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	006	0	1	09	04	H8145_006_0	6	08/20/2010	2011.01	08/20/2010 01:41:44 PM Eastern Daylight Time	08/20/2010 04:51:28 PM Eastern Daylight Time	08/20/2010 04:27:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-006 (PFFS)	04	09	1	1			H8145	006	0	2011	Select counties in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	007	0	1	09	04	H8145_007_0	6	08/20/2010	2011.01	08/20/2010 01:42:06 PM Eastern Daylight Time	08/20/2010 04:52:10 PM Eastern Daylight Time	08/20/2010 04:28:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-007 (PFFS)	04	09	1	1			H8145	007	0	2011	Select county in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	008	0	1	09	04	H8145_008_0	3	08/20/2010	2011.01	08/20/2010 01:52:03 PM Eastern Daylight Time	08/20/2010 04:40:30 PM Eastern Daylight Time	08/20/2010 04:28:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-008 (PFFS)	04	09	1	1			H8145	008	0	2011	Select Counties in Illinois		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	009	0	1	09	04	H8145_009_0	3	08/20/2010	2011.01	08/20/2010 01:52:24 PM Eastern Daylight Time	08/20/2010 04:41:12 PM Eastern Daylight Time	08/20/2010 04:28:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-009 (PFFS)	04	09	1	1			H8145	009	0	2011	Select Counties in Illinois		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	010	0	1	09	04	H8145_010_0	2	06/04/2010	2011.01	06/04/2010 03:57:46 PM Eastern Daylight Time	06/04/2010 11:45:23 AM Eastern Daylight Time			07/26/2010 08:57:55 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-010 (PFFS)	04	09	1	1			H8145	010	0	2011	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H8145	011	0	1	09	04	H8145_011_0	5	08/20/2010	2011.01	08/20/2010 01:36:22 PM Eastern Daylight Time	08/19/2010 06:41:54 PM Eastern Daylight Time	08/20/2010 04:28:00 PM Eastern Daylight Time		08/21/2010 12:00:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-011 (PFFS)	04	09	1	1			H8145	011	0	2011	Select Counties in Indiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	012	0	1	09	04	H8145_012_0	3	08/20/2010	2011.01	08/20/2010 01:36:53 PM Eastern Daylight Time	08/19/2010 06:42:24 PM Eastern Daylight Time	08/20/2010 04:28:00 PM Eastern Daylight Time		08/21/2010 12:00:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-012 (PFFS)	04	09	1	1			H8145	012	0	2011	Select Counties in Indiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	014	0	1	09	04	H8145_014_0	5	06/07/2010	2011.01	06/07/2010 10:10:52 AM Eastern Daylight Time	08/05/2010 11:06:50 AM Eastern Daylight Time			08/09/2010 02:07:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-014 (PFFS)	04	09	1	1			H8145	014	0	2011	Select Counties in Indiana		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H8145	020	0	1	09	04	H8145_020_0	4	08/20/2010	2011.01	08/20/2010 01:37:59 PM Eastern Daylight Time	08/19/2010 06:43:54 PM Eastern Daylight Time	08/20/2010 04:28:00 PM Eastern Daylight Time		08/21/2010 12:00:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-020 (PFFS)	04	09	1	1			H8145	020	0	2011	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	021	0	1	09	04	H8145_021_0	3	08/20/2010	2011.01	08/20/2010 01:38:20 PM Eastern Daylight Time	08/19/2010 06:44:22 PM Eastern Daylight Time	08/20/2010 04:29:00 PM Eastern Daylight Time		08/21/2010 12:00:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-021 (PFFS)	04	09	1	1			H8145	021	0	2011	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	024	0	1	09	04	H8145_024_0	5	06/07/2010	2011.01	06/07/2010 10:11:35 AM Eastern Daylight Time	08/05/2010 11:10:20 AM Eastern Daylight Time			08/09/2010 02:07:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-024 (PFFS)	04	09	1	1			H8145	024	0	2011	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H8145	025	0	1	09	04	H8145_025_0	4	06/07/2010	2011.01	06/07/2010 10:12:11 AM Eastern Daylight Time	08/05/2010 11:12:14 AM Eastern Daylight Time			08/09/2010 02:07:16 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-025 (PFFS)	04	09	1	1			H8145	025	0	2011	Select Counties in Kentucky		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H8145	032	0	1	09	04	H8145_032_0	7	08/20/2010	2011.01	08/20/2010 01:40:35 PM Eastern Daylight Time	08/19/2010 06:44:54 PM Eastern Daylight Time	08/20/2010 04:29:00 PM Eastern Daylight Time		08/21/2010 12:00:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-032 (PFFS)	04	09	1	1			H8145	032	0	2011	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	033	0	1	09	04	H8145_033_0	5	08/20/2010	2011.01	08/20/2010 01:40:51 PM Eastern Daylight Time	08/19/2010 06:45:22 PM Eastern Daylight Time	08/20/2010 04:29:00 PM Eastern Daylight Time		08/21/2010 12:00:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-033 (PFFS)	04	09	1	1			H8145	033	0	2011	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	040	0	1	09	04	H8145_040_0	6	08/20/2010	2011.01	08/20/2010 01:41:09 PM Eastern Daylight Time	08/19/2010 06:45:50 PM Eastern Daylight Time	08/20/2010 04:29:00 PM Eastern Daylight Time		08/21/2010 12:00:12 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-040 (PFFS)	04	09	1	1			H8145	040	0	2011	Select Counties in Ohio		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	041	0	1	09	04	H8145_041_0	6	08/20/2010	2011.01	08/20/2010 01:36:30 PM Eastern Daylight Time	08/19/2010 06:49:14 PM Eastern Daylight Time	08/20/2010 04:29:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-041 (PFFS)	04	09	1	1			H8145	041	0	2011	Select Counties in Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	042	0	1	09	04	H8145_042_0	3	06/05/2010	2011.01	06/05/2010 12:09:15 PM Eastern Daylight Time	05/30/2010 07:22:22 PM Eastern Daylight Time			06/05/2010 02:02:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-042 (PFFS)	04	09	1	1			H8145	042	0	2011	Select Counties in Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8145	044	0	1	09	04	H8145_044_0	4	06/07/2010	2011.01	06/07/2010 11:17:30 AM Eastern Daylight Time	05/30/2010 07:22:55 PM Eastern Daylight Time			06/07/2010 12:47:02 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-044 (PFFS)	04	09	1	1			H8145	044	0	2011	Select Counties in Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8145	049	0	1	09	04	H8145_049_0	5	08/20/2010	2011.01	08/20/2010 01:38:13 PM Eastern Daylight Time	08/19/2010 06:39:58 PM Eastern Daylight Time	08/20/2010 04:29:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-049 (PFFS)	04	09	1	1			H8145	049	0	2011	Select Counties in West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	050	0	1	09	04	H8145_050_0	4	06/07/2010	2011.01	06/07/2010 10:14:47 AM Eastern Daylight Time	08/05/2010 10:28:12 AM Eastern Daylight Time			08/09/2010 02:01:06 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-050 (PFFS)	04	09	1	1			H8145	050	0	2011	Select Counties in West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H8145	051	0	1	09	04	H8145_051_0	6	08/20/2010	2011.01	08/20/2010 01:38:59 PM Eastern Daylight Time	08/19/2010 06:40:28 PM Eastern Daylight Time	08/20/2010 04:29:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-051 (PFFS)	04	09	1	1			H8145	051	0	2011	Select Counties in West Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	052	0	1	09	04	H8145_052_0	5	08/20/2010	2011.01	08/20/2010 01:34:16 PM Eastern Daylight Time	08/19/2010 06:46:22 PM Eastern Daylight Time	08/20/2010 04:30:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-052 (PFFS)	04	09	1	1			H8145	052	0	2011	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	053	0	1	09	04	H8145_053_0	6	08/20/2010	2011.01	08/20/2010 01:34:35 PM Eastern Daylight Time	08/19/2010 06:46:54 PM Eastern Daylight Time	08/20/2010 04:30:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-053 (PFFS)	04	09	1	1			H8145	053	0	2011	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	054	0	1	09	04	H8145_054_0	5	08/20/2010	2011.01	08/20/2010 01:35:00 PM Eastern Daylight Time	08/19/2010 06:47:20 PM Eastern Daylight Time	08/20/2010 04:30:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-054 (PFFS)	04	09	1	1			H8145	054	0	2011	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8145	055	0	1	09	04	H8145_055_0	3	06/05/2010	2011.01	06/05/2010 12:02:12 PM Eastern Daylight Time	05/30/2010 07:18:06 PM Eastern Daylight Time			06/05/2010 02:02:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-055 (PFFS)	04	09	1	1			H8145	055	0	2011	Select Counties in Pennsylvania		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8145	061	0	1	09	04	H8145_061_0	5	08/20/2010	2011.01	08/20/2010 05:19:14 PM Eastern Daylight Time	08/20/2010 04:44:18 PM Eastern Daylight Time	08/20/2010 04:30:00 PM Eastern Daylight Time		08/21/2010 10:25:28 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-061 (PFFS)	04	09	1	1			H8145	061	0	2011	Select Counties in Florida		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	063	0	1	09	04	H8145_063_0	6	08/20/2010	2011.01	08/20/2010 03:03:06 PM Eastern Daylight Time	08/20/2010 09:25:38 AM Eastern Daylight Time	08/20/2010 04:30:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-063 (PFFS)	04	09	1	1			H8145	063	0	2011	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	069	0	1	09	04	H8145_069_0	3	08/20/2010	2011.01	08/20/2010 03:03:23 PM Eastern Daylight Time	08/20/2010 09:26:06 AM Eastern Daylight Time	08/20/2010 04:30:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-069 (PFFS)	04	09	1	1			H8145	069	0	2011	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	071	0	1	09	04	H8145_071_0	3	08/20/2010	2011.01	08/20/2010 03:03:37 PM Eastern Daylight Time	08/20/2010 09:26:30 AM Eastern Daylight Time	08/20/2010 04:30:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-071 (PFFS)	04	09	1	1			H8145	071	0	2011	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	073	0	1	09	04	H8145_073_0	3	08/20/2010	2011.01	08/20/2010 02:14:33 PM Eastern Daylight Time	08/20/2010 06:22:54 PM Eastern Daylight Time	08/20/2010 04:31:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-073 (PFFS)	04	09	1	1			H8145	073	0	2011	Select counties in Hawaii		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	075	0	1	09	04	H8145_075_0	4	08/20/2010	2011.01	08/20/2010 02:07:56 PM Eastern Daylight Time	08/20/2010 09:22:16 AM Eastern Daylight Time	08/20/2010 04:31:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-075 (PFFS)	04	09	1	1			H8145	075	0	2011	Select Counties in Alabama		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	078	0	1	09	04	H8145_078_0	5	08/20/2010	2011.01	08/20/2010 01:43:29 PM Eastern Daylight Time	08/19/2010 10:22:48 PM Eastern Daylight Time	08/20/2010 04:31:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-078 (PFFS)	04	09	1	1			H8145	078	0	2011	Select Counties in New Mexico		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	079	0	1	09	04	H8145_079_0	4	08/20/2010	2011.01	08/20/2010 01:04:37 PM Eastern Daylight Time	08/20/2010 09:26:52 AM Eastern Daylight Time	08/20/2010 04:31:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-079 (PFFS)	04	09	1	1			H8145	079	0	2011	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	080	0	1	09	04	H8145_080_0	4	08/20/2010	2011.01	08/20/2010 02:09:19 PM Eastern Daylight Time	08/20/2010 09:22:42 AM Eastern Daylight Time	08/20/2010 04:31:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-080 (PFFS)	04	09	1	1			H8145	080	0	2011	Select Counties in Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	084	0	1	09	04	H8145_084_0	5	08/20/2010	2011.01	08/20/2010 01:43:48 PM Eastern Daylight Time	08/19/2010 10:22:40 PM Eastern Daylight Time	08/20/2010 04:31:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-084 (PFFS)	04	09	1	1			H8145	084	0	2011	Select Counties in Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	087	0	1	09	04	H8145_087_0	6	08/20/2010	2011.01	08/20/2010 01:47:56 PM Eastern Daylight Time	08/20/2010 01:54:58 PM Eastern Daylight Time	08/20/2010 04:31:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-087 (PFFS)	04	09	1	1			H8145	087	0	2011	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	089	0	1	09	04	H8145_089_0	6	08/21/2010	2011.01	08/21/2010 03:00:41 PM Eastern Daylight Time	08/20/2010 03:24:56 PM Eastern Daylight Time	08/20/2010 04:32:00 PM Eastern Daylight Time		08/21/2010 04:59:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-089 (PFFS)	04	09	1	1			H8145	089	0	2011	Minnesota		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	091	0	1	09	04	H8145_091_0	4	08/20/2010	2011.01	08/20/2010 02:11:19 PM Eastern Daylight Time	08/20/2010 09:23:08 AM Eastern Daylight Time	08/20/2010 04:32:00 PM Eastern Daylight Time		08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-091 (PFFS)	04	09	1	1			H8145	091	0	2011	Select Counties in Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	093	0	1	09	04	H8145_093_0	4	08/20/2010	2011.01	08/20/2010 02:10:01 PM Eastern Daylight Time	08/20/2010 01:25:49 PM Eastern Daylight Time	08/20/2010 04:32:00 PM Eastern Daylight Time		08/21/2010 09:19:42 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-093 (PFFS)	04	09	1	1			H8145	093	0	2011	Oregon B Plan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	095	0	1	09	04	H8145_095_0	3	08/20/2010	2011.01	08/20/2010 02:02:25 PM Eastern Daylight Time	08/20/2010 01:24:10 PM Eastern Daylight Time	08/20/2010 04:32:00 PM Eastern Daylight Time		08/21/2010 08:48:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-095 (PFFS)	04	09	1	1			H8145	095	0	2011	Montana Plan A		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	096	0	1	09	04	H8145_096_0	4	08/20/2010	2011.01	08/20/2010 02:03:09 PM Eastern Daylight Time	08/20/2010 01:24:57 PM Eastern Daylight Time	08/20/2010 04:32:00 PM Eastern Daylight Time		08/21/2010 08:48:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-096 (PFFS)	04	09	1	1			H8145	096	0	2011	Montana MLA Plan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	097	0	1	09	04	H8145_097_0	2	06/07/2010	2011.01	06/07/2010 04:02:27 PM Eastern Daylight Time	05/30/2010 11:45:31 PM Eastern Daylight Time			06/07/2010 05:31:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-097 (PFFS)	04	09	1	1			H8145	097	0	2011	Montana MA Plan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8145	099	0	1	09	04	H8145_099_0	4	08/20/2010	2011.01	08/20/2010 02:05:42 PM Eastern Daylight Time	08/20/2010 01:28:22 PM Eastern Daylight Time	08/20/2010 04:32:00 PM Eastern Daylight Time		08/21/2010 09:00:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-099 (PFFS)	04	09	1	1			H8145	099	0	2011	Wyoming Plan A		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	100	0	1	09	04	H8145_100_0	4	08/20/2010	2011.01	08/20/2010 02:04:58 PM Eastern Daylight Time	08/20/2010 01:29:13 PM Eastern Daylight Time	08/20/2010 04:33:00 PM Eastern Daylight Time		08/21/2010 09:00:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-100 (PFFS)	04	09	1	1			H8145	100	0	2011	Wyoming MLA Plan		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	103	0	1	09	04	H8145_103_0	5	08/20/2010	2011.01	08/20/2010 02:14:57 PM Eastern Daylight Time	08/20/2010 06:22:37 PM Eastern Daylight Time	08/20/2010 04:33:00 PM Eastern Daylight Time		08/21/2010 10:37:45 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-103 (PFFS)	04	09	1	1			H8145	103	0	2011	Select Counties in Arizona		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	104	0	1	09	04	H8145_104_0	4	08/20/2010	2011.01	08/20/2010 02:01:32 PM Eastern Daylight Time	08/20/2010 01:23:20 PM Eastern Daylight Time	08/20/2010 04:33:00 PM Eastern Daylight Time		08/21/2010 08:39:15 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-104 (PFFS)	04	09	1	1			H8145	104	0	2011	Idaho Plan A		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	107	0	1	09	04	H8145_107_0	4	08/20/2010	2011.01	08/20/2010 03:17:05 PM Eastern Daylight Time	08/20/2010 01:26:33 PM Eastern Daylight Time	08/20/2010 04:33:00 PM Eastern Daylight Time		08/21/2010 08:27:39 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-107 (PFFS)	04	09	1	1			H8145	107	0	2011	Utah MLA		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	108	0	1	09	04	H8145_108_0	1	06/04/2010	2011.01	06/04/2010 03:37:25 PM Eastern Daylight Time	06/04/2010 01:35:36 PM Eastern Daylight Time			06/04/2010 04:01:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-108 (PFFS)	04	09	1	1			H8145	108	0	2011	Select Counties in Virginia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8145	109	0	1	09	04	H8145_109_0	4	08/20/2010	2011.01	08/20/2010 02:08:29 PM Eastern Daylight Time	08/20/2010 01:27:30 PM Eastern Daylight Time	08/20/2010 04:33:00 PM Eastern Daylight Time		08/21/2010 09:12:16 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-109 (PFFS)	04	09	1	1			H8145	109	0	2011	Washington		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	110	0	1	09	04	H8145_110_0	6	08/20/2010	2011.01	08/20/2010 01:42:24 PM Eastern Daylight Time	08/20/2010 04:52:54 PM Eastern Daylight Time	08/20/2010 04:33:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-110 (PFFS)	04	09	1	1			H8145	110	0	2011	Select counties in Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	111	0	1	09	04	H8145_111_0	1	06/02/2010	2011.01	06/02/2010 03:19:55 PM Eastern Daylight Time	06/02/2010 11:14:48 AM Eastern Daylight Time			06/04/2010 04:01:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-111 (PFFS)	04	09	1	1			H8145	111	0	2011	Select Counties in Alabama		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8145	112	0	1	09	04	H8145_112_0	3	05/28/2010	2011.01	05/28/2010 02:49:28 PM Eastern Daylight Time	07/26/2010 01:43:28 PM Eastern Daylight Time			07/26/2010 06:33:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-112 (PFFS)	04	09	1	1			H8145	112	0	2011	Select Counties in Mississippi		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H8145	113	0	1	09	04	H8145_113_0	1	06/02/2010	2011.01	06/02/2010 03:24:19 PM Eastern Daylight Time	06/02/2010 11:15:28 AM Eastern Daylight Time			06/04/2010 04:01:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-113 (PFFS)	04	09	1	1			H8145	113	0	2011	Select Counties in Tennessee		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8145	114	0	1	09	04	H8145_114_0	2	07/26/2010	2011.01	07/26/2010 11:30:36 AM Eastern Daylight Time	07/26/2010 01:51:04 PM Eastern Daylight Time			07/26/2010 04:59:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-114 (PFFS)	04	09	1	1			H8145	114	0	2011	Select Counties in North Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H8145	115	0	1	09	04	H8145_115_0	3	08/10/2010	2011.01	08/10/2010 03:05:21 PM Eastern Daylight Time	07/26/2010 01:50:08 PM Eastern Daylight Time			08/12/2010 02:03:10 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-115 (PFFS)	04	09	1	1			H8145	115	0	2011	Select Counties in South Carolina		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H8145	117	0	1	09	04	H8145_117_0	2	06/04/2010	2011.01	06/04/2010 10:22:49 AM Eastern Daylight Time	07/26/2010 01:48:58 PM Eastern Daylight Time			07/26/2010 06:23:24 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-117 (PFFS)	04	09	1	1			H8145	117	0	2011	Select Counties in Georgia		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H8145	120	0	1	09	04	H8145_120_0	5	07/26/2010	2011.01	07/26/2010 02:33:46 PM Eastern Daylight Time	07/26/2010 12:58:48 PM Eastern Daylight Time			07/26/2010 06:26:54 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-120 (PFFS)	04	09	1	1			H8145	120	0	2011	Select counties in AR, CO, KS, MO and OK		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H8145	121	0	1	09	04	H8145_121_0	2	06/05/2010	2011.01	06/05/2010 09:48:11 AM Eastern Daylight Time	07/26/2010 01:32:20 PM Eastern Daylight Time			07/26/2010 06:45:49 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-121 (PFFS)	04	09	1	1			H8145	121	0	2011	Select Counties in Illinois, Michigan, Wisconsin		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H8145	122	0	1	09	04	H8145_122_0	5	08/20/2010	2011.01	08/20/2010 03:18:18 PM Eastern Daylight Time	08/20/2010 12:25:38 PM Eastern Daylight Time	08/20/2010 04:33:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-122 (PFFS)	04	09	1	1			H8145	122	0	2011	Select counties in Arkansas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	123	0	1	09	04	H8145_123_0	5	08/20/2010	2011.01	08/20/2010 11:52:26 AM Eastern Daylight Time	08/20/2010 12:27:50 PM Eastern Daylight Time	08/20/2010 04:34:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-123 (PFFS)	04	09	1	1			H8145	123	0	2011	Select counties in Colorado		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	124	0	1	09	04	H8145_124_0	5	08/20/2010	2011.01	08/20/2010 03:18:55 PM Eastern Daylight Time	08/20/2010 12:31:48 PM Eastern Daylight Time	08/20/2010 04:34:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-124 (PFFS)	04	09	1	1			H8145	124	0	2011	Select counties in Kansas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	125	0	1	09	04	H8145_125_0	5	08/20/2010	2011.01	08/20/2010 03:19:32 PM Eastern Daylight Time	08/20/2010 12:36:04 PM Eastern Daylight Time	08/20/2010 04:34:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-125 (PFFS)	04	09	1	1			H8145	125	0	2011	Select counties in Missouri		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8145	126	0	1	09	04	H8145_126_0	2	06/04/2010	2011.01	06/04/2010 01:25:08 PM Eastern Daylight Time	07/24/2010 06:13:36 PM Eastern Daylight Time			07/26/2010 07:47:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Gold Choice H8145-126 (PFFS)	04	09	1	1			H8145	126	0	2011	Select Counties of Texas		2		2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
H8145	801	0	1	09	04	H8145_801_0	3	06/05/2010	2011.01	06/05/2010 09:41:45 AM Eastern Daylight Time	07/26/2010 02:06:09 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	1	1			H8145	801	0	2011	Select Counties in Multi-States		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H8145	802	0	1	09	04	H8145_802_0	3	06/05/2010	2011.01	06/05/2010 09:41:53 AM Eastern Daylight Time	07/26/2010 02:09:20 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PFFS)	04	09	1	1			H8145	802	0	2011	Select Counties in Multi-States		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8145	803	0	1	09	04	H8145_803_0	3	06/05/2010	2011.01	06/05/2010 09:42:06 AM Eastern Daylight Time	07/26/2010 02:09:53 PM Eastern Daylight Time			07/26/2010 04:23:32 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PFFS)	04	09	1	1			H8145	803	0	2011	Select Counties in Multi-States		1	100	2				2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-457-4708		(800)-457-4708		(800)-833-2312		(800)-833-2312		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H8189	001	0	1	01	01	H8189_001_0	3	07/12/2010	2011.01	07/12/2010 09:15:40 AM Pacific Daylight Time	08/18/2010 07:49:35 PM Pacific Daylight Time	08/18/2010 02:07:37 PM Pacific Daylight Time		08/19/2010 12:34:13 PM Pacific Daylight Time	MANAGED HEALTH SERVICES, WISCONSIN	Advantage by Managed Health Services	https://www.mhswi.com/portal/public/mhs_wi	Managed Health Services (HMO SNP)	01	01		1			H8189	001	0	2011	Langlade, Marathon, Milwaukee, Ozaukee, and Taylor		2	70	2		2		1	3		1	3		https://www.mhswi.com/portal/public/mhs_wi	www.mhswi.com	www.mhswi.com	(888)-713-6180		(888)-713-6180		(888)-713-6180		(888)-713-6180		(888)-713-6180		(888)-713-6180		(888)-713-6180		(888)-713-6180		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		(800)-446-3136		1
H8393	001	0	1	04	01	H8393_001_0	10	08/23/2010	2011.01	08/23/2010 01:12:16 PM Central Daylight Time	08/23/2010 02:32:45 PM Central Daylight Time	08/23/2010 03:25:14 PM Central Daylight Time		08/23/2010 03:56:51 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.ne.chcadvantra.com	Advantra Platinum (PPO)	01	04		1			H8393	001	0	2011	Partial State of Nebraska		2	798	2				2						www.ne.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-nebraska/prescription-drug-benefits/formula	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7052		(800)-707-7052		(877)-982-9127		(877)-982-9127		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H8393	801	0	1	04	01	H8393_801_0	7	08/03/2010	2011.01	08/03/2010 03:41:26 PM Central Daylight Time	06/06/2010 12:03:18 AM Central Daylight Time			08/05/2010 02:34:00 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)	Coventry Health Care	www.ne.chcadvantra.com	Advantra Platinum PPO Employee Plan (PPO)	01	04		1			H8393	801	0	2011	Nebraska		1	0	1	1			2						www.ne.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-nebraska/prescription-drug-benefits/formula	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127										(711)		(711)		(711)		(711)										1
H8393	802	0	1	04	01	H8393_802_0	5	08/03/2010	2011.01	08/03/2010 03:41:52 PM Central Daylight Time	06/06/2010 12:07:50 AM Central Daylight Time			08/05/2010 02:34:00 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)	Coventry Health Care	www.ne.chcadvantra.com	Advantra Platinum PPO Rx CY Employee Plan (PPO)	01	04		1			H8393	802	0	2011	Nebraska		1	0	1	1			2						www.ne.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-nebraska/prescription-drug-benefits/formula	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7052		(800)-707-7052		(877)-982-9127		(877)-982-9127		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H8393	803	0	1	04	01	H8393_803_0	5	08/03/2010	2011.01	08/03/2010 03:42:21 PM Central Daylight Time	06/06/2010 12:11:38 AM Central Daylight Time			08/05/2010 02:34:00 PM Central Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE CO. (NEBRASKA)	Coventry Health Care	www.ne.chcadvantra.com	Advantra Platinum PPO Rx Employee Plan (PPO)	01	04		1			H8393	803	0	2011	Nebraska		1	0	1	1			2						www.ne.chcadvantra.com	http://coventry-medicare.coventryhealthcare.com/advantra-nebraska/prescription-drug-benefits/formula	http://www.medcoonline.com/medco/consumer/mybenefits/medPPOEntry.jsp?memtype=medcoventry	(866)-784-4917		(866)-784-4917		(877)-982-9127		(877)-982-9127		(800)-707-7052		(800)-707-7052		(877)-982-9127		(877)-982-9127		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H8424	001	0	1	20	08	H8424_001_0	1	05/20/2010	2011.01	05/20/2010 11:43:08 AM Central Daylight Time		05/20/2010 09:46:56 AM Central Daylight Time		05/20/2010 11:46:09 AM Central Daylight Time	SIOUXLAND PACE, INC.	SIOUXLAND PACE, INC.	www.siouxlandpace.org	Siouxland PACE, INC (PACE)	08	20		1			H8424	001	0	2011	Siouxland PACE, INC		2		2				2							www.siouxlandpace.org	www.siouxlandpace.org									(800)-383-4545		(712)-233-4144		(800)-383-4545		(712)-233-4144										(800)-383-4545		(712)-224-7253		(800)-383-4545		(712)-224-7253		1
H8424	002	0	1	20	08	H8424_002_0	1	05/20/2010	2011.01	05/20/2010 11:43:29 AM Central Daylight Time		05/20/2010 09:46:56 AM Central Daylight Time		05/20/2010 11:46:09 AM Central Daylight Time	SIOUXLAND PACE, INC.	SIOUXLAND PACE, INC.	www.siouxlandpace.org	Siouxland PACE, INC (PACE)	08	20		1			H8424	002	0	2011	Siouxland PACE, INC		2		2				2							www.siouxlandpace.org	www.siouxlandpace.org									(800)-383-4545		(712)-233-4144		(800)-383-4545		(712)-233-4144										(800)-383-4545		(712)-224-7253		(800)-383-4545		(712)-224-7253		1
H8468	001	0	1	07	02	H8468_001_0	3	06/04/2010	2011.01	06/04/2010 11:30:26 AM Eastern Daylight Time			06/05/2010 04:20:59 PM Eastern Daylight Time	06/05/2010 04:25:12 PM Eastern Daylight Time	GEISINGER INDEMNITY INSURANCE COMPANY	Geisinger Gold	www.geisingergold.com	Geisinger Gold Reserve (MSA)	02	07	2	1			H8468	001	0	2011	Pennsylvania		2		2				2									(800)-498-9731		(570)-271-8771		(800)-514-0138		(800)-514-0138										(711)		(711)		(711)		(711)										2
H8558	001	0	1	04	01	H8558_001_0	3	08/03/2010	2011.01	08/03/2010 01:07:06 PM Pacific Daylight Time	07/30/2010 08:48:25 AM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	001	0	2011	Billings		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H8558	002	0	1	04	01	H8558_002_0	5	08/16/2010	2011.01	08/16/2010 04:52:23 PM Pacific Daylight Time	08/16/2010 05:56:43 PM Pacific Daylight Time	08/16/2010 02:19:59 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	002	0	2011	Billings		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H8558	003	0	1	04	01	H8558_003_0	3	08/03/2010	2011.01	08/03/2010 01:08:57 PM Pacific Daylight Time	07/27/2010 04:48:50 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	003	0	2011	Salt Lake City		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H8558	004	0	1	04	01	H8558_004_0	5	08/16/2010	2011.01	08/16/2010 04:52:29 PM Pacific Daylight Time	08/16/2010 05:59:33 PM Pacific Daylight Time	08/16/2010 02:20:10 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	004	0	2011	Salt Lake City		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H8558	005	0	1	04	01	H8558_005_0	3	08/03/2010	2011.01	08/03/2010 01:10:22 PM Pacific Daylight Time	07/30/2010 08:51:31 AM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	005	0	2011	Bellingham		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H8558	006	0	1	04	01	H8558_006_0	5	08/16/2010	2011.01	08/16/2010 04:52:36 PM Pacific Daylight Time	08/16/2010 06:02:41 PM Pacific Daylight Time	08/16/2010 02:20:19 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	006	0	2011	Bellingham		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H8558	007	0	1	04	01	H8558_007_0	3	08/03/2010	2011.01	08/03/2010 01:11:40 PM Pacific Daylight Time	07/30/2010 08:53:58 AM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	007	0	2011	Island County		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H8558	008	0	1	04	01	H8558_008_0	5	08/16/2010	2011.01	08/16/2010 04:53:26 PM Pacific Daylight Time	08/16/2010 06:05:37 PM Pacific Daylight Time	08/16/2010 02:20:28 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	008	0	2011	Island County		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H8558	009	0	1	04	01	H8558_009_0	3	08/03/2010	2011.01	08/03/2010 01:12:52 PM Pacific Daylight Time	07/27/2010 04:57:11 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	009	0	2011	Everett		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H8558	010	0	1	04	01	H8558_010_0	5	08/16/2010	2011.01	08/16/2010 04:53:34 PM Pacific Daylight Time	08/16/2010 08:35:57 PM Pacific Daylight Time	08/16/2010 02:20:43 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	010	0	2011	Everett		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H8558	011	0	1	04	01	H8558_011_0	3	08/03/2010	2011.01	08/03/2010 01:14:08 PM Pacific Daylight Time	07/27/2010 05:00:24 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	011	0	2011	Tacoma		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H8558	012	0	1	04	01	H8558_012_0	5	08/16/2010	2011.01	08/16/2010 04:53:39 PM Pacific Daylight Time	08/16/2010 08:38:51 PM Pacific Daylight Time	08/16/2010 02:20:51 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	012	0	2011	Tacoma		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H8558	801	0	1	04	01	H8558_801_0	3	08/03/2010	2011.01	08/03/2010 01:15:58 PM Pacific Daylight Time	07/27/2010 05:03:19 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	801	0	2011	Western Region		1		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H8558	802	0	1	04	01	H8558_802_0	3	08/03/2010	2011.01	08/03/2010 01:16:36 PM Pacific Daylight Time	07/27/2010 05:04:52 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H8558	802	0	2011	Western Region		1		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H8578	001	0	1	01	01	H8578_001_0	6	08/13/2010	2011.01	08/13/2010 12:18:22 PM Eastern Daylight Time	08/23/2010 12:45:44 PM Eastern Daylight Time	08/23/2010 12:45:57 PM Eastern Daylight Time		08/23/2010 01:42:27 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Premium (HMO)	01	01		1			H8578	001	0	2011	Hampden, Hampshire and Franklin Counties		2	2124	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(866)-706-4757		(866)-706-4757		(866)-706-4757		(866)-706-4757		1
H8578	003	0	1	01	01	H8578_003_0	3	08/12/2010	2011.01	08/12/2010 12:56:00 PM Eastern Daylight Time	08/03/2010 04:46:23 PM Eastern Daylight Time			08/12/2010 02:59:01 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Premium No Rx (HMO)	01	01		1			H8578	003	0	2011	Hampden, Hampshire and Franklin Counties		2	85	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010										(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370										1
H8578	004	0	1	01	01	H8578_004_0	6	08/12/2010	2011.01	08/12/2010 12:56:38 PM Eastern Daylight Time	08/23/2010 12:46:15 PM Eastern Daylight Time	08/23/2010 12:46:29 PM Eastern Daylight Time		08/23/2010 01:42:27 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Plus (HMO)	01	01		1			H8578	004	0	2011	Hampden, Hampshire and Franklin Counties		2	384	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(866)-706-4757		(866)-706-4757		(866)-706-4757		(866)-706-4757		1
H8578	007	0	1	01	01	H8578_007_0	6	08/13/2010	2011.01	08/13/2010 01:34:50 PM Eastern Daylight Time	08/23/2010 12:46:52 PM Eastern Daylight Time	08/23/2010 12:47:06 PM Eastern Daylight Time		08/23/2010 01:42:27 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Basic (HMO)	01	01		1			H8578	007	0	2011	Hampden, Hampshire and Franklin Counties		2	313	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(866)-706-4757		(866)-706-4757		(866)-706-4757		(866)-706-4757		1
H8578	009	0	1	01	01	H8578_009_0	3	08/12/2010	2011.01	08/12/2010 12:57:14 PM Eastern Daylight Time	08/03/2010 04:47:46 PM Eastern Daylight Time			08/12/2010 02:59:01 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Basic No Rx (HMO)	01	01		1			H8578	009	0	2011	Hampden, Hampshire and Franklin Counties		2	67	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010										(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370										1
H8578	010	0	1	02	01	H8578_010_0	4	08/12/2010	2011.01	08/12/2010 12:57:27 PM Eastern Daylight Time	08/23/2010 12:47:24 PM Eastern Daylight Time	08/23/2010 12:47:34 PM Eastern Daylight Time		08/23/2010 01:42:27 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Freedom (HMO-POS)	01	02		1			H8578	010	0	2011	Franklin, Hampden, Hampshire		2	121	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(866)-706-4757		(866)-706-4757		(866)-706-4757		(866)-706-4757		1
H8578	801	0	1	02	01	H8578_801_0	1	06/07/2010	2011.01	06/07/2010 03:37:34 PM Eastern Daylight Time	06/07/2010 01:59:58 PM Eastern Daylight Time			06/07/2010 03:51:51 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Employer Group RX (HMO-POS)	01	02		1			H8578	801	0	2011	United States		1	739	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(866)-706-4757		(866)-706-4757		(866)-706-4757		(866)-706-4757		1
H8578	802	0	1	02	01	H8578_802_0	1	06/07/2010	2011.01	06/07/2010 03:37:21 PM Eastern Daylight Time	06/07/2010 03:40:05 PM Eastern Daylight Time			06/07/2010 03:51:51 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Employer Group Calendar (HMO-POS)	01	02		1			H8578	802	0	2011	United States		1	6	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010										(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370										1
H8578	803	0	1	02	01	H8578_803_0	1	06/07/2010	2011.01	06/07/2010 03:37:22 PM Eastern Daylight Time	06/07/2010 02:01:25 PM Eastern Daylight Time			06/07/2010 03:51:51 PM Eastern Daylight Time	HEALTH NEW ENGLAND, INC.	Health New England, Inc.	www.hne.com	HNE Medicare Employer Group Non-Calendar (HMO-POS)	01	02		1			H8578	803	0	2011	United States		1	6	2				2						www.hne.com	www.hne.com	www.hne.com	(877)-443-3314		(413)-787-0010		(877)-443-3314		(413)-787-0010		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-546-5677		(800)-439-2370		(800)-439-2370		(800)-439-2370		(800)-439-2370		(866)-706-4757		(866)-706-4757		(866)-706-4757		(866)-706-4757		1
H8604	001	0	1	04	01	H8604_001_0	5	08/11/2010	2011.01	08/11/2010 11:03:56 AM Eastern Daylight Time	08/19/2010 02:23:26 PM Eastern Daylight Time	08/19/2010 01:30:12 PM Eastern Daylight Time		08/20/2010 10:51:28 AM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice - Option II (PPO)	01	04		1			H8604	001	0	2011	East Central Ohio		2	40	2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1
H8604	002	0	1	04	01	H8604_002_0	5	08/11/2010	2011.01	08/11/2010 11:04:13 AM Eastern Daylight Time	07/29/2010 09:57:14 AM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice - Option I (PPO)	01	04		1			H8604	002	0	2011	East Central Ohio		2	5	2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1
H8604	003	0	1	04	01	H8604_003_0	5	08/11/2010	2011.01	08/11/2010 11:04:32 AM Eastern Daylight Time	08/19/2010 02:33:39 PM Eastern Daylight Time	08/19/2010 01:32:05 PM Eastern Daylight Time		08/20/2010 10:51:28 AM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice - Option II (PPO)	01	04		1			H8604	003	0	2011	Eastern Ohio and Northern West Virginia		2	115	2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1
H8604	004	0	1	04	01	H8604_004_0	5	08/11/2010	2011.01	08/11/2010 11:04:55 AM Eastern Daylight Time	07/29/2010 10:00:59 AM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice - Option I (PPO)	01	04		1			H8604	004	0	2011	Eastern Ohio and Northern West Virginia		2	15	2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1
H8604	005	0	1	04	01	H8604_005_0	6	08/11/2010	2011.01	08/11/2010 11:05:19 AM Eastern Daylight Time	08/19/2010 02:44:29 PM Eastern Daylight Time	08/19/2010 01:42:12 PM Eastern Daylight Time		08/20/2010 10:51:28 AM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice - Option III (PPO)	01	04		1			H8604	005	0	2011	East Central Ohio		2	40	2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1
H8604	006	0	1	04	01	H8604_006_0	6	08/11/2010	2011.01	08/11/2010 11:05:39 AM Eastern Daylight Time	08/19/2010 02:48:54 PM Eastern Daylight Time	08/19/2010 01:44:39 PM Eastern Daylight Time		08/20/2010 10:51:28 AM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice - Option III (PPO)	01	04		1			H8604	006	0	2011	East Ohio, Northern WV		2	130	2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-236-2290		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1
H8604	801	0	1	04	01	H8604_801_0	5	08/11/2010	2011.01	08/11/2010 11:05:57 AM Eastern Daylight Time	07/29/2010 10:11:01 AM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice - Employer (PPO)	01	04		1			H8604	801	0	2011	Eastern Ohio and Northern West Virginia		1	55	2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919		1
H8604	802	0	1	04	01	H8604_802_0	5	08/11/2010	2011.01	08/11/2010 11:06:19 AM Eastern Daylight Time	07/29/2010 10:13:19 AM Eastern Daylight Time			08/11/2010 02:32:23 PM Eastern Daylight Time	THP INSURANCE COMPANY	Health Plan SecureChoice	www.healthplan.org	SecureChoice - Employer (PPO)	01	04		1			H8604	802	0	2011	Eastern Ohio and Northern West Virginia		1	5	2				2						www.healthplan.org/directory.shtml	http://www.healthplan.org/pharmacy.shtml	http://www.healthplan.org/pharmacy.shtml	(877)-847-7907		(740)-695-7907		(877)-847-7915		(740)-695-7915										(800)-622-3925		(740)-695-7919		(800)-622-3925		(740)-695-7919										1
H8644	003	0	1	04	01	H8644_003_0	6	08/20/2010	2011.01	08/20/2010 03:20:00 PM Eastern Daylight Time	08/20/2010 12:10:54 PM Eastern Daylight Time	08/20/2010 04:34:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8644-003 (PPO)	01	04		1			H8644	003	0	2011	Central, SW, NE and NW Oklahoma Areas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8649	003	0	1	02	01	H8649_003_0	8	08/20/2010	2011.01	08/20/2010 01:57:48 PM Mountain Daylight Time	08/20/2010 04:03:35 PM Mountain Daylight Time	08/20/2010 04:03:05 PM Mountain Daylight Time		08/20/2010 04:17:41 PM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Health Plans	www.altiusadvantra.com	Altius Advantra (HMO-POS)	01	02		1			H8649	003	0	2011	Northern Utah		2	3700	2				2						www.altiusadvantra.com	www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561		(800)-708-3650		(800)-708-3650		(888)-256-3561		(888)-256-3561		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H8649	801	0	1	02	01	H8649_801_0	4	07/21/2010	2011.01	07/21/2010 12:17:32 PM Mountain Daylight Time	06/04/2010 11:22:34 AM Mountain Daylight Time			07/23/2010 10:07:41 AM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Health Plans	www.altiusadvantra.com	Altius Advantra Emp Calendar Year (HMO-POS)	01	02		1			H8649	801	0	2011	State of Utah		1	0	2				2						www.altiusadvantra.com	www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561		(800)-708-3650		(800)-708-3650		(888)-256-3561		(888)-256-3561		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H8649	802	0	1	02	01	H8649_802_0	4	07/21/2010	2011.01	07/21/2010 12:18:16 PM Mountain Daylight Time	06/04/2010 12:44:56 PM Mountain Daylight Time			07/23/2010 10:07:41 AM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Health Plans	www.altiusadvantra.com	Altius Advantra Emp Non-Calendar Year (HMO-POS)	01	02		1			H8649	802	0	2011	State of Utah		1	0	2				2						www.altiusadvantra.com	www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561		(800)-708-3650		(800)-708-3650		(888)-256-3561		(888)-256-3561		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H8649	803	0	1	02	01	H8649_803_0	4	07/21/2010	2011.01	07/21/2010 12:18:23 PM Mountain Daylight Time	06/04/2010 01:05:51 PM Mountain Daylight Time			07/23/2010 10:07:41 AM Mountain Daylight Time	ALTIUS HEALTH PLANS, INC. (UTAH)	Altius Health Plans	www.altiusadvantra.com	Altius Advantra Emp MA Only (HMO-POS)	01	02		1			H8649	803	0	2011	State of Utah		1	0	2				2						www.altiusadvantra.com	www.altiusadvantra.com	www.altiusadvantra.com	(866)-784-4918		(866)-784-4918		(888)-256-3561		(888)-256-3561										(711)		(711)		(711)		(711)										1
H8653	001	0	1	20	08	H8653_001_0	1	04/21/2011	2011.01	04/21/2011 01:08:49 PM Eastern Standard Time		04/21/2011 08:09:23 AM Eastern Standard Time		04/21/2011 01:13:21 PM Eastern Standard Time	LIFEPATH HOSPICE, INC.	Chapters Health PACE	www.lifepath-hospice.org	Chapters Health PACE Dual Eligible (PACE)	08	20		1			H8653	001	0	2011	Chapters Health PACE HIllsborough County		2	28	2				2							http://www.lifepath-hospice.org/	http://www.lifepath-hospice.org/									(813)-871-8111	18413	(813)-871-8111	18413	(813)-871-8111	18413	(813)-871-8111	18413									(813)-871-8111	18413	(813)-871-8111	18413	(813)-871-8111	18413	(813)-871-8111	18413	1
H8653	002	0	1	20	08	H8653_002_0	1	04/19/2011	2011.01	04/19/2011 12:50:09 PM Eastern Standard Time		04/21/2011 08:09:23 AM Eastern Standard Time		04/21/2011 01:13:21 PM Eastern Standard Time	LIFEPATH HOSPICE, INC.	Chapters Health PACE	lifepath-hospice.org	Chapters Health PACE Medicare Only (PACE)	08	20		1			H8653	002	0	2011	Chapters Health PACE Hillsborough County		2	2	2				2							http://www.lifepath-hospice.org/	http://www.lifepath-hospice.org/									(813)-871-8111	18413	(813)-871-8111	18413	(813)-871-8111	18413	(813)-871-8111	18413									(813)-871-8111	18413	(813)-871-8111	18413	(813)-871-8111	18413	(813)-871-8111	18413	1
H8655	004	0	1	20	08	H8655_004_0	2	05/24/2010	2011.01	05/24/2010 01:08:31 PM Eastern Daylight Time		06/07/2010 11:52:45 AM Eastern Daylight Time		06/07/2010 01:01:30 PM Eastern Daylight Time	RIVERSIDE RETIREMENT SERVICES, INC.	Riverside PACE	www.riversideonline.com	Riverside PACE Dual (PACE)	08	20		1			H8655	004	0	2011	Riverside PACE Dual		2		2				2							N/A - no formulary	www.riversideonline.com									(800)-675-6368		(757)-875-2050		(800)-675-6368		(757)-875-2050										(800)-675-6368		(757)-875-2050		(800)-675-6368		(757)-875-2050		1
H8655	005	0	1	20	08	H8655_005_0	2	05/24/2010	2011.01	05/24/2010 01:08:59 PM Eastern Daylight Time		06/07/2010 11:52:45 AM Eastern Daylight Time		06/07/2010 01:01:30 PM Eastern Daylight Time	RIVERSIDE RETIREMENT SERVICES, INC.	Riverside PACE	www.riversideonline.com	Riverside PACE Medicare ONLY (PACE)	08	20		1			H8655	005	0	2011	Riverside PACE Medicare ONLY		2		2				2							N/A - no formulary	www.riversideonline.com									(800)-675-6368		(757)-875-2050		(800)-675-6368		(757)-875-2050										(800)-675-6368		(757)-875-2050		(800)-675-6368		(757)-875-2050		1
H8684	001	0	1	04	01	H8684_001_0	4	08/03/2010	2011.01	08/03/2010 09:32:10 AM Central Daylight Time	08/19/2010 01:31:24 PM Central Daylight Time	08/19/2010 01:03:46 PM Central Daylight Time		08/20/2010 06:51:37 PM Central Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Premier Plan (PPO)	01	04		1			H8684	001	0	2011	New Castle County		2		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H8684	801	0	1	04	01	H8684_801_0	2	06/04/2010	2011.01	06/04/2010 03:14:04 PM Eastern Daylight Time	07/14/2010 12:22:07 PM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Plan (PPO)	01	04		1			H8684	801	0	2011	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H8684	802	0	1	04	01	H8684_802_0	2	05/11/2010	2011.01	05/11/2010 12:01:59 PM Eastern Daylight Time	07/14/2010 12:26:53 PM Eastern Daylight Time			08/10/2010 05:50:52 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Plan w/Rx CY (PPO)	01	04		1			H8684	802	0	2011	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H8684	805	0	2	04	01	H8684_805_0	2	05/11/2010	2011.01	05/11/2010 12:02:52 PM Eastern Daylight Time	07/14/2010 12:43:53 PM Eastern Daylight Time			08/11/2010 11:11:03 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Part B Only Plan (PPO)	01	04		2	2		H8684	805	0	2011	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748										1
H8684	806	0	2	04	01	H8684_806_0	2	05/11/2010	2011.01	05/11/2010 12:26:55 PM Eastern Daylight Time	07/14/2010 12:30:51 PM Eastern Daylight Time			08/11/2010 11:11:03 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	https://www.aetnamedicare.com/	Aetna Medicare Part B Only Plan w/Rx CY (PPO)	01	04		2	2		H8684	806	0	2011	Delaware		1		2				2						http://www.aetna.com/docfind/home.do?site_id=medicare	http://www.aetnamedicare.com	http://www.aetnapharmacy.com	(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(800)-282-5366		(800)-282-5366		(800)-832-2640		(800)-832-2640		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
H8707	001	0	1	04	01	H8707_001_0	5	08/20/2010	2011.01	08/20/2010 03:04:24 PM Eastern Daylight Time	08/20/2010 09:17:56 AM Eastern Daylight Time	08/20/2010 04:34:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-001 (PPO)	01	04		1			H8707	001	0	2011	Charleston Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8707	003	0	1	04	01	H8707_003_0	5	08/20/2010	2011.01	08/20/2010 03:04:39 PM Eastern Daylight Time	08/20/2010 09:18:22 AM Eastern Daylight Time	08/20/2010 04:34:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-003 (PPO)	01	04		1			H8707	003	0	2011	Spartanburg / Greenville Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8707	005	0	1	04	01	H8707_005_0	4	08/20/2010	2011.01	08/20/2010 03:05:41 PM Eastern Daylight Time	08/20/2010 09:19:16 AM Eastern Daylight Time	08/20/2010 04:34:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-005 (PPO)	01	04		1			H8707	005	0	2011	Richland County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8707	006	0	1	04	01	H8707_006_0	5	08/20/2010	2011.01	08/20/2010 03:05:59 PM Eastern Daylight Time	08/20/2010 09:20:50 AM Eastern Daylight Time	08/20/2010 04:35:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-006 (PPO)	01	04		1			H8707	006	0	2011	Beaufort County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8707	007	0	1	04	01	H8707_007_0	5	08/20/2010	2011.01	08/20/2010 03:06:14 PM Eastern Daylight Time	08/20/2010 09:22:28 AM Eastern Daylight Time	08/20/2010 04:35:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H8707-007 (PPO)	01	04		1			H8707	007	0	2011	Greenville and Spartanburg Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8742	001	0	1	01	01	H8742_001_0	10	08/27/2010	2011.01	08/27/2010 02:53:36 PM Central Daylight Time	08/20/2010 10:49:23 AM Central Daylight Time	08/19/2010 02:47:14 PM Central Daylight Time		08/27/2010 02:56:55 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Today's Health Classic powered by CCRx (HMO)	01	01		1			H8742	001	0	2011	Greater Milwaukee Metro Area		2	0	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H8742	003	0	1	01	01	H8742_003_0	7	08/13/2010	2011.01	08/13/2010 02:39:52 PM Central Daylight Time	07/29/2010 02:09:14 PM Central Daylight Time			08/13/2010 03:54:08 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Today's Health Value (HMO)	01	01		1			H8742	003	0	2011	Greater Milwaukee Metro Area		2	0	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H8742	008	0	1	01	01	H8742_008_0	10	08/13/2010	2011.01	08/13/2010 03:47:38 PM Central Daylight Time	08/20/2010 05:53:34 PM Central Daylight Time	08/19/2010 01:43:06 PM Central Daylight Time		08/20/2010 07:21:12 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Today's Health Premier powered by CCRx (HMO)	01	01		1			H8742	008	0	2011	Greater Milwaukee Metro Area		2	50	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H8742	801	0	1	01	01	H8742_801_0	6	08/10/2010	2011.01	08/10/2010 06:01:28 PM Central Daylight Time	06/07/2010 09:26:45 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Retiree MA-PD CY (HMO)	01	01		1			H8742	801	0	2011	Today's Health Employer Group (MAPD--CY)		1	700	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H8742	802	0	1	01	01	H8742_802_0	6	08/10/2010	2011.01	08/10/2010 06:01:28 PM Central Daylight Time	06/07/2010 09:27:51 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Retiree MA-PD non-CY (HMO)	01	01		1			H8742	802	0	2011	Today's Health Employer Group (MAPD--non-CY)		1	700	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083		1
H8742	803	0	1	01	01	H8742_803_0	6	08/10/2010	2011.01	08/10/2010 06:01:29 PM Central Daylight Time	06/07/2010 09:31:56 AM Central Daylight Time			08/10/2010 07:27:22 PM Central Daylight Time	ABRI HEALTH PLAN, INC	Universal American	www.todayshealthwi.com	Retiree MA (HMO)	01	01		1			H8742	803	0	2011	Today's Health Employer Group (MA--CY)		1	700	2				2						www.todayshealthwi.com	http://www.todayshealthwi.com/PresentFormulary	http://www.todayshealthwi.com/PresentFormulary	(800)-958-2710		(800)-958-2710		(800)-958-2704		(800)-958-2704										(800)-958-2692		(800)-958-2692		(800)-777-9083		(800)-777-9083										1
H8748	001	0	1	02	01	H8748_001_0	5	07/07/2010	2011.01	07/07/2010 09:32:36 AM Central Daylight Time	08/19/2010 07:25:13 PM Central Daylight Time	08/18/2010 04:49:44 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H8748	001	0	2011	York County		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8748	002	0	1	02	01	H8748_002_0	5	07/07/2010	2011.01	07/07/2010 09:32:43 AM Central Daylight Time	08/19/2010 07:25:33 PM Central Daylight Time	08/18/2010 04:49:49 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H8748	002	0	2011	Greenville SC		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8748	003	0	1	02	01	H8748_003_0	6	09/20/2010	2011.01	09/20/2010 04:03:15 PM Central Daylight Time	08/19/2010 07:25:55 PM Central Daylight Time	08/18/2010 04:49:54 PM Central Daylight Time		09/20/2010 04:49:03 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H8748	003	0	2011	Beaufort SC		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8748	004	0	1	02	01	H8748_004_0	5	07/07/2010	2011.01	07/07/2010 09:32:57 AM Central Daylight Time	08/19/2010 07:26:14 PM Central Daylight Time	08/18/2010 04:49:59 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H8748	004	0	2011	Charleston SC		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8748	801	0	1	02	01	H8748_801_0	1	06/02/2010	2011.01	06/02/2010 01:39:48 PM Central Daylight Time	06/03/2010 03:20:26 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H8748	801	0	2011	Select Counties in SC		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8748	802	0	1	02	01	H8748_802_0	1	05/27/2010	2011.01	05/27/2010 10:07:37 AM Central Daylight Time	06/03/2010 03:20:37 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H8748	802	0	2011	Select Counties in SC		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H8748	803	0	1	02	01	H8748_803_0	1	05/27/2010	2011.01	05/27/2010 10:07:45 AM Central Daylight Time	06/03/2010 03:20:48 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO-POS)	01	02		1			H8748	803	0	2011	Select Counties in SC		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8777	001	0	1	20	08	H8777_001_0	3	06/08/2010	2011.01	06/08/2010 11:21:18 AM Eastern Daylight Time		06/08/2010 02:47:00 PM Eastern Daylight Time		06/09/2010 04:37:46 PM Eastern Daylight Time	COMPLETE SENIOR CARE	Complete Senior Care	completeseniorcare.org	Complete Senior Care Dual (PACE)	08	20		1			H8777	001	0	2011	Niagara, NY		2		2				2							completeseniorcare.org	completeseniorcare.org									(716)-285-8224	147	(716)-285-8224	147	(716)-285-8224	147	(716)-285-8224	147									(716)-285-8224	147	(716)-285-8224	147	(716)-285-8224	147	(716)-285-8224	147	1
H8777	002	0	1	20	08	H8777_002_0	1	06/08/2010	2011.01	06/08/2010 11:21:38 AM Eastern Daylight Time		06/08/2010 11:11:00 AM Eastern Daylight Time		06/08/2010 11:22:36 AM Eastern Daylight Time	COMPLETE SENIOR CARE	Complete Senior Care	completeseniorcare.org	Complete Senior Care Medicare Only (PACE)	08	20		1			H8777	002	0	2011	Niagara, NY		2		2				2							completeseniorcare.org	completeseniorcare.org									(716)-285-8224	147	(716)-285-8224	147	(716)-285-8224	147	(716)-285-8224	147									(716)-285-8224	147	(716)-285-8224	147	(716)-285-8224	147	(716)-285-8224	147	1
H8800	001	0	1	20	08	H8800_001_0	1	05/25/2010	2011.01	05/25/2010 02:16:05 PM Eastern Daylight Time		05/24/2010 01:57:27 PM Eastern Daylight Time		05/26/2010 04:13:59 PM Eastern Daylight Time	TOTAL SENIOR CARE, INC.	Total Senior Care, Inc.	totalseniorcare.org	Total Senior Care - Dual (PACE)	08	20		1			H8800	001	0	2011	Total Senior Care, Inc.		2		2				2							www.totalseniorcare.org	totalseniorcare.org									(866)-939-8613		(716)-379-8474		(866)-939-8613		(716)-379-8474										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H8800	002	0	1	20	08	H8800_002_0	1	05/25/2010	2011.01	05/25/2010 02:23:15 PM Eastern Daylight Time		05/24/2010 01:57:27 PM Eastern Daylight Time		05/26/2010 04:13:59 PM Eastern Daylight Time	TOTAL SENIOR CARE, INC.	Total Senior Care, Inc.	totalseniorcare.org	Total Senior Care - Medicare Small Only (PACE)	08	20		1			H8800	002	0	2011	Total Senior Care, Inc.		2	12	2				2							www.totalseniorcare.org	totalseniorcare.org									(866)-939-8613		(716)-379-8474		(866)-939-8613		(716)-379-8474										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H8822	001	0	1	01	01	H8822_001_0	4	08/23/2010	2011.01	08/23/2010 08:18:18 AM Eastern Daylight Time	08/23/2010 07:39:59 AM Eastern Daylight Time	08/23/2010 07:39:59 AM Eastern Daylight Time		08/23/2010 02:05:01 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	Wishard Complete Care Basic (HMO)	01	01		1			H8822	001	0	2011	Marion County		2	450	2				2						www.advantageplan.com	www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(877)-684-0014		(877)-684-0014		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-763-9630		(866)-763-9630		(800)-743-3333		(800)-743-3333		1
H8822	004	0	1	01	01	H8822_004_0	7	08/05/2010	2011.01	08/05/2010 12:22:02 PM Eastern Daylight Time	08/23/2010 07:40:18 AM Eastern Daylight Time	08/23/2010 07:40:17 AM Eastern Daylight Time		08/23/2010 02:05:01 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Network Enhanced (HMO)	01	01		1			H8822	004	0	2011	Central Indiana		2	301	2				2						www.advantageplan.com	www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(877)-684-0014		(877)-684-0014		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-763-9630		(866)-763-9630		(800)-743-3333		(800)-743-3333		1
H8822	801	0	1	01	01	H8822_801_0	4	07/02/2010	2011.01	07/02/2010 11:41:32 AM Eastern Daylight Time	08/11/2010 08:51:10 AM Eastern Daylight Time			08/11/2010 12:22:19 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Group (HMO)	01	01		1			H8822	801	0	2011	Indiana		1	20	2				2						www.advantageplan.com	www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H8822	802	0	1	01	01	H8822_802_0	4	07/02/2010	2011.01	07/02/2010 11:42:00 AM Eastern Daylight Time	08/11/2010 08:51:08 AM Eastern Daylight Time			08/11/2010 12:22:19 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Preferred Plus Group (HMO)	01	01		1			H8822	802	0	2011	Indiana		1	30	2				2						www.advantageplan.com	www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(877)-684-0014		(877)-684-0014		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-763-9630		(866)-763-9630		(800)-743-3333		(800)-743-3333		1
H8822	803	0	1	01	01	H8822_803_0	4	07/02/2010	2011.01	07/02/2010 11:42:36 AM Eastern Daylight Time	08/11/2010 08:55:41 AM Eastern Daylight Time			08/11/2010 12:22:19 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Select Group (HMO)	01	01		1			H8822	803	0	2011	Indiana		1	20	2				2						www.advantageplan.com	www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342										(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333										1
H8822	804	0	1	01	01	H8822_804_0	4	07/02/2010	2011.01	07/02/2010 11:43:05 AM Eastern Daylight Time	08/11/2010 08:55:39 AM Eastern Daylight Time			08/11/2010 12:22:19 PM Eastern Daylight Time	ADVANTAGE HEALTH SOLUTIONS, INC.	ADVANTAGE Health Solutions, Inc.	www.advantageplan.com	ADVANTAGE Select Plus Group (HMO)	01	01		1			H8822	804	0	2011	Indiana		1	30	2				2						www.advantageplan.com	www.advantageplan.com	www.advantageplan.com	(800)-523-7533		(317)-573-7950		(800)-201-8342		(800)-201-8342		(877)-684-0014		(877)-684-0014		(800)-201-8342		(800)-201-8342		(800)-743-3333		(800)-743-3333		(800)-743-3333		(800)-743-3333		(866)-763-9630		(866)-763-9630		(800)-743-3333		(800)-743-3333		1
H8953	001	0	1	01	01	H8953_001_0	4	08/20/2010	2011.01	08/20/2010 02:58:51 PM Eastern Daylight Time	08/20/2010 02:43:12 PM Eastern Daylight Time	08/20/2010 04:35:00 PM Eastern Daylight Time		08/21/2010 12:11:12 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Gold Plus H8953-001 (HMO)	01	01		1			H8953	001	0	2011	Cincinnati Metro Area		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8953	002	0	1	01	01	H8953_002_0	4	08/20/2010	2011.01	08/20/2010 01:14:26 PM Eastern Daylight Time	08/20/2010 10:54:36 AM Eastern Daylight Time	08/20/2010 04:35:00 PM Eastern Daylight Time		08/21/2010 12:11:12 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Gold Plus H8953-002 (HMO)	01	01		1			H8953	002	0	2011	Cuyahoga, Lorain, and Medina Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8953	003	0	1	01	01	H8953_003_0	4	08/20/2010	2011.01	08/20/2010 01:15:10 PM Eastern Daylight Time	08/20/2010 10:55:26 AM Eastern Daylight Time	08/20/2010 04:35:00 PM Eastern Daylight Time		08/21/2010 12:11:12 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Gold Plus H8953-003 (HMO)	01	01		1			H8953	003	0	2011	Greene and Montgomery Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
H8953	004	0	1	01	01	H8953_004_0	2	06/04/2010	2011.01	06/04/2010 04:48:00 PM Eastern Daylight Time	07/26/2010 01:29:04 PM Eastern Daylight Time			07/26/2010 06:57:33 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Gold Plus H8953-004 (HMO)	01	01		1			H8953	004	0	2011	Cuyahoga, Lorain, and Medina Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
H8953	801	0	1	01	01	H8953_801_0	4	06/03/2010	2011.01	06/03/2010 05:19:57 PM Eastern Daylight Time	07/29/2010 02:51:48 PM Eastern Daylight Time			07/30/2010 01:04:57 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H8953	801	0	2011	Cincinnati Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H8953	802	0	1	01	01	H8953_802_0	4	06/03/2010	2011.01	06/03/2010 05:20:26 PM Eastern Daylight Time	07/29/2010 02:52:24 PM Eastern Daylight Time			07/30/2010 01:04:57 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Employer Sponsored (HMO)	01	01		1			H8953	802	0	2011	Cincinnati Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
H8953	803	0	1	01	01	H8953_803_0	4	06/03/2010	2011.01	06/03/2010 05:20:51 PM Eastern Daylight Time	07/29/2010 02:53:02 PM Eastern Daylight Time			07/30/2010 01:04:57 PM Eastern Daylight Time	HUMANA HEALTH PLAN OF OHIO, INC.	Humana Health Plan of Ohio, Inc.	www.humana-medicare.com	Humana Employer Sponsored Non-CY (HMO)	01	01		1			H8953	803	0	2011	Cincinnati Metro Area		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
H8980	002	0	1	04	01	H8980_002_0	12	08/25/2010	2011.01	08/25/2010 11:42:27 AM Eastern Daylight Time	08/21/2010 08:39:51 AM Eastern Daylight Time	08/19/2010 03:21:19 PM Eastern Daylight Time		08/25/2010 11:44:23 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica	http://coventry-medicare.com	Advantra Silver (PPO)	01	04		1			H8980	002	0	2011	Columbiana, Mahoning and Trumbull Counties		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(877)-300-5135		(877)-300-5135		(866)-608-8044		(866)-608-8044		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8980	003	0	1	04	01	H8980_003_0	6	08/10/2010	2011.01	08/10/2010 08:04:58 AM Eastern Daylight Time	08/21/2010 08:41:34 AM Eastern Daylight Time	08/19/2010 03:21:53 PM Eastern Daylight Time		08/23/2010 11:57:26 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica	http://coventry-medicare.com	Advantra Elite (PPO)	01	04		1			H8980	003	0	2011	Columbiana, Mahoning and Trumbull Counties		2		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(866)-608-8044		(866)-608-8044		(877)-300-5135		(877)-300-5135		(866)-608-8044		(866)-608-8044		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8980	801	0	1	04	01	H8980_801_0	4	08/08/2010	2011.01	08/11/2010 11:35:50 AM Eastern Daylight Time	07/16/2010 01:28:28 PM Eastern Daylight Time			08/11/2010 11:37:10 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica	http://coventry-medicare.com	Advantra MA Only (PPO)	01	04		1			H8980	801	0	2011	Ohio		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272										(711)		(711)		(711)		(711)										1
H8980	802	0	1	04	01	H8980_802_0	5	08/13/2010	2011.01	08/13/2010 02:59:27 PM Eastern Daylight Time	07/16/2010 02:11:48 PM Eastern Daylight Time			08/13/2010 03:29:17 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H8980	802	0	2011	Ohio		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(877)-300-5135		(877)-300-5135		(800)-470-4272		(800)-470-4272		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8980	803	0	1	04	01	H8980_803_0	5	08/13/2010	2011.01	08/13/2010 02:59:56 PM Eastern Daylight Time	07/16/2010 02:19:14 PM Eastern Daylight Time			08/13/2010 03:29:17 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	HealthAmerica	http://coventry-medicare.com	Advantra Gold (PPO)	01	04		1			H8980	803	0	2011	Ohio		1		2				2						http://coventry-medicare.coventryhealthcare.com/locate-a-provider	http://coventry-medicare.coventryhealthcare.com/advantra-pennsylvania/prescription-drug-benefits	http://coventry-medicare.coventryhealthcare.com/prescription-drug-benefits/pharmacy-locator	(800)-290-0190		(800)-290-0190		(800)-470-4272		(800)-470-4272		(877)-300-5135		(877)-300-5135		(800)-470-4272		(800)-470-4272		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H8991	017	0	1	01	01	H8991_017_0	4	08/20/2010	2011.01	08/20/2010 10:44:34 AM Eastern Daylight Time	08/22/2010 01:50:46 PM Eastern Daylight Time	08/26/2010 12:41:48 PM Eastern Daylight Time		08/27/2010 08:09:43 AM Eastern Daylight Time	AMERIGROUP FLORIDA, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Specialty + Rx (HMO SNP)	01	01		1			H8991	017	0	2011	South and Central Florida		2	2020	2		2		1	3		1	1		http://www.myamerigroup.com/medicare	http://www.amerigroupcorp.com/Members/amerivantage/_documents	http://www.amerigroupcorp.com/Members/amerivantage	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H8991	018	0	1	01	01	H8991_018_0	5	08/21/2010	2011.01	08/21/2010 07:59:38 AM Eastern Daylight Time	08/20/2010 06:08:30 PM Eastern Daylight Time	08/20/2010 05:38:15 PM Eastern Daylight Time		08/23/2010 09:18:34 AM Eastern Daylight Time	AMERIGROUP FLORIDA, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Classic + Rx (HMO)	01	01		1			H8991	018	0	2011	Central Florida		2	826	2				2						http://www.myamerigroup.com/medicare	http://www.amerigroupcorp.com/Members/amerivantage/_documents	http://www.amerigroupcorp.com/Members/amerivantage	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H8991	022	0	1	01	01	H8991_022_0	5	08/21/2010	2011.01	08/21/2010 08:00:15 AM Eastern Daylight Time	08/20/2010 06:09:26 PM Eastern Daylight Time	08/20/2010 05:40:05 PM Eastern Daylight Time		08/23/2010 09:18:34 AM Eastern Daylight Time	AMERIGROUP FLORIDA, INC.	AMERIGROUP Community Care	http://www.myamerigroup.com/medicare	Amerivantage Classic + Rx (HMO)	01	01		1			H8991	022	0	2011	South Florida		2	126	2				2						http://www.myamerigroup.com/medicare	http://www.amerigroupcorp.com/Members/amerivantage/_documents	http://www.amerigroupcorp.com/Members/amerivantage	(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(866)-805-4589		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		(800)-855-2880		1
H9001	001	0	1	01	01	H9001_001_0	5	08/11/2010	2011.01	08/11/2010 04:04:33 PM Eastern Daylight Time	08/07/2010 09:14:13 AM Eastern Daylight Time			08/12/2010 01:18:21 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard (HMO)	01	01		1			H9001	001	0	2011	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	1535	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1
H9001	010	0	1	01	01	H9001_010_0	8	08/16/2010	2011.01	08/16/2010 01:21:13 PM Eastern Daylight Time	08/16/2010 01:04:02 PM Eastern Daylight Time			08/16/2010 01:23:12 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver (HMO)	01	01		1			H9001	010	0	2011	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	1176	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1
H9001	011	0	1	01	01	H9001_011_0	7	08/20/2010	2011.01	08/20/2010 09:59:54 AM Eastern Daylight Time	08/23/2010 08:39:03 AM Eastern Daylight Time	08/23/2010 08:39:11 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver Basic Rx (HMO)	01	01		1			H9001	011	0	2011	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	2733	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9001	013	0	1	01	01	H9001_013_0	7	08/23/2010	2011.01	08/23/2010 09:25:19 AM Eastern Daylight Time	08/23/2010 08:39:31 AM Eastern Daylight Time	08/23/2010 08:39:51 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver Enhanced Rx (HMO)	01	01		1			H9001	013	0	2011	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	5884	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9001	015	0	1	01	01	H9001_015_0	6	08/23/2010	2011.01	08/23/2010 09:25:25 AM Eastern Daylight Time	08/23/2010 08:40:06 AM Eastern Daylight Time	08/23/2010 08:40:20 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard Rx (HMO)	01	01		1			H9001	015	0	2011	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	5607	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9001	017	0	1	01	01	H9001_017_0	6	08/23/2010	2011.01	08/23/2010 09:25:32 AM Eastern Daylight Time	08/23/2010 08:43:47 AM Eastern Daylight Time	08/23/2010 08:44:12 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Plus Enhanced Rx (HMO)	01	01		1			H9001	017	0	2011	WORC county, and parts of FRK,HPS,MSEX,NOFcounties		2	5079	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9001	019	0	1	01	01	H9001_019_0	4	08/23/2010	2011.01	08/23/2010 09:25:39 AM Eastern Daylight Time	08/23/2010 08:44:24 AM Eastern Daylight Time	08/23/2010 08:44:32 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.navicare.org	NaviCare (HMO SNP)	01	01		1			H9001	019	0	2011	Worcester County		2	863	2		2		1	3		1	5		http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(877)-700-6996		(877)-700-6996		(877)-255-7108		(877)-255-7108		(877)-700-6996		(877)-700-6996		(877)-255-7108		(877)-255-7108		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		(877)-795-6526		1
H9001	020	0	1	01	01	H9001_020_0	6	08/20/2010	2011.01	08/20/2010 10:02:55 AM Eastern Daylight Time	08/23/2010 08:44:43 AM Eastern Daylight Time	08/23/2010 08:44:49 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver Basic Rx (HMO)	01	01		1			H9001	020	0	2011	Hampden County		2	100	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9001	021	0	1	01	01	H9001_021_0	6	08/23/2010	2011.01	08/23/2010 09:25:49 AM Eastern Daylight Time	08/23/2010 08:44:58 AM Eastern Daylight Time	08/23/2010 08:45:06 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver Enhanced Rx (HMO)	01	01		1			H9001	021	0	2011	Hampden County		2	289	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9001	022	0	1	01	01	H9001_022_0	5	08/11/2010	2011.01	08/11/2010 12:45:10 PM Eastern Daylight Time	08/07/2010 09:16:02 AM Eastern Daylight Time			08/12/2010 01:18:21 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard (HMO)	01	01		1			H9001	022	0	2011	Hampden County		2	16	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1
H9001	024	0	1	01	01	H9001_024_0	6	08/23/2010	2011.01	08/23/2010 09:25:59 AM Eastern Daylight Time	08/23/2010 08:45:16 AM Eastern Daylight Time	08/23/2010 08:45:25 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Standard Rx (HMO)	01	01		1			H9001	024	0	2011	Hampden County		2	174	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9001	025	0	1	01	01	H9001_025_0	6	08/23/2010	2011.01	08/23/2010 09:26:06 AM Eastern Daylight Time	08/23/2010 08:45:38 AM Eastern Daylight Time	08/23/2010 08:45:44 AM Eastern Daylight Time		08/23/2010 09:38:20 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Plus Enhanced Rx (HMO)	01	01		1			H9001	025	0	2011	Hampden County		2	269	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9001	026	0	1	01	01	H9001_026_0	5	08/11/2010	2011.01	08/11/2010 12:46:44 PM Eastern Daylight Time	08/07/2010 09:16:27 AM Eastern Daylight Time			08/12/2010 01:18:21 PM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	Fallon Senior Plan Saver (HMO)	01	01		1			H9001	026	0	2011	Hampden County		2	59	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1
H9001	801	0	1	01	01	H9001_801_0	3	08/07/2010	2011.01	08/07/2010 09:25:53 AM Eastern Daylight Time	08/07/2010 09:16:40 AM Eastern Daylight Time			08/07/2010 09:44:23 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	HMO MA Only (HMO)	01	01		1			H9001	801	0	2011	Full Service Area - Employer Groups		1	1116	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980										(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677										1
H9001	803	0	1	01	01	H9001_803_0	3	08/07/2010	2011.01	08/07/2010 09:26:02 AM Eastern Daylight Time	08/07/2010 09:16:54 AM Eastern Daylight Time			08/07/2010 09:44:23 AM Eastern Daylight Time	FALLON COMMUNITY HEALTH PLAN	Fallon Community Health Plan	www.fchp.org	HMO MA RX Coinsurance - Calendar Year (HMO)	01	01		1			H9001	803	0	2011	Full Service Area - Employer Groups		1	5379	2				2						http://www.fchp.org/FindPhysician/	http://www.fchp.org/Extranet/Seniors/Formulary/	http://www.fchp.org/Extranet/Seniors/PharmacyFinder/	(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(800)-868-5200		(800)-868-5200		(888)-377-1980		(888)-377-1980		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		(877)-608-7677		1
H9003	001	0	1	01	01	H9003_001_0	8	06/07/2010	2011.01	06/07/2010 03:31:31 PM Pacific Daylight Time	08/23/2010 08:18:26 AM Pacific Daylight Time	08/23/2010 08:22:38 AM Pacific Daylight Time		08/23/2010 08:24:00 AM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Kaiser Permanente Senior Advantage (HMO)	01	01		1			H9003	001	0	2011	Portland-Vancouver Metro, Salem OR, Longview WA		2		2				2						kp.org	kp.org/seniorrx	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-408-3496		(877)-408-3496		(877)-221-8221		(877)-221-8221		(877)-408-3496		(877)-408-3496		(800)-735-2900		(800)-735-2900		(888)-758-6054		(888)-758-6054		(800)-735-2900		(800)-735-2900		(888)-758-6054		(888)-758-6054		1
H9003	006	0	1	01	01	H9003_006_0	5	06/04/2010	2011.01	06/04/2010 04:16:36 PM Pacific Daylight Time	08/23/2010 04:09:44 PM Pacific Daylight Time	08/23/2010 04:10:02 PM Pacific Daylight Time		08/23/2010 04:12:34 PM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Kaiser Permanente Senior Advantage Basic (HMO)	01	01		1			H9003	006	0	2011	Portland-Vancouver Metro, Salem OR, Longview WA		2		2				2						kp.org	kp.org/seniorrx	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-408-3496		(877)-408-3496		(877)-221-8221		(877)-221-8221		(877)-408-3496		(877)-408-3496		(800)-735-2900		(800)-735-2900		(888)-758-6054		(888)-758-6054		(800)-735-2900		(800)-735-2900		(888)-758-6054		(888)-758-6054		1
H9003	801	0	1	01	01	H9003_801_0	4	08/06/2010	2011.01	08/06/2010 04:35:14 PM Pacific Daylight Time	07/27/2010 04:46:13 PM Pacific Daylight Time			08/06/2010 04:57:56 PM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Employer Group Only with Part D (HMO)	01	01		1			H9003	801	0	2011	Portland-Vancouver Metro, Salem OR, Longview WA		1		2				2						kp.org	kp.org/seniorrx	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H9003	802	0	1	01	01	H9003_802_0	4	08/06/2010	2011.01	08/06/2010 04:36:53 PM Pacific Daylight Time	07/27/2010 04:46:46 PM Pacific Daylight Time			08/06/2010 04:57:56 PM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	Employer Group Only without Part D (HMO)	01	01		1			H9003	802	0	2011	Portland-Vancouver Metro, Salem OR, Longview WA		1		2				2						kp.org	kp.org/seniorrx	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221										(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900										1
H9003	805	0	1	01	01	H9003_805_0	3	06/07/2010	2011.01	06/07/2010 04:02:20 PM Pacific Daylight Time	07/26/2010 11:07:51 AM Pacific Daylight Time			07/30/2010 02:48:47 PM Pacific Daylight Time	KAISER FOUNDATION HP OF THE N W	Kaiser Permanente	kp.org	FEHB AB with D (HMO)	01	01		1			H9003	805	0	2011	Portland-Vancouver Metro, Salem OR, Longview WA		1		2				2						kp.org	kp.org/seniorrx	kp.org/seniorrx	(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(877)-221-8221		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		(800)-735-2900		1
H9011	003	0	1	01	01	H9011_003_0	5	06/02/2010	2011.01	06/02/2010 11:51:24 AM Central Daylight Time	08/19/2010 04:57:35 PM Central Daylight Time	08/18/2010 04:50:04 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H9011	003	0	2011	Miami-Dade County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	011	0	1	01	01	H9011_011_0	5	08/20/2010	2011.01	08/20/2010 09:19:35 AM Central Daylight Time	08/19/2010 04:58:00 PM Central Daylight Time	08/18/2010 04:34:37 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.uhcpersonalcareplusfl.com	UnitedHealthcare Personal Care Plus (HMO SNP)	01	01		1			H9011	011	0	2011	Miami-Dade County		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-480-2064		(866)-480-2064		(888)-565-8170		(888)-565-8170		(866)-480-2064		(866)-480-2064		(877)-428-1292		(877)-428-1292		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	016	0	1	02	01	H9011_016_0	5	06/01/2010	2011.01	06/01/2010 04:55:28 PM Central Daylight Time	08/19/2010 04:58:42 PM Central Daylight Time	08/18/2010 04:50:08 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H9011	016	0	2011	Miami-Dade FL		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	018	0	1	01	01	H9011_018_0	5	06/01/2010	2011.01	06/01/2010 12:57:05 PM Central Daylight Time	08/19/2010 04:59:08 PM Central Daylight Time	08/18/2010 04:50:13 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H9011	018	0	2011	Broward County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	019	0	1	02	01	H9011_019_0	5	06/01/2010	2011.01	06/01/2010 04:07:15 PM Central Daylight Time	08/19/2010 04:59:39 PM Central Daylight Time	08/18/2010 04:50:18 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H9011	019	0	2011	Broward County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	020	0	1	01	01	H9011_020_0	5	06/01/2010	2011.01	06/01/2010 04:08:11 PM Central Daylight Time	08/19/2010 05:00:07 PM Central Daylight Time	08/18/2010 04:50:23 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plan 1 (HMO)	01	01		1			H9011	020	0	2011	Palm Beach County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	021	0	1	02	01	H9011_021_0	5	06/01/2010	2011.01	06/01/2010 04:09:59 PM Central Daylight Time	08/19/2010 05:00:36 PM Central Daylight Time	08/18/2010 04:50:28 PM Central Daylight Time		08/20/2010 04:24:25 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Plus (HMO-POS)	01	02		1			H9011	021	0	2011	Palm Beach County		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	801	0	1	01	01	H9011_801_0	1	05/25/2010	2011.01	05/25/2010 08:41:42 AM Central Daylight Time	06/03/2010 04:06:36 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H9011	801	0	2011	Broward, Dade and Palm Beach Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	802	0	1	01	01	H9011_802_0	1	05/25/2010	2011.01	05/25/2010 08:41:48 AM Central Daylight Time	06/03/2010 04:07:04 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H9011	802	0	2011	Broward, Dade and Palm Beach Counties		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
H9011	803	0	1	01	01	H9011_803_0	1	05/25/2010	2011.01	05/25/2010 08:41:52 AM Central Daylight Time	06/03/2010 04:07:36 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		1			H9011	803	0	2011	Select Counties in FL		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9011	805	0	2	01	01	H9011_805_0	1	06/03/2010	2011.01	06/03/2010 05:52:31 PM Central Daylight Time	06/03/2010 04:08:36 PM Central Daylight Time			06/03/2010 09:27:28 PM Central Daylight Time	UNITEDHEALTHCARE OF FLORIDA, INC.	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (HMO)	01	01		2	2		H9011	805	0	2011	Select counties in FL		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9047	001	0	1	01	01	H9047_001_0	8	08/20/2010	2011.01	08/20/2010 01:31:46 PM Pacific Daylight Time	08/23/2010 09:02:28 AM Pacific Daylight Time	08/19/2010 02:27:46 PM Pacific Daylight Time		08/23/2010 02:14:12 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Plan 1 + RX (HMO)	01	01		1			H9047	001	0	2011	Portland Metro, Willamette Valley, Clark County		2	178502	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1
H9047	013	0	2	01	01	H9047_013_0	8	08/10/2010	2011.01	08/10/2010 01:09:56 PM Pacific Daylight Time	08/23/2010 09:30:27 AM Pacific Daylight Time	08/19/2010 02:28:20 PM Pacific Daylight Time		08/23/2010 02:14:12 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Part B Only + RX (HMO)	01	01		2	2		H9047	013	0	2011	Portland Metro and Willamette Valley		2	48	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1
H9047	024	0	1	02	01	H9047_024_0	11	08/10/2010	2011.01	08/10/2010 01:10:39 PM Pacific Daylight Time	08/23/2010 09:32:37 AM Pacific Daylight Time	08/19/2010 02:28:44 PM Pacific Daylight Time		08/23/2010 02:14:12 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Choice + RX (HMO-POS)	01	02		1			H9047	024	0	2011	Portland Metro, Willamette Valley, Clark County		2	92165	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1
H9047	033	0	1	01	01	H9047_033_0	6	08/10/2010	2011.01	08/10/2010 01:11:13 PM Pacific Daylight Time	06/06/2010 01:45:31 PM Pacific Daylight Time			08/10/2010 04:25:34 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Plan 1 (HMO)	01	01		1			H9047	033	0	2011	Portland Metro, Willamette Valley, Clark County		2	24102	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1
H9047	035	0	1	02	01	H9047_035_0	7	08/10/2010	2011.01	08/10/2010 01:11:47 PM Pacific Daylight Time	06/06/2010 01:46:54 PM Pacific Daylight Time			08/10/2010 04:25:34 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Choice (HMO-POS)	01	02		1			H9047	035	0	2011	Portland Metro, Willamette Valley, Clark County		2	12101	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1
H9047	801	0	1	01	01	H9047_801_0	7	06/07/2010	2011.01	06/07/2010 08:13:59 AM Pacific Daylight Time	06/07/2010 01:11:38 PM Pacific Daylight Time			06/07/2010 03:40:41 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Group Plan (HMO)	01	01		1			H9047	801	0	2011	Portland Metro, Willamette Valley, Clark County		1	135980	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1
H9047	804	0	1	01	01	H9047_804_0	7	07/08/2010	2011.01	07/08/2010 12:35:55 PM Pacific Daylight Time	06/07/2010 01:09:46 PM Pacific Daylight Time			07/15/2010 10:19:13 AM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Extra Group Plan + RX (HMO)	01	01		1			H9047	804	0	2011	Portland Metro, Willamette Valley, Clark County		1	17892	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1
H9047	805	0	1	02	01	H9047_805_0	7	07/26/2010	2011.01	07/26/2010 03:17:52 PM Pacific Daylight Time	07/22/2010 10:20:12 AM Pacific Daylight Time			07/26/2010 03:19:41 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Choice Group Plan + RX (HMO-POS)	01	02		1			H9047	805	0	2011	Portland Metro, Willamette Valley, Clark County		1	276	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702		1
H9047	806	0	1	02	01	H9047_806_0	9	08/18/2010	2011.01	08/18/2010 12:45:26 PM Pacific Daylight Time	07/30/2010 10:26:13 AM Pacific Daylight Time			08/18/2010 01:21:50 PM Pacific Daylight Time	PROVIDENCE HEALTH PLAN	Providence Health Plan	www.providence.org/healthplans	Providence Medicare Choice Group Plan (HMO-POS)	01	02		1			H9047	806	0	2011	Portland Metro, Willamette Valley, Clark County		1	7515	2				2						www.providence.org/Health Plans	www.providence.org/healthplans	www.providence.org/healthplans	(800)-603-2340		(503)-574-8000		(800)-457-6064		(503)-574-5551										(888)-244-6642		(503)-574-8702		(888)-244-6642		(503)-574-8702										1
H9082	002	0	1	01	01	H9082_002_0	9	08/30/2010	2011.01	08/30/2010 08:23:09 AM Pacific Daylight Time	08/20/2010 08:24:00 PM Pacific Daylight Time	08/20/2010 06:49:00 PM Pacific Daylight Time		08/30/2010 08:50:41 AM Pacific Daylight Time	MOLINA HEALTHCARE OF NEW MEXICO, INC.	Molina Healthcare of New Mexico, Inc.	www.molinamedicare.com	Molina Medicare Options (HMO)	01	01		1			H9082	002	0	2011	Northwest, Central, Southern New Mexico		2	1022	2				2						www.molinamedicare.com	www.molinamedicare.com	www.molinamedicare.com	(866)-440-0127		(866)-440-0127		(866)-403-8293		(866)-403-8293		(866)-440-0127		(866)-440-0127		(866)-403-8293		(866)-403-8293		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		(800)-346-4128		1
H9104	006	0	1	01	01	H9104_006_0	9	08/31/2010	2011.01	08/31/2010 02:47:41 PM Pacific Daylight Time	08/20/2010 04:27:41 PM Pacific Daylight Time	08/18/2010 03:54:08 PM Pacific Daylight Time		08/31/2010 07:00:11 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Healthy at Home (HMO SNP)	01	01		1			H9104	006	0	2011	Los Angeles County		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H9104	007	0	1	01	01	H9104_007_0	11	08/31/2010	2011.01	08/31/2010 02:47:52 PM Pacific Daylight Time	08/26/2010 10:10:24 AM Pacific Daylight Time	08/18/2010 03:54:26 PM Pacific Daylight Time		08/31/2010 07:00:11 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Healthy at Home (HMO SNP)	01	01		1			H9104	007	0	2011	Orange County		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H9104	008	0	1	01	01	H9104_008_0	8	08/31/2010	2011.01	08/31/2010 02:48:05 PM Pacific Daylight Time	08/20/2010 04:31:04 PM Pacific Daylight Time	08/18/2010 03:54:44 PM Pacific Daylight Time		08/31/2010 07:00:11 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Healthy at Home (HMO SNP)	01	01		1			H9104	008	0	2011	Riverside County		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H9104	009	0	1	01	01	H9104_009_0	8	08/31/2010	2011.01	08/31/2010 02:49:47 PM Pacific Daylight Time	08/20/2010 04:40:16 PM Pacific Daylight Time	08/18/2010 03:55:04 PM Pacific Daylight Time		08/31/2010 07:00:11 PM Pacific Daylight Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Healthy at Home (HMO SNP)	01	01		1			H9104	009	0	2011	San Bernardino County		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H9104	016	0	1	01	01	H9104_016_0	2	01/11/2011	2011.01	01/11/2011 12:24:41 PM Pacific Standard Time	01/13/2011 03:21:50 PM Pacific Standard Time	01/14/2011 10:40:12 AM Pacific Standard Time		01/19/2011 02:00:45 PM Pacific Standard Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Healthy at Home 1 (HMO SNP)	01	01		1			H9104	016	0	2011	Los Angeles County		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H9104	017	0	1	01	01	H9104_017_0	1	01/11/2011	2011.01	01/11/2011 12:24:48 PM Pacific Standard Time	01/13/2011 04:23:52 PM Pacific Standard Time	01/14/2011 10:50:00 AM Pacific Standard Time		01/19/2011 09:43:51 AM Pacific Standard Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Healthy at Home 1 (HMO SNP)	01	01		1			H9104	017	0	2011	Orange County		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H9104	018	0	1	01	01	H9104_018_0	1	01/11/2011	2011.01	01/11/2011 12:24:53 PM Pacific Standard Time	01/13/2011 04:36:52 PM Pacific Standard Time	01/14/2011 10:54:12 AM Pacific Standard Time		01/19/2011 09:43:51 AM Pacific Standard Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Healthy at Home 1 (HMO SNP)	01	01		1			H9104	018	0	2011	Riverside County		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H9104	019	0	1	01	01	H9104_019_0	1	01/11/2011	2011.01	01/11/2011 12:24:58 PM Pacific Standard Time	01/13/2011 04:45:58 PM Pacific Standard Time	01/14/2011 10:56:46 AM Pacific Standard Time		01/19/2011 09:43:51 AM Pacific Standard Time	SCAN HEALTH PLAN	SCAN Health Plan	www.scanhealthplan.com	SCAN Healthy at Home 1 (HMO SNP)	01	01		1			H9104	019	0	2011	San Bernardino County		2		2				1	1	2	1			http://www.scanhealthplan.com	http://www.scanhealthplan.com	http://www.scanhealthplan.com	(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-559-3500		(800)-559-3500		(800)-915-7226		(800)-915-7226		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		(800)-735-2929		1
H9184	002	0	1	04	01	H9184_002_0	4	07/07/2010	2011.01	07/07/2010 12:25:53 PM Eastern Daylight Time	08/20/2010 03:46:26 PM Eastern Daylight Time	08/19/2010 09:47:30 AM Eastern Daylight Time		08/23/2010 04:37:11 PM Eastern Daylight Time	BRAVO HEALTH MID-ATLANTIC, INC.	Bravo Health	www.mybravohealth.com	Bravo Freedom (PPO)	01	04		1			H9184	002	0	2011	Baltimore and District of Columbia Metro Areas		2		2				2						www.mybravohealth.com	www.mybravohealth.com/formulary	www.mybravohealth.com	(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(800)-291-0396		(800)-291-0396		(888)-311-4483		(888)-311-4483		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9266	001	0	1	20	08	H9266_001_0	1	05/20/2010	2011.01	05/20/2010 11:31:01 AM Eastern Daylight Time		05/20/2010 11:23:43 AM Eastern Daylight Time		05/20/2010 12:04:19 PM Eastern Daylight Time	PIEDMONT HEALTH SERVICES, INC.	Piedmont Health SeniorCare	http://www.piedmonthealthseniorcare.org/	Piedmont Health SeniorCare - Dual (PACE)	08	20		1			H9266	001	0	2011	Piedmont Region of NC		2		2				2							www.piedmonthealth.org	www.piedmonthealth.org									(877)-714-2100		(336)-532-0000		(877)-714-2100		(336)-532-0000										(877)-714-2100		(336)-532-0000		(877)-714-2100		(336)-532-0000		1
H9266	003	0	1	20	08	H9266_003_0	1	05/20/2010	2011.01	05/20/2010 11:32:01 AM Eastern Daylight Time		05/20/2010 11:23:24 AM Eastern Daylight Time		05/20/2010 12:04:19 PM Eastern Daylight Time	PIEDMONT HEALTH SERVICES, INC.	Piedmont Health SeniorCare	http://www.piedmonthealthseniorcare.org/	Piedmont Health SeniorCare - Medicare only (PACE)	08	20		1			H9266	003	0	2011	Piedmont Region of NC		2		2				2							www.piedmonthealth.org	www.piedmonthealth.org									(877)-714-2100		(336)-532-0000		(877)-714-2100		(336)-532-0000										(877)-714-2100		(336)-532-0000		(877)-714-2100		(336)-532-0000		1
H9302	001	0	1	01	01	H9302_001_0	5	08/22/2010	2011.01	08/22/2010 09:07:11 PM Pacific Daylight Time	08/20/2010 03:17:12 PM Pacific Daylight Time	08/20/2010 03:17:12 PM Pacific Daylight Time		08/23/2010 01:30:16 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Apex Plus Rx (HMO)	01	01		1			H9302	001	0	2011	Counties: Lewis, Pierce, Snohomish,Thurston		2	1788	2				2						http://www.OurPSHP.com	www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1
H9302	003	0	1	01	01	H9302_003_0	5	08/02/2010	2011.01	08/02/2010 09:28:10 AM Pacific Daylight Time	08/20/2010 03:18:40 PM Pacific Daylight Time	08/20/2010 03:18:40 PM Pacific Daylight Time		08/23/2010 01:30:16 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Charter Plus Rx (HMO)	01	01		1			H9302	003	0	2011	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	3405	2				2						http://www.OurPSHP.com	www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1
H9302	004	0	1	01	01	H9302_004_0	4	08/02/2010	2011.01	08/02/2010 04:23:16 PM Pacific Daylight Time	08/02/2010 08:59:57 AM Pacific Daylight Time			08/02/2010 04:48:21 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Alpine (HMO)	01	01		1			H9302	004	0	2011	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	506	2				2						http://www.OurPSHP.com	www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830										(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900										1
H9302	005	0	1	01	01	H9302_005_0	5	08/02/2010	2011.01	08/02/2010 09:28:29 AM Pacific Daylight Time	08/20/2010 03:19:15 PM Pacific Daylight Time	08/20/2010 03:19:15 PM Pacific Daylight Time		08/23/2010 01:30:16 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Apex Plus Rx King County (HMO)	01	01		1			H9302	005	0	2011	Counties: King		2	1525	2				2						http://www.OurPSHP.com	www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1
H9302	007	0	1	01	01	H9302_007_0	5	08/19/2010	2011.01	08/19/2010 07:05:23 PM Pacific Daylight Time	08/20/2010 03:20:02 PM Pacific Daylight Time	08/20/2010 03:20:02 PM Pacific Daylight Time		08/23/2010 01:30:16 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Sound Plus Rx (HMO)	01	01		1			H9302	007	0	2011	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	2131	2				2						http://www.OurPSHP.com	www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1
H9302	008	0	1	02	01	H9302_008_0	5	08/02/2010	2011.01	08/02/2010 09:29:09 AM Pacific Daylight Time	08/20/2010 03:20:50 PM Pacific Daylight Time	08/20/2010 03:20:50 PM Pacific Daylight Time		08/23/2010 01:30:16 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Summit Plus Rx (HMO-POS)	01	02		1			H9302	008	0	2011	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	203	2				2						http://www.OurPSHP.com	www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1
H9302	009	0	1	01	01	H9302_009_0	4	08/02/2010	2011.01	08/02/2010 03:14:08 PM Pacific Daylight Time	08/02/2010 04:19:31 PM Pacific Daylight Time			08/02/2010 04:48:21 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	http://www.OurPSHP.com/	Ascent (HMO)	01	01		1			H9302	009	0	2011	Counties: King, Lewis, Pierce, Snohomish, Thurston		2	335	2				2						http://www.OurPSHP.com	www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830										(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900										1
H9302	801	0	1	01	01	H9302_801_0	4	06/07/2010	2011.01	06/07/2010 07:29:10 PM Pacific Daylight Time	06/07/2010 05:17:44 PM Pacific Daylight Time			06/07/2010 07:29:35 PM Pacific Daylight Time	PUGET SOUND HEALTH PARTNERS, INC.	Puget Sound Health Partners	www.OurPSHP.com	Partners Plus Rx (HMO)	01	01		1			H9302	801	0	2011	Counties: King, Lewis, Pierce, Snohomish, Thurston		1	125	2				2						http://www.OurPSHP.com	www.OurPSHP.com	www.OurPSHP.com	(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-789-7747		(253)-779-8830		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		(866)-264-4141		(253)-284-3900		1
H9385	001	0	1	01	01	H9385_001_0	6	08/23/2010	2011.01	08/23/2010 04:29:15 PM Pacific Daylight Time	08/23/2010 06:37:46 PM Pacific Daylight Time	08/18/2010 03:55:24 PM Pacific Daylight Time		08/23/2010 07:14:19 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Connections (HMO SNP)	01	01		1			H9385	001	0	2011	Maricopa County		2		2		2		1	3		1	5		www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	http://www.scanhealthplan.com	(888)-540-7226		(602)-778-3300		(866)-563-7396		(602)-778-3300		(888)-540-7226		(602)-778-3300		(866)-563-7396		(602)-778-3300		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H9385	002	0	1	01	01	H9385_002_0	7	08/31/2010	2011.01	08/31/2010 02:48:54 PM Pacific Daylight Time	08/23/2010 06:11:55 PM Pacific Daylight Time	08/18/2010 03:55:42 PM Pacific Daylight Time		08/31/2010 07:00:11 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Classic (HMO)	01	01		1			H9385	002	0	2011	Maricopa and Pima County		2		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	http://www.scanhealthplan.com	(888)-540-7226		(602)-778-3300		(866)-490-7226		(602)-778-3300		(888)-540-7226		(602)-778-3300		(866)-490-7226		(602)-778-3300		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H9385	805	0	1	01	01	H9385_805_0	4	07/09/2010	2011.01	07/09/2010 12:31:13 PM Pacific Daylight Time	07/27/2010 05:27:27 PM Pacific Daylight Time			08/04/2010 04:44:36 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Arizona Employer Group (HMO)	01	01		1			H9385	805	0	2011	Maricopa and Pima County		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	http://www.scanhealthplan.com	(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300										(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939										1
H9385	807	0	1	01	01	H9385_807_0	5	06/23/2010	2011.01	06/23/2010 03:44:12 PM Pacific Daylight Time	08/10/2010 12:33:07 PM Pacific Daylight Time			08/10/2010 03:19:17 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Arizona Employer Group (HMO)	01	01		1			H9385	807	0	2011	Maricopa and Pima County		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	http://www.scanhealthplan.com	(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300		(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H9385	808	0	1	01	01	H9385_808_0	4	06/23/2010	2011.01	06/23/2010 03:44:17 PM Pacific Daylight Time	07/27/2010 05:37:47 PM Pacific Daylight Time			08/04/2010 04:44:36 PM Pacific Daylight Time	SCAN HEALTH PLAN OF ARIZONA	SCAN Health Plan Arizona	www.scanhealthplan.com	SCAN Arizona Employer Group (HMO)	01	01		1			H9385	808	0	2011	Maricopa and Pima County		1		2				2						www.scanhealthplan.com	http://www.scanhealthplan.com/Arizona/Medicare	http://www.scanhealthplan.com	(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300		(888)-540-7226		(602)-778-3300		(866)-503-7226		(602)-778-3300		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		(800)-367-8939		1
H9503	001	0	1	04	01	H9503_001_0	3	08/20/2010	2011.01	08/20/2010 02:15:57 PM Eastern Daylight Time	08/20/2010 06:15:49 PM Eastern Daylight Time	08/20/2010 04:35:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H9503-001 (PPO)	01	04		1			H9503	001	0	2011	Clark and Nye Counties		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9503	003	0	1	04	01	H9503_003_0	3	08/20/2010	2011.01	08/20/2010 02:16:31 PM Eastern Daylight Time	08/20/2010 06:19:01 PM Eastern Daylight Time	08/20/2010 04:36:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice H9503-003 (PPO)	01	04		1			H9503	003	0	2011	Washoe County		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
H9572	001	1	1	04	01	H9572_001_1	12	08/18/2010	2011.01	08/18/2010 02:42:48 PM Eastern Daylight Time	08/23/2010 07:00:53 PM Eastern Daylight Time	08/23/2010 06:51:16 PM Eastern Daylight Time		08/23/2010 07:44:26 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Signature Blue Medicare PPO (PPO)	01	04		1			H9572	001	1	2011	State of Michigan	Grand Rapids and Muskegon Area	2	7440	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	001	2	1	04	01	H9572_001_2	13	08/12/2010	2011.01	08/12/2010 04:58:50 PM Eastern Daylight Time	08/23/2010 07:11:02 PM Eastern Daylight Time	08/23/2010 06:51:53 PM Eastern Daylight Time		08/23/2010 07:44:26 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Signature Blue Medicare PPO (PPO)	01	04		1			H9572	001	2	2011	State of Michigan	Lansing and Southwesy Michigan	2	7440	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	001	3	1	04	01	H9572_001_3	12	08/12/2010	2011.01	08/12/2010 04:59:45 PM Eastern Daylight Time	08/23/2010 07:13:29 PM Eastern Daylight Time	08/23/2010 06:52:18 PM Eastern Daylight Time		08/23/2010 07:44:26 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Signature Blue Medicare PPO (PPO)	01	04		1			H9572	001	3	2011	State of Michigan	UP + Northern Lower Michigan	2	7440	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	001	4	1	04	01	H9572_001_4	12	08/12/2010	2011.01	08/12/2010 05:04:29 PM Eastern Daylight Time	08/23/2010 07:17:21 PM Eastern Daylight Time	08/23/2010 06:53:08 PM Eastern Daylight Time		08/23/2010 07:44:26 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Signature Blue Medicare PPO (PPO)	01	04		1			H9572	001	4	2011	State of Michigan	Ann Arbor-Jackson-Monroe Area	2	7440	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	001	5	1	04	01	H9572_001_5	12	08/12/2010	2011.01	08/12/2010 05:05:25 PM Eastern Daylight Time	08/23/2010 07:19:55 PM Eastern Daylight Time	08/23/2010 06:53:35 PM Eastern Daylight Time		08/23/2010 07:44:26 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Signature Blue Medicare PPO (PPO)	01	04		1			H9572	001	5	2011	State of Michigan	Central Lower Michigan and Thumb Area	2	7440	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	001	6	1	04	01	H9572_001_6	12	08/12/2010	2011.01	08/12/2010 05:06:27 PM Eastern Daylight Time	08/23/2010 07:22:04 PM Eastern Daylight Time	08/23/2010 06:49:07 PM Eastern Daylight Time		08/23/2010 07:44:26 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Signature Blue Medicare PPO (PPO)	01	04		1			H9572	001	6	2011	State of Michigan	Macomb, Oakland and Wayne Counties	2	7440	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	002	1	1	04	01	H9572_002_1	11	08/18/2010	2011.01	08/18/2010 02:37:59 PM Eastern Daylight Time	08/23/2010 08:02:45 PM Eastern Daylight Time	08/23/2010 07:54:31 PM Eastern Daylight Time		08/23/2010 08:55:04 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Vitality Blue Medicare PPO (PPO)	01	04		1			H9572	002	1	2011	State of Michigan	Grand Rapids and Muskegon Area	2	913	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	002	2	1	04	01	H9572_002_2	11	08/12/2010	2011.01	08/12/2010 05:10:39 PM Eastern Daylight Time	08/23/2010 08:05:20 PM Eastern Daylight Time	08/23/2010 07:54:58 PM Eastern Daylight Time		08/23/2010 08:55:04 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Vitality Blue Medicare PPO (PPO)	01	04		1			H9572	002	2	2011	State of Michigan	Lansing and Southwest Michigan	2	540	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	002	3	1	04	01	H9572_002_3	11	08/12/2010	2011.01	08/12/2010 05:11:37 PM Eastern Daylight Time	08/23/2010 08:07:09 PM Eastern Daylight Time	08/23/2010 07:55:54 PM Eastern Daylight Time		08/23/2010 08:55:04 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Vitality Blue Medicare PPO (PPO)	01	04		1			H9572	002	3	2011	State of Michigan	UP + Northern Lower Michigan	2	390	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	002	4	1	04	01	H9572_002_4	11	08/12/2010	2011.01	08/12/2010 05:12:49 PM Eastern Daylight Time	08/23/2010 08:08:37 PM Eastern Daylight Time	08/23/2010 07:56:28 PM Eastern Daylight Time		08/23/2010 08:55:04 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Vitality Blue Medicare PPO (PPO)	01	04		1			H9572	002	4	2011	State of Michigan	Ann Arbor - Jackson - Monroe Area	2	630	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	002	5	1	04	01	H9572_002_5	11	08/12/2010	2011.01	08/12/2010 05:14:10 PM Eastern Daylight Time	08/23/2010 08:10:43 PM Eastern Daylight Time	08/23/2010 07:56:52 PM Eastern Daylight Time		08/23/2010 08:55:04 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Vitality Blue Medicare PPO (PPO)	01	04		1			H9572	002	5	2011	State of Michigan	Central Lower Michigan and Thumb Area	2	600	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	002	6	1	04	01	H9572_002_6	11	08/12/2010	2011.01	08/12/2010 05:15:36 PM Eastern Daylight Time	08/23/2010 08:12:33 PM Eastern Daylight Time	08/23/2010 07:53:35 PM Eastern Daylight Time		08/23/2010 08:55:04 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Vitality Blue Medicare PPO (PPO)	01	04		1			H9572	002	6	2011	State of Michigan	Macomb, Oakland and Wayne Counties	2	1850	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	003	1	1	04	01	H9572_003_1	10	08/12/2010	2011.01	08/12/2010 05:22:06 PM Eastern Daylight Time	08/23/2010 09:09:31 PM Eastern Daylight Time	08/23/2010 09:04:24 PM Eastern Daylight Time		08/23/2010 09:30:34 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Assure Blue Medicare PPO (PPO)	01	04		1			H9572	003	1	2011	State of Michigan	Grand Rapids and Muskegon Area	2	4780	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	003	2	1	04	01	H9572_003_2	10	08/12/2010	2011.01	08/12/2010 05:23:04 PM Eastern Daylight Time	08/23/2010 09:11:46 PM Eastern Daylight Time	08/23/2010 09:05:00 PM Eastern Daylight Time		08/23/2010 09:30:34 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Assure Blue Medicare PPO (PPO)	01	04		1			H9572	003	2	2011	State of Michigan	Lansing and Southwest Michigan	2	2870	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	003	3	1	04	01	H9572_003_3	10	08/12/2010	2011.01	08/12/2010 05:23:57 PM Eastern Daylight Time	08/23/2010 09:13:54 PM Eastern Daylight Time	08/23/2010 09:05:39 PM Eastern Daylight Time		08/23/2010 09:30:34 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Assure Blue Medicare PPO (PPO)	01	04		1			H9572	003	3	2011	State of Michigan	UP + Northern Lower Michigan	2	2075	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	003	4	1	04	01	H9572_003_4	10	08/12/2010	2011.01	08/12/2010 05:24:53 PM Eastern Daylight Time	08/23/2010 09:15:30 PM Eastern Daylight Time	08/23/2010 09:06:03 PM Eastern Daylight Time		08/23/2010 09:30:34 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Assure Blue Medicare PPO (PPO)	01	04		1			H9572	003	4	2011	State of Michigan	Ann Arbor - Jackson - Monroe Area	2	3355	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	003	5	1	04	01	H9572_003_5	10	08/19/2010	2011.01	08/19/2010 05:32:07 PM Eastern Daylight Time	08/23/2010 09:17:19 PM Eastern Daylight Time	08/23/2010 09:06:27 PM Eastern Daylight Time		08/23/2010 09:30:34 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Assure Blue Medicare PPO (PPO)	01	04		1			H9572	003	5	2011	State of Michigan	Central Lower Michigan and Thumb Area	2	3170	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	003	6	1	04	01	H9572_003_6	11	09/13/2010	2011.01	09/13/2010 09:59:55 AM Eastern Daylight Time	08/23/2010 09:19:54 PM Eastern Daylight Time	08/23/2010 09:03:44 PM Eastern Daylight Time		09/13/2010 10:20:10 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Medicare Plus Blue PPO Assure (PPO)	01	04		1			H9572	003	6	2011	State of Michigan	Macomb, Oakland and Wayne Counties	2	8960	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	801	0	1	04	01	H9572_801_0	13	08/19/2010	2011.01	08/19/2010 06:39:36 PM Eastern Daylight Time	07/31/2010 01:23:53 PM Eastern Daylight Time			09/01/2010 08:22:48 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Medicare Plus Blue PPO Employer Rx CY (PPO)	01	04		1			H9572	801	0	2011	State of Michigan		1	12000	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9572	802	0	1	04	01	H9572_802_0	12	08/31/2010	2011.01	08/31/2010 03:51:17 PM Eastern Daylight Time	07/31/2010 01:12:56 PM Eastern Daylight Time			08/31/2010 03:52:25 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Medicare Plus Blue PPO Employer CY (PPO)	01	04		1			H9572	802	0	2011	State of Michigan		1	12000	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704										1
H9572	803	0	1	04	01	H9572_803_0	13	09/01/2010	2011.01	09/01/2010 08:21:32 AM Eastern Daylight Time	07/31/2010 01:00:38 PM Eastern Daylight Time			09/01/2010 08:22:48 AM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Medicare Plus Blue PPO Employer Rx non-CY (PPO)	01	04		1			H9572	803	0	2011	State of Michigan		1	12000	2				2						www.bcbsm.com/medicare/search.shtml	www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml	(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(877)-241-2583		(877)-241-2583		(877)-469-2583		(877)-469-2583		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
H9615	002	0	1	04	01	H9615_002_0	6	08/09/2010	2011.01	08/09/2010 05:17:02 PM Eastern Daylight Time	08/21/2010 08:37:24 AM Eastern Daylight Time	08/21/2010 08:27:42 AM Eastern Daylight Time		08/21/2010 09:22:55 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldAnywhere Rx (PPO)	01	04		1			H9615	002	0	2011	Eastern NY/Central NY		2	2928	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9615	004	0	1	04	01	H9615_004_0	6	08/09/2010	2011.01	08/09/2010 05:17:15 PM Eastern Daylight Time	08/21/2010 08:36:40 AM Eastern Daylight Time	08/21/2010 08:27:42 AM Eastern Daylight Time		08/21/2010 09:22:55 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldAnywhere Rx (PPO)	01	04		1			H9615	004	0	2011	Mid-Hudson NY		2	245	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9615	802	0	1	04	01	H9615_802_0	4	08/04/2010	2011.01	08/04/2010 07:50:22 AM Eastern Daylight Time	07/29/2010 11:04:33 AM Eastern Daylight Time			08/04/2010 07:59:44 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	GoldAnywhere Rx - Employer Group (PPO)	01	04		1			H9615	802	0	2011	Eastern NY/Central NY/Vermont		1	1229	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9615	804	0	1	04	01	H9615_804_0	5	08/03/2010	2011.01	08/03/2010 07:36:50 AM Eastern Daylight Time	07/29/2010 11:06:04 AM Eastern Daylight Time			08/04/2010 07:59:44 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	GoldAnywhere Rx - Employer Group (PPO)	01	04		1			H9615	804	0	2011	Mid-Hudson NY		1	615	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9615	807	0	1	04	01	H9615_807_0	4	07/30/2010	2011.01	07/30/2010 03:25:43 PM Eastern Daylight Time	07/29/2010 11:07:48 AM Eastern Daylight Time			07/30/2010 03:58:00 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	USA Care Rx - Employer Group (PPO)	01	04		1			H9615	807	0	2011	United States and Puerto Rico		1	51	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9670	003	0	1	04	01	H9670_003_0	6	08/09/2010	2011.01	08/09/2010 12:42:57 PM Eastern Daylight Time	08/19/2010 03:52:29 PM Eastern Daylight Time	08/20/2010 08:16:07 AM Eastern Daylight Time		08/20/2010 09:43:11 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO High Deductible with Rx OH (PPO)	01	04		1			H9670	003	0	2011	Ohio Counties		2	500	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H9670	004	0	1	04	01	H9670_004_0	6	08/09/2010	2011.01	08/09/2010 12:43:06 PM Eastern Daylight Time	08/19/2010 03:53:48 PM Eastern Daylight Time	08/20/2010 08:17:12 AM Eastern Daylight Time		08/20/2010 09:43:11 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life PPO High Deductible with Rx WV (PPO)	01	04		1			H9670	004	0	2011	West Virginia Counties		2	500	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H9670	801	0	1	04	01	H9670_801_0	5	07/19/2010	2011.01	07/19/2010 09:35:38 AM Eastern Daylight Time	07/28/2010 02:26:48 PM Eastern Daylight Time			07/28/2010 03:09:46 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PPO)	01	04		1			H9670	801	0	2011	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629										1
H9670	802	0	1	04	01	H9670_802_0	5	07/19/2010	2011.01	07/19/2010 09:35:18 AM Eastern Daylight Time	07/28/2010 02:28:56 PM Eastern Daylight Time			07/28/2010 03:09:46 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (PPO)	01	04		1			H9670	802	0	2011	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H9670	803	0	1	04	01	H9670_803_0	5	07/19/2010	2011.01	07/19/2010 09:36:24 AM Eastern Daylight Time	07/28/2010 02:31:40 PM Eastern Daylight Time			07/28/2010 03:09:46 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC.	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group Rx (PPO)	01	04		1			H9670	803	0	2011	Ohio and West Virginia		1	100	2				2						http://www.upmchealthplan.com/medicare/	http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html	(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
H9720	038	0	1	09	04	H9720_038_0	4	08/16/2010	2011.01	08/16/2010 09:13:04 AM Eastern Daylight Time	08/13/2010 02:08:29 PM Eastern Daylight Time			08/16/2010 09:33:46 AM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Presidential (PFFS)	04	09	2	1			H9720	038	0	2011	Select Counties in Georgia		2	893	2				2							www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947										(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583										1
H9720	039	0	1	09	04	H9720_039_0	5	08/23/2010	2011.01	08/23/2010 02:16:41 PM Eastern Daylight Time	08/23/2010 02:15:09 PM Eastern Daylight Time	08/22/2010 03:14:05 PM Eastern Daylight Time		08/23/2010 02:28:09 PM Eastern Daylight Time	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	AMERICA'S 1ST CHOICE HEALTH PLANS, INC.	www.Americas1stChoice.com	Presidential Plus (PFFS)	04	09	2	1			H9720	039	0	2011	Select Counties in Georgia		2	1411	2				2							www.americas1stchoice.com	www.americas1stchoice.com	(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(866)-321-3947		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		(800)-735-8583		1
H9779	001	0	1	04	01	H9779_001_0	6	08/20/2010	2011.01	08/20/2010 04:34:20 PM Eastern Daylight Time	08/22/2010 10:14:31 PM Eastern Daylight Time	08/22/2010 10:14:27 PM Eastern Daylight Time		08/23/2010 01:40:14 PM Eastern Daylight Time	GUARDIAN HEALTHCARE, INC.	Guardian Healthcare, Inc.	www.myguardianhealth.com	Guardian Tribute Select (PPO)	01	04		1			H9779	001	0	2011	Limited Counties in South Carolina-Check with Plan		2		2				2						myguardianhealth.com	myguardianhealth.com	myguardianhealth.com	(866)-850-1256		(864)-527-0472		(877)-661-7181		(864)-527-0472		(866)-909-5168		(864)-527-0472		(877)-661-7181		(864)-527-0472		(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771		(866)-763-9630		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H9779	003	0	1	04	01	H9779_003_0	5	08/03/2010	2011.01	08/03/2010 11:09:10 AM Eastern Daylight Time	08/22/2010 10:17:05 PM Eastern Daylight Time	08/22/2010 10:16:24 PM Eastern Daylight Time		08/23/2010 11:33:04 AM Eastern Daylight Time	GUARDIAN HEALTHCARE, INC.	Guardian Healthcare, Inc.	www.myguardianhealth.com	Guardian Tribute Honor (PPO SNP)	01	04		1			H9779	003	0	2011	Limited Counties in South Carolina-Check with Plan		2		2		2		1	3		1	5		myguardianhealth.com	myguardianhealth.com	myguardianhealth.com	(866)-850-1256		(864)-527-0472		(877)-661-7181		(864)-527-0472		(866)-909-5168		(864)-527-0472		(877)-661-7181		(864)-527-0472		(888)-844-5530		(864)-313-2140		(800)-955-8771		(800)-955-8771		(866)-763-9630		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
H9788	001	0	1	07	02	H9788_001_0	2	06/07/2010	2011.01	06/07/2010 09:20:12 AM Eastern Daylight Time			06/07/2010 03:50:47 PM Eastern Daylight Time	06/07/2010 04:16:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HEALTHNOW NEW YORK INC.	www.bcbswny.com	BlueSaver MSA (MSA)	02	07	2	1			H9788	001	0	2011	BlueCross BlueShield of WNY MSA		2	500	2				2									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										2
H9788	002	0	1	07	02	H9788_002_0	1	06/07/2010	2011.01	06/07/2010 09:20:41 AM Eastern Daylight Time			06/07/2010 03:50:18 PM Eastern Daylight Time	06/07/2010 04:16:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HEALTHNOW NEW YORK INC.	www.bsneny.com	BlueSaver MSA (MSA)	02	07	2	1			H9788	002	0	2011	BlueShield of Northeastern New York MSA		2	500	2				2									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										2
H9788	003	0	1	07	02	H9788_003_0	1	06/07/2010	2011.01	06/07/2010 09:21:15 AM Eastern Daylight Time			06/07/2010 03:49:34 PM Eastern Daylight Time	06/07/2010 04:16:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HEALTHNOW NEW YORK INC.	healthnowny.com	HealthNow MSA (MSA)	02	07	2	1			H9788	003	0	2011	HealthNow of New York Central New York		2	500	2				2									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										2
H9788	004	0	1	07	02	H9788_004_0	1	06/07/2010	2011.01	06/07/2010 09:21:42 AM Eastern Daylight Time			06/07/2010 03:51:42 PM Eastern Daylight Time	06/07/2010 04:16:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HEALTHNOW NEW YORK INC.	www.healthnowny.com	HealthNow MSA (MSA)	02	07	2	1			H9788	004	0	2011	HealthNow of New York Downstate NY		2	500	2				2									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										2
H9788	801	0	1	07	02	H9788_801_0	4	06/08/2010	2011.01	06/08/2010 10:34:08 AM Eastern Daylight Time			06/08/2010 08:20:27 PM Eastern Daylight Time	07/22/2010 04:43:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HEALTHNOW NEW YORK INC.	www.bcbswny.com, www.bsneny.com	BlueSaver MSA (MSA)	02	07	2	1			H9788	801	0	2011	New York State		1	500	2				2									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										2
H9788	802	0	1	07	02	H9788_802_0	4	06/08/2010	2011.01	06/08/2010 10:33:58 AM Eastern Daylight Time			06/08/2010 08:21:05 PM Eastern Daylight Time	07/22/2010 04:43:58 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HEALTHNOW NEW YORK INC.	www.bcbswny.com, www.bsneny.com	HealthNow MSA (MSA)	02	07	2	1			H9788	802	0	2011	New York State		1	500	2				2									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470										2
H9830	001	0	1	20	08	H9830_001_0	1	05/24/2010	2011.01	05/24/2010 11:28:42 AM Eastern Daylight Time		05/21/2010 04:39:40 PM Eastern Daylight Time		05/24/2010 11:34:38 AM Eastern Daylight Time	NEWCOURTLAND LIFE PROGRAM	NewCourtland LIFE Program	www.newcourtlandlife.org	NewCourtland LIFE  - Dual (PACE)	08	20		1			H9830	001	0	2011	NewCourtland LIFE - Dual		2		2				2							N/A	http://www.medicineshoppe.com/FranchiseeLocations/1024/SpecialServices.aspx									(888)-625-4334		(267)-335-1500		(888)-625-4334		(267)-335-1500										(888)-625-4334		(267)-335-1500		(888)-625-4334		(267)-335-1500		1
H9830	002	0	1	20	08	H9830_002_0	1	05/24/2010	2011.01	05/24/2010 11:31:49 AM Eastern Daylight Time		05/21/2010 04:39:40 PM Eastern Daylight Time		05/24/2010 11:34:38 AM Eastern Daylight Time	NEWCOURTLAND LIFE PROGRAM	NewCourtland LIFE Program	www.newcourtlandlife.org	NewCourland LIFE - Medicare only (PACE)	08	20		1			H9830	002	0	2011	NewCourtland LIFE - Medicare only		2		2				2							N/A	http://www.medicineshoppe.com/FranchiseeLocations/1024/SpecialServices.aspx									(888)-625-4334		(267)-335-1500		(888)-625-4334		(267)-335-1500										(888)-625-4334		(267)-335-1500		(888)-625-4334		(267)-335-1500		1
H9847	001	0	1	04	01	H9847_001_0	13	08/10/2010	2011.01	08/10/2010 03:22:48 PM Eastern Daylight Time	08/23/2010 10:37:58 AM Eastern Daylight Time	08/19/2010 03:22:33 PM Eastern Daylight Time		08/23/2010 11:26:00 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Advantra Gold (PPO)	01	04		1			H9847	001	0	2011	North Carolina		2	5600	2				2						www.nc.chcadvantra.com	www.chcadvantra.com	www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110		(877)-300-5134		(877)-300-5134		(877)-984-5110		(877)-984-5110		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H9847	004	0	1	04	01	H9847_004_0	10	08/23/2010	2011.01	08/23/2010 05:25:07 PM Eastern Daylight Time	08/23/2010 04:28:51 PM Eastern Daylight Time	08/19/2010 03:23:01 PM Eastern Daylight Time		08/23/2010 05:41:58 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Advantra Bronze (PPO)	01	04		1			H9847	004	0	2011	North Carolina		2	500	2				2						www.nc.chcadvantra.com	www.chcadvantra.com	www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110		(877)-300-5134		(877)-300-5134		(877)-984-5110		(877)-984-5110		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H9847	801	0	1	04	01	H9847_801_0	3	07/14/2010	2011.01	07/14/2010 10:25:09 AM Eastern Daylight Time	06/07/2010 03:33:33 PM Eastern Daylight Time			07/16/2010 04:17:30 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Coventry Advantra (PPO)	01	04		1			H9847	801	0	2011	North Carolina		1	0	2				2						www.nc.chcadvantra.com	www.chcadvantra.com	www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110										(711)		(711)		(711)		(711)										1
H9847	802	0	1	04	01	H9847_802_0	2	07/14/2010	2011.01	07/14/2010 10:25:41 AM Eastern Daylight Time	06/07/2010 04:03:15 PM Eastern Daylight Time			07/16/2010 04:17:30 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Coventry Advantra (PPO)	01	04		1			H9847	802	0	2011	North Carolina		1	225	2				2						www.nc.chcadvantra.com	www.chcadvantra.com	www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110		(877)-300-5134		(877)-300-5134		(877)-984-5110		(877)-984-5110		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H9847	803	0	1	04	01	H9847_803_0	2	07/14/2010	2011.01	07/14/2010 10:26:11 AM Eastern Daylight Time	06/07/2010 04:06:30 PM Eastern Daylight Time			07/16/2010 04:17:30 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	Coventry Health Care	www.nc.chcadvantra.com	Coventry Advantra (PPO)	01	04		1			H9847	803	0	2011	North Carolina		1	0	2				2						www.nc.chcadvantra.com	www.chcadvantra.com	www.chcadvantra.com	(866)-731-9574		(866)-731-9574		(877)-984-5110		(877)-984-5110		(877)-300-5134		(877)-300-5134		(877)-984-5110		(877)-984-5110		(711)		(711)		(711)		(711)		(800)-716-3231		(800)-716-3231		(711)		(711)		1
H9859	001	0	1	01	01	H9859_001_0	5	08/09/2010	2011.01	08/09/2010 05:16:04 PM Eastern Daylight Time	07/29/2010 11:13:59 AM Eastern Daylight Time			08/09/2010 05:37:03 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold (HMO)	01	01		1			H9859	001	0	2011	Eastern NY/Central NY		2	835	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1
H9859	002	0	1	01	01	H9859_002_0	6	08/09/2010	2011.01	08/09/2010 05:16:13 PM Eastern Daylight Time	08/21/2010 08:36:02 AM Eastern Daylight Time	08/21/2010 08:26:34 AM Eastern Daylight Time		08/21/2010 09:30:14 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold Rx (HMO)	01	01		1			H9859	002	0	2011	Eastern NY/Central NY		2	1963	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9859	003	0	1	01	01	H9859_003_0	5	08/09/2010	2011.01	08/09/2010 05:16:22 PM Eastern Daylight Time	07/29/2010 11:36:02 AM Eastern Daylight Time			08/09/2010 05:37:03 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold (HMO)	01	01		1			H9859	003	0	2011	Mid-Hudson NY		2	80	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205										(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220										1
H9859	004	0	1	01	01	H9859_004_0	6	08/09/2010	2011.01	08/09/2010 05:16:32 PM Eastern Daylight Time	08/21/2010 08:35:20 AM Eastern Daylight Time	08/21/2010 08:26:34 AM Eastern Daylight Time		08/21/2010 09:30:14 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	Preferred Gold Rx (HMO)	01	01		1			H9859	004	0	2011	Mid-Hudson NY		2	417	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9859	013	0	1	01	01	H9859_013_0	6	08/09/2010	2011.01	08/09/2010 05:16:44 PM Eastern Daylight Time	08/21/2010 08:35:34 AM Eastern Daylight Time	08/21/2010 08:26:34 AM Eastern Daylight Time		08/21/2010 09:30:14 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.joinMVPmedicare.com	GoldValue Rx (HMO)	01	01		1			H9859	013	0	2011	Eastern NY/Central NY		2	1130	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9859	802	0	1	01	01	H9859_802_0	3	07/28/2010	2011.01	07/28/2010 08:46:24 AM Eastern Daylight Time	07/29/2010 11:39:07 AM Eastern Daylight Time			07/30/2010 02:19:17 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	Preferred Gold Rx - Employer Group (HMO)	01	01		1			H9859	802	0	2011	Eastern NY/Central NY/Vermont		1	3320	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9859	804	0	1	01	01	H9859_804_0	4	07/28/2010	2011.01	07/28/2010 08:46:25 AM Eastern Daylight Time	07/29/2010 11:39:21 AM Eastern Daylight Time			07/30/2010 02:19:17 PM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP HEALTH CARE	www.mvphealthcare.com	Preferred Gold Rx - Employer Group (HMO)	01	01		1			H9859	804	0	2011	Mid-Hudson NY		1	451	2				2						www.mvphealthcare.com	https://www.mvphealthcare.com/medicare/documents/2011_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com	(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-209-3945		(800)-209-3945		(888)-280-6205		(888)-280-6205		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		(800)-662-1220		1
H9988	001	0	1	04	01	H9988_001_0	3	08/03/2010	2011.01	08/03/2010 01:21:18 PM Pacific Daylight Time	07/27/2010 05:09:44 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	001	0	2011	Atlanta		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H9988	002	0	1	04	01	H9988_002_0	5	08/16/2010	2011.01	08/16/2010 04:53:49 PM Pacific Daylight Time	08/16/2010 08:42:44 PM Pacific Daylight Time	08/16/2010 02:21:00 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	002	0	2011	Atlanta		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H9988	003	0	1	04	01	H9988_003_0	3	08/03/2010	2011.01	08/03/2010 01:24:58 PM Pacific Daylight Time	07/27/2010 05:46:19 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	003	0	2011	Raleigh-Durham		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H9988	004	0	1	04	01	H9988_004_0	5	08/16/2010	2011.01	08/16/2010 04:53:55 PM Pacific Daylight Time	07/27/2010 05:48:10 PM Pacific Daylight Time	08/16/2010 02:21:09 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	004	0	2011	Raleigh-Durham		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H9988	005	0	1	04	01	H9988_005_0	3	08/03/2010	2011.01	08/03/2010 01:29:43 PM Pacific Daylight Time	07/27/2010 05:49:49 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	005	0	2011	Monroe County		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H9988	006	0	1	04	01	H9988_006_0	5	08/16/2010	2011.01	08/16/2010 04:54:02 PM Pacific Daylight Time	08/16/2010 08:46:13 PM Pacific Daylight Time	08/16/2010 02:21:20 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	006	0	2011	Monroe County		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H9988	007	0	1	04	01	H9988_007_0	3	08/03/2010	2011.01	08/03/2010 01:31:12 PM Pacific Daylight Time	07/27/2010 05:53:34 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	007	0	2011	Sevier County		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H9988	008	0	1	04	01	H9988_008_0	5	08/16/2010	2011.01	08/16/2010 04:54:08 PM Pacific Daylight Time	08/16/2010 08:49:10 PM Pacific Daylight Time	08/16/2010 02:21:29 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	008	0	2011	Sevier County		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H9988	009	0	1	04	01	H9988_009_0	3	08/03/2010	2011.01	08/03/2010 01:32:32 PM Pacific Daylight Time	07/27/2010 05:56:32 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	009	0	2011	St. Lucie County		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H9988	010	0	1	04	01	H9988_010_0	5	08/16/2010	2011.01	08/16/2010 04:54:14 PM Pacific Daylight Time	08/16/2010 08:51:32 PM Pacific Daylight Time	08/16/2010 02:21:38 PM Pacific Daylight Time		08/16/2010 08:54:42 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	010	0	2011	St. Lucie County		2		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H9988	801	0	1	04	01	H9988_801_0	3	08/03/2010	2011.01	08/03/2010 01:33:50 PM Pacific Daylight Time	07/27/2010 05:59:01 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	801	0	2011	Eastern Region		1		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572										(711)		(711)		(711)		(711)										1
H9988	802	0	1	04	01	H9988_802_0	3	08/03/2010	2011.01	08/03/2010 01:44:25 PM Pacific Daylight Time	07/27/2010 06:00:27 PM Pacific Daylight Time			08/04/2010 12:15:37 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Partners (PPO)	01	04		1			H9988	802	0	2011	Eastern Region		1		2				2							http://www.sterlingplans.com	http://www.sterlingplans.com	(888)-858-8551		(888)-858-8551		(888)-858-8572		(888)-858-8572		(866)-454-7141		(866)-454-7141		(888)-909-1713		(888)-909-1713		(711)		(711)		(711)		(711)		(800)-899-2114		(800)-899-2114		(711)		(711)		1
H9998	001	0	1	20	08	H9998_001_0	1	05/27/2010	2011.01	05/27/2010 10:30:22 AM Central Daylight Time		05/21/2010 03:50:36 PM Central Daylight Time		05/27/2010 10:33:34 AM Central Daylight Time	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	La Paloma	www.lubbockmhmr.org	La Paloma - Dual (PACE)	08	20		1			H9998	001	0	2011	La Paloma - Dual		2		2				2							www.lubbockmhmr.org	www.lubbockmhmr.org									(806)-766-0360		(806)-766-0360		(806)-766-0360		(806)-766-0360										(806)-766-0360		(806)-766-0360		(806)-766-0360		(806)-766-0360		1
H9998	002	0	1	20	08	H9998_002_0	1	05/27/2010	2011.01	05/27/2010 10:30:45 AM Central Daylight Time		05/21/2010 03:50:36 PM Central Daylight Time		05/27/2010 10:33:34 AM Central Daylight Time	LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATION	La Paloma	www.lubbockmhmr.org	La Paloma - Medicare only (PACE)	08	20		1			H9998	002	0	2011	La Paloma - Medicare only		2		2				2							www.lubbockmhmr.org	www.lubbockmhmr.org									(806)-766-0360		(806)-766-0360		(806)-766-0360		(806)-766-0360										(806)-766-0360		(806)-766-0360		(806)-766-0360		(806)-766-0360		1
R3175	001	0	1	31	11	R3175_001_0	4	06/02/2010	2011.01	06/02/2010 09:45:06 AM Central Daylight Time	08/19/2010 10:39:32 PM Central Daylight Time	08/18/2010 04:50:33 PM Central Daylight Time		08/20/2010 03:29:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice (Regional PPO)	11	31		1			R3175	001	0	2011	State of Hawaii		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R3175	002	0	1	31	11	R3175_002_0	2	06/01/2010	2011.01	06/01/2010 02:42:06 PM Central Daylight Time	08/19/2010 10:39:10 PM Central Daylight Time			08/20/2010 03:29:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice Essential (Regional PPO)	11	31		1			R3175	002	0	2011	State of Hawaii		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757										(711)		(711)		(711)		(711)										1
R3175	003	0	1	31	11	R3175_003_0	4	06/01/2010	2011.01	06/01/2010 08:37:14 PM Central Daylight Time	08/19/2010 10:38:57 PM Central Daylight Time	08/18/2010 04:34:42 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan RDP (Regional PPO SNP)	11	31		1			R3175	003	0	2011	State of Hawaii		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(866)-622-8054		(866)-622-8054		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R3175	801	0	1	31	11	R3175_801_0	2	06/02/2010	2011.01	06/02/2010 11:58:44 AM Central Daylight Time	08/19/2010 10:37:36 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R3175	801	0	2011	State of Hawaii		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R3175	802	0	1	31	11	R3175_802_0	2	06/02/2010	2011.01	06/02/2010 11:59:15 AM Central Daylight Time	08/19/2010 10:37:17 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R3175	802	0	2011	State of Hawaii		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
R3175	803	0	1	31	11	R3175_803_0	2	06/02/2010	2011.01	06/02/2010 11:59:18 AM Central Daylight Time	08/19/2010 10:39:51 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R3175	803	0	2011	Hawaii		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R3332	001	0	1	31	11	R3332_001_0	10	09/01/2010	2011.01	09/01/2010 09:58:38 AM Eastern Daylight Time	08/19/2010 01:41:00 PM Eastern Daylight Time	08/19/2010 07:19:44 AM Eastern Daylight Time		09/01/2010 11:20:24 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FL, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.BlueMedicareFL.com	BlueMedicare Regional PPO (Regional PPO)	11	31		1			R3332	001	0	2011	State of Florida		2		2				2						www.BlueMedicareFL.com	www.myprime.com	www.myprime.com	(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
R3444	008	0	1	31	11	R3444_008_0	6	08/21/2010	2011.01	08/21/2010 07:32:17 AM Eastern Daylight Time	08/19/2010 08:48:00 AM Eastern Daylight Time	08/20/2010 02:59:00 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus Silver Rx (Regional PPO SNP)	11	31		1			R3444	008	0	2011	Arkansas and Missouri		2	5584	2				1	4		1		00000000000000000100	www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/arkansas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R3444	009	0	1	31	11	R3444_009_0	6	08/21/2010	2011.01	08/21/2010 07:32:22 AM Eastern Daylight Time	08/19/2010 08:50:00 AM Eastern Daylight Time	08/20/2010 03:00:00 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus Gold Rx (Regional PPO SNP)	11	31		1			R3444	009	0	2011	Arkansas and Missouri		2	8053	2				1	4		1		00000000000000000100	www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/arkansas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R3444	011	0	1	31	11	R3444_011_0	4	08/21/2010	2011.01	08/21/2010 07:32:27 AM Eastern Daylight Time	08/19/2010 01:15:00 PM Eastern Daylight Time	08/20/2010 03:01:00 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus Dual Advantage (Regional PPO SNP)	11	31		1			R3444	011	0	2011	Arkansas and Missouri		2	9666	2		2		1	3		1	5		www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/arkansas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R3444	012	0	1	31	11	R3444_012_0	5	08/21/2010	2011.01	08/21/2010 07:51:29 AM Eastern Daylight Time	08/19/2010 01:14:00 PM Eastern Daylight Time	08/20/2010 03:02:00 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.	Care Improvement Plus	www.careimprovementplus.com	Care Improvement Plus Medicare Advantage (Regional PPO)	11	31		1			R3444	012	0	2011	Arkansas and Missouri		2	1351	2				2						www.careimprovementplus.com	http://www.careimprovementplus.com/members/arkansas/medicarePartD/formulary.aspx	http://www.careimprovementplus.com/members/arkansas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R5287	001	0	1	31	11	R5287_001_0	6	08/23/2010	2011.01	08/23/2010 09:13:40 AM Central Daylight Time	08/20/2010 12:35:42 PM Central Daylight Time	08/18/2010 04:50:38 PM Central Daylight Time		08/23/2010 05:11:01 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice Plan 2 (Regional PPO)	11	31		1			R5287	001	0	2011	State of Florida		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5287	002	0	1	31	11	R5287_002_0	4	08/23/2010	2011.01	08/23/2010 09:52:19 AM Central Daylight Time	08/20/2010 12:36:00 PM Central Daylight Time			08/23/2010 05:11:01 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice Essential (Regional PPO)	11	31		1			R5287	002	0	2011	State of Florida		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514										(711)		(711)		(711)		(711)										1
R5287	003	0	1	31	11	R5287_003_0	4	08/20/2010	2011.01	08/20/2010 03:04:23 PM Central Daylight Time	08/20/2010 09:29:48 AM Central Daylight Time	08/18/2010 04:34:47 PM Central Daylight Time		08/23/2010 05:20:00 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan RDP (Regional PPO SNP)	11	31		1			R5287	003	0	2011	State of Florida		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5287	801	0	1	31	11	R5287_801_0	2	06/02/2010	2011.01	06/02/2010 01:38:40 PM Central Daylight Time	08/20/2010 09:29:36 AM Central Daylight Time			08/23/2010 05:05:56 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5287	801	0	2011	State of Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5287	802	0	1	31	11	R5287_802_0	2	06/02/2010	2011.01	06/02/2010 11:59:28 AM Central Daylight Time	08/20/2010 09:29:24 AM Central Daylight Time			08/23/2010 05:05:56 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5287	802	0	2011	State of Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
R5287	805	0	1	31	11	R5287_805_0	2	06/02/2010	2011.01	06/02/2010 11:59:32 AM Central Daylight Time	08/20/2010 09:30:25 AM Central Daylight Time			08/23/2010 05:05:56 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5287	805	0	2011	Florida		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5342	001	0	1	31	11	R5342_001_0	4	06/01/2010	2011.01	06/01/2010 04:12:15 PM Central Daylight Time	08/19/2010 09:20:25 PM Central Daylight Time	08/18/2010 04:50:42 PM Central Daylight Time		08/20/2010 03:03:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice (Regional PPO)	11	31		1			R5342	001	0	2011	State of New York		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5342	002	0	1	31	11	R5342_002_0	2	06/01/2010	2011.01	06/01/2010 04:12:29 PM Central Daylight Time	08/19/2010 09:21:15 PM Central Daylight Time			08/20/2010 03:03:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	SecureHorizons MedicareComplete Choice Essential (Regional PPO)	11	31		1			R5342	002	0	2011	State of New York		2		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(800)-711-6088		(800)-711-6088		(800)-555-5757		(800)-555-5757										(711)		(711)		(711)		(711)										1
R5342	003	0	1	31	11	R5342_003_0	4	06/01/2010	2011.01	06/01/2010 08:38:47 PM Central Daylight Time	08/19/2010 09:22:01 PM Central Daylight Time	08/18/2010 04:34:52 PM Central Daylight Time		08/20/2010 05:44:37 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.EvercareHealthPlans.com	Evercare Plan RDP (Regional PPO SNP)	11	31		1			R5342	003	0	2011	State of New York		2		2		2		1	3		1	2		www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(877)-702-5110		(877)-702-5110		(888)-834-3721		(888)-834-3721		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5342	801	0	1	31	11	R5342_801_0	2	06/02/2010	2011.01	06/02/2010 11:59:35 AM Central Daylight Time	08/19/2010 09:22:19 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5342	801	0	2011	State of New York		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5342	802	0	1	31	11	R5342_802_0	2	06/02/2010	2011.01	06/02/2010 11:59:41 AM Central Daylight Time	08/19/2010 09:22:46 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5342	802	0	2011	State of New York		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
R5342	803	0	1	31	11	R5342_803_0	2	06/02/2010	2011.01	06/02/2010 11:59:44 AM Central Daylight Time	08/19/2010 09:23:06 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R5342	803	0	2011	New York		1		2				2						www.SecureHorizons.com/ourplans/findaphysician.html	www.SecureHorizons.com/ourplans/searchformulary.html	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5566	005	0	1	31	11	R5566_005_0	9	08/12/2010	2011.01	08/12/2010 03:38:46 PM Central Daylight Time	08/19/2010 08:12:54 AM Central Daylight Time	08/19/2010 05:15:00 PM Central Daylight Time		08/20/2010 10:41:36 PM Central Daylight Time	BCBS MN, MT, NE, ND, WY, WELLMARK IA AND SD	MedicareBlue PPO	www.YourMedicareSolutions.com	MedicareBlue PPO (Regional PPO)	11	31		1			R5566	005	0	2011	States of IA, MN, MT, NE, ND, SD, WY		2	20208	2				2						www.YourMedicareSolutions.com	www.YourMedicareSolutions.com	www.YourMedicareSolutions.com	(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038		(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038		(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550		(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550		1
R5566	805	0	1	31	11	R5566_805_0	7	08/12/2010	2011.01	08/12/2010 03:38:31 PM Central Daylight Time	08/19/2010 08:15:58 AM Central Daylight Time			08/20/2010 10:41:36 PM Central Daylight Time	BCBS MN, MT, NE, ND, WY, WELLMARK IA AND SD	MedicareBlue PPO	www.YourMedicareSolutions.com	Group MedicareBlue PPO (Regional PPO)	11	31		1			R5566	805	0	2011	States of IA,MN,MT,ND,NE,SD,WY		1	11629	2				2						www.YourMedicareSolutions.com	www.YourMedicareSolutions.com	www.YourMedicareSolutions.com	(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038		(888)-457-3009		(888)-457-3009		(866)-434-2038		(866)-434-2038		(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550		(888)-457-3005		(888)-457-3005		(866)-456-1550		(866)-456-1550		1
R5674	001	0	1	31	11	R5674_001_0	3	07/28/2010	2011.01	07/28/2010 08:48:28 AM Central Daylight Time	08/19/2010 07:24:00 PM Central Daylight Time	08/18/2010 04:34:57 PM Central Daylight Time		08/20/2010 03:04:42 PM Central Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	www.sierranevadaspectrum.com	Sierra Nevada Spectrum (Regional PPO)	11	31		1			R5674	001	0	2011	Nevada		2		2				2						http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-880-0816		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1
R5674	801	0	1	31	11	R5674_801_0	2	06/03/2010	2011.01	06/03/2010 02:11:01 PM Central Daylight Time	08/19/2010 09:37:49 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	http://www.sierranevadaspectrum.com	Basic Group (with Drug) Coverage (Regional PPO)	11	31		1			R5674	801	0	2011	Nevada		1		2				2						http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1
R5674	802	0	1	31	11	R5674_802_0	2	06/04/2010	2011.01	06/04/2010 03:42:34 PM Central Daylight Time	08/19/2010 09:38:33 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	http://www.sierranevadaspectrum.com	Basic Group MA Only Coverage (Regional PPO)	11	31		1			R5674	802	0	2011	Nevada		1		2				2						http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300										(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214										1
R5674	803	0	1	31	11	R5674_803_0	2	06/04/2010	2011.01	06/04/2010 03:42:58 PM Central Daylight Time	08/19/2010 09:39:06 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.	Sierra Health and Life Insurance Company, Inc.	http://www.sierranevadaspectrum.com	(NCY) Basic Group (With Drug) Coverage (Regional PPO)	11	31		1			R5674	803	0	2011	Nevada		1		2				2						http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	http://www.sierranevadaspectrum.com	(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(877)-559-4512		(702)-562-8021		(800)-274-6648		(702)-821-2300		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		(800)-349-3538		(702)-242-9214		1
R5826	001	0	1	31	11	R5826_001_0	7	08/24/2010	2011.01	08/24/2010 03:22:06 PM Eastern Daylight Time	08/20/2010 11:35:36 AM Eastern Daylight Time	08/20/2010 04:36:00 PM Eastern Daylight Time		08/24/2010 03:45:38 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-001 (Regional PPO)	11	31		1			R5826	001	0	2011	States of Alabama and Tennessee		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	002	0	1	31	11	R5826_002_0	7	07/30/2010	2011.01	07/30/2010 02:30:41 PM Eastern Daylight Time	08/19/2010 06:52:08 PM Eastern Daylight Time	08/20/2010 04:36:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-002 (Regional PPO)	11	31		1			R5826	002	0	2011	States of Pennsylvania and West Virginia		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
R5826	003	0	1	31	11	R5826_003_0	7	07/30/2010	2011.01	07/30/2010 02:26:07 PM Eastern Daylight Time	08/20/2010 12:38:12 PM Eastern Daylight Time	08/20/2010 04:36:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-003 (Regional PPO)	11	31		1			R5826	003	0	2011	States of North Carolina and Virginia		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	004	0	1	31	11	R5826_004_0	8	08/20/2010	2011.01	08/20/2010 03:39:06 PM Eastern Daylight Time	08/20/2010 12:38:44 PM Eastern Daylight Time	08/20/2010 04:36:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-004 (Regional PPO)	11	31		1			R5826	004	0	2011	States of Georgia and South Carolina		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	005	0	1	31	11	R5826_005_0	9	08/06/2010	2011.01	08/06/2010 08:52:45 AM Eastern Daylight Time	08/20/2010 04:47:34 PM Eastern Daylight Time	08/20/2010 04:36:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-005 (Regional PPO)	11	31		1			R5826	005	0	2011	State of Florida		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
R5826	006	0	1	31	11	R5826_006_0	12	08/03/2010	2011.01	08/03/2010 01:37:32 PM Eastern Daylight Time	08/20/2010 04:55:18 PM Eastern Daylight Time	08/20/2010 04:36:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-006 (Regional PPO)	11	31		1			R5826	006	0	2011	State of Michigan		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	007	0	1	31	11	R5826_007_0	8	07/30/2010	2011.01	07/30/2010 02:33:06 PM Eastern Daylight Time	08/19/2010 06:53:08 PM Eastern Daylight Time	08/20/2010 04:37:00 PM Eastern Daylight Time		08/21/2010 12:07:05 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-007 (Regional PPO)	11	31		1			R5826	007	0	2011	State of Ohio		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
R5826	008	0	1	31	11	R5826_008_0	7	07/30/2010	2011.01	07/30/2010 02:35:59 PM Eastern Daylight Time	08/19/2010 06:52:36 PM Eastern Daylight Time	08/20/2010 04:37:00 PM Eastern Daylight Time		08/21/2010 12:07:05 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-008 (Regional PPO)	11	31		1			R5826	008	0	2011	States of Indiana and Kentucky		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
R5826	009	0	1	31	11	R5826_009_0	7	07/30/2010	2011.01	07/30/2010 02:33:26 PM Eastern Daylight Time	08/20/2010 04:54:34 PM Eastern Daylight Time	08/20/2010 04:37:00 PM Eastern Daylight Time		08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-009 (Regional PPO)	11	31		1			R5826	009	0	2011	States of Illinois and Wisconsin		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	010	0	1	31	11	R5826_010_0	8	08/22/2010	2011.01	08/22/2010 11:30:05 AM Eastern Daylight Time	08/20/2010 11:32:26 AM Eastern Daylight Time	08/20/2010 04:37:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-010 (Regional PPO)	11	31		1			R5826	010	0	2011	States of Arkansas and Missouri		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	011	0	1	31	11	R5826_011_0	7	08/21/2010	2011.01	08/21/2010 10:23:56 AM Eastern Daylight Time	08/20/2010 05:21:16 PM Eastern Daylight Time	08/20/2010 04:37:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-011 (Regional PPO)	11	31		1			R5826	011	0	2011	States of Louisiana and Mississippi		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	012	0	1	31	11	R5826_012_0	7	07/30/2010	2011.01	07/30/2010 02:26:48 PM Eastern Daylight Time	08/19/2010 10:23:28 PM Eastern Daylight Time	08/20/2010 04:37:00 PM Eastern Daylight Time		08/23/2010 10:36:30 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-012 (Regional PPO)	11	31		1			R5826	012	0	2011	State of Texas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	013	0	1	31	11	R5826_013_0	9	07/30/2010	2011.01	07/30/2010 02:39:01 PM Eastern Daylight Time	08/20/2010 11:26:40 AM Eastern Daylight Time	08/20/2010 04:37:00 PM Eastern Daylight Time		08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-013 (Regional PPO)	11	31		1			R5826	013	0	2011	States of Kansas and Oklahoma		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	014	0	1	31	11	R5826_014_0	6	07/30/2010	2011.01	07/30/2010 02:47:18 PM Eastern Daylight Time	08/20/2010 06:19:39 PM Eastern Daylight Time	08/20/2010 04:38:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-014 (Regional PPO)	11	31		1			R5826	014	0	2011	State of Arizona		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	018	0	1	31	11	R5826_018_0	9	08/20/2010	2011.01	08/20/2010 10:53:20 AM Eastern Daylight Time	08/20/2010 04:32:00 PM Eastern Daylight Time			08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-018 (Regional PPO)	11	31		1			R5826	018	0	2011	State of Florida		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
R5826	021	0	1	31	11	R5826_021_0	8	07/30/2010	2011.01	07/30/2010 02:36:18 PM Eastern Daylight Time	08/19/2010 06:31:58 PM Eastern Daylight Time			08/21/2010 12:07:05 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-021 (Regional PPO)	11	31		1			R5826	021	0	2011	State of Ohio		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
R5826	023	0	1	31	11	R5826_023_0	8	08/03/2010	2011.01	08/03/2010 01:20:49 PM Eastern Daylight Time	08/20/2010 04:30:52 PM Eastern Daylight Time			08/21/2010 09:58:22 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-023 (Regional PPO)	11	31		1			R5826	023	0	2011	States of Illinois and Wisconsin		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	026	0	1	31	11	R5826_026_0	6	08/20/2010	2011.01	08/20/2010 02:36:47 PM Eastern Daylight Time	08/23/2010 10:53:16 AM Eastern Daylight Time			08/23/2010 01:49:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-026 (Regional PPO)	11	31		1			R5826	026	0	2011	State of Texas		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	053	0	1	31	11	R5826_053_0	11	08/03/2010	2011.01	08/03/2010 01:43:13 PM Eastern Daylight Time	08/20/2010 04:33:06 PM Eastern Daylight Time			08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-053 (Regional PPO)	11	31		1			R5826	053	0	2011	State of Michigan		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	062	0	1	31	11	R5826_062_0	7	08/26/2010	2011.01	08/26/2010 10:16:33 AM Eastern Daylight Time	08/25/2010 01:56:30 PM Eastern Daylight Time			08/26/2010 12:40:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-062 (Regional PPO)	11	31		1			R5826	062	0	2011	States of Pennsylvania and West Virginia		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
R5826	063	0	1	31	11	R5826_063_0	6	07/30/2010	2011.01	07/30/2010 02:26:32 PM Eastern Daylight Time	08/20/2010 02:06:42 PM Eastern Daylight Time			08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-063 (Regional PPO)	11	31		1			R5826	063	0	2011	States of North Carolina and Virginia		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	064	0	1	31	11	R5826_064_0	5	08/20/2010	2011.01	08/20/2010 02:08:30 PM Eastern Daylight Time	08/20/2010 12:34:42 PM Eastern Daylight Time			08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-064 (Regional PPO)	11	31		1			R5826	064	0	2011	States of Georgia and South Carolina		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	065	0	1	31	11	R5826_065_0	5	08/20/2010	2011.01	08/20/2010 11:52:09 AM Eastern Daylight Time	08/20/2010 11:55:56 AM Eastern Daylight Time			08/21/2010 02:07:48 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-065 (Regional PPO)	11	31		1			R5826	065	0	2011	States of Alabama and Tennessee		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	066	0	1	31	11	R5826_066_0	6	07/30/2010	2011.01	07/30/2010 02:36:34 PM Eastern Daylight Time	08/19/2010 06:31:22 PM Eastern Daylight Time			08/21/2010 12:07:05 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-066 (Regional PPO)	11	31		1			R5826	066	0	2011	States of Indiana and Kentucky		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000										1
R5826	067	0	1	31	11	R5826_067_0	7	07/30/2010	2011.01	07/30/2010 02:40:50 PM Eastern Daylight Time	08/20/2010 11:49:22 AM Eastern Daylight Time			08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-067 (Regional PPO)	11	31		1			R5826	067	0	2011	States of Arkansas and Missouri		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	068	0	1	31	11	R5826_068_0	5	08/21/2010	2011.01	08/21/2010 10:24:24 AM Eastern Daylight Time	08/20/2010 01:49:02 PM Eastern Daylight Time			08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-068 (Regional PPO)	11	31		1			R5826	068	0	2011	States of Louisiana and Mississippi		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	069	0	1	31	11	R5826_069_0	6	07/30/2010	2011.01	07/30/2010 02:41:19 PM Eastern Daylight Time	08/20/2010 11:51:26 AM Eastern Daylight Time			08/22/2010 02:17:28 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-069 (Regional PPO)	11	31		1			R5826	069	0	2011	States of Kansas and Oklahoma		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	070	0	1	31	11	R5826_070_0	5	07/30/2010	2011.01	07/30/2010 02:47:39 PM Eastern Daylight Time	08/20/2010 06:16:32 PM Eastern Daylight Time			08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-070 (Regional PPO)	11	31		1			R5826	070	0	2011	State of Arizona		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(711)		(711)		(711)		(711)										1
R5826	072	0	1	31	11	R5826_072_0	9	07/30/2010	2011.01	07/30/2010 02:30:41 PM Eastern Daylight Time	08/20/2010 04:34:36 PM Eastern Daylight Time	08/20/2010 04:38:00 PM Eastern Daylight Time		08/21/2010 09:47:52 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-072 (Regional PPO)	11	31		1			R5826	072	0	2011	State of Michigan		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	074	0	1	31	11	R5826_074_0	7	08/06/2010	2011.01	08/06/2010 08:56:17 AM Eastern Daylight Time	08/20/2010 04:36:52 PM Eastern Daylight Time	08/20/2010 04:38:00 PM Eastern Daylight Time		08/21/2010 10:01:20 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-074 (Regional PPO)	11	31		1			R5826	074	0	2011	State of Florida		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
R5826	076	0	1	31	11	R5826_076_0	5	07/30/2010	2011.01	07/30/2010 02:48:12 PM Eastern Daylight Time	08/20/2010 06:18:21 PM Eastern Daylight Time	08/20/2010 04:38:00 PM Eastern Daylight Time		08/21/2010 10:58:01 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-076 (Regional PPO)	11	31		1			R5826	076	0	2011	State of Arizona		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	077	0	1	31	11	R5826_077_0	6	08/20/2010	2011.01	08/20/2010 04:22:10 PM Eastern Daylight Time	08/20/2010 12:37:42 PM Eastern Daylight Time	08/20/2010 04:38:00 PM Eastern Daylight Time		08/21/2010 03:16:57 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-077 (Regional PPO)	11	31		1			R5826	077	0	2011	States of Georgia and South Carolina		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	078	0	1	31	11	R5826_078_0	5	08/21/2010	2011.01	08/21/2010 10:24:48 AM Eastern Daylight Time	08/20/2010 02:31:22 PM Eastern Daylight Time	08/20/2010 04:38:00 PM Eastern Daylight Time		08/21/2010 01:56:45 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-078 (Regional PPO)	11	31		1			R5826	078	0	2011	States of Louisiana and Mississippi		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	079	0	1	31	11	R5826_079_0	5	07/30/2010	2011.01	07/30/2010 02:37:24 PM Eastern Daylight Time	08/20/2010 12:36:22 PM Eastern Daylight Time	08/20/2010 04:39:00 PM Eastern Daylight Time		08/21/2010 10:59:49 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-079 (Regional PPO)	11	31		1			R5826	079	0	2011	States of North Carolina and Virginia		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R5826	080	0	1	31	11	R5826_080_0	8	07/30/2010	2011.01	07/30/2010 02:37:28 PM Eastern Daylight Time	08/19/2010 06:34:04 PM Eastern Daylight Time	08/20/2010 04:39:00 PM Eastern Daylight Time		08/21/2010 12:07:05 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-080 (Regional PPO)	11	31		1			R5826	080	0	2011	State of Ohio		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
R5826	081	0	1	31	11	R5826_081_0	7	07/30/2010	2011.01	07/30/2010 02:31:38 PM Eastern Daylight Time	08/19/2010 06:35:12 PM Eastern Daylight Time	08/20/2010 04:39:00 PM Eastern Daylight Time		08/21/2010 12:59:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-081 (Regional PPO)	11	31		1			R5826	081	0	2011	States of Pennsylvania and West Virginia		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
R5826	082	0	1	31	11	R5826_082_0	8	07/30/2010	2011.01	07/30/2010 02:37:17 PM Eastern Daylight Time	08/19/2010 06:34:38 PM Eastern Daylight Time	08/20/2010 04:39:00 PM Eastern Daylight Time		08/21/2010 12:07:05 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	HumanaChoice R5826-082 (Regional PPO)	11	31		1			R5826	082	0	2011	States of Indiana and Kentucky		2		2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
R5826	801	0	1	31	11	R5826_801_0	4	06/03/2010	2011.01	06/03/2010 05:09:03 PM Eastern Daylight Time	08/19/2010 01:22:16 PM Eastern Daylight Time			08/20/2010 02:21:17 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	801	0	2011	States of Alabama and Tennessee		1	839	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	802	0	1	31	11	R5826_802_0	5	06/03/2010	2011.01	06/03/2010 05:10:54 PM Eastern Daylight Time	08/19/2010 01:22:38 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	802	0	2011	States of Pennsylvania and West Virginia		1	2175	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	803	0	1	31	11	R5826_803_0	5	06/03/2010	2011.01	06/03/2010 06:05:12 PM Eastern Daylight Time	08/19/2010 01:23:00 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	803	0	2011	States of North Carolina and Virginia		1	987	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	804	0	1	31	11	R5826_804_0	5	06/03/2010	2011.01	06/03/2010 05:11:08 PM Eastern Daylight Time	08/19/2010 01:23:24 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	804	0	2011	States of Georgia and South Carolina		1	1851	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	805	0	1	31	11	R5826_805_0	5	06/03/2010	2011.01	06/03/2010 05:11:15 PM Eastern Daylight Time	08/19/2010 01:23:48 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	805	0	2011	State of Florida		1	4792	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	806	0	1	31	11	R5826_806_0	5	06/03/2010	2011.01	06/03/2010 05:11:22 PM Eastern Daylight Time	08/19/2010 01:24:08 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	806	0	2011	State of Michigan		1	3483	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	807	0	1	31	11	R5826_807_0	5	06/03/2010	2011.01	06/03/2010 05:11:29 PM Eastern Daylight Time	08/19/2010 01:24:30 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	807	0	2011	State of Ohio		1	5807	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	808	0	1	31	11	R5826_808_0	5	06/03/2010	2011.01	06/03/2010 05:11:36 PM Eastern Daylight Time	08/19/2010 01:24:52 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	808	0	2011	States of Indiana and Kentucky		1	2627	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	809	0	1	31	11	R5826_809_0	5	06/03/2010	2011.01	06/03/2010 05:11:43 PM Eastern Daylight Time	08/19/2010 01:25:52 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	809	0	2011	States of Illinois and Wisconsin		1	7367	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	810	0	1	31	11	R5826_810_0	5	06/03/2010	2011.01	06/03/2010 05:11:50 PM Eastern Daylight Time	08/19/2010 01:25:12 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	810	0	2011	States of Arkansas and Missouri		1	1063	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	811	0	1	31	11	R5826_811_0	5	06/03/2010	2011.01	06/03/2010 05:11:56 PM Eastern Daylight Time	08/19/2010 01:25:30 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	811	0	2011	States of Louisiana and Mississippi		1	1653	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	812	0	1	31	11	R5826_812_0	5	06/03/2010	2011.01	06/03/2010 06:05:24 PM Eastern Daylight Time	08/19/2010 01:26:16 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	812	0	2011	State of Texas		1	2108	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	813	0	1	31	11	R5826_813_0	5	06/03/2010	2011.01	06/03/2010 05:12:11 PM Eastern Daylight Time	08/19/2010 01:26:40 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	813	0	2011	States of Kansas and Oklahoma		1	1994	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	814	0	1	31	11	R5826_814_0	5	06/03/2010	2011.01	06/03/2010 05:12:18 PM Eastern Daylight Time	08/19/2010 01:27:00 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	814	0	2011	State of Arizona		1	2743	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	815	0	1	31	11	R5826_815_0	5	06/03/2010	2011.01	06/03/2010 05:12:28 PM Eastern Daylight Time	08/19/2010 01:27:22 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	815	0	2011	States of Alabama and Tennessee		1	2933	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	816	0	1	31	11	R5826_816_0	5	06/03/2010	2011.01	06/03/2010 05:12:37 PM Eastern Daylight Time	08/19/2010 01:28:06 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	816	0	2011	States of Pennsylvania and West Virginia		1	36468	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	817	0	1	31	11	R5826_817_0	5	06/03/2010	2011.01	06/03/2010 05:12:47 PM Eastern Daylight Time	08/19/2010 01:28:50 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	817	0	2011	States of North Carolina and Virginia		1	2165	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	818	0	1	31	11	R5826_818_0	5	06/03/2010	2011.01	06/03/2010 05:12:57 PM Eastern Daylight Time	08/19/2010 01:29:36 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	818	0	2011	States of Georgia and South Carolina		1	2053	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	819	0	1	31	11	R5826_819_0	5	06/03/2010	2011.01	06/03/2010 05:13:09 PM Eastern Daylight Time	08/19/2010 01:30:16 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	819	0	2011	State of Florida		1	7354	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	820	0	1	31	11	R5826_820_0	5	06/03/2010	2011.01	06/03/2010 05:13:19 PM Eastern Daylight Time	08/19/2010 01:30:58 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	820	0	2011	State of Michigan		1	3239	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	821	0	1	31	11	R5826_821_0	5	06/03/2010	2011.01	06/03/2010 05:13:29 PM Eastern Daylight Time	08/19/2010 01:31:40 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	821	0	2011	State of Ohio		1	115425	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	822	0	1	31	11	R5826_822_0	5	06/03/2010	2011.01	06/03/2010 05:13:39 PM Eastern Daylight Time	08/19/2010 01:32:26 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	822	0	2011	States of Indiana and Kentucky		1	33006	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	823	0	1	31	11	R5826_823_0	5	06/03/2010	2011.01	06/03/2010 06:05:36 PM Eastern Daylight Time	08/19/2010 01:33:14 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	823	0	2011	States of Illinois and Wisconsin		1	15869	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	824	0	1	31	11	R5826_824_0	5	06/03/2010	2011.01	06/03/2010 05:13:58 PM Eastern Daylight Time	08/19/2010 01:33:58 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	824	0	2011	States of Arkansas and Missouri		1	943	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	825	0	1	31	11	R5826_825_0	5	06/03/2010	2011.01	06/03/2010 05:14:08 PM Eastern Daylight Time	08/19/2010 01:34:42 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	825	0	2011	States of Louisiana and Mississippi		1	555	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	826	0	1	31	11	R5826_826_0	5	06/03/2010	2011.01	06/03/2010 05:14:18 PM Eastern Daylight Time	08/19/2010 01:35:30 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	826	0	2011	State of Texas		1	1328	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	827	0	1	31	11	R5826_827_0	5	06/03/2010	2011.01	06/03/2010 05:14:28 PM Eastern Daylight Time	08/19/2010 01:36:14 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	827	0	2011	States of Kansas and Oklahoma		1	827	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	828	0	1	31	11	R5826_828_0	5	06/03/2010	2011.01	06/03/2010 06:05:47 PM Eastern Daylight Time	08/19/2010 01:36:58 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (Regional PPO)	11	31		1			R5826	828	0	2011	State of Arizona		1	1190	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364										(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486										1
R5826	831	0	1	31	11	R5826_831_0	5	06/03/2010	2011.01	06/03/2010 05:14:44 PM Eastern Daylight Time	08/19/2010 01:28:26 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	831	0	2011	States of Pennsylvania and West Virginia		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	832	0	1	31	11	R5826_832_0	5	06/03/2010	2011.01	06/03/2010 05:14:51 PM Eastern Daylight Time	08/19/2010 01:29:14 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	832	0	2011	States of North Carolina and Virginia		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	833	0	1	31	11	R5826_833_0	5	06/03/2010	2011.01	06/03/2010 05:14:58 PM Eastern Daylight Time	08/19/2010 01:29:58 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	833	0	2011	States of Georgia and South Carolina		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	834	0	1	31	11	R5826_834_0	5	06/03/2010	2011.01	06/03/2010 05:15:06 PM Eastern Daylight Time	08/19/2010 01:30:38 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	834	0	2011	State of Florida		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	835	0	1	31	11	R5826_835_0	5	06/03/2010	2011.01	06/03/2010 05:15:13 PM Eastern Daylight Time	08/19/2010 01:27:44 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	835	0	2011	States of Alabama and Tennessee		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	836	0	1	31	11	R5826_836_0	5	06/03/2010	2011.01	06/03/2010 05:15:20 PM Eastern Daylight Time	08/19/2010 01:31:20 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	836	0	2011	State of Michigan		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	837	0	1	31	11	R5826_837_0	5	06/03/2010	2011.01	06/03/2010 05:15:27 PM Eastern Daylight Time	08/19/2010 01:32:00 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	837	0	2011	State of Ohio		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	838	0	1	31	11	R5826_838_0	5	06/03/2010	2011.01	06/03/2010 06:05:59 PM Eastern Daylight Time	08/19/2010 01:32:50 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	838	0	2011	States of Indiana and Kentucky		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	839	0	1	31	11	R5826_839_0	5	06/03/2010	2011.01	06/03/2010 05:15:41 PM Eastern Daylight Time	08/19/2010 01:33:36 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	839	0	2011	States of Illinois and Wisconsin		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	840	0	1	31	11	R5826_840_0	5	06/03/2010	2011.01	06/03/2010 05:15:48 PM Eastern Daylight Time	08/19/2010 01:34:22 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	840	0	2011	States of Arkansas and Missouri		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	841	0	1	31	11	R5826_841_0	5	06/03/2010	2011.01	06/03/2010 05:15:56 PM Eastern Daylight Time	08/19/2010 01:35:06 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	841	0	2011	States of Louisiana and Mississippi		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	842	0	1	31	11	R5826_842_0	5	06/03/2010	2011.01	06/03/2010 05:16:03 PM Eastern Daylight Time	08/19/2010 01:35:54 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	842	0	2011	State of Texas		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	843	0	1	31	11	R5826_843_0	5	06/03/2010	2011.01	06/03/2010 05:16:10 PM Eastern Daylight Time	08/19/2010 01:36:38 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	843	0	2011	States of Kansas and Oklahoma		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5826	844	0	1	31	11	R5826_844_0	5	06/03/2010	2011.01	06/03/2010 05:16:17 PM Eastern Daylight Time	08/19/2010 01:37:18 PM Eastern Daylight Time			08/20/2010 03:00:30 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (Regional PPO)	11	31		1			R5826	844	0	2011	State of Arizona		1	100	2				2						www.humana.com/members/tools	http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp	(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-457-4708		(800)-457-4708		(800)-833-2364		(800)-833-2364		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		(800)-833-3301		(800)-833-3301		(877)-833-4486		(877)-833-4486		1
R5941	003	0	1	31	11	R5941_003_0	12	08/27/2010	2011.01	08/27/2010 03:16:16 PM Eastern Daylight Time	08/24/2010 09:25:16 AM Eastern Daylight Time	08/24/2010 09:16:58 AM Eastern Daylight Time		08/27/2010 04:35:21 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	https://www.anthem.com	Blue Medicare Access Standard (Regional PPO)	11	31		1			R5941	003	0	2011	Indiana and Kentucky		2	18391	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-0529		(800)-797-0529		(800)-467-1199		(800)-467-1199		(800)-797-0529		(800)-797-0529		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
R5941	007	0	1	31	11	R5941_007_0	4	08/23/2010	2011.01	08/23/2010 03:44:09 PM Eastern Daylight Time	08/23/2010 08:58:09 PM Eastern Daylight Time			08/23/2010 10:01:57 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access Classic (Regional PPO)	11	31		1			R5941	007	0	2011	Ohio		2	1525	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-0560		(800)-797-0560										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
R5941	008	0	1	31	11	R5941_008_0	7	08/23/2010	2011.01	08/23/2010 03:47:42 PM Eastern Daylight Time	08/23/2010 08:58:27 PM Eastern Daylight Time	08/23/2010 06:43:38 PM Eastern Daylight Time		08/23/2010 10:01:57 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com/medicare	Blue Medicare Access Value (Regional PPO)	11	31		1			R5941	008	0	2011	Ohio		2	25783	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-0560		(800)-797-0560		(800)-467-1199		(800)-467-1199		(800)-797-0560		(800)-797-0560		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
R5941	009	0	1	31	11	R5941_009_0	10	08/27/2010	2011.01	08/27/2010 03:45:25 PM Eastern Daylight Time	08/24/2010 09:26:15 AM Eastern Daylight Time	08/24/2010 09:17:07 AM Eastern Daylight Time		08/27/2010 04:35:21 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	https://www.anthem.com	Blue Medicare Access Value (Regional PPO)	11	31		1			R5941	009	0	2011	Indiana and Kentucky		2	31800	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(800)-797-0529		(800)-797-0529		(800)-467-1199		(800)-467-1199		(800)-797-0529		(800)-797-0529		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
R5941	801	0	1	31	11	R5941_801_0	6	08/20/2010	2011.01	08/20/2010 01:20:24 PM Eastern Daylight Time	08/19/2010 03:50:49 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Blue Medicare Access (Regional PPO)	11	31		1			R5941	801	0	2011	Ohio		1	437	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
R5941	802	0	1	31	11	R5941_802_0	6	08/20/2010	2011.01	08/20/2010 01:18:30 PM Eastern Daylight Time	08/19/2010 03:51:38 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Blue Medicare Access (Regional PPO)	11	31		1			R5941	802	0	2011	Indiana and Kentucky		1	1905	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
R5941	805	0	1	31	11	R5941_805_0	6	08/20/2010	2011.01	08/20/2010 01:18:43 PM Eastern Daylight Time	08/19/2010 03:52:17 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Blue Medicare Access (Regional PPO)	11	31		1			R5941	805	0	2011	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
R5941	806	0	1	31	11	R5941_806_0	6	08/20/2010	2011.01	08/20/2010 01:19:02 PM Eastern Daylight Time	08/19/2010 03:53:07 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Blue Medicare Access (Regional PPO)	11	31		1			R5941	806	0	2011	Indiana and Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153										(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894										1
R5941	807	0	1	31	11	R5941_807_0	6	08/20/2010	2011.01	08/20/2010 01:19:11 PM Eastern Daylight Time	08/19/2010 03:54:07 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Blue Medicare Access (Regional PPO)	11	31		1			R5941	807	0	2011	Ohio		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
R5941	808	0	1	31	11	R5941_808_0	6	08/20/2010	2011.01	08/20/2010 01:19:20 PM Eastern Daylight Time	08/19/2010 03:55:07 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Anthem Blue Cross and Blue Shield	www.anthem.com	Blue Medicare Access (Regional PPO)	11	31		1			R5941	808	0	2011	Indiana and Kentucky		1	50	2				2						www.anthem.com	www.anthem.com	www.anthem.com	(800)-467-1199		(800)-467-1199		(866)-803-5153		(866)-803-5153		(800)-467-1199		(800)-467-1199		(800)-467-8065		(800)-467-8065		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		(888)-853-7754		(888)-853-7754		(800)-241-6894		(800)-241-6894		1
R6801	008	0	1	31	11	R6801_008_0	6	08/21/2010	2011.01	08/21/2010 07:32:39 AM Eastern Daylight Time	08/19/2010 08:55:00 AM Eastern Daylight Time	08/20/2010 03:04:00 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Silver Rx (Regional PPO SNP)	11	31		1			R6801	008	0	2011	Texas		2	5792	2				1	4		1		00000000000000000100	http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	https://careimprovementplus.com/members/texas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R6801	009	0	1	31	11	R6801_009_0	6	08/19/2010	2011.01	08/19/2010 04:31:12 PM Eastern Daylight Time	08/19/2010 08:57:00 AM Eastern Daylight Time	08/20/2010 03:04:00 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Gold Rx (Regional PPO SNP)	11	31		1			R6801	009	0	2011	Texas		2	13876	2				1	4		1		00000000000000000100	http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	https://careimprovementplus.com/members/texas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R6801	011	0	1	31	11	R6801_011_0	4	08/19/2010	2011.01	08/19/2010 12:44:07 PM Eastern Daylight Time	08/19/2010 01:15:00 PM Eastern Daylight Time	08/20/2010 03:05:00 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Dual Advantage (Regional PPO SNP)	11	31		1			R6801	011	0	2011	Texas		2	3088	2		2		1	3		1	5		http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	https://careimprovementplus.com/members/texas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R6801	012	0	1	31	11	R6801_012_0	5	08/21/2010	2011.01	08/21/2010 07:32:51 AM Eastern Daylight Time	08/19/2010 01:16:00 PM Eastern Daylight Time	08/20/2010 03:05:00 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Medicare Advantage (Regional PPO)	11	31		1			R6801	012	0	2011	Texas		2	4160	2				2						http://www.careimprovementplus.com	https://careimprovementplus.com/members/texas/medicarePartD/formulary.aspx	https://careimprovementplus.com/members/texas/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R7439	001	0	1	31	11	R7439_001_0	10	08/25/2010	2011.01	08/25/2010 01:58:41 PM Hawaiian Standard Time	08/19/2010 11:02:49 AM Hawaiian Standard Time	08/20/2010 04:02:19 AM Hawaiian Standard Time		08/25/2010 02:14:29 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage Secure (Regional PPO)	11	31		1			R7439	001	0	2011	State of Hawaii		2	5000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
R7439	003	0	1	31	11	R7439_003_0	10	08/25/2010	2011.01	08/25/2010 03:00:47 PM Hawaiian Standard Time	08/19/2010 11:04:59 AM Hawaiian Standard Time	08/20/2010 04:02:38 AM Hawaiian Standard Time		08/25/2010 03:32:24 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage Preferred (Regional PPO)	11	31		1			R7439	003	0	2011	State of Hawaii		2	5000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
R7439	006	0	1	31	11	R7439_006_0	10	08/25/2010	2011.01	08/25/2010 03:39:09 PM Hawaiian Standard Time	08/19/2010 11:06:55 AM Hawaiian Standard Time			08/25/2010 03:58:37 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage Assured (Regional PPO)	11	31		1			R7439	006	0	2011	State of Hawaii		2	5000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222										1
R7439	801	0	1	31	11	R7439_801_0	5	08/06/2010	2011.01	08/06/2010 12:55:27 PM Hawaiian Standard Time	08/19/2010 10:30:50 AM Hawaiian Standard Time			08/20/2010 11:50:49 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage MAPD Region 25 Emp-only CY (Regional PPO)	11	31		1			R7439	801	0	2011	Hawaii		1	1000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
R7439	802	0	1	31	11	R7439_802_0	5	08/06/2010	2011.01	08/06/2010 12:55:39 PM Hawaiian Standard Time	08/19/2010 10:31:22 AM Hawaiian Standard Time			08/20/2010 11:54:37 AM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage MAPD Region 25 Emp-only NCY (Regional PPO)	11	31		1			R7439	802	0	2011	Hawaii		1	1000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222		1
R7439	805	0	1	31	11	R7439_805_0	5	08/06/2010	2011.01	08/06/2010 12:55:50 PM Hawaiian Standard Time	08/19/2010 10:33:10 AM Hawaiian Standard Time			08/20/2010 12:02:55 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage MA Region 25 Emp-only CY (Regional PPO)	11	31		1			R7439	805	0	2011	Hawaii		1	1000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222										1
R7439	806	0	1	31	11	R7439_806_0	5	08/06/2010	2011.01	08/06/2010 12:56:07 PM Hawaiian Standard Time	08/19/2010 10:33:44 AM Hawaiian Standard Time			08/20/2010 12:07:31 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION	Akamai Advantage	www.hmsa.com/advantage	Akamai Advantage MA Region 25 Emp-only NCY (Regional PPO)	11	31		1			R7439	806	0	2011	Hawaii		1	1000	2				2						www.hmsa.com	www.hmsa.com	www.hmsa.com	(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-298-4672		(808)-948-6222		(877)-298-4672		(808)-948-6222										1
R7444	001	0	1	31	11	R7444_001_0	4	06/01/2010	2011.01	06/01/2010 10:20:23 AM Central Daylight Time	08/19/2010 07:41:09 PM Central Daylight Time	08/18/2010 04:50:47 PM Central Daylight Time		08/20/2010 03:03:35 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.AARPMedicarePlans.com	AARP MedicareComplete Choice (Regional PPO)	11	31		1			R7444	001	0	2011	New England		2		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(800)-643-4845		(800)-643-4845		(800)-547-5514		(800)-547-5514		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R7444	801	0	1	31	11	R7444_801_0	2	06/02/2010	2011.01	06/02/2010 11:59:59 AM Central Daylight Time	08/19/2010 09:31:30 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R7444	801	0	2011	Central New England Connecticut, Massachusetts		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R7444	802	0	1	31	11	R7444_802_0	2	06/02/2010	2011.01	06/02/2010 12:00:04 PM Central Daylight Time	08/19/2010 09:31:11 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R7444	802	0	2011	Central New England (Connecticut, Massachusetts		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548										(711)		(711)		(711)		(711)										1
R7444	803	0	1	31	11	R7444_803_0	2	06/02/2010	2011.01	06/02/2010 12:00:08 PM Central Daylight Time	08/19/2010 09:31:44 PM Central Daylight Time			08/20/2010 02:42:30 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	SecureHorizons by UnitedHealthcare	www.SecureHorizons.com	MedicareComplete Retiree Plan (Regional PPO)	11	31		1			R7444	803	0	2011	Central New England (Connecticut, Massachusetts		1		2				2						www.AARPMedicarePlans.com/tools/find-a-doctor.html?type=MA	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=MA	www.PrescriptionSolutions.com	(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(888)-867-5548		(711)		(711)		(711)		(711)		(711)		(711)		(711)		(711)		1
R9896	008	0	1	31	11	R9896_008_0	6	08/19/2010	2011.01	08/19/2010 04:31:47 PM Eastern Daylight Time	08/19/2010 08:58:32 AM Eastern Daylight Time	08/20/2010 03:06:48 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Silver Rx (Regional PPO SNP)	11	31		1			R9896	008	0	2011	Georgia and South Carolina		2	20149	2				1	4		1		00000000000000000100	http://www.careimprovementplus.com	http://careimprovementplus.com/members/southcarolina/medicarePartD/formulary.aspx	http://careimprovementplus.com/members/southcarolina/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R9896	009	0	1	31	11	R9896_009_0	6	08/20/2010	2011.01	08/20/2010 12:25:08 PM Eastern Daylight Time	08/20/2010 08:40:48 AM Eastern Daylight Time	08/20/2010 03:07:14 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Gold Rx (Regional PPO SNP)	11	31		1			R9896	009	0	2011	Georgia and South Carolina		2	26960	2				1	4		1		00000000000000000100	http://www.careimprovementplus.com	http://careimprovementplus.com/members/southcarolina/medicarePartD/formulary.aspx	http://careimprovementplus.com/members/southcarolina/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R9896	012	0	1	31	11	R9896_012_0	5	08/21/2010	2011.01	08/21/2010 07:33:06 AM Eastern Daylight Time	08/19/2010 01:17:40 PM Eastern Daylight Time	08/20/2010 03:07:50 PM Eastern Daylight Time		08/21/2010 07:55:35 AM Eastern Daylight Time	CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO	Care Improvement Plus	http://www.careimprovementplus.com	Care Improvement Plus Medicare Advantage (Regional PPO)	11	31		1			R9896	012	0	2011	Georgia and South Carolina		2	2342	2				2						http://www.careimprovementplus.com	http://careimprovementplus.com/members/southcarolina/medicarePartD/formulary.aspx	http://careimprovementplus.com/members/southcarolina/medicarePartD/partDOverview.aspx	(800)-204-1002		(800)-204-1002		(800)-711-1656		(800)-711-1656		(866)-673-3561		(866)-673-3561		(800)-711-1656		(800)-711-1656		(800)-713-1603		(800)-713-1603		(800)-713-1603		(800)-713-1603		(866)-673-3563		(866)-673-3563		(866)-673-3563		(866)-673-3563		1
R9943	001	0	1	31	11	R9943_001_0	10	08/23/2010	2011.01	08/23/2010 04:17:48 PM Eastern Daylight Time	08/25/2010 11:35:26 AM Eastern Daylight Time	08/23/2010 04:36:28 PM Eastern Daylight Time		08/25/2010 11:41:20 AM Eastern Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross Life  Health Insurance Company	www.anthem.com/ca	Freedom Blue Plan I (Regional PPO)	11	31		1			R9943	001	0	2011	California		2	75086	2				2							www.bluecrossca.com	www.bluecrossca.com	(877)-811-3107		(877)-811-3107		(800)-797-0524		(800)-797-0524		(877)-811-3107		(877)-811-3107		(800)-797-0524		(800)-797-0524		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
R9943	004	0	1	31	11	R9943_004_0	8	08/23/2010	2011.01	08/23/2010 04:22:34 PM Eastern Daylight Time	08/25/2010 11:35:19 AM Eastern Daylight Time			08/25/2010 11:41:20 AM Eastern Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross Life  Health Insurance Company	www.anthem.com/ca	Freedom Blue Classic (Regional PPO)	11	31		1			R9943	004	0	2011	California		2	924	2				2							www.bluecrossca.com	www.bluecrossca.com	(877)-811-3107		(877)-811-3107		(800)-797-0524		(800)-797-0524										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1
R9943	805	0	1	31	11	R9943_805_0	6	08/20/2010	2011.01	08/20/2010 01:20:38 PM Eastern Daylight Time	08/19/2010 03:55:51 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross Life  Health Insurance Company	www.anthem.com/ca	Freedom Blue (Regional PPO)	11	31		1			R9943	805	0	2011	California		1	183	2				2							www.bluecrossca.com	www.bluecrossca.com	(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949		(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(877)-247-1657		(877)-247-1657		1
R9943	806	0	1	31	11	R9943_806_0	6	08/20/2010	2011.01	08/20/2010 01:17:42 PM Eastern Daylight Time	08/19/2010 03:56:31 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross Life  Health Insurance Company	www.anthem.com/ca	Freedom Blue (Regional PPO)	11	31		1			R9943	806	0	2011	California		1	50	2				2							www.bluecrossca.com	www.bluecrossca.com	(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894										1
R9943	807	0	1	31	11	R9943_807_0	6	08/20/2010	2011.01	08/20/2010 01:17:53 PM Eastern Daylight Time	08/19/2010 03:58:52 PM Eastern Daylight Time			08/20/2010 01:31:28 PM Eastern Daylight Time	ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO.	Anthem Blue Cross Life  Health Insurance Company	www.anthem.com/ca	Freedom Blue (Regional PPO)	11	31		1			R9943	807	0	2011	California		1	50	2				2							www.bluecrossca.com	www.bluecrossca.com	(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949		(866)-362-1064		(866)-362-1064		(877)-205-7949		(877)-205-7949		(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		(877)-247-1657		(877)-247-1657		(877)-247-1657		(877)-247-1657		1
S0043	009	0		29	10	S0043_009_0	3	08/11/2010	2011.01	08/11/2010 02:13:25 PM SA Western Standard Time		07/27/2010 08:17:31 AM SA Western Standard Time		08/11/2010 05:39:17 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	MediMax One (PDP)	10	29					S0043	009	0	2011	Puerto Rico		2						2							http://www.pmcpr.org	http://www.pmcpr.org									(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
S0043	010	0		29	10	S0043_010_0	3	08/11/2010	2011.01	08/11/2010 02:14:30 PM SA Western Standard Time		07/27/2010 08:17:31 AM SA Western Standard Time		08/11/2010 05:39:17 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	MediMax  Plus (PDP)	10	29					S0043	010	0	2011	Puerto Rico		2						2							http://www.pmcpr.org	http://www.pmcpr.org									(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
S0043	013	0		29	10	S0043_013_0	2	07/20/2010	2011.01	07/20/2010 01:44:05 PM SA Western Standard Time		07/27/2010 08:17:57 AM SA Western Standard Time		07/27/2010 08:40:04 AM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	MediMax Elite (PDP)	10	29					S0043	013	0	2011	Puerto Rico		2						2							http://www.pmcpr.org	http://www.pmcpr.org									(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
S0043	801	0		29	10	S0043_801_0	1	05/21/2010	2011.01	05/21/2010 02:25:50 PM SA Western Standard Time				06/04/2010 03:47:35 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	MediMax Employeer Plan I C (PDP)	10	29					S0043	801	0	2011	Puerto Rico		1						2							http://www.pmcpr.org	http://www.pmcpr.org									(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
S0043	802	0		29	10	S0043_802_0	1	05/21/2010	2011.01	05/21/2010 02:25:42 PM SA Western Standard Time				06/04/2010 03:47:35 PM SA Western Standard Time	PREFERRED MEDICARE CHOICE, INC.	Preferred Medicare Choice, Inc.	http://www.pmcpr.org	MediMax Employeer Plan II NC (PDP)	10	29					S0043	802	0	2011	Puerto Rico		1						2							http://www.pmcpr.org	http://www.pmcpr.org									(866)-516-7700		(787)-625-2126		(877)-568-0808		(787)-625-2126										(866)-516-7701		(866)-516-7701		(866)-516-7701		(866)-516-7701		1
S0197	005	0		29	10	S0197_005_0	4	08/03/2010	2011.01	08/03/2010 11:36:30 AM Eastern Daylight Time		07/27/2010 02:16:21 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S0197	005	0	2011	First Health Part D Premier Plus New York		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S0197	809	0		29	10	S0197_809_0	1	06/01/2010	2011.01	06/01/2010 11:50:05 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11273 - CY (PDP)	10	29					S0197	809	0	2011	First Health Part D Employer Group - 11273 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S0197	810	0		29	10	S0197_810_0	1	06/01/2010	2011.01	06/01/2010 11:50:12 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11273 - NCY (PDP)	10	29					S0197	810	0	2011	First Health Part D Employer Group - 11273 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S0197	815	0		29	10	S0197_815_0	1	06/01/2010	2011.01	06/01/2010 11:50:18 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11274 - CY (PDP)	10	29					S0197	815	0	2011	First Health Part D Employer Group - 11274 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S0197	816	0		29	10	S0197_816_0	1	06/01/2010	2011.01	06/01/2010 11:50:25 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11274 - NCY (PDP)	10	29					S0197	816	0	2011	First Health Part D Employer Group - 11274 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S0197	817	0		29	10	S0197_817_0	1	06/01/2010	2011.01	06/01/2010 11:50:34 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11272 - CY (PDP)	10	29					S0197	817	0	2011	First Health Part D Employer Group - 11272 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S0197	818	0		29	10	S0197_818_0	1	06/01/2010	2011.01	06/01/2010 11:50:40 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11272 - NCY (PDP)	10	29					S0197	818	0	2011	First Health Part D Employer Group - 11272 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-4646		(866)-823-4646		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S0586	801	0		29	10	S0586_801_0	1	06/02/2010	2011.01	06/02/2010 07:28:37 AM Eastern Daylight Time				06/02/2010 07:29:03 AM Eastern Daylight Time	MVP HEALTH PLAN, INC.	MVP Health Care	www.mvphealthcare.com	MVP RxCare - Employer Group (PDP)	10	29					S0586	801	0	2011	United States and Puerto Rico		1						2							https://www.mvphealthcare.com/medicare/documents/2010_Comprehensive_Formulary_roc.pdf	www.mvphealthcare.com									(800)-665-7924		(800)-665-7924		(888)-280-6205		(888)-280-6205										(800)-252-2452		(585)-325-2629		(800)-252-2452		(800)-252-2452		1
S0655	001	0		29	10	S0655_001_0	4	07/29/2010	2011.01	07/29/2010 09:50:51 AM Eastern Daylight Time		07/29/2010 07:25:39 AM Eastern Daylight Time		07/29/2010 12:18:14 PM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Health Plan Medicare Preferred PDP Standard (PDP)	10	29					S0655	001	0	2011	Central New England (CT, MA, RI, VT)		2						2							tuftsmedicarepreferred.org/druglist.php	tuftsmedicarepreferred.org/druglist.php									(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
S0655	002	0		29	10	S0655_002_0	4	07/29/2010	2011.01	07/29/2010 10:36:58 AM Eastern Daylight Time		07/29/2010 07:25:39 AM Eastern Daylight Time		07/29/2010 11:20:41 AM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Health Plan Medicare Preferred PDP Enhanced (PDP)	10	29					S0655	002	0	2011	Central New England (CT, MA, RI, VT)		2						2							tuftsmedicarepreferred.org/druglist.php	tuftsmedicarepreferred.org/druglist.php									(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
S0655	801	0		29	10	S0655_801_0	2	05/20/2010	2011.01	05/20/2010 03:14:07 PM Eastern Daylight Time				06/07/2010 05:02:06 PM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Health Plan Medicare Preferred PDP Group (PDP)	10	29					S0655	801	0	2011	Massachusetts and Nationwide		1						2							tuftsmedicarepreferred.org/druglist.php	tuftsmedicarepreferred.org/druglist.php									(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
S0655	802	0		29	10	S0655_802_0	2	05/20/2010	2011.01	05/20/2010 03:15:18 PM Eastern Daylight Time				06/07/2010 05:02:06 PM Eastern Daylight Time	TUFTS INSURANCE COMPANY	Tufts Health Plan	tuftsmedicarepreferred.org	Tufts Health Plan Medicare Preferred PDP Group (PDP)	10	29					S0655	802	0	2011	Massachusetts and Nationwide		1						2							tuftsmedicarepreferred.org/druglist.php	tuftsmedicarepreferred.org/druglist.php									(800)-701-9000		(800)-701-9000		(800)-246-2400		(800)-246-2400										(800)-208-9562		(800)-208-9562		(888)-899-8977		(888)-899-8977		1
S1030	001	0		29	10	S1030_001_0	4	07/30/2010	2011.01	07/30/2010 10:59:23 AM Central Daylight Time		08/02/2010 10:11:12 AM Central Daylight Time		08/05/2010 10:32:59 AM Central Daylight Time	BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.bluerxalatenn.com	BlueRx Option II (PDP)	10	29					S1030	001	0	2011	State of Alabama, State of Tennessee		2						2							www.bluerxalatenn.com	www.bluerxalatenn.com									(800)-327-3998		(800)-327-3998		(800)-327-3998		(800)-327-3998										(711)		(711)		(711)		(711)		1
S1030	006	0		29	10	S1030_006_0	3	08/05/2010	2011.01	08/05/2010 10:27:16 AM Central Daylight Time		08/02/2010 10:11:34 AM Central Daylight Time		08/05/2010 10:32:59 AM Central Daylight Time	BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.bluerxalatenn.com	BlueRx Option I (PDP)	10	29					S1030	006	0	2011	State of Alabama, State of Tennessee		2						2							www.bluerxalatenn.com	www.bluerxalatenn.com									(800)-327-3998		(800)-327-3998		(800)-327-3998		(800)-327-3998										(711)		(711)		(711)		(711)		1
S1030	801	0		29	10	S1030_801_0	2	05/12/2010	2011.01	05/12/2010 10:53:10 AM Central Daylight Time				06/07/2010 11:26:30 AM Central Daylight Time	BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.bluerxalatenn.com	BlueRx Employer Group Plan 801 (PDP)	10	29					S1030	801	0	2011	State of Alabama, State of Tennessee		1						2							www.bluerxalatenn.com	www.bluerxalatenn.com									(800)-327-3998		(800)-327-3998		(800)-327-3998		(800)-327-3998										(711)		(711)		(711)		(711)		1
S1030	802	0		29	10	S1030_802_0	2	05/12/2010	2011.01	05/12/2010 10:53:54 AM Central Daylight Time				06/07/2010 11:26:30 AM Central Daylight Time	BCBS OF ALABAMA AND BCBS OF TENNESSEE	BlueRx	www.bluerxalatenn.com	BlueRx Employer Group Plan 802 (PDP)	10	29					S1030	802	0	2011	State of Alabama, State of Tennessee		1						2							www.bluerxalatenn.com	www.bluerxalatenn.com									(800)-327-3998		(800)-327-3998		(800)-327-3998		(800)-327-3998										(711)		(711)		(711)		(711)		1
S1131	005	0		29	10	S1131_005_0	6	07/30/2010	2011.01	07/30/2010 09:51:13 AM Eastern Daylight Time		07/26/2010 11:12:22 AM Eastern Daylight Time		07/30/2010 09:56:09 AM Eastern Daylight Time	SUMMA INSURANCE COMPANY	SummaCare Secure	www.medicare.summacare.com	SummaCare Secure Scripts 2 (PDP)	10	29					S1131	005	0	2011	State of Ohio		2						2							www.medicare.summacare.com	www.medicare.summacare.com									(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
S1131	006	0		29	10	S1131_006_0	4	07/22/2010	2011.01	07/22/2010 03:58:08 PM Eastern Daylight Time		07/23/2010 10:15:16 AM Eastern Daylight Time		07/23/2010 12:41:56 PM Eastern Daylight Time	SUMMA INSURANCE COMPANY	SummaCare Secure	www.medicare.summacare.com	SummaCare Secure Scripts 1 (PDP)	10	29					S1131	006	0	2011	State of Ohio		2						2							www.medicare.summacare.com	www.medicare.summacare.com									(800)-996-6250		(300)-996-8885		(888)-464-8440		(800)-996-8440										(800)-750-0750		(800)-750-0750		(800)-750-0750		(800)-750-0750		1
S1822	801	0		29	10	S1822_801_0	1	05/28/2010	2011.01	05/28/2010 10:21:30 AM Central Daylight Time				05/28/2010 02:33:33 PM Central Daylight Time	HEALTHPARTNERS, INC	HealthPartners National PDP	healthpartners.com	HealthPartners Prescription Drug Plan CY (PDP)	10	29					S1822	801	0	2011	Nationwide		1						2							Healthpartners.com/partdpharmacy	healthpartners.com/medicare									(877)-816-9539		(952)-883-7373		(866)-993-7428		(952)-883-7428										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
S1822	802	0		29	10	S1822_802_0	1	05/28/2010	2011.01	05/28/2010 10:21:51 AM Central Daylight Time				05/28/2010 02:35:31 PM Central Daylight Time	HEALTHPARTNERS, INC	HealthPartners National PDP	healthpartners.com	HealthPartners Prescription Drug Plan NCY (PDP)	10	29					S1822	802	0	2011	Nationwide		1						2							Healthpartners.com/partdpharmacy	healthpartners.com/medicare									(877)-816-9539		(952)-883-7373		(866)-993-7428		(952)-883-7428										(800)-443-0156		(952)-883-6060		(800)-443-0156		(952)-883-6060		1
S2321	002	0		29	10	S2321_002_0	5	08/13/2010	2011.01	08/13/2010 04:03:02 PM Eastern Daylight Time		07/28/2010 11:07:02 AM Eastern Daylight Time		08/13/2010 04:21:52 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	AmeriHealth Rx	www.amerihealthmedicare.com	AmeriHealth Rx Option II (PDP)	10	29					S2321	002	0	2011	Pennsylvania, West Virginia		2						2							http://www.amerihealth.com/amerihealth65/2008/rx_pa_wv/drug_formulary/index.html:	http://www.amerihealth.com/pdp/ahrx/2007/pharmacy_network.html									(888)-678-7007		(888)-678-7007		(800)-898-3492		(800)-898-3492										(888)-457-3002		(888)-457-3002		(877)-219-5457		(877)-219-5457		1
S2468	002	0		29	10	S2468_002_0	2	06/03/2010	2011.01	06/03/2010 01:15:38 PM Pacific Daylight Time		06/02/2010 10:02:23 PM Pacific Daylight Time		06/03/2010 01:36:10 PM Pacific Daylight Time	CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.blueshieldca.com/findamedicareplan	Blue Shield Medicare Rx Plan (PDP)	10	29					S2468	002	0	2011	State of California		2						2							https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com									(888)-239-6469		(888)-239-6469		(800)-488-8000		(800)-488-8000										(888)-239-6482		(888)-239-6482		(888)-595-0000		(888)-595-0000		1
S2468	801	0		29	10	S2468_801_0	1	05/25/2010	2011.01	05/25/2010 04:41:20 PM Pacific Daylight Time				06/03/2010 03:15:45 PM Pacific Daylight Time	CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.blueshieldca.com	Blue Shield of California Medicare Rx Plan (PDP)	10	29					S2468	801	0	2011	PDP Employer Group Plan		1						2							https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com									(888)-239-6469		(888)-239-6469		(800)-488-8000		(800)-488-8000										(888)-239-6482		(888)-239-6482		(888)-595-0000		(888)-595-0000		1
S2468	802	0		29	10	S2468_802_0	1	05/25/2010	2011.01	05/25/2010 04:41:29 PM Pacific Daylight Time				06/03/2010 03:37:39 PM Pacific Daylight Time	CA PHYSICIANS' SERVICE DBA BLUE SHIELD OF CA	Blue Shield of California	www.blueshieldca.com	Blue Shield of California Medicare Rx Plan (PDP)	10	29					S2468	802	0	2011	PDP Employer Group Plan		1						2							https://www.blueshieldca.com/medicarepartdplans/formulary/	www.blueshieldca.com									(888)-239-6469		(888)-239-6469		(800)-488-8000		(800)-488-8000										(888)-239-6482		(888)-239-6482		(888)-595-0000		(888)-595-0000		1
S2505	001	0		29	10	S2505_001_0	1	06/07/2010	2011.01	06/07/2010 06:10:00 PM Central Daylight Time		06/07/2010 09:25:08 PM Central Daylight Time		06/07/2010 08:59:45 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC	Windsor Rx	www.windsorrx.com	Windsor Rx (PDP)	10	29					S2505	001	0	2011	Alabama and Tennessee		2						2							www.windsorrx.com	www.windsorrx.com									(800)-264-1587		(800)-264-1587		(866)-448-8313		(866)-448-8313										(800)-595-8856		(800)-595-8856		(866)-460-7617		(866)-460-7617		1
S2505	003	0		29	10	S2505_003_0	1	06/07/2010	2011.01	06/07/2010 06:17:51 PM Central Daylight Time		06/07/2010 09:25:50 PM Central Daylight Time		06/07/2010 08:59:45 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC	Windsor Rx	www.windsorrx.com	Windsor Rx (PDP)	10	29					S2505	003	0	2011	Arkansas		2						2							www.windsorrx.com	www.windsorrx.com									(800)-264-1587		(800)-264-1587		(866)-448-8313		(866)-448-8313										(800)-595-8856		(800)-595-8856		(866)-460-7617		(866)-460-7617		1
S2505	005	0		29	10	S2505_005_0	1	06/07/2010	2011.01	06/07/2010 06:19:11 PM Central Daylight Time		06/07/2010 09:26:20 PM Central Daylight Time		06/07/2010 08:59:45 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC	Windsor Rx	www.windsorrx.com	Windsor Rx (PDP)	10	29					S2505	005	0	2011	Mississippi		2						2							www.windsorrx.com	www.windsorrx.com									(800)-264-1587		(800)-264-1587		(866)-448-8313		(866)-448-8313										(800)-595-8856		(800)-595-8856		(866)-460-7617		(866)-460-7617		1
S2505	007	0		29	10	S2505_007_0	1	06/07/2010	2011.01	06/07/2010 06:10:15 PM Central Daylight Time		06/07/2010 09:26:50 PM Central Daylight Time		06/07/2010 08:59:45 PM Central Daylight Time	WINDSOR HEALTH PLAN, INC	Windsor Rx	www.windsorrx.com	Windsor Rx (PDP)	10	29					S2505	007	0	2011	South Carolina		2						2							www.windsorrx.com	www.windsorrx.com									(800)-264-1587		(800)-264-1587		(866)-448-8313		(866)-448-8313										(800)-595-8856		(800)-595-8856		(866)-460-7617		(866)-460-7617		1
S2770	001	0		29	10	S2770_001_0	3	06/03/2010	2011.01	06/03/2010 01:47:28 PM Eastern Daylight Time		05/28/2010 05:28:34 PM Eastern Daylight Time		06/03/2010 05:33:06 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	AmeriHealth Advantage	www.amerihealthmedicare.com	AmeriHealth Advantage (PDP)	10	29					S2770	001	0	2011	Pennsylvania,West Virginia		2						2							http://www.amerihealth.com/amerihealth65/2008/ahadvantage/formulary.html	http://www.amerihealth.com/pdp/ahadvantage/2007/pharmacy_network.html									(888)-567-9129		(888)-567-9129		(866)-456-1695		(866)-456-1695										(888)-457-3002		(888)-457-3002		(866)-456-1683		(866)-456-1683		1
S2874	001	0		29	10	S2874_001_0	3	08/03/2010	2011.01	08/03/2010 03:04:48 PM Eastern Daylight Time		08/02/2010 08:36:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S2874	001	0	2011	Puerto Rico - Island Wide		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(711)		(711)		1
S2874	004	0		29	10	S2874_004_0	6	08/20/2010	2011.01	08/20/2010 02:39:32 PM Eastern Daylight Time		08/23/2010 02:19:00 PM Eastern Daylight Time		08/23/2010 10:52:45 PM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S2874	004	0	2011	Puerto Rico - Island Wide		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(711)		(711)		1
S2874	801	0		29	10	S2874_801_0	2	05/24/2010	2011.01	05/24/2010 03:21:16 PM Eastern Daylight Time				06/04/2010 11:31:04 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored (PDP)	10	29					S2874	801	0	2011	Puerto Rico		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(711)-000-0000		(711)-000-0000		1
S2874	802	0		29	10	S2874_802_0	2	05/24/2010	2011.01	05/24/2010 03:20:42 PM Eastern Daylight Time				06/04/2010 11:31:04 AM Eastern Daylight Time	HUMANA INSURANCE OF PUERTO RICO, INC	Humana Insurance of Puerto Rico, Inc	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PDP)	10	29					S2874	802	0	2011	Puerto Rico		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(866)-773-5959		(866)-773-5959		(800)-681-3625		(800)-681-3625										(800)-218-2560		(800)-218-2560		(711)-000-0000		(711)-000-0000		1
S2893	001	0		29	10	S2893_001_0	3	07/23/2010	2011.01	07/23/2010 01:33:12 PM Pacific Daylight Time		06/04/2010 03:55:03 PM Pacific Daylight Time		07/23/2010 04:29:45 PM Pacific Daylight Time	BCBS RI  BCBS MA  BCBS VT  ANTHEM INSURANCE CO.	Blue MedicareRx	www.RxMedicarePlans.com	Blue MedicareRx Value Plus (PDP)	10	29					S2893	001	0	2011	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							www.rxmedicareplans.com	www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1
S2893	003	0		29	10	S2893_003_0	6	07/28/2010	2011.01	07/28/2010 04:48:22 PM Pacific Daylight Time		07/28/2010 01:20:47 PM Pacific Daylight Time		07/29/2010 06:58:31 AM Pacific Daylight Time	BCBS RI  BCBS MA  BCBS VT  ANTHEM INSURANCE CO.	Blue MedicareRx	www.RxMedicarePlans.com	Blue MedicareRx Premier (PDP)	10	29					S2893	003	0	2011	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							www.rxmedicareplans.com	www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1
S2893	801	0		29	10	S2893_801_0	2	05/24/2010	2011.01	05/24/2010 01:44:34 PM Pacific Daylight Time				06/07/2010 12:55:57 PM Pacific Daylight Time	BCBS RI  BCBS MA  BCBS VT  ANTHEM INSURANCE CO.	Blue MedicareRx	www.RxMedicarePlans.com	Blue MedicareRx (PDP)	10	29					S2893	801	0	2011	Connecticut, Massachusetts, Rhode Island, Vermont		1						2							www.rxmedicareplans.com	www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1
S2893	802	0		29	10	S2893_802_0	2	05/24/2010	2011.01	05/24/2010 01:44:37 PM Pacific Daylight Time				06/07/2010 12:55:57 PM Pacific Daylight Time	BCBS RI  BCBS MA  BCBS VT  ANTHEM INSURANCE CO.	Blue MedicareRx	www.RxMedicarePlans.com	Blue MedicareRx (PDP)	10	29					S2893	802	0	2011	Connecticut, Massachusetts, Rhode Island, Vermont		1						2							www.rxmedicareplans.com	www.rxmedicareplans.com									(888)-543-4917		(888)-543-4917		(877)-479-2227		(877)-479-2227										(866)-236-1069		(866)-236-1069		(866)-236-1069		(866)-236-1069		1
S3389	005	0		29	10	S3389_005_0	2	06/08/2010	2011.01	06/08/2010 08:23:06 AM Eastern Daylight Time		07/28/2010 03:14:02 PM Eastern Daylight Time		07/28/2010 03:14:54 PM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC for Life (PDP)	10	29					S3389	005	0	2011	States of Pennsylvania and West Virginia		2						2							http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
S3389	802	0		29	10	S3389_802_0	1	05/17/2010	2011.01	05/17/2010 01:50:24 PM Eastern Daylight Time				06/05/2010 08:37:08 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PDP)	10	29					S3389	802	0	2011	States of Pennsylvania and West Virginia		1						2							http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
S3389	803	0		29	10	S3389_803_0	1	05/17/2010	2011.01	05/17/2010 01:50:40 PM Eastern Daylight Time				06/05/2010 08:37:08 AM Eastern Daylight Time	UPMC HEALTH BENEFITS, INC	UPMC Health Plan	http://www.upmchealthplan.com/medicare/	UPMC Employer Group (PDP)	10	29					S3389	803	0	2011	States of Pennsylvania and West Virginia		1						2							http://www.upmchealthplan.com/medicare/partd.html	http://www.upmchealthplan.com/medicare/partd.html									(877)-539-3080		(877)-539-3080		(877)-381-3765		(877)-381-3765										(800)-361-2629		(800)-361-2629		(800)-361-2629		(800)-361-2629		1
S3440	001	0		29	10	S3440_001_0	1	06/07/2010	2011.01	06/07/2010 10:38:07 AM Eastern Daylight Time		06/07/2010 11:33:01 AM Eastern Daylight Time		06/07/2010 11:36:41 AM Eastern Daylight Time	ALLIANCE HEALTH AND LIFE INSURANCE COMPANY	Alliance Medicare Rx	www.hap.org	Alliance Medicare RX (PDP)	10	29					S3440	001	0	2011	Alliance Medicare RX - Michigan		2						2							www.hap.org/medicare	www.hap.org/medicare									(800)-765-3436		(313)-664-9064		(800)-868-3153		(800)-868-3153										(800)-956-4325		(313)-664-8000		(800)-956-4325		(313)-664-8000		1
S3521	001	0		29	10	S3521_001_0	2	06/01/2010	2011.01	06/01/2010 09:10:38 AM Eastern Daylight Time		06/06/2010 11:24:00 AM Eastern Daylight Time		06/07/2010 08:38:34 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.simplyprescriptions.com	Rx 1 (PDP)	10	29					S3521	001	0	2011	New York State		2						2							www.simplyprescriptions.com/drug_lists.shtml	www.simplyprescriptions.com									(800)-514-6930		(800)-514-6930		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
S3521	003	0		29	10	S3521_003_0	2	06/01/2010	2011.01	06/01/2010 04:52:42 PM Eastern Daylight Time		06/06/2010 11:24:00 AM Eastern Daylight Time		06/07/2010 08:38:34 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.simplyprescriptions.com	Rx 3 (PDP)	10	29					S3521	003	0	2011	New York State		2						2							www.simplyprescriptions.com/drug_lists.shtml	www.simplyprescriptions.com									(800)-514-6930		(800)-514-6930		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
S3521	801	0		29	10	S3521_801_0	1	06/01/2010	2011.01	06/01/2010 09:04:41 AM Eastern Daylight Time				06/03/2010 11:27:10 AM Eastern Daylight Time	EXCELLUS HEALTH PLAN, INC	Simply Prescriptions	www.simplyprescriptions.com	Part D - Employer Group (PDP)	10	29					S3521	801	0	2011	National and US Territories		1						2							www.simplyprescriptions.com/drug_lists.shtml	www.simplyprescriptions.com									(800)-514-6930		(800)-514-6930		(800)-659-1986		(800)-659-1986										(800)-421-1220		(800)-421-1220		(800)-421-1220		(800)-421-1220		1
S3994	801	0		29	10	S3994_801_0	1	06/01/2010	2011.01	06/01/2010 02:59:59 PM Hawaiian Standard Time				06/06/2010 04:12:20 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's Medicare Rx Plan	www.hmsa.com	Medicare Rx EGWP CY (PDP)	10	29					S3994	801	0	2011	State of Hawaii		1						2							www.hmsa.com	www.hmsa.com									(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-447-5990		(808)-948-6222		(877)-447-5990		(808)-948-6222		1
S3994	802	0		29	10	S3994_802_0	1	06/01/2010	2011.01	06/01/2010 03:00:14 PM Hawaiian Standard Time				06/06/2010 04:14:29 PM Hawaiian Standard Time	HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)	HMSA's Medicare Rx Plan	www.hmsa.com	Medicare Rx EGWP NCY (PDP)	10	29					S3994	802	0	2011	State of Hawaii		1						2							www.hmsa.com	www.hmsa.com									(800)-776-4672		(808)-948-6000		(800)-620-4672		(808)-948-5555										(877)-447-5990		(808)-948-6222		(877)-447-5990		(808)-948-6222		1
S4219	001	0		29	10	S4219_001_0	1	05/27/2010	2011.01	05/27/2010 04:32:44 PM Central Daylight Time		06/03/2010 03:33:00 PM Central Daylight Time		06/04/2010 11:04:47 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medicare Prescription Plan	www.healthalliancemedicare.org	Health Alliance Medicare Prescription Plan - Basic (PDP)	10	29					S4219	001	0	2011	State of Illinois		2						2							www.healthalliancemedicare.org	www.healthalliancemedicare.org									(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
S4219	002	0		29	10	S4219_002_0	3	07/29/2010	2011.01	07/29/2010 10:30:48 AM Central Daylight Time		08/13/2010 10:09:59 AM Central Daylight Time		08/16/2010 10:16:26 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medicare Prescription Plan	www.healthalliancemedicare.org	Health Alliance Medicare Prescription Plan - Enh (PDP)	10	29					S4219	002	0	2011	State of Illinois		2						2							www.healthalliancemedicare.org	www.healthalliancemedicare.org									(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
S4219	801	0		29	10	S4219_801_0	1	05/27/2010	2011.01	05/27/2010 04:32:50 PM Central Daylight Time				06/04/2010 11:04:47 AM Central Daylight Time	HEALTH ALLIANCE MEDICAL PLANS	Health Alliance Medicare Prescription Plan	www.healthalliancemedicare.org	Health Alliance Group Medicare Prescription Plan (PDP)	10	29					S4219	801	0	2011	United States		1						2							www.healthalliancemedicare.org	www.healthalliancemedicare.org									(800)-965-4022		(800)-965-4022		(800)-965-4022		(800)-965-4022										(866)-883-8551		(866)-883-8551		(866)-883-8551		(866)-883-8551		1
S4802	001	0		29	10	S4802_001_0	3	07/29/2010	2011.01	07/29/2010 06:03:04 PM Pacific Daylight Time		07/29/2010 04:00:37 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	001	0	2011	Region 4		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	002	0		29	10	S4802_002_0	3	06/09/2010	2011.01	06/09/2010 11:31:18 AM Pacific Daylight Time		07/29/2010 04:01:13 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	002	0	2011	Region 5		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	003	0		29	10	S4802_003_0	3	06/09/2010	2011.01	06/09/2010 11:32:42 AM Pacific Daylight Time		07/29/2010 04:01:31 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	003	0	2011	Region 6		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	004	0		29	10	S4802_004_0	3	06/09/2010	2011.01	06/09/2010 11:22:29 AM Pacific Daylight Time		07/29/2010 04:01:51 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	004	0	2011	Region 7		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	005	0		29	10	S4802_005_0	3	06/09/2010	2011.01	06/09/2010 11:31:54 AM Pacific Daylight Time		07/29/2010 04:02:17 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	005	0	2011	Region 8		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	006	0		29	10	S4802_006_0	3	06/09/2010	2011.01	06/09/2010 11:23:41 AM Pacific Daylight Time		07/29/2010 04:02:34 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	006	0	2011	Region 9		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	007	0		29	10	S4802_007_0	3	06/09/2010	2011.01	07/29/2010 05:50:52 PM Pacific Daylight Time		07/29/2010 04:02:53 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	007	0	2011	Region 10		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	008	0		29	10	S4802_008_0	3	06/09/2010	2011.01	07/29/2010 05:52:41 PM Pacific Daylight Time		07/29/2010 04:03:23 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	008	0	2011	Region 11		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	009	0		29	10	S4802_009_0	3	06/09/2010	2011.01	06/09/2010 11:32:55 AM Pacific Daylight Time		07/29/2010 04:03:38 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	009	0	2011	Region 15		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	010	0		29	10	S4802_010_0	3	06/09/2010	2011.01	06/09/2010 11:28:18 AM Pacific Daylight Time		07/29/2010 04:03:51 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	010	0	2011	Region 18		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	011	0		29	10	S4802_011_0	3	06/09/2010	2011.01	06/09/2010 11:26:20 AM Pacific Daylight Time		07/29/2010 04:04:19 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	011	0	2011	Region 19		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	012	0		29	10	S4802_012_0	3	06/09/2010	2011.01	06/09/2010 11:22:44 AM Pacific Daylight Time		07/29/2010 04:04:36 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	012	0	2011	Region 21		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	013	0		29	10	S4802_013_0	2	06/09/2010	2011.01	06/09/2010 11:26:55 AM Pacific Daylight Time		06/06/2010 06:38:23 PM Pacific Daylight Time		06/24/2010 01:44:34 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	013	0	2011	Region 22		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	014	0		29	10	S4802_014_0	3	06/09/2010	2011.01	06/09/2010 11:26:56 AM Pacific Daylight Time		07/29/2010 04:04:55 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	014	0	2011	Region 23		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	015	0		29	10	S4802_015_0	3	06/09/2010	2011.01	06/09/2010 11:24:18 AM Pacific Daylight Time		07/29/2010 04:05:52 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	015	0	2011	Region 24		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	016	0		29	10	S4802_016_0	3	06/09/2010	2011.01	07/29/2010 05:52:04 PM Pacific Daylight Time		07/29/2010 04:06:13 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	016	0	2011	Region 26		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	017	0		29	10	S4802_017_0	3	06/09/2010	2011.01	07/29/2010 05:52:06 PM Pacific Daylight Time		07/29/2010 04:06:27 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	017	0	2011	Region 27		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	018	0		29	10	S4802_018_0	3	06/09/2010	2011.01	06/09/2010 11:35:01 AM Pacific Daylight Time		07/29/2010 04:06:40 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	018	0	2011	Region 28		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	019	0		29	10	S4802_019_0	3	06/09/2010	2011.01	07/29/2010 05:56:27 PM Pacific Daylight Time		07/29/2010 04:06:53 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	019	0	2011	Region 29		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	020	0		29	10	S4802_020_0	2	06/09/2010	2011.01	06/09/2010 11:30:05 AM Pacific Daylight Time		06/06/2010 06:40:40 PM Pacific Daylight Time		06/24/2010 01:44:34 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	020	0	2011	Region 30		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	021	0		29	10	S4802_021_0	3	06/09/2010	2011.01	06/09/2010 11:26:57 AM Pacific Daylight Time		07/29/2010 04:07:06 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	021	0	2011	Region 31		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	022	0		29	10	S4802_022_0	3	06/09/2010	2011.01	07/29/2010 05:56:59 PM Pacific Daylight Time		07/29/2010 04:07:18 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	022	0	2011	Region 1		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	023	0		29	10	S4802_023_0	3	06/09/2010	2011.01	07/29/2010 05:49:56 PM Pacific Daylight Time		07/29/2010 04:07:37 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	023	0	2011	Region 2		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	024	0		29	10	S4802_024_0	3	06/09/2010	2011.01	07/29/2010 05:52:06 PM Pacific Daylight Time		07/29/2010 04:07:57 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	024	0	2011	Region 3		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	025	0		29	10	S4802_025_0	3	06/09/2010	2011.01	07/29/2010 05:50:53 PM Pacific Daylight Time		07/29/2010 04:08:10 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	025	0	2011	Region 13		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	026	0		29	10	S4802_026_0	3	06/09/2010	2011.01	06/09/2010 11:24:20 AM Pacific Daylight Time		07/29/2010 04:08:25 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	026	0	2011	Region 14		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	027	0		29	10	S4802_027_0	3	06/09/2010	2011.01	07/29/2010 05:56:28 PM Pacific Daylight Time		07/29/2010 04:08:44 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	027	0	2011	Region 16		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	028	0		29	10	S4802_028_0	3	06/09/2010	2011.01	06/09/2010 11:35:20 AM Pacific Daylight Time		07/29/2010 04:09:00 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	028	0	2011	Region 17		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	029	0		29	10	S4802_029_0	3	07/29/2010	2011.01	07/29/2010 05:49:03 PM Pacific Daylight Time		07/29/2010 04:09:13 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	029	0	2011	Region 20		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	030	0		29	10	S4802_030_0	2	06/09/2010	2011.01	06/09/2010 11:25:24 AM Pacific Daylight Time		06/06/2010 06:43:55 PM Pacific Daylight Time		06/24/2010 01:44:34 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	030	0	2011	Region 25		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	032	0		29	10	S4802_032_0	3	07/29/2010	2011.01	07/29/2010 05:55:18 PM Pacific Daylight Time		07/29/2010 04:09:26 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	032	0	2011	Region 34		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	033	0		29	10	S4802_033_0	3	07/29/2010	2011.01	07/29/2010 05:49:25 PM Pacific Daylight Time		07/29/2010 04:10:22 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	033	0	2011	Region 12		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	067	0		29	10	S4802_067_0	3	06/09/2010	2011.01	07/29/2010 05:56:29 PM Pacific Daylight Time		07/29/2010 04:10:36 PM Pacific Daylight Time		07/30/2010 08:36:23 AM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Rx (PDP)	10	29					S4802	067	0	2011	Region 32		2						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S4802	801	0		29	10	S4802_801_0	1	06/06/2010	2011.01	06/06/2010 01:35:04 PM Pacific Daylight Time				06/06/2010 07:10:03 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Retiree Rx (PDP)	10	29					S4802	801	0	2011	Nationwide		1						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(800)-313-7667		(800)-313-7667		(800)-313-7667		(800)-313-7667										(800)-313-7667		(800)-313-7667		(800)-313-7667		(800)-313-7667		1
S4802	803	0		29	10	S4802_803_0	1	06/06/2010	2011.01	06/06/2010 01:35:09 PM Pacific Daylight Time				06/06/2010 07:10:03 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Catalyst Rx (PDP)	10	29					S4802	803	0	2011	Nationwide		1						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(877)-591-0636	85664	(877)-591-0636	85664	(877)-591-0636	85664	(877)-591-0636	85664									(711)		(711)		(711)		(711)		1
S4802	804	0		29	10	S4802_804_0	1	06/06/2010	2011.01	06/06/2010 01:35:13 PM Pacific Daylight Time				06/06/2010 07:10:03 PM Pacific Daylight Time	STERLING LIFE INSURANCE COMPANY	Sterling Life Insurance Company	www.sterlingplans.com	Sterling Retiree Rx Plan (PDP)	10	29					S4802	804	0	2011	Nationwide		1						2							http://www.sterlingplans.com	http://www.sterlingplans.com									(866)-364-8012		(866)-364-8012		(888)-909-1713		(888)-909-1713										(800)-899-2114		(800)-899-2114		(888)-858-8567		(888)-858-8567		1
S5540	002	0		29	10	S5540_002_0	6	08/02/2010	2011.01	08/02/2010 03:08:14 PM Eastern Daylight Time		08/02/2010 01:43:54 PM Eastern Daylight Time		08/04/2010 11:40:33 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	www.bcbsnc.com/medicare	Blue Medicare Rx Standard (PDP)	10	29					S5540	002	0	2011	North Carolina		2						2							http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm									(888)-247-4142		(888)-247-4142		(800)-478-0583		(800)-478-0583										(888)-247-4145		(888)-247-4145		(800)-922-3140		(800)-922-3140		1
S5540	004	0		29	10	S5540_004_0	5	06/07/2010	2011.01	06/07/2010 02:15:59 PM Eastern Daylight Time		07/16/2010 03:06:55 PM Eastern Daylight Time		07/22/2010 07:53:24 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	www.bcbsnc.com/medicare	Blue Medicare Rx Enhanced (PDP)	10	29					S5540	004	0	2011	North Carolina		2						2							http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm									(888)-247-4142		(888)-247-4142		(800)-478-0583		(800)-478-0583										(888)-247-4145		(888)-247-4145		(800)-922-3140		(800)-922-3140		1
S5540	801	0		29	10	S5540_801_0	4	05/13/2010	2011.01	05/13/2010 03:46:54 PM Eastern Daylight Time				06/07/2010 08:54:50 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA	www.bcbsnc.com/medicare	Blue Medicare Rx EGWP (PDP)	10	29					S5540	801	0	2011	National Employer Group Retirees		1						2							http://www.bcbsnc.com/medicare/drug-search.cfm	http://www.bcbsnc.com/medicare/pharmacy-search.cfm									(888)-247-4142		(888)-247-4142		(800)-478-0583		(800)-478-0583										(888)-247-4145		(888)-247-4145		(800)-922-3140		(800)-922-3140		1
S5552	002	0		29	10	S5552_002_0	3	06/02/2010	2011.01	06/02/2010 05:39:21 PM Eastern Daylight Time		08/03/2010 05:02:53 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5552	002	0	2011	State of New York		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5552	003	0		29	10	S5552_003_0	7	08/10/2010	2011.01	08/10/2010 03:59:56 PM Eastern Daylight Time		08/10/2010 02:25:28 PM Eastern Daylight Time		08/11/2010 11:03:12 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5552	003	0	2011	State of New York		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5552	004	0		29	10	S5552_004_0	6	08/20/2010	2011.01	08/20/2010 02:40:24 PM Eastern Daylight Time		08/23/2010 02:19:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5552	004	0	2011	State of New York		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5552	801	0		29	10	S5552_801_0	2	05/24/2010	2011.01	05/24/2010 03:28:29 PM Eastern Daylight Time				06/04/2010 11:31:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored (PDP)	10	29					S5552	801	0	2011	State of New York		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
S5552	802	0		29	10	S5552_802_0	2	05/24/2010	2011.01	05/24/2010 03:28:54 PM Eastern Daylight Time				06/04/2010 11:31:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY OF NEW YORK	Humana Insurance Company of New York	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PDP)	10	29					S5552	802	0	2011	State of New York		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
S5555	001	0		29	10	S5555_001_0	7	07/28/2010	2011.01	07/28/2010 02:11:50 PM SA Western Standard Time		07/28/2010 03:47:42 PM SA Western Standard Time		07/29/2010 01:39:11 PM SA Western Standard Time	MCS ADVANTAGE, INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Rx (PDP)	10	29					S5555	001	0	2011	Puerto Rico		2						2							www.mcsclassicare.com	www.mcsclassicare.com									(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
S5555	003	0		29	10	S5555_003_0	6	06/03/2010	2011.01	06/03/2010 06:11:41 PM SA Western Standard Time		07/28/2010 03:48:26 PM SA Western Standard Time		07/29/2010 01:39:11 PM SA Western Standard Time	MCS ADVANTAGE, INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare Rx Standard (PDP)	10	29					S5555	003	0	2011	Puerto Rico		2						2							www.mcsclassicare.com	www.mcsclassicare.com									(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
S5555	801	0		29	10	S5555_801_0	3	04/20/2010	2011.01	04/20/2010 10:55:15 AM SA Western Standard Time				06/04/2010 05:00:50 PM SA Western Standard Time	MCS ADVANTAGE, INC.	MCS Classicare	www.mcsclassicare.com	MCS Classicare PDP Group (C) (PDP)	10	29					S5555	801	0	2011	Puerto Rico		1						2							www.mcsclassicare.com	www.mcsclassicare.com									(866)-627-8183		(787)-620-2530		(866)-627-8181		(787)-620-2528										(866)-627-8182		(866)-627-8182		(866)-627-8182		(866)-627-8182		1
S5569	003	0		29	10	S5569_003_0	6	08/03/2010	2011.01	08/03/2010 02:00:57 PM Eastern Daylight Time		07/27/2010 10:27:19 AM Eastern Daylight Time		08/04/2010 09:55:13 AM Eastern Daylight Time	CAMBRIDGE LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5569	003	0	2011	First Health Part D Premier - New York		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-4701		(866)-823-4701		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5580	003	0		29	10	S5580_003_0	3	07/27/2010	2011.01	07/27/2010 08:21:38 AM Central Daylight Time		07/27/2010 09:59:36 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstuamedicarepartd.com	First UA Medicare Part D Prescription Drug (PDP)	10	29					S5580	003	0	2011	State of New York		2						2							http://www.firstuamedicarepartd.com/	http://www.firstuamedicarepartd.com/									(866)-524-4171		(866)-524-4171		(866)-524-4171		(866)-524-4171										(866)-524-4172		(866)-524-4172		(866)-524-4172		(866)-524-4172		1
S5580	801	0		29	10	S5580_801_0	1	04/14/2010	2011.01	04/14/2010 09:10:18 AM Central Daylight Time				06/06/2010 07:45:22 PM Central Daylight Time	FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstuamedicarepartd.com/	First UA Employer Calendar Drug Plan (PDP)	10	29					S5580	801	0	2011	National		1						2							http://www.firstuamedicarepartd.com/	http://www.firstuamedicarepartd.com/									(866)-412-8499		(866)-412-8499		(866)-412-8499		(866)-412-8499										(866)-524-4172		(866)-524-4172		(866)-524-4172		(866)-524-4172		1
S5580	802	0		29	10	S5580_802_0	1	04/14/2010	2011.01	04/14/2010 09:10:24 AM Central Daylight Time				06/06/2010 07:45:22 PM Central Daylight Time	FIRST UNITED AMERICAN LIFE INSURANCE COMPANY	First United American Life Insurance Company	http://www.firstuamedicarepartd.com/	First UA Employer Non-Calendar Drug Plan (PDP)	10	29					S5580	802	0	2011	National		1						2							http://www.firstuamedicarepartd.com/	http://www.firstuamedicarepartd.com/									(866)-412-8499		(866)-412-8499		(800)-446-0100		(800)-446-0100										(866)-524-4172		(866)-524-4172		(866)-524-4172		(866)-524-4172		1
S5584	001	0		29	10	S5584_001_0	3	08/02/2010	2011.01	08/02/2010 01:37:17 PM Eastern Daylight Time		08/02/2010 01:38:45 PM Eastern Daylight Time		08/02/2010 02:32:24 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Prescription Blue Option A (PDP)	10	29					S5584	001	0	2011	State of Michigan		2						2							www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml									(800)-565-1770		(800)-565-1770		(877)-469-2583		(877)-469-2583										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
S5584	002	0		29	10	S5584_002_0	3	06/07/2010	2011.01	06/07/2010 04:35:25 PM Eastern Daylight Time		08/02/2010 01:39:49 PM Eastern Daylight Time		08/02/2010 02:32:24 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Prescription Blue Option B (PDP)	10	29					S5584	002	0	2011	State of Michigan		2						2							www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml									(800)-565-1770		(800)-565-1770		(877)-469-2583		(877)-469-2583										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
S5584	801	0		29	10	S5584_801_0	1	06/07/2010	2011.01	06/07/2010 04:07:49 PM Eastern Daylight Time				06/07/2010 04:10:50 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Prescription Blue Employer Plan CY (PDP)	10	29					S5584	801	0	2011	State of Michigan		1						2							www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml									(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
S5584	802	0		29	10	S5584_802_0	1	06/07/2010	2011.01	06/07/2010 04:08:05 PM Eastern Daylight Time				06/07/2010 04:10:50 PM Eastern Daylight Time	BLUE CROSS BLUE SHIELD OF MICHIGAN	Blue Cross Blue Shield of Michigan	www.bcbsm.com/medicare	Prescription Blue Employer Plan non-CY (PDP)	10	29					S5584	802	0	2011	State of Michigan		1						2							www.bcbsm.com/medicare/formulary.shtml	www.bcbsm.com/medicare/rxdirectory.shtml									(800)-565-1770		(800)-565-1770		(800)-485-4415		(800)-485-4415										(800)-579-0235		(800)-579-0235		(800)-481-8704		(800)-481-8704		1
S5585	001	0		29	10	S5585_001_0	4	08/13/2010	2011.01	08/13/2010 01:55:20 PM Eastern Daylight Time		08/23/2010 05:38:55 AM Eastern Daylight Time		08/24/2010 03:49:29 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HealthNow New York Inc.	www.smarthealthrx.com	SmartHealth Rx Plus PDP (PDP)	10	29					S5585	001	0	2011	State of New York		2						2							http://www.smarthealthrx.com	http://www.smarthealthrx.com/sub.asp?area=pharmacycontent=phrm_srch_home.aspaction=all									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1
S5585	801	0		29	10	S5585_801_0	1	06/07/2010	2011.01	06/07/2010 03:21:35 PM Eastern Daylight Time				06/07/2010 04:16:55 PM Eastern Daylight Time	HEALTHNOW NEW YORK INC.	HealthNow New York Inc.	www.smarthealthrx.com	SmartHealth Rx Value PDP (PDP)	10	29					S5585	801	0	2011	New York State		1						2							http://www.smarthealthrx.com	http://www.smarthealthrx.com/sub.asp?area=pharmacycontent=phrm_srch_home.aspaction=all									(888)-787-2390		(888)-787-2390		(888)-989-9905		(888)-989-9905										(877)-834-6918		(877)-834-6918		(877)-513-1470		(877)-513-1470		1
S5588	802	0		29	10	S5588_802_0	1	05/24/2010	2011.01	05/24/2010 03:47:08 PM Eastern Daylight Time				06/02/2010 01:36:33 PM Eastern Daylight Time	PARAMOUNT INSURANCE COMPANY	Paramount Prescription Drug Plan	www.paramounthealthcare.com	Paramount Std. Prescription Drug Plan Empl (PDP)	10	29					S5588	802	0	2011	Paramount Standard Prescription Drug Plan (Ohio)		1						2							www.paramounthealthcare.com/medicareplans	www.paramounthealthcare.com/medicareplans									(800)-462-3589		(800)-462-3589		(800)-462-3589		(800)-462-3589										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1
S5588	803	0		29	10	S5588_803_0	1	05/24/2010	2011.01	05/24/2010 03:48:01 PM Eastern Daylight Time				06/02/2010 01:36:33 PM Eastern Daylight Time	PARAMOUNT INSURANCE COMPANY	Paramount Prescription Drug Plan	www.paramounthealthcare.com	Paramount Enh. Prescription Drug Plan Empl (PDP)	10	29					S5588	803	0	2011	Paramount Enhanced Prescription Drug Plan (Ohio)		1						2							www.paramounthealthcare.com/medicareplans	www.paramounthealthcare.com/medicareplans									(800)-462-3589		(800)-462-3589		(800)-462-3589		(800)-462-3589										(888)-740-5670		(888)-740-5670		(888)-740-5670		(888)-740-5670		1
S5593	002	0		29	10	S5593_002_0	2	06/03/2010	2011.01	06/03/2010 09:01:12 AM Eastern Daylight Time		06/04/2010 12:15:09 PM Eastern Daylight Time		06/04/2010 01:24:22 PM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Plus (PDP)	10	29					S5593	002	0	2011	Pennsylvania  and West Virginia		2						2							http://highmark.medicare-approvedformularies.com/	www.highmarkblueshield.com									(800)-290-3914		(800)-290-3914		(866)-682-7975		(866)-682-7975										(800)-988-0668		(800)-988-0668		(711)		(711)		1
S5593	003	0		29	10	S5593_003_0	2	06/03/2010	2011.01	06/03/2010 09:02:39 AM Eastern Daylight Time		06/04/2010 12:16:44 PM Eastern Daylight Time		06/04/2010 01:24:22 PM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Complete (PDP)	10	29					S5593	003	0	2011	Pennsylvania  and West Virginia		2						2							http://highmark.medicare-approvedformularies.com/	www.highmarkblueshield.com									(800)-290-3914		(800)-290-3914		(866)-682-7975		(866)-682-7975										(800)-988-0668		(800)-988-0668		(711)		(711)		1
S5593	801	0		29	10	S5593_801_0	1	05/17/2010	2011.01	05/17/2010 11:20:47 AM Eastern Daylight Time				06/04/2010 08:24:01 AM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Employer Group Calendar (PDP)	10	29					S5593	801	0	2011	National		1						2							http://highmark.medicare-approvedformularies.com/	www.highmarkblueshield.com									(800)-290-3914		(800)-290-3914		(866)-682-7975		(866)-682-7975										(800)-988-0668		(800)-988-0668		(711)		(711)		1
S5593	802	0		29	10	S5593_802_0	1	05/17/2010	2011.01	05/17/2010 11:20:53 AM Eastern Daylight Time				06/04/2010 08:24:01 AM Eastern Daylight Time	HIGHMARK SENIOR RESOURCES INC.	Highmark Senior Resources Inc.	www.highmarkblueshield.com	BlueRx Employer Group Non-Calendar (PDP)	10	29					S5593	802	0	2011	National		1						2							http://highmark.medicare-approvedformularies.com/	www.highmarkblueshield.com									(800)-290-3914		(800)-290-3914		(866)-682-7975		(866)-682-7975										(800)-988-0668		(800)-988-0668		(711)		(711)		1
S5596	001	0		29	10	S5596_001_0	5	05/24/2010	2011.01	05/24/2010 04:19:24 PM Pacific Daylight Time		07/22/2010 04:52:02 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Plus (PDP)	10	29					S5596	001	0	2011	Maine and New Hampshire		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	003	0		29	10	S5596_003_0	5	06/07/2010	2011.01	06/07/2010 10:06:13 AM Pacific Daylight Time		07/22/2010 04:52:28 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Premier (PDP)	10	29					S5596	003	0	2011	Maine and New Hampshire		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	005	0		29	10	S5596_005_0	5	05/30/2010	2011.01	05/30/2010 02:17:53 PM Pacific Daylight Time		07/22/2010 04:52:56 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Standard (PDP)	10	29					S5596	005	0	2011	Virginia		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	006	0		29	10	S5596_006_0	5	05/24/2010	2011.01	05/24/2010 01:40:35 PM Pacific Daylight Time		07/22/2010 04:53:23 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Plus (PDP)	10	29					S5596	006	0	2011	Virginia		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	007	0		29	10	S5596_007_0	5	06/07/2010	2011.01	06/07/2010 10:14:28 AM Pacific Daylight Time		07/22/2010 04:53:52 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Premier (PDP)	10	29					S5596	007	0	2011	Virginia		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	009	0		29	10	S5596_009_0	6	05/30/2010	2011.01	05/30/2010 01:14:13 PM Pacific Daylight Time		07/22/2010 04:54:17 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bcbsga.com	Blue MedicareRx Standard (PDP)	10	29					S5596	009	0	2011	Georgia		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	010	0		29	10	S5596_010_0	5	05/24/2010	2011.01	05/24/2010 01:40:35 PM Pacific Daylight Time		07/22/2010 05:06:43 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bcbsga.com	Blue MedicareRx Plus (PDP)	10	29					S5596	010	0	2011	Georgia		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	011	0		29	10	S5596_011_0	5	06/07/2010	2011.01	06/07/2010 10:14:28 AM Pacific Daylight Time		07/22/2010 04:55:20 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.bcbsga.com	Blue MedicareRx Premier (PDP)	10	29					S5596	011	0	2011	Georgia		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	013	0		29	10	S5596_013_0	5	05/30/2010	2011.01	05/30/2010 01:14:59 PM Pacific Daylight Time		07/22/2010 04:55:48 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Standard (PDP)	10	29					S5596	013	0	2011	Ohio		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	014	0		29	10	S5596_014_0	5	05/24/2010	2011.01	05/24/2010 01:40:36 PM Pacific Daylight Time		07/22/2010 04:56:17 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Plus (PDP)	10	29					S5596	014	0	2011	Ohio		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	015	0		29	10	S5596_015_0	6	06/07/2010	2011.01	06/07/2010 10:14:28 AM Pacific Daylight Time		07/29/2010 05:03:43 PM Pacific Daylight Time		07/30/2010 10:49:03 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Premier (PDP)	10	29					S5596	015	0	2011	Ohio		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	017	0		29	10	S5596_017_0	5	05/30/2010	2011.01	05/30/2010 01:15:55 PM Pacific Daylight Time		07/22/2010 04:57:13 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Standard (PDP)	10	29					S5596	017	0	2011	Indiana and Kentucky		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	018	0		29	10	S5596_018_0	5	05/24/2010	2011.01	05/24/2010 01:40:36 PM Pacific Daylight Time		07/22/2010 04:57:38 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Plus (PDP)	10	29					S5596	018	0	2011	Indiana and Kentucky		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	019	0		29	10	S5596_019_0	6	06/07/2010	2011.01	06/07/2010 10:14:29 AM Pacific Daylight Time		07/29/2010 05:03:57 PM Pacific Daylight Time		07/30/2010 10:49:03 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Premier (PDP)	10	29					S5596	019	0	2011	Indiana and Kentucky		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	021	0		29	10	S5596_021_0	5	05/30/2010	2011.01	05/30/2010 01:16:30 PM Pacific Daylight Time		07/22/2010 04:58:32 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Standard (PDP)	10	29					S5596	021	0	2011	Wisconsin		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	022	0		29	10	S5596_022_0	5	05/24/2010	2011.01	05/24/2010 01:40:36 PM Pacific Daylight Time		07/22/2010 04:58:56 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Plus (PDP)	10	29					S5596	022	0	2011	Wisconsin		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	023	0		29	10	S5596_023_0	5	06/07/2010	2011.01	06/07/2010 10:14:29 AM Pacific Daylight Time		07/22/2010 04:59:25 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Premier (PDP)	10	29					S5596	023	0	2011	Wisconsin		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	025	0		29	10	S5596_025_0	5	05/30/2010	2011.01	05/30/2010 01:17:10 PM Pacific Daylight Time		07/22/2010 04:59:51 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Standard (PDP)	10	29					S5596	025	0	2011	Colorado		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	026	0		29	10	S5596_026_0	6	05/24/2010	2011.01	05/24/2010 01:40:36 PM Pacific Daylight Time		07/22/2010 05:00:20 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Plus (PDP)	10	29					S5596	026	0	2011	Colorado		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	027	0		29	10	S5596_027_0	5	06/07/2010	2011.01	06/07/2010 10:14:29 AM Pacific Daylight Time		07/22/2010 05:00:46 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Premier (PDP)	10	29					S5596	027	0	2011	Colorado		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	029	0		29	10	S5596_029_0	5	05/30/2010	2011.01	05/30/2010 01:17:52 PM Pacific Daylight Time		07/22/2010 05:01:12 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Standard (PDP)	10	29					S5596	029	0	2011	Nevada		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	030	0		29	10	S5596_030_0	5	05/24/2010	2011.01	05/24/2010 01:40:37 PM Pacific Daylight Time		07/22/2010 05:01:36 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Plus (PDP)	10	29					S5596	030	0	2011	Nevada		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	031	0		29	10	S5596_031_0	6	06/07/2010	2011.01	06/07/2010 10:14:29 AM Pacific Daylight Time		07/29/2010 05:04:08 PM Pacific Daylight Time		07/30/2010 10:49:03 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Premier (PDP)	10	29					S5596	031	0	2011	Nevada		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	033	0		29	10	S5596_033_0	5	05/30/2010	2011.01	05/30/2010 02:18:14 PM Pacific Daylight Time		07/22/2010 05:02:27 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/ca	Blue Cross MedicareRx Standard (PDP)	10	29					S5596	033	0	2011	California		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	034	0		29	10	S5596_034_0	5	05/24/2010	2011.01	05/24/2010 01:40:37 PM Pacific Daylight Time		07/22/2010 05:02:53 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/ca	Blue Cross MedicareRx Plus (PDP)	10	29					S5596	034	0	2011	California		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	035	0		29	10	S5596_035_0	6	06/07/2010	2011.01	06/07/2010 10:14:29 AM Pacific Daylight Time		07/22/2010 05:03:20 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com/ca	Blue Cross MedicareRx Gold (PDP)	10	29					S5596	035	0	2011	California		2						2							www.anthem.com	www.anthem.com									(800)-928-6201		(800)-928-6201		(800)-261-8667		(800)-261-8667										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5596	043	0		29	10	S5596_043_0	8	08/02/2010	2011.01	08/02/2010 11:24:30 AM Pacific Daylight Time		08/02/2010 11:16:04 AM Pacific Daylight Time		08/02/2010 11:26:07 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.partdcoverage.com	Blue MedicareRx Value (PDP)	10	29					S5596	043	0	2011	Missouri		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	044	0		29	10	S5596_044_0	5	05/24/2010	2011.01	05/24/2010 01:40:37 PM Pacific Daylight Time		07/22/2010 05:04:07 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.partdcoverage.com	Blue MedicareRx Plus (PDP)	10	29					S5596	044	0	2011	Missouri		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	045	0		29	10	S5596_045_0	5	06/07/2010	2011.01	06/07/2010 10:14:30 AM Pacific Daylight Time		07/22/2010 05:04:35 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.partdcoverage.com	Blue MedicareRx Premier (PDP)	10	29					S5596	045	0	2011	Missouri		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	046	0		29	10	S5596_046_0	5	05/30/2010	2011.01	05/30/2010 01:09:00 PM Pacific Daylight Time		07/22/2010 05:05:02 PM Pacific Daylight Time		07/25/2010 07:47:54 AM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx Standard (PDP)	10	29					S5596	046	0	2011	Maine and New Hampshire		2						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-261-8667		(800)-261-8667										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	803	0		29	10	S5596_803_0	3	05/24/2010	2011.01	05/24/2010 01:47:17 PM Pacific Daylight Time				06/07/2010 04:31:26 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx (PDP)	10	29					S5596	803	0	2011	VA GA OH IN KY WI CO NV CA MO ME NH (Nationwide)		1						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5596	804	0		29	10	S5596_804_0	3	05/24/2010	2011.01	05/24/2010 01:47:20 PM Pacific Daylight Time				06/07/2010 04:31:26 PM Pacific Daylight Time	ANTHEM INSURANCE COMPANIES, INC.	Blue MedicareRx	www.anthem.com	Blue MedicareRx (PDP)	10	29					S5596	804	0	2011	VA GA OH IN KY WI CO NV CA MO ME NH (Nationwide)		1						2							www.anthem.com	www.anthem.com									(866)-755-2776		(866)-755-2776		(800)-243-3363		(800)-243-3363										(866)-798-7026		(866)-798-7026		(800)-241-6894		(800)-241-6894		1
S5601	002	0		29	10	S5601_002_0	6	07/30/2010	2011.01	07/30/2010 03:02:45 PM US Mountain Standard Time		07/29/2010 08:56:43 AM US Mountain Standard Time		07/30/2010 03:06:45 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	002	0	2011	Northern New England CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	003	0		29	10	S5601_003_0	4	07/29/2010	2011.01	07/29/2010 12:45:32 PM US Mountain Standard Time		07/29/2010 09:05:32 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	003	0	2011	Northern New England CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	004	0		29	10	S5601_004_0	4	06/04/2010	2011.01	06/04/2010 11:47:51 AM US Mountain Standard Time		07/28/2010 11:28:02 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	004	0	2011	Central New England CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	005	0		29	10	S5601_005_0	3	07/29/2010	2011.01	07/29/2010 12:54:16 PM US Mountain Standard Time		07/29/2010 09:07:32 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	005	0	2011	Central New England CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	006	0		29	10	S5601_006_0	4	06/04/2010	2011.01	06/04/2010 11:46:52 AM US Mountain Standard Time		07/28/2010 11:29:59 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	006	0	2011	New York CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	007	0		29	10	S5601_007_0	3	07/29/2010	2011.01	07/29/2010 12:54:17 PM US Mountain Standard Time		07/29/2010 09:08:53 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	007	0	2011	New York CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	008	0		29	10	S5601_008_0	5	07/30/2010	2011.01	07/30/2010 03:03:07 PM US Mountain Standard Time		07/29/2010 08:58:21 AM US Mountain Standard Time		07/30/2010 03:06:45 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	008	0	2011	New Jersey CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	009	0		29	10	S5601_009_0	3	07/29/2010	2011.01	07/29/2010 12:54:17 PM US Mountain Standard Time		07/29/2010 09:10:10 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	009	0	2011	New Jersey CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	010	0		29	10	S5601_010_0	5	07/30/2010	2011.01	07/30/2010 03:06:05 PM US Mountain Standard Time		07/29/2010 08:59:33 AM US Mountain Standard Time		07/30/2010 03:06:45 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	010	0	2011	Mid-Atlantic CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	011	0		29	10	S5601_011_0	3	07/29/2010	2011.01	07/29/2010 12:54:18 PM US Mountain Standard Time		07/29/2010 09:22:08 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	011	0	2011	Mid-Atlantic CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	012	0		29	10	S5601_012_0	3	06/04/2010	2011.01	06/04/2010 11:43:27 AM US Mountain Standard Time		07/28/2010 11:38:41 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	012	0	2011	Pennsylvania, West Virginia CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	013	0		29	10	S5601_013_0	3	07/29/2010	2011.01	07/29/2010 12:54:18 PM US Mountain Standard Time		07/29/2010 09:25:15 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	013	0	2011	Pennsylvania, West Virginia CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	014	0		29	10	S5601_014_0	3	06/04/2010	2011.01	06/04/2010 11:44:00 AM US Mountain Standard Time		07/28/2010 11:41:22 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	014	0	2011	Virginia CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	015	0		29	10	S5601_015_0	3	07/29/2010	2011.01	07/29/2010 12:54:19 PM US Mountain Standard Time		07/29/2010 09:26:27 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	015	0	2011	Virginia CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	016	0		29	10	S5601_016_0	3	06/04/2010	2011.01	06/04/2010 11:41:53 AM US Mountain Standard Time		07/28/2010 11:42:52 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	016	0	2011	North Carolina CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	017	0		29	10	S5601_017_0	3	07/29/2010	2011.01	07/29/2010 12:54:20 PM US Mountain Standard Time		07/29/2010 09:29:13 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	017	0	2011	North Carolina CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	018	0		29	10	S5601_018_0	3	06/04/2010	2011.01	06/04/2010 11:41:40 AM US Mountain Standard Time		07/28/2010 11:43:57 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	018	0	2011	South Carolina CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	019	0		29	10	S5601_019_0	3	07/29/2010	2011.01	07/29/2010 12:54:20 PM US Mountain Standard Time		07/29/2010 09:30:16 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	019	0	2011	South Carolina CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	020	0		29	10	S5601_020_0	3	06/04/2010	2011.01	06/04/2010 11:42:13 AM US Mountain Standard Time		07/28/2010 11:45:03 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	020	0	2011	Georgia CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	021	0		29	10	S5601_021_0	3	07/29/2010	2011.01	07/29/2010 12:54:21 PM US Mountain Standard Time		07/29/2010 09:31:35 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	021	0	2011	Georgia CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	022	0		29	10	S5601_022_0	3	06/04/2010	2011.01	06/04/2010 11:47:16 AM US Mountain Standard Time		07/28/2010 11:46:24 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	022	0	2011	Florida CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	023	0		29	10	S5601_023_0	3	07/29/2010	2011.01	07/29/2010 12:54:21 PM US Mountain Standard Time		07/29/2010 09:32:32 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	023	0	2011	Florida CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	024	0		29	10	S5601_024_0	3	06/04/2010	2011.01	06/04/2010 11:42:31 AM US Mountain Standard Time		07/28/2010 11:47:40 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	024	0	2011	Alabama, Tennessee CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	025	0		29	10	S5601_025_0	3	07/29/2010	2011.01	07/29/2010 12:54:22 PM US Mountain Standard Time		07/29/2010 09:33:35 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	025	0	2011	Alabama, Tennessee CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	026	0		29	10	S5601_026_0	3	06/04/2010	2011.01	06/04/2010 11:48:27 AM US Mountain Standard Time		07/28/2010 11:48:58 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	026	0	2011	Michigan CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	027	0		29	10	S5601_027_0	3	07/29/2010	2011.01	07/29/2010 12:54:23 PM US Mountain Standard Time		07/29/2010 09:34:38 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	027	0	2011	Michigan CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	028	0		29	10	S5601_028_0	3	06/04/2010	2011.01	06/04/2010 11:45:33 AM US Mountain Standard Time		07/28/2010 11:51:49 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	028	0	2011	Ohio CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	029	0		29	10	S5601_029_0	3	07/29/2010	2011.01	07/29/2010 12:54:23 PM US Mountain Standard Time		07/29/2010 09:35:38 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	029	0	2011	Ohio CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	030	0		29	10	S5601_030_0	3	06/04/2010	2011.01	06/04/2010 11:42:47 AM US Mountain Standard Time		07/28/2010 11:54:10 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	030	0	2011	Indiana, Kentucky CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	031	0		29	10	S5601_031_0	3	07/29/2010	2011.01	07/29/2010 12:54:24 PM US Mountain Standard Time		07/29/2010 09:37:07 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	031	0	2011	Indiana, Kentucky CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	032	0		29	10	S5601_032_0	3	06/04/2010	2011.01	06/04/2010 11:45:52 AM US Mountain Standard Time		07/28/2010 11:55:33 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	032	0	2011	Wisconsin CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	033	0		29	10	S5601_033_0	3	07/29/2010	2011.01	07/29/2010 12:54:24 PM US Mountain Standard Time		07/29/2010 09:38:19 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	033	0	2011	Wisconsin CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	034	0		29	10	S5601_034_0	3	06/04/2010	2011.01	06/04/2010 11:43:03 AM US Mountain Standard Time		07/28/2010 11:58:16 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	034	0	2011	Illinois CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	035	0		29	10	S5601_035_0	3	07/29/2010	2011.01	07/29/2010 12:54:25 PM US Mountain Standard Time		07/29/2010 10:26:11 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	035	0	2011	Illinois CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	036	0		29	10	S5601_036_0	3	06/04/2010	2011.01	06/04/2010 11:41:05 AM US Mountain Standard Time		07/28/2010 11:59:26 AM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	036	0	2011	Missouri CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	037	0		29	10	S5601_037_0	3	07/29/2010	2011.01	07/29/2010 12:54:26 PM US Mountain Standard Time		07/29/2010 09:40:07 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	037	0	2011	Missouri CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	038	0		29	10	S5601_038_0	3	06/04/2010	2011.01	06/04/2010 11:40:50 AM US Mountain Standard Time		07/28/2010 12:00:53 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	038	0	2011	Arkansas CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	039	0		29	10	S5601_039_0	3	07/29/2010	2011.01	07/29/2010 12:54:26 PM US Mountain Standard Time		07/29/2010 09:41:22 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	039	0	2011	Arkansas CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	040	0		29	10	S5601_040_0	3	06/04/2010	2011.01	06/04/2010 11:40:31 AM US Mountain Standard Time		07/28/2010 12:03:45 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	040	0	2011	Mississippi CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	041	0		29	10	S5601_041_0	3	07/29/2010	2011.01	07/29/2010 12:54:27 PM US Mountain Standard Time		07/29/2010 09:42:23 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	041	0	2011	Mississippi CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	042	0		29	10	S5601_042_0	3	06/04/2010	2011.01	06/04/2010 11:41:22 AM US Mountain Standard Time		07/28/2010 12:05:59 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	042	0	2011	Louisiana CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	043	0		29	10	S5601_043_0	3	07/29/2010	2011.01	07/29/2010 12:54:27 PM US Mountain Standard Time		07/29/2010 09:45:50 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	043	0	2011	Louisiana CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	044	0		29	10	S5601_044_0	3	06/04/2010	2011.01	06/04/2010 11:49:08 AM US Mountain Standard Time		07/28/2010 12:06:58 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	044	0	2011	Texas CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	045	0		29	10	S5601_045_0	3	07/29/2010	2011.01	07/29/2010 12:54:28 PM US Mountain Standard Time		07/29/2010 09:47:28 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	045	0	2011	Texas CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	046	0		29	10	S5601_046_0	3	06/04/2010	2011.01	06/04/2010 11:46:33 AM US Mountain Standard Time		07/28/2010 12:08:18 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	046	0	2011	Oklahoma CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	047	0		29	10	S5601_047_0	3	07/29/2010	2011.01	07/29/2010 12:54:29 PM US Mountain Standard Time		07/29/2010 09:48:44 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	047	0	2011	Oklahoma CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	048	0		29	10	S5601_048_0	3	06/04/2010	2011.01	06/04/2010 11:43:41 AM US Mountain Standard Time		07/28/2010 12:09:31 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	048	0	2011	Kansas CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	049	0		29	10	S5601_049_0	3	07/29/2010	2011.01	07/29/2010 12:54:29 PM US Mountain Standard Time		07/29/2010 09:50:38 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	049	0	2011	Kansas CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	050	0		29	10	S5601_050_0	3	06/04/2010	2011.01	06/04/2010 11:44:56 AM US Mountain Standard Time		07/28/2010 12:10:37 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	050	0	2011	Upper Midwest and N. Plains CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	051	0		29	10	S5601_051_0	3	07/29/2010	2011.01	07/29/2010 12:54:30 PM US Mountain Standard Time		07/29/2010 09:51:48 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	051	0	2011	Upper Midwest and N. Plains CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	052	0		29	10	S5601_052_0	3	06/04/2010	2011.01	06/04/2010 11:45:16 AM US Mountain Standard Time		07/28/2010 12:11:39 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	052	0	2011	New Mexico CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	053	0		29	10	S5601_053_0	3	07/29/2010	2011.01	07/29/2010 12:54:31 PM US Mountain Standard Time		07/29/2010 09:53:00 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	053	0	2011	New Mexico CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	054	0		29	10	S5601_054_0	3	06/04/2010	2011.01	06/04/2010 11:47:17 AM US Mountain Standard Time		07/28/2010 12:13:13 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	054	0	2011	Colorado CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	055	0		29	10	S5601_055_0	3	07/29/2010	2011.01	07/29/2010 12:54:31 PM US Mountain Standard Time		07/29/2010 09:54:11 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	055	0	2011	Colorado CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	056	0		29	10	S5601_056_0	3	06/04/2010	2011.01	06/04/2010 11:44:38 AM US Mountain Standard Time		07/28/2010 12:14:09 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	056	0	2011	Arizona CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	057	0		29	10	S5601_057_0	3	07/29/2010	2011.01	07/29/2010 12:54:32 PM US Mountain Standard Time		07/29/2010 09:55:34 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	057	0	2011	Arizona CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	058	0		29	10	S5601_058_0	3	06/04/2010	2011.01	06/04/2010 11:48:48 AM US Mountain Standard Time		07/28/2010 12:15:25 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	058	0	2011	Nevada CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	059	0		29	10	S5601_059_0	3	07/29/2010	2011.01	07/29/2010 12:54:32 PM US Mountain Standard Time		07/29/2010 09:56:37 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	059	0	2011	Nevada CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	060	0		29	10	S5601_060_0	3	06/04/2010	2011.01	06/04/2010 11:44:21 AM US Mountain Standard Time		07/28/2010 12:16:53 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	060	0	2011	Oregon, Washington CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	061	0		29	10	S5601_061_0	3	07/29/2010	2011.01	07/29/2010 12:54:33 PM US Mountain Standard Time		07/29/2010 09:57:42 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	061	0	2011	Oregon, Washington CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	062	0		29	10	S5601_062_0	3	06/04/2010	2011.01	06/04/2010 11:47:31 AM US Mountain Standard Time		07/28/2010 12:17:54 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	062	0	2011	Idaho, Utah CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	063	0		29	10	S5601_063_0	3	07/29/2010	2011.01	07/29/2010 12:54:34 PM US Mountain Standard Time		07/29/2010 09:58:41 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	063	0	2011	Idaho, Utah CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	064	0		29	10	S5601_064_0	3	06/04/2010	2011.01	06/04/2010 11:48:07 AM US Mountain Standard Time		07/28/2010 12:18:51 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	064	0	2011	California CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	065	0		29	10	S5601_065_0	3	07/29/2010	2011.01	07/29/2010 12:54:34 PM US Mountain Standard Time		07/29/2010 09:59:36 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	065	0	2011	California CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	066	0		29	10	S5601_066_0	3	06/04/2010	2011.01	06/04/2010 11:46:10 AM US Mountain Standard Time		07/28/2010 12:19:46 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	066	0	2011	Hawaii CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	067	0		29	10	S5601_067_0	3	07/29/2010	2011.01	07/29/2010 12:54:35 PM US Mountain Standard Time		07/29/2010 10:01:10 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	067	0	2011	Hawaii CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	068	0		29	10	S5601_068_0	3	06/04/2010	2011.01	06/04/2010 11:40:06 AM US Mountain Standard Time		07/28/2010 12:20:49 PM US Mountain Standard Time		07/28/2010 04:44:43 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Value (PDP)	10	29					S5601	068	0	2011	Alaska CVS Caremark Value		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	069	0		29	10	S5601_069_0	3	07/29/2010	2011.01	07/29/2010 12:54:36 PM US Mountain Standard Time		07/29/2010 10:02:12 AM US Mountain Standard Time		07/29/2010 01:48:50 PM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	CVS Caremark Plus (PDP)	10	29					S5601	069	0	2011	Alaska CVS Caremark Plus		2						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	801	0		29	10	S5601_801_0	1	06/08/2010	2011.01	06/08/2010 08:55:19 AM US Mountain Standard Time				06/08/2010 08:56:04 AM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Group - Calendar (PDP)	10	29					S5601	801	0	2011	National SilverScript Group		1						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5601	802	0		29	10	S5601_802_0	1	06/08/2010	2011.01	06/08/2010 08:55:25 AM US Mountain Standard Time				06/08/2010 08:56:04 AM US Mountain Standard Time	SILVERSCRIPT INSURANCE COMPANY	SilverScript Insurance Company	www.SilverScript.com	SilverScript Group - Non-Calendar (PDP)	10	29					S5601	802	0	2011	National SilverScript Group - Non-Calendar		1						2							www.SilverScript.com	www.SilverScript.com									(866)-235-5660		(866)-235-5660		(866)-552-6106		(866)-552-6106										(866)-236-1069		(866)-236-1069		(866)-552-6288		(866)-552-6288		1
S5609	001	0		29	10	S5609_001_0	3	07/29/2010	2011.01	07/29/2010 03:53:35 PM Mountain Daylight Time		07/29/2010 01:47:22 PM Pacific Daylight Time		07/30/2010 11:36:20 AM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/medicareScript	Asuris Medicare Script (PDP)	10	29					S5609	001	0	2011	Region of Oregon and Washington		2						2							www.asuris.com/medicareScript	www.asuris.com/medicareScript									(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
S5609	002	0		29	10	S5609_002_0	2	07/28/2010	2011.01	07/28/2010 04:44:33 PM Mountain Daylight Time		07/26/2010 01:26:30 PM Pacific Daylight Time		07/29/2010 10:27:00 AM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/medicareScript	Asuris Medicare Script Enhanced (PDP)	10	29					S5609	002	0	2011	Region of Oregon and Washington		2						2							www.asuris.com/medicareScript	www.asuris.com/medicareScript									(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
S5609	802	0		29	10	S5609_802_0	1	06/01/2010	2011.01	06/01/2010 03:10:00 PM Mountain Daylight Time				06/01/2010 02:51:44 PM Pacific Daylight Time	ASURIS NORTHWEST HEALTH	Asuris Northwest Health	www.asuris.com/medicareScript	Asuris Medicare Script (PDP)	10	29					S5609	802	0	2011	Region of Oregon and Washington		1						2							www.asuris.com/medicareScript	www.asuris.com/medicareScript									(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
S5617	003	0		29	10	S5617_003_0	4	06/25/2010	2011.01	06/25/2010 12:59:40 PM Eastern Daylight Time		08/03/2010 02:26:29 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	003	0	2011	New Hampshire and Maine		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	008	0		29	10	S5617_008_0	2	05/21/2010	2011.01	05/21/2010 07:09:06 AM Eastern Daylight Time		08/03/2010 02:26:30 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	008	0	2011	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	013	0		29	10	S5617_013_0	2	05/21/2010	2011.01	05/21/2010 07:12:20 AM Eastern Daylight Time		08/03/2010 02:26:30 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	013	0	2011	New York		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	018	0		29	10	S5617_018_0	2	05/21/2010	2011.01	05/21/2010 07:14:28 AM Eastern Daylight Time		08/03/2010 02:26:31 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	018	0	2011	New Jersey		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	053	0		29	10	S5617_053_0	2	05/21/2010	2011.01	05/21/2010 07:33:45 AM Eastern Daylight Time		08/03/2010 02:26:31 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	053	0	2011	Florida		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	068	0		29	10	S5617_068_0	2	05/25/2010	2011.01	05/25/2010 06:18:30 PM Eastern Daylight Time		08/03/2010 02:26:32 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	068	0	2011	Ohio		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	088	0		29	10	S5617_088_0	2	05/25/2010	2011.01	05/25/2010 06:19:42 PM Eastern Daylight Time		08/03/2010 02:26:33 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	088	0	2011	Missouri		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	103	0		29	10	S5617_103_0	2	05/21/2010	2011.01	05/21/2010 07:47:24 AM Eastern Daylight Time		08/03/2010 02:26:33 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	103	0	2011	Louisiana		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	108	0		29	10	S5617_108_0	2	05/21/2010	2011.01	05/21/2010 07:16:46 AM Eastern Daylight Time		08/03/2010 02:26:34 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	108	0	2011	Texas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	113	0		29	10	S5617_113_0	2	05/21/2010	2011.01	05/21/2010 07:49:54 AM Eastern Daylight Time		08/03/2010 02:26:34 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	113	0	2011	Oklahoma		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	118	0		29	10	S5617_118_0	2	05/21/2010	2011.01	05/21/2010 07:50:39 AM Eastern Daylight Time		08/03/2010 02:26:35 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	118	0	2011	Kansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	123	0		29	10	S5617_123_0	2	05/21/2010	2011.01	05/21/2010 07:51:24 AM Eastern Daylight Time		08/03/2010 02:26:36 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	123	0	2011	IA, MN, MT, ND, NE, SD, WY		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	128	0		29	10	S5617_128_0	2	05/21/2010	2011.01	05/21/2010 07:52:03 AM Eastern Daylight Time		08/03/2010 02:26:36 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	128	0	2011	New Mexico		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	133	0		29	10	S5617_133_0	2	05/27/2010	2011.01	05/27/2010 05:44:52 PM Eastern Daylight Time		08/03/2010 02:26:37 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	133	0	2011	Colorado		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	138	0		29	10	S5617_138_0	2	05/21/2010	2011.01	05/21/2010 07:53:26 AM Eastern Daylight Time		08/03/2010 02:26:37 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	138	0	2011	Arizona		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	143	0		29	10	S5617_143_0	2	05/21/2010	2011.01	05/21/2010 07:54:33 AM Eastern Daylight Time		08/03/2010 02:26:38 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	143	0	2011	Nevada		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	148	0		29	10	S5617_148_0	2	05/21/2010	2011.01	05/21/2010 07:55:18 AM Eastern Daylight Time		08/03/2010 02:26:38 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	148	0	2011	Oregon and Washington		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	153	0		29	10	S5617_153_0	2	05/21/2010	2011.01	05/21/2010 07:56:00 AM Eastern Daylight Time		08/03/2010 02:26:39 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	153	0	2011	Idaho and Utah		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	158	0		29	10	S5617_158_0	2	05/21/2010	2011.01	05/21/2010 07:56:44 AM Eastern Daylight Time		08/03/2010 02:26:40 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	158	0	2011	California		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	163	0		29	10	S5617_163_0	2	05/21/2010	2011.01	05/21/2010 07:58:02 AM Eastern Daylight Time		08/03/2010 02:26:40 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	163	0	2011	Hawaii		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	171	0		29	10	S5617_171_0	6	07/23/2010	2011.01	07/23/2010 03:11:49 PM Eastern Daylight Time		08/03/2010 02:27:32 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	171	0	2011	New Hampshire and Maine		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	172	0		29	10	S5617_172_0	3	07/23/2010	2011.01	07/23/2010 03:16:17 PM Eastern Daylight Time		08/03/2010 02:27:33 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	172	0	2011	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	173	0		29	10	S5617_173_0	3	07/23/2010	2011.01	07/23/2010 03:20:30 PM Eastern Daylight Time		08/03/2010 02:27:34 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	173	0	2011	New York		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	174	0		29	10	S5617_174_0	3	07/23/2010	2011.01	07/23/2010 03:22:31 PM Eastern Daylight Time		08/03/2010 02:27:34 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	174	0	2011	New Jersey		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	175	0		29	10	S5617_175_0	3	07/23/2010	2011.01	07/23/2010 03:24:10 PM Eastern Daylight Time		08/03/2010 02:27:35 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	175	0	2011	Delaware, Maryland and District of Columbia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	176	0		29	10	S5617_176_0	3	07/23/2010	2011.01	07/23/2010 03:12:40 PM Eastern Daylight Time		08/03/2010 02:27:36 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	176	0	2011	Pennsylvania and West Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	177	0		29	10	S5617_177_0	3	07/23/2010	2011.01	07/23/2010 03:12:43 PM Eastern Daylight Time		08/03/2010 02:27:36 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	177	0	2011	Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	178	0		29	10	S5617_178_0	3	07/23/2010	2011.01	07/23/2010 03:23:03 PM Eastern Daylight Time		08/03/2010 02:27:37 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	178	0	2011	North Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	179	0		29	10	S5617_179_0	3	07/23/2010	2011.01	07/23/2010 03:12:45 PM Eastern Daylight Time		08/03/2010 02:27:38 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	179	0	2011	South Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	180	0		29	10	S5617_180_0	3	07/23/2010	2011.01	07/23/2010 03:23:05 PM Eastern Daylight Time		08/03/2010 02:27:38 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	180	0	2011	Georgia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	181	0		29	10	S5617_181_0	3	07/23/2010	2011.01	07/23/2010 03:23:08 PM Eastern Daylight Time		08/03/2010 02:27:39 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	181	0	2011	Florida		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	182	0		29	10	S5617_182_0	3	07/23/2010	2011.01	07/23/2010 03:12:48 PM Eastern Daylight Time		08/03/2010 02:27:39 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	182	0	2011	Alabama and Tennessee		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	183	0		29	10	S5617_183_0	3	07/23/2010	2011.01	07/23/2010 03:21:05 PM Eastern Daylight Time		08/03/2010 02:27:39 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	183	0	2011	Michigan		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	184	0		29	10	S5617_184_0	3	07/23/2010	2011.01	07/23/2010 03:12:50 PM Eastern Daylight Time		08/03/2010 02:27:40 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	184	0	2011	Ohio		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	185	0		29	10	S5617_185_0	3	07/23/2010	2011.01	07/23/2010 03:21:07 PM Eastern Daylight Time		08/03/2010 02:27:40 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	185	0	2011	Indiana and Kentucky		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	186	0		29	10	S5617_186_0	3	07/23/2010	2011.01	07/23/2010 03:19:05 PM Eastern Daylight Time		08/03/2010 02:27:41 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	186	0	2011	Wisconsin		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	187	0		29	10	S5617_187_0	3	07/23/2010	2011.01	07/23/2010 03:26:09 PM Eastern Daylight Time		08/03/2010 02:27:41 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	187	0	2011	Illinois		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	188	0		29	10	S5617_188_0	3	07/23/2010	2011.01	07/23/2010 03:27:30 PM Eastern Daylight Time		08/03/2010 02:27:42 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	188	0	2011	Missouri		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	189	0		29	10	S5617_189_0	3	07/23/2010	2011.01	07/23/2010 03:24:49 PM Eastern Daylight Time		08/03/2010 02:27:42 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	189	0	2011	Arkansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	190	0		29	10	S5617_190_0	3	07/23/2010	2011.01	07/23/2010 03:12:53 PM Eastern Daylight Time		08/03/2010 02:27:43 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	190	0	2011	Mississippi		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	191	0		29	10	S5617_191_0	3	07/23/2010	2011.01	07/23/2010 03:28:49 PM Eastern Daylight Time		08/03/2010 02:27:43 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	191	0	2011	Louisiana		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	192	0		29	10	S5617_192_0	3	07/23/2010	2011.01	07/23/2010 03:23:10 PM Eastern Daylight Time		08/03/2010 02:27:44 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	192	0	2011	Texas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	193	0		29	10	S5617_193_0	3	07/23/2010	2011.01	07/23/2010 03:24:51 PM Eastern Daylight Time		08/03/2010 02:27:46 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	193	0	2011	Oklahoma		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	194	0		29	10	S5617_194_0	3	07/23/2010	2011.01	07/23/2010 03:27:47 PM Eastern Daylight Time		08/03/2010 02:27:47 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	194	0	2011	Kansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	195	0		29	10	S5617_195_0	3	07/23/2010	2011.01	07/23/2010 03:24:54 PM Eastern Daylight Time		08/03/2010 02:27:47 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	195	0	2011	IA, MN, MT, ND, NE, SD, WY		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	196	0		29	10	S5617_196_0	4	07/23/2010	2011.01	07/23/2010 03:24:57 PM Eastern Daylight Time		08/03/2010 02:27:48 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	196	0	2011	New Mexico		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	197	0		29	10	S5617_197_0	3	07/23/2010	2011.01	07/23/2010 03:12:55 PM Eastern Daylight Time		08/03/2010 02:27:48 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	197	0	2011	Colorado		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	198	0		29	10	S5617_198_0	3	07/23/2010	2011.01	07/23/2010 03:21:09 PM Eastern Daylight Time		08/03/2010 02:27:49 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	198	0	2011	Arizona		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	199	0		29	10	S5617_199_0	3	07/23/2010	2011.01	07/23/2010 03:26:29 PM Eastern Daylight Time		08/03/2010 02:27:49 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	199	0	2011	Nevada		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	200	0		29	10	S5617_200_0	3	07/23/2010	2011.01	07/23/2010 03:24:59 PM Eastern Daylight Time		08/03/2010 02:27:50 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	200	0	2011	Oregon and Washington		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	201	0		29	10	S5617_201_0	3	07/23/2010	2011.01	07/23/2010 03:25:01 PM Eastern Daylight Time		08/03/2010 02:27:50 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	201	0	2011	Idaho and Utah		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	202	0		29	10	S5617_202_0	3	07/23/2010	2011.01	07/23/2010 03:21:11 PM Eastern Daylight Time		08/03/2010 02:27:51 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	202	0	2011	California		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	203	0		29	10	S5617_203_0	3	07/23/2010	2011.01	07/23/2010 03:19:07 PM Eastern Daylight Time		08/03/2010 02:27:51 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	203	0	2011	Hawaii		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	204	0		29	10	S5617_204_0	3	07/23/2010	2011.01	07/23/2010 03:29:06 PM Eastern Daylight Time		08/03/2010 02:27:52 PM Eastern Daylight Time		08/04/2010 08:04:40 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan Two (PDP)	10	29					S5617	204	0	2011	Alaska		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	214	0		29	10	S5617_214_0	2	05/21/2010	2011.01	05/21/2010 07:19:19 AM Eastern Daylight Time		08/03/2010 02:26:41 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	214	0	2011	Delaware, Maryland and District of Columbia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	215	0		29	10	S5617_215_0	2	05/21/2010	2011.01	05/21/2010 09:39:28 AM Eastern Daylight Time		08/03/2010 02:26:41 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	215	0	2011	Pennsylvania and West Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	216	0		29	10	S5617_216_0	2	05/21/2010	2011.01	05/21/2010 07:27:40 AM Eastern Daylight Time		08/03/2010 02:26:44 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	216	0	2011	Virginia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	217	0		29	10	S5617_217_0	2	05/21/2010	2011.01	05/21/2010 07:16:47 AM Eastern Daylight Time		08/03/2010 02:26:45 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	217	0	2011	North Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	218	0		29	10	S5617_218_0	2	05/21/2010	2011.01	05/21/2010 07:28:44 AM Eastern Daylight Time		08/03/2010 02:26:45 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	218	0	2011	South Carolina		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	219	0		29	10	S5617_219_0	2	05/21/2010	2011.01	05/21/2010 07:31:45 AM Eastern Daylight Time		08/03/2010 02:26:46 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	219	0	2011	Georgia		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	220	0		29	10	S5617_220_0	2	05/21/2010	2011.01	05/21/2010 07:32:46 AM Eastern Daylight Time		08/03/2010 02:26:46 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	220	0	2011	Alabama and Tennessee		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	221	0		29	10	S5617_221_0	2	05/21/2010	2011.01	05/21/2010 07:36:33 AM Eastern Daylight Time		08/03/2010 02:26:47 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	221	0	2011	Michigan		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	222	0		29	10	S5617_222_0	2	05/21/2010	2011.01	05/21/2010 07:37:29 AM Eastern Daylight Time		08/03/2010 02:26:48 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	222	0	2011	Indiana and Kentucky		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	223	0		29	10	S5617_223_0	2	05/21/2010	2011.01	05/21/2010 07:39:17 AM Eastern Daylight Time		08/03/2010 02:26:49 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	223	0	2011	Wisconsin		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	224	0		29	10	S5617_224_0	2	05/21/2010	2011.01	05/21/2010 07:41:10 AM Eastern Daylight Time		08/03/2010 02:26:49 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	224	0	2011	Illinois		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	225	0		29	10	S5617_225_0	2	05/21/2010	2011.01	05/21/2010 07:48:22 AM Eastern Daylight Time		08/03/2010 02:26:49 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	225	0	2011	Arkansas		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	226	0		29	10	S5617_226_0	2	05/21/2010	2011.01	05/21/2010 07:49:01 AM Eastern Daylight Time		08/03/2010 02:26:50 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	226	0	2011	Mississippi		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	227	0		29	10	S5617_227_0	2	05/21/2010	2011.01	05/21/2010 07:58:51 AM Eastern Daylight Time		08/03/2010 02:26:51 PM Eastern Daylight Time		08/04/2010 07:46:51 AM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	CIGNA Medicare Rx Plan One (PDP)	10	29					S5617	227	0	2011	Alaska		2						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-222-6700		(800)-222-6700		(800)-735-1459		(800)-735-1459										(800)-322-1451		(800)-322-1451		(800)-322-1451		(800)-322-1451		1
S5617	801	0		29	10	S5617_801_0	2	05/17/2010	2011.01	05/17/2010 02:35:27 PM Eastern Daylight Time				06/02/2010 05:58:05 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	Employer Plan CY (PDP)	10	29					S5617	801	0	2011	Nationwide		1						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-558-9562		(800)-558-9562		(800)-558-9562		(800)-558-9562										(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		1
S5617	802	0		29	10	S5617_802_0	2	05/17/2010	2011.01	05/17/2010 02:35:30 PM Eastern Daylight Time				06/02/2010 05:58:05 PM Eastern Daylight Time	CONNECTICUT GENERAL LIFE INSURANCE COMPANY	CIGNA Medicare Rx	www.cignamedicarerx.com	Employer Plan NCY (PDP)	10	29					S5617	802	0	2011	Nationwide		1						2							http://www.cigna.com/sites/cignamedicare/formulary/medicarerx.html	http://www.cigna.com/sites/cignamedicare/your_cigna_choices/medicarerx/pharmacy.html									(800)-558-9562		(800)-558-9562		(800)-558-9562		(800)-558-9562										(800)-987-8816		(800)-987-8816		(800)-987-8816		(800)-987-8816		1
S5644	004	0		29	10	S5644_004_0	4	07/30/2010	2011.01	07/30/2010 12:42:31 PM US Mountain Standard Time		07/29/2010 03:55:04 PM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	004	0	2011	NY		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	005	0		29	10	S5644_005_0	4	07/30/2010	2011.01	07/30/2010 12:44:31 PM US Mountain Standard Time		07/29/2010 03:55:57 PM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	005	0	2011	NJ		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	012	0		29	10	S5644_012_0	4	07/30/2010	2011.01	07/30/2010 12:46:55 PM US Mountain Standard Time		07/30/2010 07:42:32 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	012	0	2011	AL-TN		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	067	0		29	10	S5644_067_0	4	07/30/2010	2011.01	07/30/2010 12:48:34 PM US Mountain Standard Time		07/29/2010 03:51:43 PM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	067	0	2011	ME-NH		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	068	0		29	10	S5644_068_0	4	07/30/2010	2011.01	07/30/2010 12:49:57 PM US Mountain Standard Time		07/29/2010 03:53:59 PM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	068	0	2011	CT-MA-RI-VT		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	071	0		29	10	S5644_071_0	4	07/30/2010	2011.01	07/30/2010 12:51:22 PM US Mountain Standard Time		07/29/2010 03:58:09 PM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	071	0	2011	DE-DC-MD		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	072	0		29	10	S5644_072_0	4	07/30/2010	2011.01	07/30/2010 12:52:44 PM US Mountain Standard Time		07/29/2010 03:59:18 PM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	072	0	2011	PA-WV		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	073	0		29	10	S5644_073_0	4	07/30/2010	2011.01	07/30/2010 12:54:02 PM US Mountain Standard Time		07/30/2010 07:22:52 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	073	0	2011	VA		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	074	0		29	10	S5644_074_0	4	07/30/2010	2011.01	07/30/2010 12:55:20 PM US Mountain Standard Time		07/30/2010 07:29:35 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	074	0	2011	NC		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	075	0		29	10	S5644_075_0	4	07/30/2010	2011.01	07/30/2010 12:56:37 PM US Mountain Standard Time		07/30/2010 07:33:35 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	075	0	2011	SC		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	076	0		29	10	S5644_076_0	4	07/30/2010	2011.01	07/30/2010 12:57:57 PM US Mountain Standard Time		07/30/2010 07:34:31 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	076	0	2011	GA		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	078	0		29	10	S5644_078_0	4	07/30/2010	2011.01	07/30/2010 12:59:08 PM US Mountain Standard Time		07/30/2010 07:43:34 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	078	0	2011	MI		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	079	0		29	10	S5644_079_0	4	07/30/2010	2011.01	07/30/2010 01:00:28 PM US Mountain Standard Time		07/30/2010 07:58:06 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	079	0	2011	TX		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	080	0		29	10	S5644_080_0	4	07/30/2010	2011.01	07/30/2010 01:01:43 PM US Mountain Standard Time		07/30/2010 08:01:03 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	080	0	2011	IA-MN-MT-NE-ND-SD-WY		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	081	0		29	10	S5644_081_0	4	07/30/2010	2011.01	07/30/2010 01:02:52 PM US Mountain Standard Time		07/30/2010 08:04:24 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	081	0	2011	AZ		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	082	0		29	10	S5644_082_0	4	07/30/2010	2011.01	07/30/2010 01:04:07 PM US Mountain Standard Time		07/30/2010 08:05:35 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	082	0	2011	NV		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	083	0		29	10	S5644_083_0	4	07/30/2010	2011.01	07/30/2010 01:05:18 PM US Mountain Standard Time		07/30/2010 08:07:49 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	083	0	2011	OR-WA		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	084	0		29	10	S5644_084_0	5	08/02/2010	2011.01	08/02/2010 10:13:42 AM US Mountain Standard Time		07/30/2010 08:09:37 AM US Mountain Standard Time		08/02/2010 10:14:43 AM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	084	0	2011	CA		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	085	0		29	10	S5644_085_0	4	07/30/2010	2011.01	07/30/2010 01:07:36 PM US Mountain Standard Time		07/30/2010 08:10:43 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	085	0	2011	HI		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	087	0		29	10	S5644_087_0	4	07/30/2010	2011.01	07/30/2010 01:08:47 PM US Mountain Standard Time		07/30/2010 08:08:43 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	087	0	2011	ID-UT		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	188	0		29	10	S5644_188_0	4	07/30/2010	2011.01	07/30/2010 01:10:19 PM US Mountain Standard Time		07/30/2010 07:41:29 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	188	0	2011	FL		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	189	0		29	10	S5644_189_0	4	07/30/2010	2011.01	07/30/2010 01:11:25 PM US Mountain Standard Time		07/30/2010 07:44:39 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	189	0	2011	OH		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	190	0		29	10	S5644_190_0	4	07/30/2010	2011.01	07/30/2010 01:12:32 PM US Mountain Standard Time		07/30/2010 07:45:31 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	190	0	2011	IN-KY		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	191	0		29	10	S5644_191_0	4	07/30/2010	2011.01	07/30/2010 01:13:33 PM US Mountain Standard Time		07/30/2010 07:47:29 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	191	0	2011	WI		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	192	0		29	10	S5644_192_0	4	07/30/2010	2011.01	07/30/2010 01:14:42 PM US Mountain Standard Time		07/30/2010 07:50:10 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	192	0	2011	IL		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	193	0		29	10	S5644_193_0	4	07/30/2010	2011.01	07/30/2010 01:15:53 PM US Mountain Standard Time		07/30/2010 07:51:20 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	193	0	2011	MO		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	194	0		29	10	S5644_194_0	4	07/30/2010	2011.01	07/30/2010 01:16:58 PM US Mountain Standard Time		07/30/2010 07:52:35 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	194	0	2011	AR		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	195	0		29	10	S5644_195_0	4	07/30/2010	2011.01	07/30/2010 01:18:15 PM US Mountain Standard Time		07/30/2010 07:53:48 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	195	0	2011	MS		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	196	0		29	10	S5644_196_0	4	07/30/2010	2011.01	07/30/2010 01:19:28 PM US Mountain Standard Time		07/30/2010 07:57:10 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	196	0	2011	LA		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	197	0		29	10	S5644_197_0	4	07/30/2010	2011.01	07/30/2010 01:20:49 PM US Mountain Standard Time		07/30/2010 07:58:58 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	197	0	2011	OK		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	198	0		29	10	S5644_198_0	4	07/30/2010	2011.01	07/30/2010 01:22:06 PM US Mountain Standard Time		07/30/2010 07:59:52 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	198	0	2011	KS		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	199	0		29	10	S5644_199_0	4	07/30/2010	2011.01	07/30/2010 01:23:25 PM US Mountain Standard Time		07/30/2010 08:02:09 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	199	0	2011	NM		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	200	0		29	10	S5644_200_0	4	07/30/2010	2011.01	07/30/2010 01:24:29 PM US Mountain Standard Time		07/30/2010 08:03:08 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	200	0	2011	CO		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	201	0		29	10	S5644_201_0	4	07/30/2010	2011.01	07/30/2010 01:25:50 PM US Mountain Standard Time		07/30/2010 08:11:39 AM US Mountain Standard Time		07/30/2010 02:34:54 PM US Mountain Standard Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Star Plan by RxAmerica (PDP)	10	29					S5644	201	0	2011	AK		2						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	801	0		29	10	S5644_801_0	1	06/08/2010	2011.01	06/08/2010 09:45:13 AM Mountain Daylight Time				06/08/2010 09:45:40 AM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Group Calendar Year by RxAmerica (PDP)	10	29					S5644	801	0	2011	National		1						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5644	802	0		29	10	S5644_802_0	1	06/08/2010	2011.01	06/08/2010 09:45:21 AM Mountain Daylight Time				06/08/2010 09:45:40 AM Mountain Daylight Time	ACCENDO INSURANCE COMPANY	RxAmerica	www.meds4medicare.com	Advantage Group Non-Calendar Year by RxA (PDP)	10	29					S5644	802	0	2011	National		1						2							www.meds4medicare.com	www.meds4medicare.com									(800)-429-6686		(800)-429-6686		(800)-429-6686		(800)-429-6686										(877)-279-0371		(877)-279-0371		(877)-279-0371		(877)-279-0371		1
S5660	104	0		29	10	S5660_104_0	4	06/05/2010	2011.01	06/05/2010 09:42:06 AM Eastern Daylight Time		06/04/2010 01:05:01 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	104	0	2011	Northern New England		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	105	0		29	10	S5660_105_0	3	06/05/2010	2011.01	06/05/2010 09:42:15 AM Eastern Daylight Time		06/04/2010 01:05:01 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	105	0	2011	Central New England		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	106	0		29	10	S5660_106_0	2	06/04/2010	2011.01	06/04/2010 07:58:04 PM Eastern Daylight Time		06/04/2010 01:05:01 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	106	0	2011	State of New Jersey		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	107	0		29	10	S5660_107_0	2	06/04/2010	2011.01	06/04/2010 07:58:04 PM Eastern Daylight Time		06/04/2010 01:05:02 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	107	0	2011	Mid-Atlantic		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	108	0		29	10	S5660_108_0	2	06/04/2010	2011.01	06/04/2010 07:58:04 PM Eastern Daylight Time		06/04/2010 01:05:02 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	108	0	2011	States of Pennsylvania and West Virginia		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	109	0		29	10	S5660_109_0	2	06/04/2010	2011.01	06/04/2010 07:58:04 PM Eastern Daylight Time		06/04/2010 01:05:02 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	109	0	2011	State of Virginia		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	110	0		29	10	S5660_110_0	2	06/04/2010	2011.01	06/04/2010 07:58:04 PM Eastern Daylight Time		06/04/2010 01:05:03 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	110	0	2011	State of North Carolina		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	111	0		29	10	S5660_111_0	2	06/04/2010	2011.01	06/04/2010 07:58:04 PM Eastern Daylight Time		06/04/2010 01:05:03 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	111	0	2011	State of South Carolina		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	112	0		29	10	S5660_112_0	3	06/04/2010	2011.01	06/04/2010 07:58:05 PM Eastern Daylight Time		06/05/2010 03:50:45 PM Eastern Daylight Time		06/05/2010 03:53:21 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	112	0	2011	State of Georgia		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	113	0		29	10	S5660_113_0	2	06/04/2010	2011.01	06/04/2010 07:58:05 PM Eastern Daylight Time		06/04/2010 01:05:04 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	113	0	2011	State of Florida		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	114	0		29	10	S5660_114_0	3	06/04/2010	2011.01	06/04/2010 07:58:05 PM Eastern Daylight Time		06/05/2010 06:58:46 PM Eastern Daylight Time		06/05/2010 06:59:11 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	114	0	2011	States of Alabama and Tennessee		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	115	0		29	10	S5660_115_0	2	06/04/2010	2011.01	06/04/2010 07:58:05 PM Eastern Daylight Time		06/04/2010 01:04:52 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	115	0	2011	State of Michigan		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	116	0		29	10	S5660_116_0	2	06/04/2010	2011.01	06/04/2010 07:58:05 PM Eastern Daylight Time		06/04/2010 01:04:52 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	116	0	2011	State of Ohio		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	117	0		29	10	S5660_117_0	3	06/04/2010	2011.01	06/04/2010 07:58:05 PM Eastern Daylight Time		06/05/2010 06:58:43 PM Eastern Daylight Time		06/05/2010 06:59:11 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	117	0	2011	States of Indiana and Kentucky		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	118	0		29	10	S5660_118_0	2	06/04/2010	2011.01	06/04/2010 07:58:05 PM Eastern Daylight Time		06/04/2010 01:04:53 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	118	0	2011	State of Wisconsin		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	119	0		29	10	S5660_119_0	2	06/04/2010	2011.01	06/04/2010 07:58:06 PM Eastern Daylight Time		06/04/2010 01:04:53 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	119	0	2011	State of Illinois		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	120	0		29	10	S5660_120_0	2	06/04/2010	2011.01	06/04/2010 07:58:06 PM Eastern Daylight Time		06/04/2010 01:04:54 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	120	0	2011	State of Missouri		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	121	0		29	10	S5660_121_0	2	06/04/2010	2011.01	06/04/2010 07:58:06 PM Eastern Daylight Time		06/04/2010 01:04:54 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	121	0	2011	State of Arkansas		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	122	0		29	10	S5660_122_0	2	06/04/2010	2011.01	06/04/2010 07:58:06 PM Eastern Daylight Time		06/04/2010 01:04:54 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	122	0	2011	State of Mississippi		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	123	0		29	10	S5660_123_0	2	06/04/2010	2011.01	06/04/2010 07:58:06 PM Eastern Daylight Time		06/04/2010 01:04:55 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	123	0	2011	State of Louisiana		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	124	0		29	10	S5660_124_0	2	06/04/2010	2011.01	06/04/2010 07:58:06 PM Eastern Daylight Time		06/04/2010 01:04:55 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	124	0	2011	State of Texas		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	125	0		29	10	S5660_125_0	3	06/04/2010	2011.01	06/04/2010 07:58:07 PM Eastern Daylight Time		06/05/2010 03:51:40 PM Eastern Daylight Time		06/05/2010 03:53:21 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	125	0	2011	State of Oklahoma		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	126	0		29	10	S5660_126_0	3	06/04/2010	2011.01	06/04/2010 07:58:07 PM Eastern Daylight Time		06/05/2010 03:51:44 PM Eastern Daylight Time		06/05/2010 03:53:21 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	126	0	2011	State of Kansas		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	127	0		29	10	S5660_127_0	2	06/04/2010	2011.01	06/04/2010 07:58:07 PM Eastern Daylight Time		06/04/2010 01:04:56 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	127	0	2011	Upper Midwest and Northern Plains		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	128	0		29	10	S5660_128_0	2	06/04/2010	2011.01	06/04/2010 07:58:07 PM Eastern Daylight Time		06/04/2010 01:04:57 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	128	0	2011	State of New Mexico		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	129	0		29	10	S5660_129_0	2	06/04/2010	2011.01	06/04/2010 07:58:07 PM Eastern Daylight Time		06/04/2010 01:04:57 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	129	0	2011	State of Colorado		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	130	0		29	10	S5660_130_0	2	06/04/2010	2011.01	06/04/2010 07:58:07 PM Eastern Daylight Time		06/04/2010 01:04:57 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	130	0	2011	State of Arizona		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	131	0		29	10	S5660_131_0	2	06/04/2010	2011.01	06/04/2010 07:58:07 PM Eastern Daylight Time		06/04/2010 01:04:58 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	131	0	2011	State of Nevada		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	132	0		29	10	S5660_132_0	2	06/04/2010	2011.01	06/04/2010 07:58:08 PM Eastern Daylight Time		06/04/2010 01:04:58 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	132	0	2011	States of Oregon and Washington		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	133	0		29	10	S5660_133_0	2	06/04/2010	2011.01	06/04/2010 07:58:08 PM Eastern Daylight Time		06/04/2010 01:04:58 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	133	0	2011	States of Idaho and Utah		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	134	0		29	10	S5660_134_0	2	06/04/2010	2011.01	06/04/2010 07:58:08 PM Eastern Daylight Time		06/04/2010 01:04:59 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	134	0	2011	State of California		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	135	0		29	10	S5660_135_0	2	06/04/2010	2011.01	06/04/2010 07:58:08 PM Eastern Daylight Time		06/04/2010 01:04:59 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	135	0	2011	State of Hawaii		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	136	0		29	10	S5660_136_0	2	06/04/2010	2011.01	06/04/2010 07:58:08 PM Eastern Daylight Time		06/04/2010 01:04:59 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	136	0	2011	State of Alaska		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	137	0		29	10	S5660_137_0	2	06/04/2010	2011.01	06/04/2010 07:58:47 PM Eastern Daylight Time		06/04/2010 01:05:00 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5660	137	0	2011	Puerto Rico		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	172	0		29	10	S5660_172_0	1	06/04/2010	2011.01	06/04/2010 07:59:00 PM Eastern Daylight Time		06/05/2010 01:07:00 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	172	0	2011	Northern New England		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	173	0		29	10	S5660_173_0	1	06/05/2010	2011.01	06/05/2010 09:42:33 AM Eastern Daylight Time		06/05/2010 01:05:46 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	173	0	2011	Central New England		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	174	0		29	10	S5660_174_0	1	06/04/2010	2011.01	06/04/2010 07:59:58 PM Eastern Daylight Time		06/05/2010 01:05:54 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	174	0	2011	State of New Jersey		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	175	0		29	10	S5660_175_0	1	06/04/2010	2011.01	06/04/2010 07:59:58 PM Eastern Daylight Time		06/05/2010 01:05:58 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	175	0	2011	Mid-Atlantic		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	176	0		29	10	S5660_176_0	1	06/04/2010	2011.01	06/04/2010 07:59:59 PM Eastern Daylight Time		06/05/2010 01:06:02 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	176	0	2011	States of Pennsylvania and West Virginia		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	177	0		29	10	S5660_177_0	1	06/04/2010	2011.01	06/04/2010 07:59:59 PM Eastern Daylight Time		06/05/2010 01:06:06 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	177	0	2011	State of Virginia		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	178	0		29	10	S5660_178_0	1	06/04/2010	2011.01	06/04/2010 07:59:59 PM Eastern Daylight Time		06/05/2010 01:06:10 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	178	0	2011	State of North Carolina		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	179	0		29	10	S5660_179_0	1	06/04/2010	2011.01	06/04/2010 08:00:00 PM Eastern Daylight Time		06/05/2010 01:06:15 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	179	0	2011	State of South Carolina		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	180	0		29	10	S5660_180_0	1	06/04/2010	2011.01	06/04/2010 08:00:00 PM Eastern Daylight Time		06/05/2010 01:07:07 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	180	0	2011	State of Georgia		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	181	0		29	10	S5660_181_0	1	06/04/2010	2011.01	06/04/2010 08:00:00 PM Eastern Daylight Time		06/05/2010 01:07:14 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	181	0	2011	State of Florida		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	182	0		29	10	S5660_182_0	1	06/04/2010	2011.01	06/04/2010 08:00:00 PM Eastern Daylight Time		06/05/2010 01:07:19 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	182	0	2011	States of Alabama and Tennessee		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	183	0		29	10	S5660_183_0	1	06/04/2010	2011.01	06/04/2010 08:00:01 PM Eastern Daylight Time		06/05/2010 01:07:24 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	183	0	2011	State of Michigan		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	184	0		29	10	S5660_184_0	1	06/04/2010	2011.01	06/04/2010 08:00:01 PM Eastern Daylight Time		06/05/2010 01:07:28 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	184	0	2011	State of Ohio		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	185	0		29	10	S5660_185_0	1	06/04/2010	2011.01	06/04/2010 08:00:01 PM Eastern Daylight Time		06/05/2010 01:07:35 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	185	0	2011	States of Indiana and Kentucky		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	186	0		29	10	S5660_186_0	1	06/04/2010	2011.01	06/04/2010 08:00:02 PM Eastern Daylight Time		06/05/2010 01:07:39 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	186	0	2011	State of Wisconsin		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	187	0		29	10	S5660_187_0	1	06/04/2010	2011.01	06/04/2010 08:00:02 PM Eastern Daylight Time		06/05/2010 01:06:19 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	187	0	2011	State of Illinois		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	188	0		29	10	S5660_188_0	1	06/04/2010	2011.01	06/04/2010 08:00:02 PM Eastern Daylight Time		06/05/2010 01:06:22 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	188	0	2011	State of Missouri		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	189	0		29	10	S5660_189_0	1	06/04/2010	2011.01	06/04/2010 08:00:02 PM Eastern Daylight Time		06/05/2010 01:06:27 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	189	0	2011	State of Arkansas		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	190	0		29	10	S5660_190_0	1	06/04/2010	2011.01	06/04/2010 08:00:03 PM Eastern Daylight Time		06/05/2010 01:07:44 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	190	0	2011	State of Mississippi		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	191	0		29	10	S5660_191_0	1	06/04/2010	2011.01	06/04/2010 08:00:03 PM Eastern Daylight Time		06/05/2010 01:06:32 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	191	0	2011	State of Louisiana		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	192	0		29	10	S5660_192_0	1	06/04/2010	2011.01	06/04/2010 08:00:03 PM Eastern Daylight Time		06/05/2010 01:06:37 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	192	0	2011	State of Texas		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	193	0		29	10	S5660_193_0	1	06/04/2010	2011.01	06/04/2010 08:00:04 PM Eastern Daylight Time		06/05/2010 01:06:41 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	193	0	2011	State of Oklahoma		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	194	0		29	10	S5660_194_0	1	06/04/2010	2011.01	06/04/2010 08:00:04 PM Eastern Daylight Time		06/05/2010 01:07:49 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	194	0	2011	State of Kansas		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	195	0		29	10	S5660_195_0	1	06/04/2010	2011.01	06/04/2010 08:00:04 PM Eastern Daylight Time		06/05/2010 01:06:45 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	195	0	2011	Upper Midwest and Northern Plains		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	196	0		29	10	S5660_196_0	1	06/04/2010	2011.01	06/04/2010 08:00:05 PM Eastern Daylight Time		06/05/2010 01:07:57 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	196	0	2011	State of New Mexico		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	197	0		29	10	S5660_197_0	1	06/04/2010	2011.01	06/04/2010 08:00:05 PM Eastern Daylight Time		06/05/2010 01:08:03 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	197	0	2011	State of Colorado		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	198	0		29	10	S5660_198_0	1	06/04/2010	2011.01	06/04/2010 08:00:05 PM Eastern Daylight Time		06/05/2010 01:08:08 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	198	0	2011	State of Arizona		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	199	0		29	10	S5660_199_0	1	06/04/2010	2011.01	06/04/2010 08:00:05 PM Eastern Daylight Time		06/05/2010 01:08:13 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	199	0	2011	State of Nevada		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	200	0		29	10	S5660_200_0	1	06/04/2010	2011.01	06/04/2010 08:00:06 PM Eastern Daylight Time		06/05/2010 01:06:49 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	200	0	2011	States of Oregon and Washington		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	201	0		29	10	S5660_201_0	1	06/04/2010	2011.01	06/04/2010 08:00:06 PM Eastern Daylight Time		06/05/2010 01:06:54 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	201	0	2011	States of Idaho and Utah		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	202	0		29	10	S5660_202_0	1	06/04/2010	2011.01	06/04/2010 08:00:06 PM Eastern Daylight Time		06/05/2010 01:08:17 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	202	0	2011	State of California		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	203	0		29	10	S5660_203_0	1	06/04/2010	2011.01	06/04/2010 08:00:07 PM Eastern Daylight Time		06/05/2010 01:08:21 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	203	0	2011	State of Hawaii		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	204	0		29	10	S5660_204_0	1	06/04/2010	2011.01	06/04/2010 08:00:07 PM Eastern Daylight Time		06/05/2010 01:08:25 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	204	0	2011	State of Alaska		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	205	0		29	10	S5660_205_0	1	06/04/2010	2011.01	06/04/2010 08:00:07 PM Eastern Daylight Time		06/05/2010 01:05:42 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5660	205	0	2011	Puerto Rico		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	801	0		29	10	S5660_801_0	1	06/04/2010	2011.01	06/04/2010 12:02:15 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	801	0	2011	National Plan - Employer, Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	802	0		29	10	S5660_802_0	1	06/04/2010	2011.01	06/04/2010 12:27:55 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	802	0	2011	National Plan - Employer, Non-Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	803	0		29	10	S5660_803_0	1	06/04/2010	2011.01	06/04/2010 12:28:03 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	803	0	2011	National Plan K - Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	804	0		29	10	S5660_804_0	1	06/04/2010	2011.01	06/04/2010 12:28:09 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	804	0	2011	National Plan OF - Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	805	0		29	10	S5660_805_0	1	06/04/2010	2011.01	06/04/2010 12:28:16 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	805	0	2011	National Plan N1 - Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	806	0		29	10	S5660_806_0	1	06/04/2010	2011.01	06/04/2010 12:28:23 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	806	0	2011	National Plan N2 - Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5660	807	0		29	10	S5660_807_0	1	06/04/2010	2011.01	06/04/2010 12:28:29 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT LIFE INSURANCE COMPANY	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5660	807	0	2011	National Plan K - Non-Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4574		(800)-758-4574		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5670	030	0		29	10	S5670_030_0	4	08/03/2010	2011.01	08/03/2010 11:40:12 AM Eastern Daylight Time		07/27/2010 02:20:18 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	030	0	2011	First Health Part D Premier Plus - Mid-Atlantic		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	036	0		29	10	S5670_036_0	4	08/03/2010	2011.01	08/03/2010 11:42:12 AM Eastern Daylight Time		07/27/2010 02:22:19 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	036	0	2011	First Health Part D Premier Plus - PA_ WV		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	042	0		29	10	S5670_042_0	4	08/03/2010	2011.01	08/03/2010 11:44:10 AM Eastern Daylight Time		07/27/2010 02:24:14 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	042	0	2011	First Health Part D Premier Plus - Virginia		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	048	0		29	10	S5670_048_0	4	08/03/2010	2011.01	08/03/2010 11:45:38 AM Eastern Daylight Time		07/27/2010 02:25:49 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	048	0	2011	First Health Part D Premier Plus - North Carolina		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	054	0		29	10	S5670_054_0	4	08/03/2010	2011.01	08/03/2010 11:46:59 AM Eastern Daylight Time		07/27/2010 02:27:07 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	054	0	2011	First Health Part D Premier Plus - South Carolina		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	060	0		29	10	S5670_060_0	4	08/03/2010	2011.01	08/03/2010 11:48:29 AM Eastern Daylight Time		07/27/2010 02:28:57 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	060	0	2011	First Health Part D Premier Plus - Georgia		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	066	0		29	10	S5670_066_0	4	08/03/2010	2011.01	08/03/2010 11:51:04 AM Eastern Daylight Time		07/27/2010 02:35:00 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	066	0	2011	First Health Part D Premier Plus - AL_TN		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	072	0		29	10	S5670_072_0	4	08/03/2010	2011.01	08/03/2010 11:52:21 AM Eastern Daylight Time		07/27/2010 02:36:31 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	072	0	2011	First Health Part D Premier Plus - Michigan		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	078	0		29	10	S5670_078_0	4	08/03/2010	2011.01	08/03/2010 11:53:32 AM Eastern Daylight Time		07/27/2010 02:37:56 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	078	0	2011	First Health Part D Premier Plus - Ohio		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	084	0		29	10	S5670_084_0	4	08/03/2010	2011.01	08/03/2010 11:56:15 AM Eastern Daylight Time		07/27/2010 02:40:44 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	084	0	2011	First Health Part D Premier Plus - Wisconsin		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	090	0		29	10	S5670_090_0	4	08/03/2010	2011.01	08/03/2010 11:57:25 AM Eastern Daylight Time		07/27/2010 02:42:05 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	090	0	2011	First Health Part D Premier Plus - Illinois		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	096	0		29	10	S5670_096_0	4	08/03/2010	2011.01	08/03/2010 11:58:38 AM Eastern Daylight Time		07/27/2010 02:43:58 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	096	0	2011	First Health Part D Premier Plus - Missouri		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	102	0		29	10	S5670_102_0	4	08/03/2010	2011.01	08/03/2010 12:15:42 PM Eastern Daylight Time		07/27/2010 02:45:35 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	102	0	2011	First Health Part D Premier Plus - Arkansas		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	108	0		29	10	S5670_108_0	4	08/03/2010	2011.01	08/03/2010 12:15:13 PM Eastern Daylight Time		07/27/2010 02:47:05 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	108	0	2011	First Health Part D Premier Plus - Mississippi		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	114	0		29	10	S5670_114_0	4	08/03/2010	2011.01	08/03/2010 12:14:45 PM Eastern Daylight Time		07/27/2010 02:48:49 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	114	0	2011	First Health Part D Premier Plus - Louisiana		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	120	0		29	10	S5670_120_0	4	08/03/2010	2011.01	08/03/2010 12:17:23 PM Eastern Daylight Time		07/27/2010 02:50:20 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	120	0	2011	First Health Part D Premier Plus - Texas		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	126	0		29	10	S5670_126_0	4	08/03/2010	2011.01	08/03/2010 12:18:30 PM Eastern Daylight Time		07/27/2010 02:51:55 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	126	0	2011	First Health Part D Premier Plus - Oklahoma		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	132	0		29	10	S5670_132_0	4	08/03/2010	2011.01	08/03/2010 12:19:41 PM Eastern Daylight Time		07/27/2010 02:53:44 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	132	0	2011	First Health Part D Premier Plus -Kansas		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	138	0		29	10	S5670_138_0	4	08/03/2010	2011.01	08/03/2010 12:23:25 PM Eastern Daylight Time		07/27/2010 02:59:11 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	138	0	2011	First Health Part D Premier Plus -Colorado		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	144	0		29	10	S5670_144_0	4	08/03/2010	2011.01	08/03/2010 12:24:36 PM Eastern Daylight Time		07/27/2010 03:00:44 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	144	0	2011	First Health Part D Premier Plus  - Arizona		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	150	0		29	10	S5670_150_0	4	08/03/2010	2011.01	08/03/2010 12:25:50 PM Eastern Daylight Time		07/27/2010 03:02:37 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5670	150	0	2011	First Health Part D Premier Plus - Nevada		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	801	0		29	10	S5670_801_0	1	06/01/2010	2011.01	06/01/2010 11:51:26 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	Firest Health Part D Employer Group - 11273 - CY (PDP)	10	29					S5670	801	0	2011	First Health Part D Employer Group - 11273 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	802	0		29	10	S5670_802_0	1	06/01/2010	2011.01	06/01/2010 11:51:31 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group -11273 - NCY (PDP)	10	29					S5670	802	0	2011	First Health Part D Employer Group - 11273 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	809	0		29	10	S5670_809_0	1	06/01/2010	2011.01	06/01/2010 11:51:35 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11274 - CY (PDP)	10	29					S5670	809	0	2011	First Health Part D Employer Group - 11274 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	810	0		29	10	S5670_810_0	1	06/01/2010	2011.01	06/01/2010 11:51:40 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11274 - NCY (PDP)	10	29					S5670	810	0	2011	First Health Part D Employer Group - 11274 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	811	0		29	10	S5670_811_0	1	06/01/2010	2011.01	06/01/2010 11:51:45 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group -11272 - CY (PDP)	10	29					S5670	811	0	2011	First Health Part D Employer Group - 11272 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5670	812	0		29	10	S5670_812_0	1	06/01/2010	2011.01	06/01/2010 11:51:50 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	COVENTRY HEALTH AND LIFE INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11272 - NCY (PDP)	10	29					S5670	812	0	2011	First Health Part D Employer Group - 11272 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5177		(866)-823-5177		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	005	0		29	10	S5674_005_0	4	08/03/2010	2011.01	08/03/2010 11:31:29 AM Eastern Daylight Time		07/26/2010 03:00:15 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	005	0	2011	First Health Part D Premier Plus - No. New England		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	011	0		29	10	S5674_011_0	4	08/03/2010	2011.01	08/03/2010 11:33:28 AM Eastern Daylight Time		07/27/2010 02:14:59 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	011	0	2011	First Health Part D Premier Plus- Cen. New England		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	017	0		29	10	S5674_017_0	4	08/03/2010	2011.01	08/03/2010 11:38:30 AM Eastern Daylight Time		07/27/2010 02:18:17 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	017	0	2011	First Health Part D Premier Plus -  New Jersey		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	023	0		29	10	S5674_023_0	4	08/03/2010	2011.01	08/03/2010 11:49:47 AM Eastern Daylight Time		07/27/2010 02:32:34 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	023	0	2011	First Health Part D Premier Plus - Florida		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	029	0		29	10	S5674_029_0	4	08/03/2010	2011.01	08/03/2010 11:54:50 AM Eastern Daylight Time		07/27/2010 02:39:18 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	029	0	2011	First Health Part D Premier Plus - IN_ KY		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	035	0		29	10	S5674_035_0	4	08/03/2010	2011.01	08/03/2010 12:21:04 PM Eastern Daylight Time		07/27/2010 02:55:57 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	035	0	2011	First Health Part Premier Plus-Up MidWst_NoPlains		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	041	0		29	10	S5674_041_0	4	08/03/2010	2011.01	08/03/2010 12:22:11 PM Eastern Daylight Time		07/27/2010 02:57:25 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	041	0	2011	First Health Part D Premier Plus - New Mexico		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	047	0		29	10	S5674_047_0	4	08/03/2010	2011.01	08/03/2010 12:27:06 PM Eastern Daylight Time		07/27/2010 03:04:11 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	047	0	2011	First Health Part D Premier Plus - OR_WA		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	053	0		29	10	S5674_053_0	4	08/03/2010	2011.01	08/03/2010 12:28:42 PM Eastern Daylight Time		07/27/2010 03:05:59 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	053	0	2011	First Health Part D  Premier Plus - Idaho_Utah		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	059	0		29	10	S5674_059_0	4	08/03/2010	2011.01	08/03/2010 12:29:49 PM Eastern Daylight Time		07/27/2010 03:09:22 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	059	0	2011	First Health Part D Premier Plus - California		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	065	0		29	10	S5674_065_0	4	08/03/2010	2011.01	08/03/2010 12:30:52 PM Eastern Daylight Time		07/27/2010 03:10:31 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	065	0	2011	First Health Part D Premier Plus - Hawaii		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	071	0		29	10	S5674_071_0	4	08/03/2010	2011.01	08/03/2010 12:31:57 PM Eastern Daylight Time		07/27/2010 03:11:54 PM Eastern Daylight Time		08/04/2010 07:32:42 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier Plus (PDP)	10	29					S5674	071	0	2011	First Health Part D Premier Plus  -  Alaska		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	801	0		29	10	S5674_801_0	1	06/01/2010	2011.01	06/01/2010 11:52:04 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11273 - CY (PDP)	10	29					S5674	801	0	2011	First Health Part D Employer Group - 11273 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	802	0		29	10	S5674_802_0	1	06/01/2010	2011.01	06/01/2010 11:52:14 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11273 - NCY (PDP)	10	29					S5674	802	0	2011	First Health Part D Employer Group - 11273 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	809	0		29	10	S5674_809_0	1	06/01/2010	2011.01	06/01/2010 11:52:19 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11274 - CY (PDP)	10	29					S5674	809	0	2011	First Health Part D Employer Group - 11274 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	810	0		29	10	S5674_810_0	1	06/01/2010	2011.01	06/01/2010 11:52:24 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11274 - NCY (PDP)	10	29					S5674	810	0	2011	First Health Part D Employer Group -11274 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	811	0		29	10	S5674_811_0	1	06/01/2010	2011.01	06/01/2010 11:52:28 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11272 - CY (PDP)	10	29					S5674	811	0	2011	First Health Part D Employer Group - 11272 - CY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5674	812	0		29	10	S5674_812_0	1	06/01/2010	2011.01	06/01/2010 11:52:33 AM Eastern Daylight Time				06/07/2010 04:14:33 PM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Employer Group - 11272 - NCY (PDP)	10	29					S5674	812	0	2011	First Health Part D Employer Group - 11272 - NCY		1						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-823-5178		(866)-823-5178		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5678	001	0		29	10	S5678_001_0	1	05/23/2010	2011.01	05/23/2010 03:17:17 PM Pacific Daylight Time		06/02/2010 11:11:42 AM Pacific Daylight Time		06/02/2010 12:22:52 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	001	0	2011	Arizona		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	002	0		29	10	S5678_002_0	1	05/23/2010	2011.01	05/23/2010 03:07:39 PM Pacific Daylight Time		06/02/2010 11:12:16 AM Pacific Daylight Time		06/02/2010 12:22:52 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	002	0	2011	California		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	004	0		29	10	S5678_004_0	1	05/23/2010	2011.01	05/23/2010 03:41:32 PM Pacific Daylight Time		06/02/2010 11:12:48 AM Pacific Daylight Time		06/02/2010 12:22:52 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	004	0	2011	Central New England		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	005	0		29	10	S5678_005_0	1	05/23/2010	2011.01	05/23/2010 03:08:49 PM Pacific Daylight Time		06/02/2010 11:13:28 AM Pacific Daylight Time		06/02/2010 12:22:52 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	005	0	2011	New Jersey		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	006	0		29	10	S5678_006_0	1	05/23/2010	2011.01	05/23/2010 03:37:28 PM Pacific Daylight Time		06/02/2010 11:14:06 AM Pacific Daylight Time		06/02/2010 02:24:08 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	006	0	2011	Oregon, Washington		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	007	0		29	10	S5678_007_0	1	05/23/2010	2011.01	05/23/2010 04:09:27 PM Pacific Daylight Time		06/02/2010 11:14:50 AM Pacific Daylight Time		06/02/2010 02:24:08 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	007	0	2011	Arizona		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	008	0		29	10	S5678_008_0	1	05/23/2010	2011.01	05/23/2010 04:13:17 PM Pacific Daylight Time		06/02/2010 11:15:28 AM Pacific Daylight Time		06/02/2010 02:24:08 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	008	0	2011	California		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	010	0		29	10	S5678_010_0	1	05/23/2010	2011.01	05/23/2010 04:12:14 PM Pacific Daylight Time		06/02/2010 11:16:50 AM Pacific Daylight Time		06/02/2010 02:24:08 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	010	0	2011	Central New England		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	011	0		29	10	S5678_011_0	1	05/23/2010	2011.01	05/23/2010 04:12:15 PM Pacific Daylight Time		06/02/2010 11:17:32 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	011	0	2011	New Jersey		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	012	0		29	10	S5678_012_0	1	05/23/2010	2011.01	05/23/2010 04:12:15 PM Pacific Daylight Time		06/02/2010 11:18:20 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	012	0	2011	Oregon, Washington		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	013	0		29	10	S5678_013_0	1	05/23/2010	2011.01	05/23/2010 04:28:45 PM Pacific Daylight Time		06/02/2010 11:18:58 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	013	0	2011	Northern New England (NH and ME)		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	014	0		29	10	S5678_014_0	1	05/23/2010	2011.01	05/23/2010 03:39:28 PM Pacific Daylight Time		06/02/2010 11:19:38 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	014	0	2011	Northern New England (NH and ME)		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	015	0		29	10	S5678_015_0	1	05/23/2010	2011.01	05/23/2010 04:31:41 PM Pacific Daylight Time		06/02/2010 11:20:18 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	015	0	2011	Mid-Atlantic (DE, DC and MD)		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	016	0		29	10	S5678_016_0	1	05/23/2010	2011.01	05/23/2010 03:33:45 PM Pacific Daylight Time		06/02/2010 11:20:54 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	016	0	2011	Mid-Atlantic (DE, DC and MD)		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	017	0		29	10	S5678_017_0	1	05/23/2010	2011.01	05/23/2010 04:33:54 PM Pacific Daylight Time		06/02/2010 11:21:38 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	017	0	2011	Pennsylvania (WV)		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	018	0		29	10	S5678_018_0	1	05/23/2010	2011.01	05/23/2010 03:10:41 PM Pacific Daylight Time		06/02/2010 12:55:54 PM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	018	0	2011	Pennsylvania (WV)		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	019	0		29	10	S5678_019_0	1	05/23/2010	2011.01	05/23/2010 04:34:05 PM Pacific Daylight Time		06/02/2010 11:22:14 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	019	0	2011	Virginia		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	020	0		29	10	S5678_020_0	1	05/23/2010	2011.01	05/23/2010 03:08:50 PM Pacific Daylight Time		06/02/2010 11:22:54 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	020	0	2011	Virginia		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	021	0		29	10	S5678_021_0	1	05/23/2010	2011.01	05/23/2010 04:12:15 PM Pacific Daylight Time		06/02/2010 11:23:36 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	021	0	2011	North Carolina		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	022	0		29	10	S5678_022_0	1	05/23/2010	2011.01	05/23/2010 03:08:50 PM Pacific Daylight Time		06/02/2010 11:24:16 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	022	0	2011	North Carolina		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	023	0		29	10	S5678_023_0	1	05/23/2010	2011.01	05/23/2010 04:31:42 PM Pacific Daylight Time		06/02/2010 11:25:00 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	023	0	2011	South Carolina		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	024	0		29	10	S5678_024_0	1	05/23/2010	2011.01	05/23/2010 03:04:29 PM Pacific Daylight Time		06/02/2010 11:25:40 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	024	0	2011	South Carolina		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	025	0		29	10	S5678_025_0	1	05/23/2010	2011.01	05/23/2010 04:31:43 PM Pacific Daylight Time		06/02/2010 11:26:18 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	025	0	2011	Georgia		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	026	0		29	10	S5678_026_0	1	05/23/2010	2011.01	05/23/2010 03:02:28 PM Pacific Daylight Time		06/02/2010 11:26:56 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	026	0	2011	Georgia		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	027	0		29	10	S5678_027_0	1	05/23/2010	2011.01	05/23/2010 04:12:16 PM Pacific Daylight Time		06/02/2010 11:27:32 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	027	0	2011	Florida		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	028	0		29	10	S5678_028_0	1	05/23/2010	2011.01	05/23/2010 03:38:48 PM Pacific Daylight Time		06/02/2010 11:28:14 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	028	0	2011	Florida		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	029	0		29	10	S5678_029_0	1	05/23/2010	2011.01	05/23/2010 04:31:43 PM Pacific Daylight Time		06/02/2010 11:28:50 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	029	0	2011	Alabama, Tenessee		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	030	0		29	10	S5678_030_0	1	05/23/2010	2011.01	05/23/2010 03:08:51 PM Pacific Daylight Time		06/02/2010 11:29:28 AM Pacific Daylight Time		06/02/2010 03:57:42 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	030	0	2011	Alabama, Tennessee		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	031	0		29	10	S5678_031_0	1	05/23/2010	2011.01	05/23/2010 04:31:44 PM Pacific Daylight Time		06/02/2010 11:29:54 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	031	0	2011	Michigan		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	032	0		29	10	S5678_032_0	1	05/23/2010	2011.01	05/23/2010 03:44:05 PM Pacific Daylight Time		06/02/2010 11:30:36 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	032	0	2011	Michigan		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	033	0		29	10	S5678_033_0	1	05/23/2010	2011.01	05/23/2010 04:31:44 PM Pacific Daylight Time		06/02/2010 11:31:08 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	033	0	2011	Ohio		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	034	0		29	10	S5678_034_0	1	05/23/2010	2011.01	05/23/2010 03:34:41 PM Pacific Daylight Time		06/02/2010 11:31:46 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	034	0	2011	Ohio		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	035	0		29	10	S5678_035_0	1	05/23/2010	2011.01	05/23/2010 04:12:16 PM Pacific Daylight Time		06/02/2010 11:32:20 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	035	0	2011	Indiana, Kentucky		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	036	0		29	10	S5678_036_0	1	05/23/2010	2011.01	05/23/2010 03:08:51 PM Pacific Daylight Time		06/02/2010 11:33:04 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	036	0	2011	Indiana, Kentucky		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	037	0		29	10	S5678_037_0	1	05/23/2010	2011.01	05/23/2010 04:31:44 PM Pacific Daylight Time		06/02/2010 11:33:36 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	037	0	2011	Wisconsin		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	038	0		29	10	S5678_038_0	1	05/23/2010	2011.01	05/23/2010 03:42:55 PM Pacific Daylight Time		06/02/2010 11:34:12 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	038	0	2011	Wisconsin		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	039	0		29	10	S5678_039_0	1	05/23/2010	2011.01	05/23/2010 04:12:17 PM Pacific Daylight Time		06/02/2010 11:34:48 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	039	0	2011	Illinois		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	040	0		29	10	S5678_040_0	1	05/23/2010	2011.01	05/23/2010 03:11:47 PM Pacific Daylight Time		06/02/2010 11:35:22 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	040	0	2011	Illinois		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	041	0		29	10	S5678_041_0	1	05/23/2010	2011.01	05/23/2010 04:12:17 PM Pacific Daylight Time		06/02/2010 11:35:58 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	041	0	2011	Missouri		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	042	0		29	10	S5678_042_0	1	05/23/2010	2011.01	05/23/2010 03:11:47 PM Pacific Daylight Time		06/02/2010 11:36:24 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	042	0	2011	Missouri		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	043	0		29	10	S5678_043_0	1	05/23/2010	2011.01	05/23/2010 04:31:45 PM Pacific Daylight Time		06/02/2010 11:37:00 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	043	0	2011	Arkansas		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	044	0		29	10	S5678_044_0	1	05/23/2010	2011.01	05/23/2010 03:08:52 PM Pacific Daylight Time		06/02/2010 11:37:30 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	044	0	2011	Arkansas		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	045	0		29	10	S5678_045_0	1	05/23/2010	2011.01	05/23/2010 04:31:45 PM Pacific Daylight Time		06/02/2010 11:37:56 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	045	0	2011	Mississippi		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	046	0		29	10	S5678_046_0	1	05/23/2010	2011.01	05/23/2010 02:53:48 PM Pacific Daylight Time		06/02/2010 11:38:28 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	046	0	2011	Mississippi		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	047	0		29	10	S5678_047_0	1	05/23/2010	2011.01	05/23/2010 04:31:46 PM Pacific Daylight Time		06/02/2010 11:39:02 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	047	0	2011	Louisiana		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	048	0		29	10	S5678_048_0	1	05/23/2010	2011.01	05/23/2010 03:05:13 PM Pacific Daylight Time		06/02/2010 11:39:22 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	048	0	2011	Louisiana		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	049	0		29	10	S5678_049_0	1	05/23/2010	2011.01	05/23/2010 04:12:17 PM Pacific Daylight Time		06/02/2010 11:39:44 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	049	0	2011	Texas		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	050	0		29	10	S5678_050_0	1	05/23/2010	2011.01	05/23/2010 03:11:48 PM Pacific Daylight Time		06/02/2010 11:40:14 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	050	0	2011	Texas		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	051	0		29	10	S5678_051_0	1	05/23/2010	2011.01	05/23/2010 04:31:46 PM Pacific Daylight Time		06/02/2010 11:40:48 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	051	0	2011	Oklahoma		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	052	0		29	10	S5678_052_0	1	05/23/2010	2011.01	05/23/2010 03:26:18 PM Pacific Daylight Time		06/02/2010 11:41:20 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	052	0	2011	Oklahoma		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	053	0		29	10	S5678_053_0	1	05/23/2010	2011.01	05/23/2010 04:31:47 PM Pacific Daylight Time		06/02/2010 11:41:42 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	053	0	2011	Kansas		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	054	0		29	10	S5678_054_0	1	05/23/2010	2011.01	05/23/2010 03:08:52 PM Pacific Daylight Time		06/02/2010 11:42:10 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	054	0	2011	Kansas		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	055	0		29	10	S5678_055_0	1	05/23/2010	2011.01	05/23/2010 04:31:47 PM Pacific Daylight Time		06/02/2010 11:42:40 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	055	0	2011	IA, MN, MT, NE, ND, SD, WY		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	056	0		29	10	S5678_056_0	1	05/23/2010	2011.01	05/23/2010 03:34:41 PM Pacific Daylight Time		06/02/2010 11:43:06 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	056	0	2011	IA, MN, MT, NE, ND, SD, WY		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	057	0		29	10	S5678_057_0	1	05/23/2010	2011.01	05/23/2010 04:12:18 PM Pacific Daylight Time		06/02/2010 11:43:30 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	057	0	2011	New Mexico		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	058	0		29	10	S5678_058_0	1	05/23/2010	2011.01	05/23/2010 03:38:48 PM Pacific Daylight Time		06/02/2010 11:44:00 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	058	0	2011	New Mexico		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	059	0		29	10	S5678_059_0	1	05/23/2010	2011.01	05/23/2010 04:12:18 PM Pacific Daylight Time		06/02/2010 11:44:36 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	059	0	2011	Colorado		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	060	0		29	10	S5678_060_0	1	05/23/2010	2011.01	05/23/2010 03:11:48 PM Pacific Daylight Time		06/02/2010 11:45:10 AM Pacific Daylight Time		06/02/2010 05:21:20 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	060	0	2011	Colorado		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	061	0		29	10	S5678_061_0	1	05/23/2010	2011.01	05/23/2010 04:12:19 PM Pacific Daylight Time		06/02/2010 11:45:34 AM Pacific Daylight Time		06/02/2010 05:38:35 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	061	0	2011	Nevada		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	062	0		29	10	S5678_062_0	1	05/23/2010	2011.01	05/23/2010 03:17:55 PM Pacific Daylight Time		06/02/2010 11:45:56 AM Pacific Daylight Time		06/02/2010 05:38:35 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	062	0	2011	Nevada		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	063	0		29	10	S5678_063_0	1	05/23/2010	2011.01	05/23/2010 04:31:47 PM Pacific Daylight Time		06/02/2010 11:46:28 AM Pacific Daylight Time		06/02/2010 05:38:35 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	063	0	2011	Idaho, Utah		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	064	0		29	10	S5678_064_0	1	05/23/2010	2011.01	05/23/2010 03:08:52 PM Pacific Daylight Time		06/02/2010 11:47:04 AM Pacific Daylight Time		06/02/2010 05:38:35 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	064	0	2011	Idaho, Utah		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	065	0		29	10	S5678_065_0	1	05/23/2010	2011.01	05/23/2010 04:12:19 PM Pacific Daylight Time		06/02/2010 11:47:34 AM Pacific Daylight Time		06/02/2010 05:38:35 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 2 (PDP)	10	29					S5678	065	0	2011	Hawaii		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	066	0		29	10	S5678_066_0	1	05/23/2010	2011.01	05/23/2010 03:46:38 PM Pacific Daylight Time		06/02/2010 11:48:08 AM Pacific Daylight Time		06/02/2010 05:38:35 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	066	0	2011	Hawaii		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	067	0		29	10	S5678_067_0	1	05/23/2010	2011.01	05/23/2010 04:31:48 PM Pacific Daylight Time		06/02/2010 11:48:34 AM Pacific Daylight Time		06/02/2010 05:38:35 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Value Orange Option 2 (PDP)	10	29					S5678	067	0	2011	Alaska		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	068	0		29	10	S5678_068_0	1	05/23/2010	2011.01	05/23/2010 03:05:14 PM Pacific Daylight Time		06/02/2010 11:49:02 AM Pacific Daylight Time		06/02/2010 05:38:35 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange Option 1 (PDP)	10	29					S5678	068	0	2011	Alaska		2						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	801	0		29	10	S5678_801_0	2	06/02/2010	2011.01	06/02/2010 05:45:20 PM Pacific Daylight Time				06/06/2010 02:42:41 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange (PDP)	10	29					S5678	801	0	2011	50 United States and District of Columbia		1						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5678	803	0		29	10	S5678_803_0	2	06/02/2010	2011.01	06/02/2010 05:45:04 PM Pacific Daylight Time				06/06/2010 02:42:41 PM Pacific Daylight Time	HEALTH NET LIFE INS CO/HEALTH NET INS OF NY	Health Net	www.healthnet.com	Health Net Orange (PDP)	10	29					S5678	803	0	2011	50 United States and District of Columbia		1						2							https://www.healthnet.com/formulary.htm	https://www.healthnet.com/portal/medicare/content.do?resource=pharmacyDirectory.htm									(800)-806-8811		(800)-806-8811		(800)-606-3604		(800)-606-3604										(800)-929-9955		(800)-929-9955		(800)-929-9955		(800)-929-9955		1
S5715	001	0		29	10	S5715_001_0	4	08/02/2010	2011.01	08/02/2010 03:03:56 PM Central Daylight Time		08/02/2010 03:54:24 PM Central Daylight Time		08/03/2010 09:25:27 AM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx Value (PDP)	10	29					S5715	001	0	2011	State of Illinois		2						2							https://myprime.com	www.yourpartd.com									(888)-285-2249		(888)-285-2249		(877)-213-1817		(877)-213-1817										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1
S5715	002	0		29	10	S5715_002_0	3	05/17/2010	2011.01	05/17/2010 04:10:11 PM Central Daylight Time		08/02/2010 04:06:26 PM Central Daylight Time		08/03/2010 09:25:27 AM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx Plus (PDP)	10	29					S5715	002	0	2011	State of Illinois		2						2							https://myprime.com	www.yourpartd.com									(888)-285-2249		(888)-285-2249		(877)-213-1817		(877)-213-1817										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1
S5715	003	0		29	10	S5715_003_0	4	08/02/2010	2011.01	08/02/2010 03:24:01 PM Central Daylight Time		08/02/2010 03:54:52 PM Central Daylight Time		08/03/2010 09:25:27 AM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx Value (PDP)	10	29					S5715	003	0	2011	State of New Mexico		2						2							https://myprime.com	www.yourpartd.com									(888)-285-2249		(888)-285-2249		(877)-213-1817		(877)-213-1817										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1
S5715	004	0		29	10	S5715_004_0	3	05/18/2010	2011.01	05/18/2010 04:30:26 PM Central Daylight Time		08/02/2010 04:06:58 PM Central Daylight Time		08/03/2010 09:25:27 AM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx Plus (PDP)	10	29					S5715	004	0	2011	State of New Mexico		2						2							https://myprime.com	www.yourpartd.com									(888)-285-2249		(888)-285-2249		(877)-213-1817		(877)-213-1817										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1
S5715	005	0		29	10	S5715_005_0	4	08/02/2010	2011.01	08/02/2010 03:35:09 PM Central Daylight Time		08/02/2010 03:55:58 PM Central Daylight Time		08/03/2010 09:25:27 AM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx Value (PDP)	10	29					S5715	005	0	2011	State of Texas		2						2							https://myprime.com	www.yourpartd.com									(888)-285-2249		(888)-285-2249		(877)-213-1817		(877)-213-1817										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1
S5715	006	0		29	10	S5715_006_0	3	05/28/2010	2011.01	05/28/2010 04:38:39 PM Central Daylight Time		08/02/2010 04:07:54 PM Central Daylight Time		08/03/2010 09:25:27 AM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx Plus (PDP)	10	29					S5715	006	0	2011	State of Texas		2						2							https://myprime.com	www.yourpartd.com									(888)-285-2249		(888)-285-2249		(877)-213-1817		(877)-213-1817										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1
S5715	010	0		29	10	S5715_010_0	4	08/02/2010	2011.01	08/02/2010 03:37:38 PM Central Daylight Time		08/02/2010 03:55:10 PM Central Daylight Time		08/03/2010 09:25:27 AM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx Value (PDP)	10	29					S5715	010	0	2011	State of Oklahoma		2						2							https://myprime.com	www.yourpartd.com									(888)-285-2249		(888)-285-2249		(877)-213-1817		(877)-213-1817										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1
S5715	011	0		29	10	S5715_011_0	3	05/18/2010	2011.01	05/28/2010 04:34:02 PM Central Daylight Time		08/02/2010 04:08:32 PM Central Daylight Time		08/03/2010 09:25:27 AM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx Plus (PDP)	10	29					S5715	011	0	2011	State of Oklahoma		2						2							https://myprime.com	www.yourpartd.com									(888)-285-2249		(888)-285-2249		(877)-213-1817		(877)-213-1817										(888)-285-2252		(888)-285-2252		(888)-285-2252		(888)-285-2252		1
S5715	801	0		29	10	S5715_801_0	2	06/04/2010	2011.01	06/04/2010 04:09:36 PM Central Daylight Time				06/04/2010 04:09:48 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx (PDP)	10	29					S5715	801	0	2011	State of Illinois		1						2							https://myprime.com	www.yourpartd.com									(877)-838-3833		(877)-838-3833		(877)-838-3833		(877)-838-3833										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1
S5715	802	0		29	10	S5715_802_0	2	04/12/2010	2011.01	04/12/2010 03:41:20 PM Central Daylight Time				06/04/2010 04:09:48 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx (PDP)	10	29					S5715	802	0	2011	State of New Mexico		1						2							https://myprime.com	www.yourpartd.com									(877)-838-3833		(877)-838-3833		(877)-838-3833		(877)-838-3833										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1
S5715	803	0		29	10	S5715_803_0	2	04/12/2010	2011.01	04/12/2010 03:41:27 PM Central Daylight Time				06/04/2010 04:09:48 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx (PDP)	10	29					S5715	803	0	2011	State of Texas		1						2							https://myprime.com	www.yourpartd.com									(877)-838-3833		(877)-838-3833		(877)-838-3833		(877)-838-3833										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1
S5715	804	0		29	10	S5715_804_0	2	04/12/2010	2011.01	04/12/2010 03:41:32 PM Central Daylight Time				06/04/2010 04:09:48 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx (PDP)	10	29					S5715	804	0	2011	State of Illinois		1						2							https://myprime.com	www.yourpartd.com									(877)-838-3833		(877)-838-3833		(877)-838-3833		(877)-838-3833										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1
S5715	805	0		29	10	S5715_805_0	2	04/12/2010	2011.01	04/12/2010 03:41:38 PM Central Daylight Time				06/04/2010 04:09:48 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx (PDP)	10	29					S5715	805	0	2011	State of New Mexico		1						2							https://myprime.com	www.yourpartd.com									(877)-838-3833		(877)-838-3833		(877)-838-3833		(877)-838-3833										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1
S5715	806	0		29	10	S5715_806_0	2	04/12/2010	2011.01	04/12/2010 03:41:43 PM Central Daylight Time				06/04/2010 04:09:48 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx (PDP)	10	29					S5715	806	0	2011	State of Texas		1						2							https://myprime.com	www.yourpartd.com									(877)-838-3833		(877)-838-3833		(877)-838-3833		(877)-838-3833										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1
S5715	807	0		29	10	S5715_807_0	2	05/28/2010	2011.01	05/28/2010 04:32:24 PM Central Daylight Time				06/04/2010 04:09:48 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx (PDP)	10	29					S5715	807	0	2011	State of Oklahoma		1						2							https://myprime.com	www.yourpartd.com									(877)-838-3877		(877)-838-3877		(877)-838-3877		(877)-838-3877										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1
S5715	808	0		29	10	S5715_808_0	2	05/28/2010	2011.01	05/28/2010 04:30:22 PM Central Daylight Time				06/04/2010 04:09:48 PM Central Daylight Time	HCSC INSURANCE SERVICES COMPANY	HISC - Blue Cross Blue Shield of IL, NM, OK, TX	www.yourpartd.com	Blue MedicareRx (PDP)	10	29					S5715	808	0	2011	State of Oklahoma		1						2							https://myprime.com	www.yourpartd.com									(877)-838-3877		(877)-838-3877		(877)-838-3877		(877)-838-3877										(800)-693-3816		(800)-693-3816		(800)-693-3816		(800)-693-3816		1
S5726	013	0		29	10	S5726_013_0	4	06/02/2010	2011.01	06/02/2010 04:47:46 PM Pacific Daylight Time		06/07/2010 06:47:00 PM Pacific Daylight Time		06/07/2010 07:30:00 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.partdcoverage.com	Blue MedicareRx Value (PDP)	10	29					S5726	013	0	2011	Kansas		2						2							www.PartDCoverage.com	www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-471-4121		(877)-471-4121										(866)-798-7026		(866)-798-7026		(800)-766-3777		(800)-766-3777		1
S5726	014	0		29	10	S5726_014_0	5	05/24/2010	2011.01	05/24/2010 01:40:37 PM Pacific Daylight Time		06/07/2010 06:47:00 PM Pacific Daylight Time		06/07/2010 07:30:00 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.partdcoverage.com	Blue MedicareRx Plus (PDP)	10	29					S5726	014	0	2011	Kansas		2						2							www.PartDCoverage.com	www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-471-4121		(877)-471-4121										(866)-798-7026		(866)-798-7026		(800)-766-3777		(800)-766-3777		1
S5726	015	0		29	10	S5726_015_0	4	06/07/2010	2011.01	06/07/2010 10:14:30 AM Pacific Daylight Time		06/07/2010 06:47:01 PM Pacific Daylight Time		06/07/2010 07:30:00 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.partdcoverage.com	Blue MedicareRx Premier (PDP)	10	29					S5726	015	0	2011	Kansas		2						2							www.PartDCoverage.com	www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-471-4121		(877)-471-4121										(866)-798-7026		(866)-798-7026		(800)-766-3777		(800)-766-3777		1
S5726	805	0		29	10	S5726_805_0	3	05/24/2010	2011.01	05/24/2010 01:47:45 PM Pacific Daylight Time				06/07/2010 04:31:26 PM Pacific Daylight Time	BLUE CROSS BLUE SHIELD OF KANSAS	Blue MedicareRx	www.PartDCoverage.com	Blue MedicareRx (PDP)	10	29					S5726	805	0	2011	Kansas		1						2							www.PartDCoverage.com	www.PartDCoverage.com									(866)-755-2776		(866)-755-2776		(877)-471-4121		(877)-471-4121										(866)-798-7026		(866)-798-7026		(800)-766-3777		(800)-766-3777		1
S5743	001	0		29	10	S5743_001_0	4	08/02/2010	2011.01	08/02/2010 01:41:05 PM Central Daylight Time		07/26/2010 02:25:18 PM Central Daylight Time		08/02/2010 01:52:33 PM Central Daylight Time	BCBS MN, MT, NE, ND, WY, WELLMARK IA AND SD	MedicareBlue Rx	www.YourMedicareSolutions.com	MedicareBlue Rx Standard (PDP)	10	29					S5743	001	0	2011	States of IA, MN, MT, NE, ND, SD, WY		2						2							www.YourMedicareSolutions.com	www.YourMedicareSolutions.com									(888)-832-0075		(888)-832-0075		(866)-434-2037		(866)-434-2037										(800)-693-3819		(800)-693-3819		(866)-456-1550		(866)-456-1550		1
S5743	004	0		29	10	S5743_004_0	3	06/04/2010	2011.01	06/04/2010 12:49:17 PM Central Daylight Time		06/04/2010 02:52:00 PM Central Daylight Time		06/04/2010 09:52:41 PM Central Daylight Time	BCBS MN, MT, NE, ND, WY, WELLMARK IA AND SD	MedicareBlue Rx	www.YourMedicareSolutions.com	MedicareBlue Rx Premier (PDP)	10	29					S5743	004	0	2011	States of IA, MN, MT, NE, ND, SD, WY		2						2							www.YourMedicareSolutions.com	www.YourMedicareSolutions.com									(888)-832-0075		(888)-832-0075		(866)-434-2037		(866)-434-2037										(800)-693-3819		(800)-693-3819		(866)-456-1550		(866)-456-1550		1
S5743	802	0		29	10	S5743_802_0	2	05/24/2010	2011.01	05/24/2010 03:31:38 PM Central Daylight Time				06/04/2010 09:52:41 PM Central Daylight Time	BCBS MN, MT, NE, ND, WY, WELLMARK IA AND SD	MedicareBlue Rx	www.YourMedicareSolutions.com	Group MedicareBlue Rx (PDP)	10	29					S5743	802	0	2011	Nationwide		1						2							www.YourMedicareSolutions.com	www.YourMedicareSolutions.com									(877)-838-3827		(877)-838-3827		(866)-434-2037		(866)-434-2037										(866)-213-9262		(866)-213-9262		(866)-456-1550		(866)-456-1550		1
S5753	006	0		29	10	S5753_006_0	4	07/28/2010	2011.01	07/28/2010 05:15:52 PM Central Daylight Time		07/28/2010 05:35:56 PM Central Daylight Time		07/28/2010 05:52:01 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS MedicareRx Plan 1 (PDP)	10	29					S5753	006	0	2011	State of Wisconsin		2						2							www.wpsmedicaredrugs.com	www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1
S5753	007	0		29	10	S5753_007_0	4	07/28/2010	2011.01	07/28/2010 05:20:39 PM Central Daylight Time		07/28/2010 05:33:15 PM Central Daylight Time		07/28/2010 05:52:01 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS MedicareRx Plan 2 (PDP)	10	29					S5753	007	0	2011	State of Wisconsin		2						2							www.wpsmedicaredrugs.com	www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1
S5753	801	0		29	10	S5753_801_0	2	06/04/2010	2011.01	06/04/2010 04:40:20 PM Central Daylight Time				06/04/2010 10:18:55 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS Employer Plan - Calendar Year (PDP)	10	29					S5753	801	0	2011	National		1						2							www.wpsmedicaredrugs.com	www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1
S5753	803	0		29	10	S5753_803_0	2	06/04/2010	2011.01	06/04/2010 04:40:32 PM Central Daylight Time				06/04/2010 10:18:55 PM Central Daylight Time	WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATION	WPS Health Insurance	www.wpsmedicaredrugs.com	WPS Employer Plan Non-Calendar Year (PDP)	10	29					S5753	803	0	2011	National		1						2							www.wpsmedicaredrugs.com	www.wpsmedicaredrugs.com									(800)-688-1604		(800)-688-1604		(800)-731-0459		(800)-731-0459										(800)-716-3231		(800)-716-3231		(888)-877-2837		(888)-877-2837		1
S5755	005	0		29	10	S5755_005_0	2	07/27/2010	2011.01	07/27/2010 08:22:18 AM Central Daylight Time		07/27/2010 10:00:12 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	005	0	2011	States of Maine and New Hampshire		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	006	0		29	10	S5755_006_0	2	07/27/2010	2011.01	07/27/2010 08:23:02 AM Central Daylight Time		07/27/2010 10:01:56 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	006	0	2011	States of CT, MA, RI and VT		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	007	0		29	10	S5755_007_0	2	07/27/2010	2011.01	07/27/2010 08:23:36 AM Central Daylight Time		07/27/2010 10:02:22 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	007	0	2011	State of New Jersey		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	008	0		29	10	S5755_008_0	2	07/27/2010	2011.01	07/27/2010 08:24:20 AM Central Daylight Time		07/27/2010 10:02:52 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	008	0	2011	States of Delaware and Maryland plus DC		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	009	0		29	10	S5755_009_0	2	07/27/2010	2011.01	07/27/2010 08:25:08 AM Central Daylight Time		07/27/2010 10:03:18 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	009	0	2011	States of Pennsylvania and West Virginia		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	010	0		29	10	S5755_010_0	2	07/27/2010	2011.01	07/27/2010 08:26:09 AM Central Daylight Time		07/27/2010 10:03:48 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	010	0	2011	State of Virginia		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	011	0		29	10	S5755_011_0	2	07/27/2010	2011.01	07/27/2010 08:26:48 AM Central Daylight Time		07/27/2010 10:04:16 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	011	0	2011	State of North Carolina		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	012	0		29	10	S5755_012_0	2	07/27/2010	2011.01	07/27/2010 08:27:21 AM Central Daylight Time		07/27/2010 10:04:44 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	012	0	2011	State of South Carolina		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	013	0		29	10	S5755_013_0	2	07/27/2010	2011.01	07/27/2010 08:27:50 AM Central Daylight Time		07/27/2010 10:05:12 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	013	0	2011	State of Georgia		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	014	0		29	10	S5755_014_0	2	07/27/2010	2011.01	07/27/2010 08:28:40 AM Central Daylight Time		07/27/2010 10:05:38 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	014	0	2011	State of Florida		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	015	0		29	10	S5755_015_0	2	07/27/2010	2011.01	07/27/2010 08:29:12 AM Central Daylight Time		07/27/2010 10:06:08 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	015	0	2011	States of Alabama and Tennessee		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	016	0		29	10	S5755_016_0	4	08/25/2010	2011.01	08/25/2010 02:14:07 PM Central Daylight Time		08/25/2010 03:41:28 PM Central Daylight Time		08/25/2010 03:43:25 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	016	0	2011	State of Michigan		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	017	0		29	10	S5755_017_0	2	07/27/2010	2011.01	07/27/2010 08:30:36 AM Central Daylight Time		07/27/2010 10:07:02 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	017	0	2011	State of Ohio		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	018	0		29	10	S5755_018_0	2	07/27/2010	2011.01	07/27/2010 08:31:05 AM Central Daylight Time		07/27/2010 10:07:30 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	018	0	2011	States of Indiana and Kentucky		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	019	0		29	10	S5755_019_0	2	07/27/2010	2011.01	07/27/2010 08:31:47 AM Central Daylight Time		07/27/2010 10:07:56 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	019	0	2011	State of Wisconsin		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	020	0		29	10	S5755_020_0	2	07/27/2010	2011.01	07/27/2010 08:32:11 AM Central Daylight Time		07/27/2010 10:08:26 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	020	0	2011	State of Illinois		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	021	0		29	10	S5755_021_0	2	07/27/2010	2011.01	07/27/2010 08:32:37 AM Central Daylight Time		07/27/2010 10:08:52 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	021	0	2011	State of Missouri		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	022	0		29	10	S5755_022_0	2	07/27/2010	2011.01	07/27/2010 08:33:06 AM Central Daylight Time		07/27/2010 10:09:20 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	022	0	2011	State of Arkansas		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	023	0		29	10	S5755_023_0	2	07/27/2010	2011.01	07/27/2010 08:33:40 AM Central Daylight Time		07/27/2010 10:09:46 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	023	0	2011	State of Mississippi		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	024	0		29	10	S5755_024_0	2	07/27/2010	2011.01	07/27/2010 08:34:18 AM Central Daylight Time		07/27/2010 10:10:14 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	024	0	2011	State of Louisiana		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	025	0		29	10	S5755_025_0	2	07/27/2010	2011.01	07/27/2010 08:34:41 AM Central Daylight Time		07/27/2010 10:10:40 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	025	0	2011	State of Texas		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	026	0		29	10	S5755_026_0	2	07/27/2010	2011.01	07/27/2010 08:35:06 AM Central Daylight Time		07/27/2010 10:11:08 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	026	0	2011	State of Oklahoma		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	027	0		29	10	S5755_027_0	2	07/27/2010	2011.01	07/27/2010 08:35:31 AM Central Daylight Time		07/27/2010 10:11:36 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	027	0	2011	State of Kansas		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	028	0		29	10	S5755_028_0	2	07/27/2010	2011.01	07/27/2010 08:37:41 AM Central Daylight Time		07/27/2010 10:12:04 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	028	0	2011	States of IA, MN, MT, NE, ND, SD and WY		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	029	0		29	10	S5755_029_0	2	07/27/2010	2011.01	07/27/2010 08:38:38 AM Central Daylight Time		07/27/2010 10:12:30 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	029	0	2011	State of New Mexico		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	030	0		29	10	S5755_030_0	2	07/27/2010	2011.01	07/27/2010 08:39:05 AM Central Daylight Time		07/27/2010 10:13:00 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	030	0	2011	State of Colorado		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	031	0		29	10	S5755_031_0	2	07/27/2010	2011.01	07/27/2010 08:39:38 AM Central Daylight Time		07/27/2010 10:13:32 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	031	0	2011	State of Arizona		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	032	0		29	10	S5755_032_0	2	07/27/2010	2011.01	07/27/2010 08:40:03 AM Central Daylight Time		07/27/2010 10:14:00 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	032	0	2011	State of Nevada		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	033	0		29	10	S5755_033_0	2	07/27/2010	2011.01	07/27/2010 08:40:46 AM Central Daylight Time		07/27/2010 10:14:28 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	033	0	2011	States of Oregon and Washington		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	034	0		29	10	S5755_034_0	2	07/27/2010	2011.01	07/27/2010 08:41:16 AM Central Daylight Time		07/27/2010 10:14:56 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	034	0	2011	States of Idaho and Utah		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	035	0		29	10	S5755_035_0	2	07/27/2010	2011.01	07/27/2010 08:41:39 AM Central Daylight Time		07/27/2010 10:15:24 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	035	0	2011	State of California		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	038	0		29	10	S5755_038_0	2	07/27/2010	2011.01	07/27/2010 08:42:28 AM Central Daylight Time		07/27/2010 10:15:50 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	038	0	2011	State of Hawaii		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	039	0		29	10	S5755_039_0	2	07/27/2010	2011.01	07/27/2010 08:42:52 AM Central Daylight Time		07/27/2010 10:16:20 AM Central Daylight Time		08/03/2010 02:42:48 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com	UA Medicare Part D Prescription Drug Cov (PDP)	10	29					S5755	039	0	2011	State of Alaska		2						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4169		(866)-524-4169		(866)-524-4169		(866)-524-4169										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	801	0		29	10	S5755_801_0	1	04/14/2010	2011.01	04/14/2010 09:15:30 AM Central Daylight Time				06/06/2010 07:45:22 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com/	United American Employer Calendar Plan (PDP)	10	29					S5755	801	0	2011	National		1						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4199		(866)-524-4199		(866)-524-4199		(866)-524-4199										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5755	802	0		29	10	S5755_802_0	1	04/14/2010	2011.01	04/14/2010 09:15:41 AM Central Daylight Time				06/06/2010 07:45:22 PM Central Daylight Time	UNITED AMERICAN INSURANCE COMPANY	United American Insurance Company	http://www.uamedicarepartd.com/	United American Employer Non-Cal Drug Plan (PDP)	10	29					S5755	802	0	2011	National		1						2							http://www.uamedicarepartd.com/	http://www.uamedicarepartd.com/									(866)-524-4199		(866)-524-4199		(866)-524-4199		(866)-524-4199										(866)-524-4170		(866)-524-4170		(866)-524-4170		(866)-524-4170		1
S5766	002	0		29	10	S5766_002_0	8	06/07/2010	2011.01	06/07/2010 02:05:28 PM Eastern Daylight Time		06/07/2010 03:22:25 PM Eastern Daylight Time		06/07/2010 03:53:57 PM Eastern Daylight Time	FIRST CARE, INC.	Medi-CareFirst BlueCross BlueShield	www.medi-carefirst.com	Blue Rx Standard (PDP)	10	29					S5766	002	0	2011	Delaware, District of Columbia and Maryland		2						2							http://www.medi-carefirst.com	www.argushealth.com									(800)-693-1434		(800)-693-1434		(888)-784-0790		(888)-784-0790										(800)-693-0765		(800)-693-0765		(888)-784-0868		(888)-784-0868		1
S5766	003	0		29	10	S5766_003_0	6	07/28/2010	2011.01	07/28/2010 06:20:10 PM Eastern Daylight Time		07/26/2010 09:17:50 AM Eastern Daylight Time		07/28/2010 06:32:43 PM Eastern Daylight Time	FIRST CARE, INC.	Medi-CareFirst BlueCross BlueShield	www.medi-carefirst.com	Blue Rx Enhanced (PDP)	10	29					S5766	003	0	2011	Delaware, District of Columbia and Maryland		2						2							http://www.medi-carefirst.com	www.argushealth.com									(800)-693-1434		(800)-693-1434		(888)-784-0790		(888)-784-0790										(800)-693-0765		(800)-693-0765		(888)-784-0868		(888)-784-0868		1
S5768	005	0		29	10	S5768_005_0	4	08/03/2010	2011.01	08/03/2010 01:58:17 PM Eastern Daylight Time		07/26/2010 03:15:26 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	005	0	2011	First Health Part D Premier - ME_NH		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	007	0		29	10	S5768_007_0	4	08/03/2010	2011.01	08/03/2010 02:18:40 PM Eastern Daylight Time		07/27/2010 10:28:25 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	007	0	2011	First Health Part D Premier - New Jersey		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	008	0		29	10	S5768_008_0	4	08/03/2010	2011.01	08/03/2010 02:19:21 PM Eastern Daylight Time		07/27/2010 10:29:28 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	008	0	2011	First Health Part D Premier - Mid Atlantic		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	009	0		29	10	S5768_009_0	4	08/03/2010	2011.01	08/03/2010 02:20:13 PM Eastern Daylight Time		07/27/2010 01:30:48 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	009	0	2011	First Health Part D Premier - PA_WV		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	010	0		29	10	S5768_010_0	4	08/03/2010	2011.01	08/03/2010 02:20:46 PM Eastern Daylight Time		07/27/2010 10:30:28 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	010	0	2011	First Health Part D Premier - Virginia		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	012	0		29	10	S5768_012_0	3	08/03/2010	2011.01	08/03/2010 02:25:11 PM Eastern Daylight Time		07/27/2010 12:54:59 PM Eastern Daylight Time		08/04/2010 08:54:02 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	012	0	2011	First Health Part D Premier - South Carolina		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	015	0		29	10	S5768_015_0	4	08/03/2010	2011.01	08/03/2010 02:30:03 PM Eastern Daylight Time		07/27/2010 12:58:33 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	015	0	2011	First Health Part D Premier - AL_TN		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	016	0		29	10	S5768_016_0	4	08/03/2010	2011.01	08/03/2010 02:30:30 PM Eastern Daylight Time		07/27/2010 12:59:56 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	016	0	2011	First Health Part D Premier - Michigan		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	017	0		29	10	S5768_017_0	4	08/03/2010	2011.01	08/03/2010 02:31:02 PM Eastern Daylight Time		07/27/2010 10:34:53 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	017	0	2011	First Health Part D Premier - Ohio		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	018	0		29	10	S5768_018_0	4	08/03/2010	2011.01	08/03/2010 02:31:40 PM Eastern Daylight Time		07/27/2010 10:36:48 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	018	0	2011	First Health Part D Premier - IN_KY		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	021	0		29	10	S5768_021_0	4	08/03/2010	2011.01	08/03/2010 02:33:17 PM Eastern Daylight Time		07/27/2010 01:04:49 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	021	0	2011	First Health Part D Premier - Missouri		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	031	0		29	10	S5768_031_0	4	08/03/2010	2011.01	08/03/2010 02:40:19 PM Eastern Daylight Time		07/27/2010 01:20:58 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	031	0	2011	First Health Part D Premier - Nevada		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	038	0		29	10	S5768_038_0	4	08/03/2010	2011.01	08/03/2010 01:59:14 PM Eastern Daylight Time		07/27/2010 12:53:10 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	038	0	2011	First Health Part D Premier - Central New England		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	039	0		29	10	S5768_039_0	4	08/03/2010	2011.01	08/03/2010 02:22:00 PM Eastern Daylight Time		07/27/2010 10:31:36 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	039	0	2011	First Health Part D Premier - North Carolina		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	040	0		29	10	S5768_040_0	4	08/03/2010	2011.01	08/03/2010 02:26:06 PM Eastern Daylight Time		07/27/2010 12:56:19 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	040	0	2011	First Health Part D Premier - Georgia		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	041	0		29	10	S5768_041_0	4	08/03/2010	2011.01	08/03/2010 02:28:36 PM Eastern Daylight Time		07/27/2010 10:33:14 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	041	0	2011	First Health Part D Premier - Florida		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	042	0		29	10	S5768_042_0	4	08/03/2010	2011.01	08/03/2010 02:32:45 PM Eastern Daylight Time		07/27/2010 01:03:12 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	042	0	2011	First Health Part D Premier - Illinois		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	043	0		29	10	S5768_043_0	4	08/03/2010	2011.01	08/03/2010 02:33:49 PM Eastern Daylight Time		07/27/2010 01:06:20 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	043	0	2011	First Health Part D Premier -  Arkansas		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	044	0		29	10	S5768_044_0	4	08/03/2010	2011.01	08/03/2010 02:35:23 PM Eastern Daylight Time		07/27/2010 01:10:32 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	044	0	2011	First Health Part D Premier - Louisiana		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	045	0		29	10	S5768_045_0	4	08/03/2010	2011.01	08/03/2010 02:35:47 PM Eastern Daylight Time		07/27/2010 01:11:47 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	045	0	2011	First Heatlh Part D Premier - Texas		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	046	0		29	10	S5768_046_0	4	08/03/2010	2011.01	08/03/2010 02:36:15 PM Eastern Daylight Time		07/27/2010 10:38:01 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	046	0	2011	First Health Part D Premier - Oklahoma		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	047	0		29	10	S5768_047_0	4	08/03/2010	2011.01	08/03/2010 02:36:37 PM Eastern Daylight Time		07/27/2010 01:15:40 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	047	0	2011	First Health Part D Premier - Kansas		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	048	0		29	10	S5768_048_0	4	08/03/2010	2011.01	08/03/2010 02:37:45 PM Eastern Daylight Time		07/27/2010 10:39:04 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	048	0	2011	First Health Part D Premier - New Mexico		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	082	0		29	10	S5768_082_0	4	08/03/2010	2011.01	08/03/2010 02:43:12 PM Eastern Daylight Time		07/27/2010 10:40:15 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	082	0	2011	First Health Part D Premier - CA		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	083	0		29	10	S5768_083_0	4	08/03/2010	2011.01	08/03/2010 02:32:10 PM Eastern Daylight Time		07/27/2010 01:01:46 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	083	0	2011	First Health Part D Premier - Wisconsin		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	117	0		29	10	S5768_117_0	4	08/03/2010	2011.01	08/03/2010 02:44:02 PM Eastern Daylight Time		07/28/2010 09:40:39 AM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	117	0	2011	First Health Part D Premier - Alaska		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	118	0		29	10	S5768_118_0	4	08/03/2010	2011.01	08/03/2010 02:42:39 PM Eastern Daylight Time		07/27/2010 01:23:45 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	118	0	2011	First Health Part D Premier - Idaho_Utah		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	119	0		29	10	S5768_119_0	4	08/03/2010	2011.01	08/03/2010 02:39:16 PM Eastern Daylight Time		07/27/2010 01:18:21 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	119	0	2011	First Health Part D Premier - Colorado		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	120	0		29	10	S5768_120_0	4	08/03/2010	2011.01	08/03/2010 02:34:57 PM Eastern Daylight Time		07/27/2010 01:09:07 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	120	0	2011	First Health Part D Premier - Mississippi		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	121	0		29	10	S5768_121_0	4	08/03/2010	2011.01	08/03/2010 02:39:50 PM Eastern Daylight Time		07/27/2010 01:19:27 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	121	0	2011	First Health Part D Premier - Arizona		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	122	0		29	10	S5768_122_0	4	08/03/2010	2011.01	08/03/2010 02:37:15 PM Eastern Daylight Time		07/27/2010 01:17:12 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	122	0	2011	First Health Part D Premier - Up MW and No Plains		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	123	0		29	10	S5768_123_0	4	08/03/2010	2011.01	08/03/2010 02:42:03 PM Eastern Daylight Time		07/27/2010 01:22:32 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	123	0	2011	First Health Part D Premier - OR_WA		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5768	124	0		29	10	S5768_124_0	4	08/03/2010	2011.01	08/03/2010 02:43:42 PM Eastern Daylight Time		07/27/2010 01:25:35 PM Eastern Daylight Time		08/04/2010 09:10:24 AM Eastern Daylight Time	FIRST HEALTH LIFE AND HEALTH INSURANCE COMPANY	First Health Part D	https://www.FirstHealthPartD.com	First Health Part D Premier (PDP)	10	29					S5768	124	0	2011	First Health Part D Premier - Hawaii		2						2							http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm	http://firsthealthpremier.coventryhealthcare.com/DrugList/index.htm									(866)-865-0662		(866)-865-0662		(800)-882-3822		(800)-882-3822										(711)		(711)		(711)		(711)		1
S5775	001	0		29	10	S5775_001_0	2	08/04/2010	2011.01	08/04/2010 11:35:15 AM Atlantic Standard Time		08/04/2010 11:20:34 AM Atlantic Standard Time		08/04/2010 11:40:18 AM Atlantic Standard Time	PHARMACY INSURANCE CORPORATION OF AMERICA	PICA	www.picapr.com	PICA Primero (PDP)	10	29					S5775	001	0	2011	Commonwealth of Puerto Rico		2						2							www.picapr.com	www.picapr.com									(866)-990-7422		(787)-625-4343		(866)-990-7422		(787)-625-4343										(866)-992-7422		(866)-992-7422		(866)-992-7422		(866)-992-7422		1
S5775	002	0		29	10	S5775_002_0	1	06/07/2010	2011.01	06/07/2010 06:06:08 PM Atlantic Standard Time		06/07/2010 05:38:08 PM Atlantic Standard Time		06/07/2010 06:58:35 PM Atlantic Standard Time	PHARMACY INSURANCE CORPORATION OF AMERICA	PICA	www.picapr.com	PICA Alante (PDP)	10	29					S5775	002	0	2011	Commonwealth of Puerto Rico		2						2							www.picapr.com	www.picapr.com									(866)-990-7422		(787)-625-4343		(866)-990-7422		(787)-625-4343										(866)-992-7422		(866)-992-7422		(866)-992-7422		(866)-992-7422		1
S5775	801	0		29	10	S5775_801_0	1	06/07/2010	2011.01	06/07/2010 11:47:26 AM Atlantic Standard Time				06/07/2010 06:58:35 PM Atlantic Standard Time	PHARMACY INSURANCE CORPORATION OF AMERICA	PICA	www.picapr.com	PICA- Employer (PDP)	10	29					S5775	801	0	2011	Commonwealth of Puerto Rico		1						2							www.picapr.com	www.picapr.com									(866)-990-7422		(787)-625-4343		(866)-990-7422		(787)-625-4343										(866)-992-7422		(866)-992-7422		(866)-992-7422		(866)-992-7422		1
S5795	002	0		29	10	S5795_002_0	2	06/04/2010	2011.01	06/04/2010 08:59:02 AM Central Daylight Time		06/06/2010 10:20:47 AM Central Daylight Time		06/06/2010 10:35:28 AM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Rx Premier (PDP)	10	29					S5795	002	0	2011	State of Arkansas		2						2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
S5795	003	0		29	10	S5795_003_0	3	06/04/2010	2011.01	06/04/2010 10:21:08 AM Central Daylight Time		06/06/2010 10:21:13 AM Central Daylight Time		06/06/2010 10:35:28 AM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	AR Blue Cross - Medi-Pak Rx Basic (PDP)	10	29					S5795	003	0	2011	State of Arkansas		2						2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
S5795	804	0		29	10	S5795_804_0	2	06/08/2010	2011.01	06/08/2010 09:18:22 AM Central Daylight Time				06/08/2010 03:40:26 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	Arkansas BCBS Std Def Employer CY 4 (PDP)	10	29					S5795	804	0	2011	Employer Group Plan		1						2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
S5795	809	0		29	10	S5795_809_0	2	06/08/2010	2011.01	06/08/2010 09:12:31 AM Central Daylight Time				06/08/2010 03:40:26 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	Arkansas BCBS Std Def Employer NCY 4 (PDP)	10	29					S5795	809	0	2011	Employer Group Plan		1						2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
S5795	811	0		29	10	S5795_811_0	2	06/08/2010	2011.01	06/08/2010 09:12:37 AM Central Daylight Time				06/08/2010 03:40:26 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	ABCBS Group Basic CY (PDP)	10	29					S5795	811	0	2011	Employer Group Plan		1						2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
S5795	812	0		29	10	S5795_812_0	2	06/08/2010	2011.01	06/08/2010 09:12:45 AM Central Daylight Time				06/08/2010 03:40:26 PM Central Daylight Time	ARKANSAS BCBS, A MUTUAL INSURANCE COMPANY	Arkansas Blue Cross  -  Medi-Pak Rx	www.arkansasbluecross.com	ABCBS Group Basic PY (PDP)	10	29					S5795	812	0	2011	Employer Group Plan		1						2							http://www.arkansasbluecross.com	http://www.arkansasbluecross.com									(866)-390-3369		(866)-390-3369		(888)-242-5017		(501)-378-2937										(888)-844-5530		(888)-844-5530		(800)-370-5869		(800)-370-5869		1
S5803	070	0		29	10	S5803_070_0	3	05/31/2010	2011.01	05/31/2010 11:21:44 AM Eastern Daylight Time		07/26/2010 02:12:34 PM Eastern Daylight Time		07/26/2010 04:02:20 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	070	0	2011	State of New Hampshire and State of Maine		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	071	0		29	10	S5803_071_0	2	07/30/2010	2011.01	07/30/2010 01:20:40 PM Eastern Daylight Time		07/29/2010 10:16:08 AM Eastern Daylight Time		07/30/2010 01:59:35 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	071	0	2011	States of CT, MA, RI, VT		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	073	0		29	10	S5803_073_0	2	05/31/2010	2011.01	05/31/2010 11:22:56 AM Eastern Daylight Time		07/26/2010 02:12:35 PM Eastern Daylight Time		07/26/2010 04:02:20 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	073	0	2011	State of New Jersey		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	074	0		29	10	S5803_074_0	1	05/31/2010	2011.01	05/31/2010 11:23:06 AM Eastern Daylight Time		06/01/2010 06:27:03 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	074	0	2011	States of Delaware, District of Columbia, Maryland		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	075	0		29	10	S5803_075_0	1	05/31/2010	2011.01	05/31/2010 11:23:14 AM Eastern Daylight Time		06/01/2010 06:27:37 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	075	0	2011	States of Pennsylvania and State of West Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	076	0		29	10	S5803_076_0	1	05/31/2010	2011.01	05/31/2010 11:23:24 AM Eastern Daylight Time		06/01/2010 06:26:17 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	076	0	2011	State of Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	077	0		29	10	S5803_077_0	1	05/31/2010	2011.01	05/31/2010 11:23:33 AM Eastern Daylight Time		06/01/2010 06:23:51 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	077	0	2011	State of North Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	078	0		29	10	S5803_078_0	1	05/31/2010	2011.01	05/31/2010 11:23:50 AM Eastern Daylight Time		06/01/2010 06:26:53 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	078	0	2011	State of South Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	079	0		29	10	S5803_079_0	1	05/31/2010	2011.01	05/31/2010 11:23:59 AM Eastern Daylight Time		06/01/2010 06:21:02 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	079	0	2011	State of Georgia		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	080	0		29	10	S5803_080_0	1	05/31/2010	2011.01	05/31/2010 11:24:10 AM Eastern Daylight Time		06/01/2010 06:25:27 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	080	0	2011	State of Florida		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	081	0		29	10	S5803_081_0	1	05/31/2010	2011.01	05/31/2010 11:24:20 AM Eastern Daylight Time		06/01/2010 06:24:01 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	081	0	2011	State of Alabama and State of Tennessee		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	082	0		29	10	S5803_082_0	2	07/30/2010	2011.01	07/30/2010 01:21:22 PM Eastern Daylight Time		07/29/2010 10:17:00 AM Eastern Daylight Time		07/30/2010 01:59:35 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	082	0	2011	State of Michigan		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	083	0		29	10	S5803_083_0	2	07/30/2010	2011.01	07/30/2010 01:21:52 PM Eastern Daylight Time		07/29/2010 10:19:00 AM Eastern Daylight Time		07/30/2010 01:59:35 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	083	0	2011	State of Ohio		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	084	0		29	10	S5803_084_0	1	05/31/2010	2011.01	05/31/2010 11:24:49 AM Eastern Daylight Time		06/01/2010 06:19:33 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	084	0	2011	State of Indiana and State of Kentucky		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	085	0		29	10	S5803_085_0	2	07/30/2010	2011.01	07/30/2010 01:22:14 PM Eastern Daylight Time		07/29/2010 10:17:26 AM Eastern Daylight Time		07/30/2010 01:59:35 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	085	0	2011	State of Wisconsin		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	086	0		29	10	S5803_086_0	1	05/31/2010	2011.01	05/31/2010 11:25:11 AM Eastern Daylight Time		06/01/2010 06:23:14 PM Eastern Daylight Time		06/03/2010 10:02:54 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	086	0	2011	State of Illinois		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	087	0		29	10	S5803_087_0	1	05/31/2010	2011.01	05/31/2010 11:25:19 AM Eastern Daylight Time		06/01/2010 06:22:11 PM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	087	0	2011	State of Missouri		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	088	0		29	10	S5803_088_0	1	05/31/2010	2011.01	05/31/2010 11:25:28 AM Eastern Daylight Time		06/01/2010 06:19:21 PM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	088	0	2011	State of Arkansas		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	089	0		29	10	S5803_089_0	1	05/31/2010	2011.01	05/31/2010 11:25:36 AM Eastern Daylight Time		06/01/2010 06:21:53 PM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	089	0	2011	State of Mississippi		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	090	0		29	10	S5803_090_0	1	05/31/2010	2011.01	05/31/2010 11:25:45 AM Eastern Daylight Time		06/02/2010 11:41:56 AM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	090	0	2011	State of Louisiana		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	091	0		29	10	S5803_091_0	1	05/31/2010	2011.01	05/31/2010 11:25:55 AM Eastern Daylight Time		06/01/2010 06:21:40 PM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	091	0	2011	State of Texas		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	092	0		29	10	S5803_092_0	1	05/31/2010	2011.01	05/31/2010 11:26:04 AM Eastern Daylight Time		06/01/2010 06:18:58 PM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	092	0	2011	State of Oklahoma		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	093	0		29	10	S5803_093_0	1	05/31/2010	2011.01	05/31/2010 11:26:12 AM Eastern Daylight Time		06/01/2010 06:21:25 PM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	093	0	2011	State of Kansas		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	094	0		29	10	S5803_094_0	1	05/31/2010	2011.01	05/31/2010 11:26:21 AM Eastern Daylight Time		06/02/2010 11:40:17 AM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	094	0	2011	States of IA, MN, MT, NE, ND, SD, WY		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	095	0		29	10	S5803_095_0	1	05/31/2010	2011.01	05/31/2010 11:26:30 AM Eastern Daylight Time		06/01/2010 06:17:41 PM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	095	0	2011	State of New Mexico		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	096	0		29	10	S5803_096_0	1	05/31/2010	2011.01	05/31/2010 11:26:38 AM Eastern Daylight Time		06/01/2010 06:20:04 PM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	096	0	2011	State of Colorado		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	097	0		29	10	S5803_097_0	2	05/31/2010	2011.01	05/31/2010 11:26:46 AM Eastern Daylight Time		07/26/2010 02:12:37 PM Eastern Daylight Time		07/26/2010 04:02:20 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	097	0	2011	State of Arizona		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	098	0		29	10	S5803_098_0	2	05/31/2010	2011.01	05/31/2010 11:26:56 AM Eastern Daylight Time		07/26/2010 01:41:40 PM Eastern Daylight Time		07/26/2010 04:02:20 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	098	0	2011	State of Nevada		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	099	0		29	10	S5803_099_0	1	05/31/2010	2011.01	05/31/2010 11:27:05 AM Eastern Daylight Time		06/01/2010 10:56:13 AM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	099	0	2011	State of Oregon and State of Washington		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	100	0		29	10	S5803_100_0	2	05/31/2010	2011.01	05/31/2010 11:27:14 AM Eastern Daylight Time		07/26/2010 02:12:38 PM Eastern Daylight Time		07/26/2010 04:02:20 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	100	0	2011	State of Idaho and State of Utah		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	101	0		29	10	S5803_101_0	1	05/31/2010	2011.01	05/31/2010 11:27:23 AM Eastern Daylight Time		06/01/2010 10:54:58 AM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	101	0	2011	State of California		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	102	0		29	10	S5803_102_0	1	05/31/2010	2011.01	05/31/2010 11:27:31 AM Eastern Daylight Time		06/01/2010 10:43:44 AM Eastern Daylight Time		06/03/2010 10:09:50 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	102	0	2011	State of Hawaii		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	103	0		29	10	S5803_103_0	2	05/31/2010	2011.01	05/31/2010 11:27:40 AM Eastern Daylight Time		07/26/2010 02:10:32 PM Eastern Daylight Time		07/26/2010 04:02:20 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	103	0	2011	State of Alaska		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	138	0		29	10	S5803_138_0	3	07/30/2010	2011.01	07/30/2010 10:28:08 AM Eastern Daylight Time		07/29/2010 01:58:03 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	138	0	2011	State of New Hampshire and State of Maine		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	139	0		29	10	S5803_139_0	4	07/30/2010	2011.01	07/30/2010 10:28:57 AM Eastern Daylight Time		07/29/2010 01:58:13 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	139	0	2011	States of CT, MA, RI, VT		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	141	0		29	10	S5803_141_0	3	07/30/2010	2011.01	07/30/2010 10:28:58 AM Eastern Daylight Time		07/29/2010 01:58:34 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	141	0	2011	State of New Jersey		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	142	0		29	10	S5803_142_0	3	07/30/2010	2011.01	07/30/2010 10:28:59 AM Eastern Daylight Time		07/29/2010 01:58:46 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	142	0	2011	States of Delaware, District of Columbia, Maryland		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	143	0		29	10	S5803_143_0	3	07/30/2010	2011.01	07/30/2010 10:28:59 AM Eastern Daylight Time		07/29/2010 01:58:55 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	143	0	2011	State of Pennsylvania and State of West Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	144	0		29	10	S5803_144_0	3	07/30/2010	2011.01	07/30/2010 10:29:01 AM Eastern Daylight Time		07/29/2010 01:59:04 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	144	0	2011	State of Virginia		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	145	0		29	10	S5803_145_0	3	07/30/2010	2011.01	07/30/2010 10:29:02 AM Eastern Daylight Time		07/29/2010 01:59:13 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	145	0	2011	State of North Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	146	0		29	10	S5803_146_0	3	07/30/2010	2011.01	07/30/2010 10:29:03 AM Eastern Daylight Time		07/29/2010 01:59:23 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	146	0	2011	State of South Carolina		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	147	0		29	10	S5803_147_0	3	07/30/2010	2011.01	07/30/2010 10:29:04 AM Eastern Daylight Time		07/29/2010 01:59:32 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	147	0	2011	State of Georgia		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	148	0		29	10	S5803_148_0	3	07/30/2010	2011.01	07/30/2010 10:29:05 AM Eastern Daylight Time		07/29/2010 01:59:42 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	148	0	2011	State of Florida		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	149	0		29	10	S5803_149_0	3	07/30/2010	2011.01	07/30/2010 10:29:06 AM Eastern Daylight Time		07/29/2010 01:59:52 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	149	0	2011	State of Alabama and State of Tennessee		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	150	0		29	10	S5803_150_0	3	07/30/2010	2011.01	07/30/2010 10:29:07 AM Eastern Daylight Time		07/29/2010 02:00:04 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	150	0	2011	State of Michigan		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	151	0		29	10	S5803_151_0	3	07/30/2010	2011.01	07/30/2010 10:29:09 AM Eastern Daylight Time		07/29/2010 02:00:13 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	151	0	2011	State of Ohio		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	152	0		29	10	S5803_152_0	3	07/30/2010	2011.01	07/30/2010 10:29:11 AM Eastern Daylight Time		07/29/2010 02:00:23 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	152	0	2011	State of Indiana and State of Kentucky		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	153	0		29	10	S5803_153_0	3	07/30/2010	2011.01	07/30/2010 10:29:12 AM Eastern Daylight Time		07/29/2010 02:00:33 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	153	0	2011	State of Wisconsin		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	154	0		29	10	S5803_154_0	3	07/30/2010	2011.01	07/30/2010 10:29:13 AM Eastern Daylight Time		07/29/2010 02:00:42 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	154	0	2011	State of Illinois		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	155	0		29	10	S5803_155_0	3	07/30/2010	2011.01	07/30/2010 10:29:14 AM Eastern Daylight Time		07/29/2010 02:00:52 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	155	0	2011	State of Missouri		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	156	0		29	10	S5803_156_0	3	07/30/2010	2011.01	07/30/2010 10:29:15 AM Eastern Daylight Time		07/29/2010 02:01:03 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	156	0	2011	State of Arkansas		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	157	0		29	10	S5803_157_0	3	07/30/2010	2011.01	07/30/2010 10:29:17 AM Eastern Daylight Time		07/29/2010 02:01:13 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	157	0	2011	State of Mississippi		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	158	0		29	10	S5803_158_0	3	07/30/2010	2011.01	07/30/2010 10:29:18 AM Eastern Daylight Time		07/29/2010 02:01:24 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	158	0	2011	State of Louisiana		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	159	0		29	10	S5803_159_0	3	07/30/2010	2011.01	07/30/2010 10:29:19 AM Eastern Daylight Time		07/29/2010 02:01:35 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	159	0	2011	State of Texas		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	160	0		29	10	S5803_160_0	3	07/30/2010	2011.01	07/30/2010 10:29:20 AM Eastern Daylight Time		07/29/2010 02:01:44 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	160	0	2011	State of Oklahoma		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	161	0		29	10	S5803_161_0	3	07/30/2010	2011.01	07/30/2010 10:29:21 AM Eastern Daylight Time		07/29/2010 02:01:54 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	161	0	2011	State of Kansas		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	162	0		29	10	S5803_162_0	3	07/30/2010	2011.01	07/30/2010 10:29:23 AM Eastern Daylight Time		07/29/2010 02:02:03 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	162	0	2011	States of IA, MN, MT, NE, ND, SD, WY		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	163	0		29	10	S5803_163_0	3	07/30/2010	2011.01	07/30/2010 10:29:24 AM Eastern Daylight Time		07/29/2010 02:02:14 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	163	0	2011	State of New Mexico		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	164	0		29	10	S5803_164_0	3	07/30/2010	2011.01	07/30/2010 10:29:25 AM Eastern Daylight Time		07/29/2010 02:02:24 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	164	0	2011	State of Colorado		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	165	0		29	10	S5803_165_0	3	07/30/2010	2011.01	07/30/2010 10:29:27 AM Eastern Daylight Time		07/29/2010 02:02:34 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	165	0	2011	State of Arizona		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	166	0		29	10	S5803_166_0	3	07/30/2010	2011.01	07/30/2010 10:29:28 AM Eastern Daylight Time		07/29/2010 02:02:48 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	166	0	2011	State of Nevada		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	167	0		29	10	S5803_167_0	3	07/30/2010	2011.01	07/30/2010 10:29:30 AM Eastern Daylight Time		07/29/2010 02:02:58 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	167	0	2011	State of Oregon and State of Washington		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	168	0		29	10	S5803_168_0	3	07/30/2010	2011.01	07/30/2010 10:29:31 AM Eastern Daylight Time		07/29/2010 02:03:08 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	168	0	2011	State of Idaho and State of Utah		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	169	0		29	10	S5803_169_0	3	07/30/2010	2011.01	07/30/2010 10:29:32 AM Eastern Daylight Time		07/29/2010 02:03:20 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	169	0	2011	State of California		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	170	0		29	10	S5803_170_0	3	07/30/2010	2011.01	07/30/2010 10:29:34 AM Eastern Daylight Time		07/29/2010 02:03:30 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	170	0	2011	State of Hawaii		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	171	0		29	10	S5803_171_0	3	07/30/2010	2011.01	07/30/2010 10:29:35 AM Eastern Daylight Time		07/29/2010 02:03:40 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	171	0	2011	State of Alaska		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	211	0		29	10	S5803_211_0	2	05/31/2010	2011.01	05/31/2010 11:27:55 AM Eastern Daylight Time		07/26/2010 02:12:32 PM Eastern Daylight Time		07/26/2010 04:02:20 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	211	0	2011	U.S. Virgin Islands		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	215	0		29	10	S5803_215_0	3	07/30/2010	2011.01	07/30/2010 10:29:37 AM Eastern Daylight Time		07/29/2010 02:03:50 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Choice (PDP)	10	29					S5803	215	0	2011	U.S. Virgin Islands		2						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	801	0		29	10	S5803_801_0	2	06/08/2010	2011.01	06/08/2010 03:50:19 PM Eastern Daylight Time				06/08/2010 03:54:06 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	801	0	2011	National		1						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	802	0		29	10	S5803_802_0	2	04/16/2010	2011.01	04/16/2010 04:14:08 PM Eastern Daylight Time				06/08/2010 03:54:06 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Basic (PDP)	10	29					S5803	802	0	2011	National		1						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	803	0		29	10	S5803_803_0	2	06/03/2010	2011.01	06/03/2010 09:17:42 AM Eastern Daylight Time				06/08/2010 03:54:06 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Group Plan (PDP)	10	29					S5803	803	0	2011	National		1						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5803	804	0		29	10	S5803_804_0	2	06/03/2010	2011.01	06/03/2010 09:17:47 AM Eastern Daylight Time				06/08/2010 03:54:06 PM Eastern Daylight Time	PENN LIFE INS CO AND AMER PROG LIFE AND HTH INS CO	Universal American	www.communityccrx.com	Community CCRx Group Plan NCY (PDP)	10	29					S5803	804	0	2011	National		1						2							http://communityccrx.universalamerican.com/main/formulary	http://www.universalamerican.com/providers-pharmacists.aspx									(866)-684-5353		(866)-684-5353		(866)-684-5353		(866)-684-5353										(866)-684-5351		(866)-684-5351		(866)-684-5351		(866)-684-5351		1
S5805	001	0		29	10	S5805_001_0	3	06/04/2010	2011.01	06/04/2010 04:20:56 PM Central Daylight Time		06/24/2010 12:52:43 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5805	001	0	2011	New York		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5805	801	0		29	10	S5805_801_0	1	04/21/2010	2011.01	04/21/2010 09:50:25 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx for Groups (PDP)	10	29					S5805	801	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(711)		(711)		(711)		(711)		1
S5805	802	0		29	10	S5805_802_0	1	04/21/2010	2011.01	04/21/2010 09:51:05 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx for Groups (PDP)	10	29					S5805	802	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(711)		(711)		(711)		(711)		1
S5805	803	0		29	10	S5805_803_0	1	06/03/2010	2011.01	06/03/2010 11:29:36 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5805	803	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5805	804	0		29	10	S5805_804_0	1	06/03/2010	2011.01	06/03/2010 11:29:43 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5805	804	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5805	805	0		29	10	S5805_805_0	1	06/03/2010	2011.01	06/03/2010 11:30:21 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx for Groups - A (PDP)	10	29					S5805	805	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(711)		(711)		(711)		(711)		1
S5805	806	0		29	10	S5805_806_0	1	06/03/2010	2011.01	06/03/2010 11:30:25 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx for Groups - A (PDP)	10	29					S5805	806	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(711)		(711)		(711)		(711)		1
S5805	807	0		29	10	S5805_807_0	1	06/03/2010	2011.01	06/03/2010 11:30:29 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups - A (PDP)	10	29					S5805	807	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5805	808	0		29	10	S5805_808_0	1	06/03/2010	2011.01	06/03/2010 11:30:35 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORK	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups - A (PDP)	10	29					S5805	808	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5810	035	0		29	10	S5810_035_0	3	07/30/2010	2011.01	07/30/2010 01:50:52 PM Eastern Daylight Time		06/05/2010 05:43:33 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	035	0	2011	Northern New England (NH, ME)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	036	0		29	10	S5810_036_0	2	07/30/2010	2011.01	07/30/2010 01:52:57 PM Eastern Daylight Time		06/05/2010 05:43:37 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	036	0	2011	Central New England  (CT,RI, MA,VT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	037	0		29	10	S5810_037_0	3	07/30/2010	2011.01	07/30/2010 01:53:02 PM Eastern Daylight Time		06/06/2010 01:13:11 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	037	0	2011	New  York		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	038	0		29	10	S5810_038_0	2	07/30/2010	2011.01	07/30/2010 01:53:39 PM Eastern Daylight Time		06/05/2010 05:43:45 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	038	0	2011	New Jersey		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	039	0		29	10	S5810_039_0	2	07/30/2010	2011.01	07/30/2010 01:55:13 PM Eastern Daylight Time		06/05/2010 05:43:49 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	039	0	2011	Mid-Atlantic (DE,DC,MD)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	040	0		29	10	S5810_040_0	2	07/30/2010	2011.01	07/30/2010 01:55:16 PM Eastern Daylight Time		06/05/2010 05:43:53 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	040	0	2011	Pennsylvania, West Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	041	0		29	10	S5810_041_0	2	07/30/2010	2011.01	07/30/2010 01:55:21 PM Eastern Daylight Time		06/05/2010 05:43:58 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	041	0	2011	Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	042	0		29	10	S5810_042_0	2	07/30/2010	2011.01	07/30/2010 01:55:56 PM Eastern Daylight Time		06/05/2010 05:44:02 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	042	0	2011	North Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	043	0		29	10	S5810_043_0	2	07/30/2010	2011.01	07/30/2010 01:56:01 PM Eastern Daylight Time		06/05/2010 05:44:07 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	043	0	2011	South Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	044	0		29	10	S5810_044_0	2	07/30/2010	2011.01	07/30/2010 01:57:40 PM Eastern Daylight Time		06/05/2010 05:44:11 PM Eastern Daylight Time		07/30/2010 02:10:04 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	044	0	2011	Georgia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	045	0		29	10	S5810_045_0	4	07/30/2010	2011.01	07/30/2010 01:57:44 PM Eastern Daylight Time		06/07/2010 12:37:39 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	045	0	2011	Florida		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	046	0		29	10	S5810_046_0	2	07/30/2010	2011.01	07/30/2010 01:57:48 PM Eastern Daylight Time		06/05/2010 05:44:17 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	046	0	2011	Alabama, Tennessee		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	047	0		29	10	S5810_047_0	2	07/30/2010	2011.01	07/30/2010 01:57:52 PM Eastern Daylight Time		06/05/2010 05:44:20 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	047	0	2011	Michigan		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	048	0		29	10	S5810_048_0	2	07/30/2010	2011.01	07/30/2010 01:58:28 PM Eastern Daylight Time		06/05/2010 05:44:23 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	048	0	2011	Ohio		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	049	0		29	10	S5810_049_0	2	07/30/2010	2011.01	07/30/2010 01:58:33 PM Eastern Daylight Time		06/05/2010 05:44:26 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	049	0	2011	Indiana, Kentucky		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	050	0		29	10	S5810_050_0	2	07/30/2010	2011.01	07/30/2010 01:58:40 PM Eastern Daylight Time		06/06/2010 12:43:08 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	050	0	2011	Wisconsin		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	051	0		29	10	S5810_051_0	2	07/30/2010	2011.01	07/30/2010 01:58:43 PM Eastern Daylight Time		06/05/2010 05:44:32 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	051	0	2011	Illinois		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	052	0		29	10	S5810_052_0	2	07/30/2010	2011.01	07/30/2010 01:58:47 PM Eastern Daylight Time		06/05/2010 05:44:35 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	052	0	2011	Missouri		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	053	0		29	10	S5810_053_0	2	07/30/2010	2011.01	07/30/2010 01:58:53 PM Eastern Daylight Time		06/05/2010 05:44:38 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	053	0	2011	Arkansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	054	0		29	10	S5810_054_0	2	07/30/2010	2011.01	07/30/2010 01:58:56 PM Eastern Daylight Time		06/05/2010 05:44:41 PM Eastern Daylight Time		07/30/2010 02:34:43 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	054	0	2011	Mississippi		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	055	0		29	10	S5810_055_0	2	07/30/2010	2011.01	07/30/2010 01:59:01 PM Eastern Daylight Time		06/05/2010 05:44:44 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	055	0	2011	Louisiana		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	056	0		29	10	S5810_056_0	2	07/30/2010	2011.01	07/30/2010 01:59:41 PM Eastern Daylight Time		06/05/2010 05:44:47 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	056	0	2011	Texas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	057	0		29	10	S5810_057_0	2	07/30/2010	2011.01	07/30/2010 01:59:46 PM Eastern Daylight Time		06/05/2010 05:44:51 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	057	0	2011	Oklahoma		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	058	0		29	10	S5810_058_0	2	07/30/2010	2011.01	07/30/2010 01:59:50 PM Eastern Daylight Time		06/05/2010 05:44:54 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	058	0	2011	Kansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	059	0		29	10	S5810_059_0	2	07/30/2010	2011.01	07/30/2010 01:59:54 PM Eastern Daylight Time		06/05/2010 05:44:57 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	059	0	2011	Upper MW and N Plains (IA,MN,NE,SD,ND,WY,MT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	060	0		29	10	S5810_060_0	3	07/30/2010	2011.01	07/30/2010 01:59:59 PM Eastern Daylight Time		06/07/2010 12:38:01 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	060	0	2011	New Mexico		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	061	0		29	10	S5810_061_0	2	07/30/2010	2011.01	07/30/2010 02:00:03 PM Eastern Daylight Time		06/05/2010 05:45:03 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	061	0	2011	Colorado		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	062	0		29	10	S5810_062_0	2	07/30/2010	2011.01	07/30/2010 02:00:08 PM Eastern Daylight Time		06/05/2010 05:45:06 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	062	0	2011	Arizona		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	063	0		29	10	S5810_063_0	2	07/30/2010	2011.01	07/30/2010 02:00:12 PM Eastern Daylight Time		06/05/2010 05:45:09 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	063	0	2011	Nevada		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	064	0		29	10	S5810_064_0	2	07/30/2010	2011.01	07/30/2010 02:00:17 PM Eastern Daylight Time		06/05/2010 05:45:12 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	064	0	2011	Oregon, Washington		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	065	0		29	10	S5810_065_0	2	07/30/2010	2011.01	07/30/2010 02:00:22 PM Eastern Daylight Time		06/05/2010 05:45:15 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	065	0	2011	Idaho, Utah		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	066	0		29	10	S5810_066_0	2	07/30/2010	2011.01	07/30/2010 02:00:26 PM Eastern Daylight Time		06/05/2010 05:45:18 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	066	0	2011	California		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	067	0		29	10	S5810_067_0	2	07/30/2010	2011.01	07/30/2010 02:00:30 PM Eastern Daylight Time		06/05/2010 05:45:21 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	067	0	2011	Hawaii		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	068	0		29	10	S5810_068_0	2	07/30/2010	2011.01	07/30/2010 02:00:33 PM Eastern Daylight Time		06/05/2010 05:45:25 PM Eastern Daylight Time		07/30/2010 03:11:20 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Essentials (PDP)	10	29					S5810	068	0	2011	Alaska		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	171	0		29	10	S5810_171_0	3	07/29/2010	2011.01	07/29/2010 07:44:44 AM Eastern Daylight Time		07/28/2010 05:21:58 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	171	0	2011	Northern New England (NH, ME)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	172	0		29	10	S5810_172_0	2	07/29/2010	2011.01	07/29/2010 07:44:53 AM Eastern Daylight Time		07/28/2010 05:21:51 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	172	0	2011	Central New England  (CT,RI, MA,VT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	174	0		29	10	S5810_174_0	2	07/29/2010	2011.01	07/29/2010 07:45:02 AM Eastern Daylight Time		07/28/2010 05:21:45 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	174	0	2011	New Jersey		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	175	0		29	10	S5810_175_0	2	07/29/2010	2011.01	07/29/2010 07:45:16 AM Eastern Daylight Time		07/28/2010 05:21:40 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	175	0	2011	Mid-Atlantic (DE,DC,MD)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	176	0		29	10	S5810_176_0	2	07/29/2010	2011.01	07/29/2010 07:45:23 AM Eastern Daylight Time		07/28/2010 05:21:34 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	176	0	2011	Pennsylvania, West Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	177	0		29	10	S5810_177_0	2	07/29/2010	2011.01	07/29/2010 07:45:32 AM Eastern Daylight Time		07/28/2010 05:21:28 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	177	0	2011	Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	178	0		29	10	S5810_178_0	2	07/29/2010	2011.01	07/29/2010 07:45:39 AM Eastern Daylight Time		07/28/2010 05:21:22 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	178	0	2011	North Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	179	0		29	10	S5810_179_0	2	07/29/2010	2011.01	07/29/2010 07:45:51 AM Eastern Daylight Time		07/28/2010 05:21:15 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	179	0	2011	South Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	180	0		29	10	S5810_180_0	2	07/29/2010	2011.01	07/29/2010 07:46:03 AM Eastern Daylight Time		07/28/2010 05:21:09 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	180	0	2011	Georgia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	182	0		29	10	S5810_182_0	2	07/29/2010	2011.01	07/29/2010 07:46:10 AM Eastern Daylight Time		07/28/2010 05:21:02 PM Eastern Daylight Time		07/29/2010 11:26:43 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	182	0	2011	Alabama, Tennessee		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	183	0		29	10	S5810_183_0	2	07/29/2010	2011.01	07/29/2010 07:46:23 AM Eastern Daylight Time		07/28/2010 05:20:55 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	183	0	2011	Michigan		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	184	0		29	10	S5810_184_0	2	07/29/2010	2011.01	07/29/2010 07:46:34 AM Eastern Daylight Time		07/28/2010 05:20:49 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	184	0	2011	Ohio		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	185	0		29	10	S5810_185_0	2	07/29/2010	2011.01	07/29/2010 07:46:42 AM Eastern Daylight Time		07/28/2010 05:20:42 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	185	0	2011	Indiana, Kentucky		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	186	0		29	10	S5810_186_0	2	07/29/2010	2011.01	07/29/2010 07:46:51 AM Eastern Daylight Time		07/28/2010 05:20:36 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	186	0	2011	Wisconsin		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	187	0		29	10	S5810_187_0	2	07/29/2010	2011.01	07/29/2010 07:46:58 AM Eastern Daylight Time		07/28/2010 05:20:27 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	187	0	2011	Illinois		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	188	0		29	10	S5810_188_0	3	07/29/2010	2011.01	07/29/2010 07:47:06 AM Eastern Daylight Time		07/28/2010 05:20:20 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	188	0	2011	Missouri		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	189	0		29	10	S5810_189_0	3	07/29/2010	2011.01	07/29/2010 07:47:12 AM Eastern Daylight Time		07/28/2010 05:22:05 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	189	0	2011	Arkansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	190	0		29	10	S5810_190_0	3	07/29/2010	2011.01	07/29/2010 07:47:21 AM Eastern Daylight Time		07/28/2010 05:23:24 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	190	0	2011	Mississippi		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	191	0		29	10	S5810_191_0	3	07/29/2010	2011.01	07/29/2010 07:47:29 AM Eastern Daylight Time		07/28/2010 05:23:18 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	191	0	2011	Louisiana		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	192	0		29	10	S5810_192_0	3	07/29/2010	2011.01	07/29/2010 07:47:38 AM Eastern Daylight Time		07/28/2010 05:23:12 PM Eastern Daylight Time		07/29/2010 11:50:27 AM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	192	0	2011	Texas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	193	0		29	10	S5810_193_0	3	07/29/2010	2011.01	07/29/2010 07:47:45 AM Eastern Daylight Time		07/28/2010 05:23:05 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	193	0	2011	Oklahoma		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	194	0		29	10	S5810_194_0	3	07/29/2010	2011.01	07/29/2010 07:47:56 AM Eastern Daylight Time		07/28/2010 05:22:59 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	194	0	2011	Kansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	195	0		29	10	S5810_195_0	3	07/29/2010	2011.01	07/29/2010 07:48:03 AM Eastern Daylight Time		07/28/2010 05:22:53 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	195	0	2011	Upper MW and N Plains (IA,MN,NE,SD,ND,WY,MT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	197	0		29	10	S5810_197_0	3	07/29/2010	2011.01	07/29/2010 07:48:10 AM Eastern Daylight Time		07/28/2010 05:22:47 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	197	0	2011	Colorado		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	198	0		29	10	S5810_198_0	3	07/29/2010	2011.01	07/29/2010 07:48:22 AM Eastern Daylight Time		07/28/2010 05:22:40 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	198	0	2011	Arizona		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	199	0		29	10	S5810_199_0	3	07/29/2010	2011.01	07/29/2010 07:48:47 AM Eastern Daylight Time		07/28/2010 05:22:34 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	199	0	2011	Nevada		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	200	0		29	10	S5810_200_0	3	07/29/2010	2011.01	07/29/2010 07:48:53 AM Eastern Daylight Time		07/28/2010 05:23:29 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	200	0	2011	Oregon, Washington		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	201	0		29	10	S5810_201_0	3	07/29/2010	2011.01	07/29/2010 07:49:00 AM Eastern Daylight Time		07/28/2010 05:25:26 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	201	0	2011	Idaho, Utah		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	202	0		29	10	S5810_202_0	3	07/29/2010	2011.01	07/29/2010 07:49:07 AM Eastern Daylight Time		07/28/2010 05:25:21 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	202	0	2011	California		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	203	0		29	10	S5810_203_0	3	07/29/2010	2011.01	07/29/2010 07:49:14 AM Eastern Daylight Time		07/28/2010 05:25:15 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	203	0	2011	Hawaii		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	204	0		29	10	S5810_204_0	2	07/29/2010	2011.01	07/29/2010 07:49:24 AM Eastern Daylight Time		07/28/2010 05:25:09 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	204	0	2011	Alaska		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	205	0		29	10	S5810_205_0	5	07/29/2010	2011.01	07/29/2010 09:19:26 AM Eastern Daylight Time		07/28/2010 05:25:04 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	205	0	2011	Northern New England (New Hampshire and Maine)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	206	0		29	10	S5810_206_0	4	07/29/2010	2011.01	07/29/2010 11:55:26 AM Eastern Daylight Time		07/28/2010 05:24:59 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	206	0	2011	Central New England (CT, MA, RI, VT)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	207	0		29	10	S5810_207_0	4	07/29/2010	2011.01	07/29/2010 12:57:19 PM Eastern Daylight Time		06/05/2010 05:45:39 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	207	0	2011	New York		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	208	0		29	10	S5810_208_0	4	07/29/2010	2011.01	07/29/2010 11:55:26 AM Eastern Daylight Time		07/28/2010 05:24:54 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	208	0	2011	New Jersey		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	209	0		29	10	S5810_209_0	4	07/29/2010	2011.01	07/29/2010 11:55:27 AM Eastern Daylight Time		07/28/2010 05:24:48 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	209	0	2011	Mid-Atlantic (DC, DE, MD)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	210	0		29	10	S5810_210_0	4	07/29/2010	2011.01	07/29/2010 11:55:27 AM Eastern Daylight Time		07/28/2010 05:24:42 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	210	0	2011	Pennsylvania, West Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	211	0		29	10	S5810_211_0	4	07/29/2010	2011.01	07/29/2010 12:58:56 PM Eastern Daylight Time		06/05/2010 05:45:52 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	211	0	2011	Virginia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	212	0		29	10	S5810_212_0	4	07/29/2010	2011.01	07/29/2010 11:55:27 AM Eastern Daylight Time		07/28/2010 05:24:35 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	212	0	2011	North Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	213	0		29	10	S5810_213_0	4	07/29/2010	2011.01	07/29/2010 11:55:28 AM Eastern Daylight Time		07/28/2010 05:24:29 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	213	0	2011	South Carolina		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	214	0		29	10	S5810_214_0	4	07/29/2010	2011.01	07/29/2010 11:55:28 AM Eastern Daylight Time		07/28/2010 05:24:23 PM Eastern Daylight Time		07/29/2010 01:08:16 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	214	0	2011	Georgia		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	215	0		29	10	S5810_215_0	5	07/29/2010	2011.01	07/29/2010 01:14:09 PM Eastern Daylight Time		06/07/2010 01:35:19 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	215	0	2011	Florida		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	216	0		29	10	S5810_216_0	4	07/29/2010	2011.01	07/29/2010 11:55:28 AM Eastern Daylight Time		07/28/2010 05:24:17 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	216	0	2011	Alabama, Tennessee		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	217	0		29	10	S5810_217_0	4	07/29/2010	2011.01	07/29/2010 01:15:14 PM Eastern Daylight Time		06/05/2010 05:46:10 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	217	0	2011	Michigan		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	218	0		29	10	S5810_218_0	4	07/29/2010	2011.01	07/29/2010 01:15:19 PM Eastern Daylight Time		06/05/2010 05:46:13 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	218	0	2011	Ohio		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	219	0		29	10	S5810_219_0	4	07/29/2010	2011.01	07/29/2010 11:55:28 AM Eastern Daylight Time		07/28/2010 05:25:32 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	219	0	2011	Indiana, Kentucky		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	220	0		29	10	S5810_220_0	4	07/29/2010	2011.01	07/29/2010 11:55:29 AM Eastern Daylight Time		07/28/2010 05:27:09 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	220	0	2011	Wisconsin		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	221	0		29	10	S5810_221_0	4	07/29/2010	2011.01	07/29/2010 01:15:25 PM Eastern Daylight Time		06/05/2010 05:46:22 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	221	0	2011	Illinois		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	222	0		29	10	S5810_222_0	3	07/29/2010	2011.01	07/29/2010 11:55:29 AM Eastern Daylight Time		07/28/2010 05:27:03 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	222	0	2011	Missouri		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	223	0		29	10	S5810_223_0	3	07/29/2010	2011.01	07/29/2010 11:55:29 AM Eastern Daylight Time		07/28/2010 05:26:56 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	223	0	2011	Arkansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	224	0		29	10	S5810_224_0	3	07/29/2010	2011.01	07/29/2010 11:55:29 AM Eastern Daylight Time		07/28/2010 05:26:50 PM Eastern Daylight Time		07/29/2010 01:26:30 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	224	0	2011	Mississippi		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	225	0		29	10	S5810_225_0	3	07/29/2010	2011.01	07/29/2010 11:55:30 AM Eastern Daylight Time		07/28/2010 05:26:44 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	225	0	2011	Louisiana		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	226	0		29	10	S5810_226_0	4	07/29/2010	2011.01	07/29/2010 12:57:36 PM Eastern Daylight Time		07/28/2010 05:26:38 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	226	0	2011	Texas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	227	0		29	10	S5810_227_0	3	07/29/2010	2011.01	07/29/2010 11:55:30 AM Eastern Daylight Time		07/28/2010 05:26:32 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	227	0	2011	Oklahoma		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	228	0		29	10	S5810_228_0	3	07/29/2010	2011.01	07/29/2010 11:55:30 AM Eastern Daylight Time		07/28/2010 05:26:26 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	228	0	2011	Kansas		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	229	0		29	10	S5810_229_0	3	07/29/2010	2011.01	07/29/2010 11:55:31 AM Eastern Daylight Time		07/28/2010 05:26:20 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plus (PDP)	10	29					S5810	229	0	2011	Upper MW and N Plains (IA,MN,MT,ND,NE,SD,WY)		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	230	0		29	10	S5810_230_0	3	07/29/2010	2011.01	07/29/2010 01:15:33 PM Eastern Daylight Time		06/05/2010 05:46:52 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	230	0	2011	New Mexico		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	231	0		29	10	S5810_231_0	3	07/29/2010	2011.01	07/29/2010 01:15:37 PM Eastern Daylight Time		06/05/2010 05:46:55 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	231	0	2011	Colorado		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	232	0		29	10	S5810_232_0	4	07/29/2010	2011.01	07/29/2010 01:15:43 PM Eastern Daylight Time		06/07/2010 01:34:59 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	232	0	2011	Arizona		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	233	0		29	10	S5810_233_0	3	07/29/2010	2011.01	07/29/2010 01:15:47 PM Eastern Daylight Time		06/05/2010 05:47:02 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	233	0	2011	Nevada		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	234	0		29	10	S5810_234_0	3	07/29/2010	2011.01	07/29/2010 01:16:03 PM Eastern Daylight Time		06/05/2010 05:47:05 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	234	0	2011	Oregon, Washington		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	235	0		29	10	S5810_235_0	3	07/29/2010	2011.01	07/29/2010 01:16:08 PM Eastern Daylight Time		06/05/2010 05:47:08 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	235	0	2011	Idaho, Utah		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	236	0		29	10	S5810_236_0	3	07/29/2010	2011.01	07/29/2010 01:16:12 PM Eastern Daylight Time		06/05/2010 05:47:11 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	236	0	2011	California		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	237	0		29	10	S5810_237_0	3	07/29/2010	2011.01	07/29/2010 01:16:16 PM Eastern Daylight Time		06/05/2010 05:47:14 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	237	0	2011	Hawaii		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	238	0		29	10	S5810_238_0	3	07/29/2010	2011.01	07/29/2010 01:16:21 PM Eastern Daylight Time		06/05/2010 05:47:17 PM Eastern Daylight Time		07/29/2010 01:46:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Costco Plus Plan (PDP)	10	29					S5810	238	0	2011	Alaska		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	239	0		29	10	S5810_239_0	2	07/29/2010	2011.01	07/29/2010 11:56:18 AM Eastern Daylight Time		07/28/2010 05:26:13 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	239	0	2011	New York		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	240	0		29	10	S5810_240_0	2	07/29/2010	2011.01	07/29/2010 11:56:39 AM Eastern Daylight Time		07/28/2010 05:26:06 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	240	0	2011	Florida		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	241	0		29	10	S5810_241_0	2	07/29/2010	2011.01	07/29/2010 11:57:01 AM Eastern Daylight Time		07/28/2010 05:27:16 PM Eastern Daylight Time		07/29/2010 12:15:19 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Premier (PDP)	10	29					S5810	241	0	2011	New Mexico		2						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5810	801	0		29	10	S5810_801_0	1	06/06/2010	2011.01	06/06/2010 10:38:46 AM Eastern Daylight Time				06/06/2010 12:52:03 PM Eastern Daylight Time	AETNA LIFE INSURANCE COMPANY	Aetna Medicare	www.aetnamedicare.com	Aetna Medicare Rx Plan (PDP)	10	29					S5810	801	0	2011	Employer National		1						2							http://www.aetna.com/members/individuals/medicare/medicare_resources/covered_drugs.html	http://www.aetnapharmacy.com									(877)-238-6211		(877)-238-6211		(800)-455-1560		(800)-455-1560										(888)-760-4748		(888)-760-4748		(888)-760-4748		(888)-760-4748		1
S5820	001	0		29	10	S5820_001_0	3	06/03/2010	2011.01	06/03/2010 02:04:24 PM Central Daylight Time		06/24/2010 12:52:47 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	001	0	2011	Northern New England (NH, ME)		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	002	0		29	10	S5820_002_0	3	06/04/2010	2011.01	06/04/2010 09:35:56 AM Central Daylight Time		06/24/2010 12:52:51 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	002	0	2011	Central New England (CT, MA, RI, VT)		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	003	0		29	10	S5820_003_0	3	06/03/2010	2011.01	06/03/2010 09:55:45 PM Central Daylight Time		06/24/2010 12:52:54 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	003	0	2011	New Jersey		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	004	0		29	10	S5820_004_0	3	06/03/2010	2011.01	06/03/2010 09:56:15 PM Central Daylight Time		06/24/2010 12:52:58 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	004	0	2011	Mid-Atlantic (DE, DC, MD)		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	005	0		29	10	S5820_005_0	3	06/03/2010	2011.01	06/03/2010 09:56:58 PM Central Daylight Time		06/24/2010 12:53:01 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	005	0	2011	Pennsylvania, West Virginia		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	006	0		29	10	S5820_006_0	3	06/03/2010	2011.01	06/03/2010 09:57:28 PM Central Daylight Time		06/24/2010 12:53:05 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	006	0	2011	Virginia		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	007	0		29	10	S5820_007_0	3	06/03/2010	2011.01	06/03/2010 09:57:55 PM Central Daylight Time		06/24/2010 12:53:09 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	007	0	2011	North Carolina		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	008	0		29	10	S5820_008_0	3	06/03/2010	2011.01	06/03/2010 09:58:23 PM Central Daylight Time		06/24/2010 12:53:13 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	008	0	2011	South Carolina		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	009	0		29	10	S5820_009_0	3	06/03/2010	2011.01	06/03/2010 10:44:08 PM Central Daylight Time		06/24/2010 12:53:16 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	009	0	2011	Georgia		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	010	0		29	10	S5820_010_0	3	06/04/2010	2011.01	06/04/2010 04:22:00 PM Central Daylight Time		06/24/2010 12:53:19 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	010	0	2011	Florida		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	011	0		29	10	S5820_011_0	3	06/03/2010	2011.01	06/03/2010 10:01:01 PM Central Daylight Time		06/24/2010 12:53:23 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	011	0	2011	Alabama, Tennessee		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	012	0		29	10	S5820_012_0	3	06/03/2010	2011.01	06/03/2010 10:02:03 PM Central Daylight Time		06/24/2010 12:53:27 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	012	0	2011	Michigan		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	013	0		29	10	S5820_013_0	3	06/03/2010	2011.01	06/03/2010 10:02:32 PM Central Daylight Time		06/24/2010 12:53:30 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	013	0	2011	Ohio		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	014	0		29	10	S5820_014_0	3	06/03/2010	2011.01	06/03/2010 10:03:04 PM Central Daylight Time		06/24/2010 12:53:34 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	014	0	2011	Indiana, Kentucky		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	015	0		29	10	S5820_015_0	3	06/04/2010	2011.01	06/04/2010 04:22:55 PM Central Daylight Time		06/24/2010 12:53:37 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	015	0	2011	Wisconsin		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	016	0		29	10	S5820_016_0	4	06/07/2010	2011.01	06/07/2010 01:48:48 PM Central Daylight Time		06/24/2010 12:53:41 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	016	0	2011	Illinois		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	017	0		29	10	S5820_017_0	3	06/03/2010	2011.01	06/03/2010 10:04:27 PM Central Daylight Time		06/24/2010 12:53:44 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	017	0	2011	Missouri		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	018	0		29	10	S5820_018_0	3	06/03/2010	2011.01	06/03/2010 10:04:59 PM Central Daylight Time		06/24/2010 12:53:47 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	018	0	2011	Arkansas		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	019	0		29	10	S5820_019_0	3	06/03/2010	2011.01	06/03/2010 10:05:46 PM Central Daylight Time		06/24/2010 12:53:50 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	019	0	2011	Mississippi		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	020	0		29	10	S5820_020_0	4	06/18/2010	2011.01	06/18/2010 02:16:29 PM Central Daylight Time		06/24/2010 12:53:54 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	020	0	2011	Louisiana		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	021	0		29	10	S5820_021_0	3	06/03/2010	2011.01	06/03/2010 10:07:36 PM Central Daylight Time		06/24/2010 12:53:58 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	021	0	2011	Texas		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	022	0		29	10	S5820_022_0	3	06/03/2010	2011.01	06/03/2010 10:08:08 PM Central Daylight Time		06/24/2010 12:54:01 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	022	0	2011	Oklahoma		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	023	0		29	10	S5820_023_0	3	06/03/2010	2011.01	06/03/2010 10:08:36 PM Central Daylight Time		06/24/2010 12:54:05 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	023	0	2011	Kansas		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	024	0		29	10	S5820_024_0	3	06/03/2010	2011.01	06/03/2010 10:09:03 PM Central Daylight Time		06/24/2010 12:54:08 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	024	0	2011	Upper Midwest and Northern Plains		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	025	0		29	10	S5820_025_0	3	06/03/2010	2011.01	06/03/2010 10:09:45 PM Central Daylight Time		06/24/2010 12:54:12 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	025	0	2011	New Mexico		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	026	0		29	10	S5820_026_0	3	06/03/2010	2011.01	06/03/2010 10:10:15 PM Central Daylight Time		06/24/2010 12:54:16 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	026	0	2011	Colorado		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	027	0		29	10	S5820_027_0	3	06/03/2010	2011.01	06/03/2010 10:10:55 PM Central Daylight Time		06/24/2010 12:54:19 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	027	0	2011	Arizona		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	028	0		29	10	S5820_028_0	3	06/03/2010	2011.01	06/03/2010 10:11:50 PM Central Daylight Time		06/24/2010 12:54:23 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	028	0	2011	Nevada		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	029	0		29	10	S5820_029_0	3	06/03/2010	2011.01	06/03/2010 10:12:30 PM Central Daylight Time		06/24/2010 12:54:26 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	029	0	2011	Oregon, Washington		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	030	0		29	10	S5820_030_0	3	06/03/2010	2011.01	06/03/2010 10:12:59 PM Central Daylight Time		06/24/2010 12:54:30 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	030	0	2011	Idaho, Utah		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	031	0		29	10	S5820_031_0	4	06/04/2010	2011.01	06/04/2010 04:24:15 PM Central Daylight Time		07/26/2010 01:26:53 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	031	0	2011	California		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	032	0		29	10	S5820_032_0	3	06/04/2010	2011.01	06/04/2010 04:25:24 PM Central Daylight Time		06/24/2010 12:54:37 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	032	0	2011	Hawaii		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	033	0		29	10	S5820_033_0	3	06/03/2010	2011.01	06/03/2010 10:15:07 PM Central Daylight Time		06/24/2010 12:54:40 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	033	0	2011	Alaska		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	034	0		29	10	S5820_034_0	3	06/04/2010	2011.01	06/04/2010 10:42:30 AM Central Daylight Time		06/24/2010 12:54:44 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	034	0	2011	American Samoa		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	035	0		29	10	S5820_035_0	4	08/04/2010	2011.01	08/04/2010 05:30:06 PM Central Daylight Time		07/27/2010 11:44:03 AM Central Daylight Time		08/04/2010 05:37:33 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	035	0	2011	Guam		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	036	0		29	10	S5820_036_0	3	06/04/2010	2011.01	06/04/2010 10:44:22 AM Central Daylight Time		06/24/2010 12:54:52 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	036	0	2011	Northern Mariana Islands		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	037	0		29	10	S5820_037_0	3	06/06/2010	2011.01	06/06/2010 11:47:48 AM Central Daylight Time		06/24/2010 12:54:56 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	037	0	2011	Puerto Rico		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	038	0		29	10	S5820_038_0	3	06/04/2010	2011.01	06/04/2010 10:47:26 AM Central Daylight Time		06/24/2010 12:55:00 PM Central Daylight Time		07/08/2010 09:05:50 AM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Preferred (PDP)	10	29					S5820	038	0	2011	US Virgin Islands		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	142	0		29	10	S5820_142_0	4	07/28/2010	2011.01	07/28/2010 03:49:09 PM Central Daylight Time		07/28/2010 02:44:29 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	142	0	2011	American Samoa		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	143	0		29	10	S5820_143_0	4	07/28/2010	2011.01	07/28/2010 03:50:32 PM Central Daylight Time		07/28/2010 02:44:39 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	143	0	2011	Guam		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	144	0		29	10	S5820_144_0	4	07/28/2010	2011.01	07/28/2010 03:52:06 PM Central Daylight Time		07/28/2010 02:44:43 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	144	0	2011	Northern Mariana Islands		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	145	0		29	10	S5820_145_0	4	07/28/2010	2011.01	07/28/2010 03:53:27 PM Central Daylight Time		07/28/2010 02:44:46 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	145	0	2011	Puerto Rico		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	146	0		29	10	S5820_146_0	4	07/28/2010	2011.01	07/28/2010 03:54:49 PM Central Daylight Time		07/28/2010 02:44:50 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5820	146	0	2011	U.S. Virgin Islands		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5820	801	0		29	10	S5820_801_0	1	06/03/2010	2011.01	06/03/2010 11:35:31 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx for Groups (PDP)	10	29					S5820	801	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(711)		(711)		(711)		(711)		1
S5820	802	0		29	10	S5820_802_0	1	06/03/2010	2011.01	06/03/2010 11:35:26 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx for Groups (PDP)	10	29					S5820	802	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(711)		(711)		(711)		(711)		1
S5820	803	0		29	10	S5820_803_0	1	06/03/2010	2011.01	06/03/2010 11:35:20 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5820	803	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5820	804	0		29	10	S5820_804_0	1	06/03/2010	2011.01	06/03/2010 11:34:38 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5820	804	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5820	805	0		29	10	S5820_805_0	1	06/03/2010	2011.01	06/03/2010 11:34:32 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx for Groups - A (PDP)	10	29					S5820	805	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(711)		(711)		(711)		(711)		1
S5820	806	0		29	10	S5820_806_0	1	06/03/2010	2011.01	06/03/2010 11:34:08 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx for Groups - A (PDP)	10	29					S5820	806	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(800)-545-1797		(800)-545-1797		(800)-545-1797		(800)-545-1797										(711)		(711)		(711)		(711)		1
S5820	807	0		29	10	S5820_807_0	1	06/03/2010	2011.01	06/03/2010 11:33:50 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups - A (PDP)	10	29					S5820	807	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5820	808	0		29	10	S5820_808_0	1	06/03/2010	2011.01	06/03/2010 11:32:44 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups - A (PDP)	10	29					S5820	808	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5820	809	0		29	10	S5820_809_0	1	06/03/2010	2011.01	06/03/2010 11:32:39 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INSURANCE COMPANY	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups - P (PDP)	10	29					S5820	809	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5825	017	0		29	10	S5825_017_0	3	07/30/2010	2011.01	07/30/2010 10:29:38 AM Eastern Daylight Time		07/29/2010 01:58:23 PM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	Community CCRx Choice (PDP)	10	29					S5825	017	0	2011	State of New York		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx	http://www.universalamerican.com/providers-physicians.aspx									(800)-818-0007		(800)-818-0007		(800)-818-0007		(800)-818-0007										(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		1
S5825	045	0		29	10	S5825_045_0	2	05/31/2010	2011.01	05/31/2010 11:28:06 AM Eastern Daylight Time		07/23/2010 02:44:44 PM Eastern Daylight Time		07/26/2010 08:12:55 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	Community CCRx Basic (PDP)	10	29					S5825	045	0	2011	State of New York		2						2							http://www.universalamerican.com/prescribarx/formulary.aspx	http://www.universalamerican.com/providers-physicians.aspx									(800)-818-0007		(800)-818-0007		(800)-818-0007		(800)-818-0007										(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		1
S5825	802	0		29	10	S5825_802_0	1	04/16/2010	2011.01	04/16/2010 04:14:26 PM Eastern Daylight Time				06/03/2010 10:02:54 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	Community CCRx Employer Std Def CY2 (PDP)	10	29					S5825	802	0	2011	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx	http://www.universalamerican.com/providers-physicians.aspx									(800)-818-0007		(800)-818-0007		(800)-818-0007		(800)-818-0007										(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		1
S5825	804	0		29	10	S5825_804_0	1	04/16/2010	2011.01	04/16/2010 04:14:21 PM Eastern Daylight Time				06/03/2010 10:02:54 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	Community CCRx Employer Std Def CY4 (PDP)	10	29					S5825	804	0	2011	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx	http://www.universalamerican.com/providers-physicians.aspx									(800)-818-0007		(800)-818-0007		(800)-818-0007		(800)-818-0007										(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		1
S5825	807	0		29	10	S5825_807_0	1	04/16/2010	2011.01	04/16/2010 04:14:18 PM Eastern Daylight Time				06/03/2010 10:02:54 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	Community CCRx Employer Std Def NCY2 (PDP)	10	29					S5825	807	0	2011	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx	http://www.universalamerican.com/providers-physicians.aspx									(800)-818-0007		(800)-818-0007		(800)-818-0007		(800)-818-0007										(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		1
S5825	809	0		29	10	S5825_809_0	1	04/16/2010	2011.01	04/16/2010 04:14:15 PM Eastern Daylight Time				06/03/2010 10:02:54 AM Eastern Daylight Time	AMERICAN PROGRESSIVE LIFE AND HEALTH INS CO NY	Universal American	www.PrescribaRx.com	Community CCRx Employer Std Def NCY4 (PDP)	10	29					S5825	809	0	2011	National Plan		1						2							http://www.universalamerican.com/prescribarx/formulary.aspx	http://www.universalamerican.com/providers-physicians.aspx									(800)-818-0007		(800)-818-0007		(800)-818-0007		(800)-818-0007										(800)-958-2692		(800)-958-2692		(800)-958-2692		(800)-958-2692		1
S5840	001	0		29	10	S5840_001_0	6	05/25/2010	2011.01	05/25/2010 07:59:16 PM SA Western Standard Time		06/06/2010 03:22:58 PM SA Western Standard Time		06/07/2010 06:06:15 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	PharmaPlus (PDP)	10	29					S5840	001	0	2011	Entire Island Puerto Rico		2						2							http://www.firstpluspr.com	http://www.firstpluspr.com									(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
S5840	002	0		29	10	S5840_002_0	6	05/28/2010	2011.01	05/28/2010 11:29:07 AM SA Western Standard Time		06/06/2010 03:23:02 PM SA Western Standard Time		06/07/2010 06:06:15 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	PharmaPremium (PDP)	10	29					S5840	002	0	2011	Entire Island Puerto Rico		2						2							http://www.firstpluspr.com	http://www.firstpluspr.com									(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
S5840	801	0		29	10	S5840_801_0	3	06/07/2010	2011.01	06/07/2010 09:49:50 AM SA Western Standard Time				06/07/2010 06:06:15 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Prescription Drug Plan 1 (PDP)	10	29					S5840	801	0	2011	Entire Island Puerto Rico		1						2							http://www.firstpluspr.com	http://www.firstpluspr.com									(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
S5840	802	0		29	10	S5840_802_0	3	06/07/2010	2011.01	06/07/2010 09:49:57 AM SA Western Standard Time				06/07/2010 06:06:15 PM SA Western Standard Time	FIRST MEDICAL HEALTH PLAN, INC	First Medical Health Plan, Inc.	www.firstpluspr.com	Employer Group Prescription Drug Plan 2 (PDP)	10	29					S5840	802	0	2011	Entire Island Puerto Rico		1						2							http://www.firstpluspr.com	http://www.firstpluspr.com									(888)-767-7717		(888)-767-7717		(877)-662-4242		(877)-662-4242										(877)-672-4242		(877)-672-4242		(877)-672-4242		(877)-672-4242		1
S5857	001	0		29	10	S5857_001_0	2	06/07/2010	2011.01	06/07/2010 09:34:10 AM Eastern Daylight Time		06/07/2010 12:59:58 PM Eastern Daylight Time		06/07/2010 04:19:30 PM Eastern Daylight Time	PRIORITY HEALTH INSURANCE COMPANY	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Rx (PDP)	10	29					S5857	001	0	2011	State of Michigan		2						2							http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf									(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850										(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
S5857	802	0		29	10	S5857_802_0	1	05/25/2010	2011.01	05/25/2010 04:37:50 PM Eastern Daylight Time				06/07/2010 04:19:30 PM Eastern Daylight Time	PRIORITY HEALTH INSURANCE COMPANY	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Rx EG Non-Calendar Year (PDP)	10	29					S5857	802	0	2011	United States		1						2							http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf									(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850										(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
S5857	803	0		29	10	S5857_803_0	1	05/25/2010	2011.01	05/25/2010 04:38:06 PM Eastern Daylight Time				06/07/2010 04:19:30 PM Eastern Daylight Time	PRIORITY HEALTH INSURANCE COMPANY	Priority Health Medicare	www.priorityhealth.com	PriorityMedicare Rx EG Calendar Year (PDP)	10	29					S5857	803	0	2011	United States		1						2							http://www.priorityhealth.com/pdfs/medicare/2010/2010-drug-list.pdf	http://www.priorityhealth.com/pdfs/medicare/2010/2010-medicare-pharmacy-directory.pdf									(888)-389-6648		(616)-464-8820		(888)-389-6676		(616)-464-8850										(888)-551-6761		(616)-464-8485		(888)-551-6761		(616)-464-8485		1
S5877	004	0		29	10	S5877_004_0	1	06/05/2010	2011.01	06/05/2010 02:09:03 PM Mountain Daylight Time		06/05/2010 02:06:16 PM Mountain Daylight Time		06/05/2010 02:10:48 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	Educators Rx Basic (PDP)	10	29					S5877	004	0	2011	State of Utah and State of Idaho		2						2							http://www.educatorsmutual.com/medicare/emia_plans.aspx	http://www.medcohealth.com									(800)-572-8734		(801)-262-7475		(888)-236-4823		(801)-262-7475										(800)-716-3231		(800)-716-3231		(888)-236-4823		(801)-262-7475		1
S5877	007	0		29	10	S5877_007_0	2	06/17/2010	2011.01	06/17/2010 02:46:02 PM Mountain Daylight Time		06/05/2010 02:07:04 PM Mountain Daylight Time		06/17/2010 02:49:49 PM Mountain Daylight Time	EDUCATORS MUTUAL INSURANCE ASSOCIATION	Educators Mutual Insurance Association	www.educatorsmutual.com	Educators Rx Advantage (PDP)	10	29					S5877	007	0	2011	State of Utah and State of Idaho		2						2							http://www.educatorsmutual.com/medicare/emia_plans.aspx	http://www.medcohealth.com									(800)-572-8734		(801)-262-7475		(888)-236-4823		(801)-262-7475										(800)-716-3231		(800)-716-3231		(888)-236-4823		(801)-262-7475		1
S5884	001	0		29	10	S5884_001_0	7	08/03/2010	2011.01	08/03/2010 01:17:33 PM Eastern Daylight Time		08/02/2010 06:57:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	001	0	2011	States of Alabama and Tennessee		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	002	0		29	10	S5884_002_0	6	08/03/2010	2011.01	08/03/2010 02:19:28 PM Eastern Daylight Time		08/02/2010 06:57:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	002	0	2011	States of CT, MA, RI, VT		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	004	0		29	10	S5884_004_0	7	08/03/2010	2011.01	08/03/2010 02:33:54 PM Eastern Daylight Time		08/02/2010 06:58:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	004	0	2011	States of DC, DE, MD		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	005	0		29	10	S5884_005_0	7	08/03/2010	2011.01	08/03/2010 02:37:01 PM Eastern Daylight Time		08/02/2010 06:58:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	005	0	2011	States of Pennsylvania and West Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	008	0		29	10	S5884_008_0	7	08/03/2010	2011.01	08/03/2010 02:45:28 PM Eastern Daylight Time		08/02/2010 06:59:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	008	0	2011	State of South Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	009	0		29	10	S5884_009_0	7	08/03/2010	2011.01	08/03/2010 01:13:47 PM Eastern Daylight Time		08/02/2010 06:59:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	009	0	2011	State of Georgia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	010	0		29	10	S5884_010_0	7	08/03/2010	2011.01	08/03/2010 01:14:51 PM Eastern Daylight Time		08/02/2010 07:00:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	010	0	2011	State of Florida		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	015	0		29	10	S5884_015_0	5	08/03/2010	2011.01	08/03/2010 02:10:48 PM Eastern Daylight Time		08/02/2010 07:00:00 PM Eastern Daylight Time		08/03/2010 09:21:44 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	015	0	2011	State of Illinois		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	019	0		29	10	S5884_019_0	3	08/03/2010	2011.01	08/03/2010 01:52:35 PM Eastern Daylight Time		08/02/2010 07:01:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	019	0	2011	State of Louisiana		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	020	0		29	10	S5884_020_0	3	08/03/2010	2011.01	08/03/2010 02:00:39 PM Eastern Daylight Time		08/02/2010 07:02:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	020	0	2011	State of Texas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	021	0		29	10	S5884_021_0	3	08/03/2010	2011.01	08/03/2010 02:11:24 PM Eastern Daylight Time		08/02/2010 07:02:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	021	0	2011	State of Oklahoma		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	022	0		29	10	S5884_022_0	3	08/03/2010	2011.01	08/03/2010 02:14:36 PM Eastern Daylight Time		08/02/2010 07:02:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	022	0	2011	State of Kansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	024	0		29	10	S5884_024_0	3	08/03/2010	2011.01	08/03/2010 02:21:08 PM Eastern Daylight Time		08/02/2010 07:03:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	024	0	2011	State of New Mexico		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	028	0		29	10	S5884_028_0	3	08/03/2010	2011.01	08/03/2010 02:38:58 PM Eastern Daylight Time		08/02/2010 07:03:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	028	0	2011	States of Oregon and Washington		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	030	0		29	10	S5884_030_0	3	08/03/2010	2011.01	08/03/2010 02:57:03 PM Eastern Daylight Time		08/02/2010 07:04:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	030	0	2011	State of California		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	031	0		29	10	S5884_031_0	6	08/03/2010	2011.01	08/03/2010 11:19:51 AM Eastern Daylight Time		07/28/2010 12:59:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	031	0	2011	States of CT, MA, RI, VT		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	032	0		29	10	S5884_032_0	5	08/03/2010	2011.01	08/03/2010 11:28:26 AM Eastern Daylight Time		07/28/2010 01:00:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	032	0	2011	State of New Jersey		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	033	0		29	10	S5884_033_0	5	08/03/2010	2011.01	08/03/2010 11:32:36 AM Eastern Daylight Time		07/28/2010 01:00:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	033	0	2011	States of DC, DE, MD		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	034	0		29	10	S5884_034_0	5	08/03/2010	2011.01	08/03/2010 11:39:18 AM Eastern Daylight Time		07/28/2010 01:01:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	034	0	2011	States of Pennsylvania and West Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	035	0		29	10	S5884_035_0	5	08/03/2010	2011.01	08/03/2010 11:43:26 AM Eastern Daylight Time		07/28/2010 01:01:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	035	0	2011	State of Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	036	0		29	10	S5884_036_0	5	08/03/2010	2011.01	08/03/2010 11:49:03 AM Eastern Daylight Time		07/28/2010 01:02:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	036	0	2011	State of North Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	037	0		29	10	S5884_037_0	5	08/03/2010	2011.01	08/03/2010 11:56:51 AM Eastern Daylight Time		07/28/2010 01:02:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	037	0	2011	State of South Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	038	0		29	10	S5884_038_0	5	08/03/2010	2011.01	08/03/2010 12:03:40 PM Eastern Daylight Time		07/28/2010 01:02:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	038	0	2011	State of Georgia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	039	0		29	10	S5884_039_0	5	08/03/2010	2011.01	08/03/2010 12:09:15 PM Eastern Daylight Time		07/28/2010 01:03:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	039	0	2011	State of Florida		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	040	0		29	10	S5884_040_0	3	08/03/2010	2011.01	08/03/2010 12:16:48 PM Eastern Daylight Time		07/28/2010 01:03:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	040	0	2011	States of Alabama and Tennessee		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	041	0		29	10	S5884_041_0	3	08/03/2010	2011.01	08/03/2010 12:21:11 PM Eastern Daylight Time		07/28/2010 01:04:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	041	0	2011	State of Michigan		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	042	0		29	10	S5884_042_0	3	08/03/2010	2011.01	08/03/2010 12:29:54 PM Eastern Daylight Time		07/28/2010 01:04:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	042	0	2011	State of Ohio		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	043	0		29	10	S5884_043_0	3	08/03/2010	2011.01	08/03/2010 12:35:32 PM Eastern Daylight Time		07/28/2010 01:05:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	043	0	2011	States of Indiana and Kentucky		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	044	0		29	10	S5884_044_0	3	08/03/2010	2011.01	08/03/2010 12:42:16 PM Eastern Daylight Time		07/28/2010 01:05:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	044	0	2011	State of Wisconsin		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	045	0		29	10	S5884_045_0	3	08/03/2010	2011.01	08/03/2010 12:46:12 PM Eastern Daylight Time		07/28/2010 01:06:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	045	0	2011	State of Illinois		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	046	0		29	10	S5884_046_0	3	08/03/2010	2011.01	08/03/2010 12:48:51 PM Eastern Daylight Time		07/28/2010 01:06:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	046	0	2011	State of Missouri		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	047	0		29	10	S5884_047_0	3	08/03/2010	2011.01	08/03/2010 12:52:04 PM Eastern Daylight Time		07/28/2010 01:07:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	047	0	2011	State of Arkansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	048	0		29	10	S5884_048_0	3	08/03/2010	2011.01	08/03/2010 04:48:26 PM Eastern Daylight Time		07/28/2010 01:07:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	048	0	2011	State of Mississippi		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	049	0		29	10	S5884_049_0	3	08/03/2010	2011.01	08/03/2010 04:50:55 PM Eastern Daylight Time		07/28/2010 01:08:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	049	0	2011	State of Louisiana		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	050	0		29	10	S5884_050_0	3	08/03/2010	2011.01	08/03/2010 04:57:05 PM Eastern Daylight Time		07/28/2010 01:08:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	050	0	2011	State of Texas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	051	0		29	10	S5884_051_0	3	08/03/2010	2011.01	08/03/2010 04:59:12 PM Eastern Daylight Time		07/28/2010 01:09:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	051	0	2011	State of Oklahoma		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	052	0		29	10	S5884_052_0	3	08/03/2010	2011.01	08/03/2010 05:00:54 PM Eastern Daylight Time		07/28/2010 01:09:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	052	0	2011	State of Kansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	053	0		29	10	S5884_053_0	3	06/02/2010	2011.01	06/02/2010 06:10:13 PM Eastern Daylight Time		07/20/2010 04:39:00 PM Eastern Daylight Time		08/04/2010 08:53:11 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	053	0	2011	States of IA, MN, MT, ND, NE, SD, WY		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	058	0		29	10	S5884_058_0	3	08/03/2010	2011.01	08/03/2010 05:03:10 PM Eastern Daylight Time		07/28/2010 01:10:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	058	0	2011	States of Oregon and Washington		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	059	0		29	10	S5884_059_0	3	08/03/2010	2011.01	08/03/2010 05:05:18 PM Eastern Daylight Time		07/28/2010 01:10:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	059	0	2011	States of Idaho and Utah		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	060	0		29	10	S5884_060_0	3	08/03/2010	2011.01	08/03/2010 05:07:49 PM Eastern Daylight Time		07/28/2010 01:10:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Complete (PDP)	10	29					S5884	060	0	2011	State of California		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	062	0		29	10	S5884_062_0	5	08/03/2010	2011.01	08/03/2010 02:29:53 PM Eastern Daylight Time		08/02/2010 07:04:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	062	0	2011	State of New Jersey		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	065	0		29	10	S5884_065_0	5	08/03/2010	2011.01	08/03/2010 02:39:40 PM Eastern Daylight Time		08/02/2010 07:05:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	065	0	2011	State of Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	066	0		29	10	S5884_066_0	5	08/03/2010	2011.01	08/03/2010 02:42:06 PM Eastern Daylight Time		08/02/2010 07:05:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	066	0	2011	State of North Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	071	0		29	10	S5884_071_0	5	08/03/2010	2011.01	08/03/2010 01:22:47 PM Eastern Daylight Time		08/02/2010 07:06:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	071	0	2011	State of Michigan		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	072	0		29	10	S5884_072_0	4	08/03/2010	2011.01	08/03/2010 01:26:40 PM Eastern Daylight Time		08/02/2010 07:06:00 PM Eastern Daylight Time		08/03/2010 09:38:20 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	072	0	2011	State of Ohio		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	073	0		29	10	S5884_073_0	5	08/03/2010	2011.01	08/03/2010 01:37:37 PM Eastern Daylight Time		08/02/2010 07:06:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	073	0	2011	States of Indiana and Kentucky		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	074	0		29	10	S5884_074_0	5	08/03/2010	2011.01	08/03/2010 05:05:11 PM Eastern Daylight Time		08/02/2010 07:07:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	074	0	2011	State of Wisconsin		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	076	0		29	10	S5884_076_0	5	08/03/2010	2011.01	08/03/2010 02:14:23 PM Eastern Daylight Time		08/02/2010 07:07:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	076	0	2011	State of Missouri		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	077	0		29	10	S5884_077_0	5	08/03/2010	2011.01	08/03/2010 02:17:42 PM Eastern Daylight Time		08/02/2010 07:08:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	077	0	2011	State of Arkansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	078	0		29	10	S5884_078_0	3	08/03/2010	2011.01	08/03/2010 05:12:31 PM Eastern Daylight Time		08/02/2010 07:08:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	078	0	2011	State of Mississippi		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	083	0		29	10	S5884_083_0	3	08/03/2010	2011.01	08/03/2010 02:17:40 PM Eastern Daylight Time		08/02/2010 07:09:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	083	0	2011	States of IA, MN, MT, ND, NE, SD, WY		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	085	0		29	10	S5884_085_0	3	08/03/2010	2011.01	08/03/2010 02:29:23 PM Eastern Daylight Time		08/02/2010 07:09:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	085	0	2011	State of Colorado		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	086	0		29	10	S5884_086_0	3	08/03/2010	2011.01	08/03/2010 02:33:14 PM Eastern Daylight Time		08/02/2010 07:10:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	086	0	2011	State of Arizona		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	087	0		29	10	S5884_087_0	3	08/03/2010	2011.01	08/03/2010 02:36:29 PM Eastern Daylight Time		08/02/2010 07:10:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	087	0	2011	State of Nevada		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	089	0		29	10	S5884_089_0	3	08/03/2010	2011.01	08/03/2010 02:41:55 PM Eastern Daylight Time		08/02/2010 07:11:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	089	0	2011	States of Idaho and Utah		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	092	0		29	10	S5884_092_0	5	08/03/2010	2011.01	08/03/2010 01:23:12 PM Eastern Daylight Time		08/02/2010 07:11:00 PM Eastern Daylight Time		08/03/2010 10:54:56 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	092	0	2011	States of Maine and New Hampshire		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	093	0		29	10	S5884_093_0	3	08/03/2010	2011.01	08/03/2010 08:41:25 PM Eastern Daylight Time		08/02/2010 08:55:00 PM Eastern Daylight Time		08/03/2010 10:27:46 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Standard (PDP)	10	29					S5884	093	0	2011	State of Hawaii		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	094	0		29	10	S5884_094_0	3	08/03/2010	2011.01	08/03/2010 02:59:52 PM Eastern Daylight Time		08/02/2010 07:12:00 PM Eastern Daylight Time		08/03/2010 09:28:39 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Enhanced (PDP)	10	29					S5884	094	0	2011	State of Alaska		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	101	0		29	10	S5884_101_0	5	08/20/2010	2011.01	08/20/2010 02:44:14 PM Eastern Daylight Time		08/23/2010 02:25:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	101	0	2011	States of New Hampshire and Maine		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	102	0		29	10	S5884_102_0	5	08/20/2010	2011.01	08/20/2010 02:44:16 PM Eastern Daylight Time		08/23/2010 02:25:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	102	0	2011	States of CT, MA, RI, VT		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	103	0		29	10	S5884_103_0	5	08/20/2010	2011.01	08/20/2010 02:44:19 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	103	0	2011	States of DC, DE, MD		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	104	0		29	10	S5884_104_0	5	08/20/2010	2011.01	08/20/2010 02:44:22 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	104	0	2011	States of Pennsylvania and West Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	105	0		29	10	S5884_105_0	5	08/20/2010	2011.01	08/20/2010 02:44:24 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	105	0	2011	State of Florida		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	106	0		29	10	S5884_106_0	5	08/20/2010	2011.01	08/20/2010 02:44:27 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	106	0	2011	States of Alabama and Tennessee		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	107	0		29	10	S5884_107_0	5	08/20/2010	2011.01	08/20/2010 02:44:30 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	107	0	2011	State of Illinois		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	108	0		29	10	S5884_108_0	6	08/20/2010	2011.01	08/20/2010 02:39:34 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 11:13:55 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	108	0	2011	State of Louisiana		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	109	0		29	10	S5884_109_0	6	08/20/2010	2011.01	08/20/2010 02:39:37 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 11:17:59 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	109	0	2011	State of Kansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	110	0		29	10	S5884_110_0	6	08/20/2010	2011.01	08/20/2010 02:39:39 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 11:36:43 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	110	0	2011	State of New Mexico		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	111	0		29	10	S5884_111_0	6	08/20/2010	2011.01	08/20/2010 02:39:42 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 11:40:40 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	111	0	2011	State of Colorado		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	112	0		29	10	S5884_112_0	6	08/20/2010	2011.01	08/20/2010 02:39:44 PM Eastern Daylight Time		08/23/2010 02:26:00 PM Eastern Daylight Time		08/23/2010 11:49:18 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	112	0	2011	State of Nevada		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	113	0		29	10	S5884_113_0	6	08/20/2010	2011.01	08/20/2010 02:39:47 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	113	0	2011	States of Oregon and Washington		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	114	0		29	10	S5884_114_0	6	08/20/2010	2011.01	08/20/2010 02:39:49 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	114	0	2011	State of California		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	115	0		29	10	S5884_115_0	6	08/20/2010	2011.01	08/20/2010 02:39:52 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	115	0	2011	State of Hawaii		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	116	0		29	10	S5884_116_0	6	08/20/2010	2011.01	08/20/2010 02:39:55 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	116	0	2011	State of Alaska		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	131	0		29	10	S5884_131_0	5	08/20/2010	2011.01	08/20/2010 02:44:32 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	131	0	2011	State of New Jersey		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	132	0		29	10	S5884_132_0	5	08/20/2010	2011.01	08/20/2010 02:44:35 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	132	0	2011	State of Virginia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	133	0		29	10	S5884_133_0	5	08/20/2010	2011.01	08/20/2010 02:44:37 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	133	0	2011	State of North Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	134	0		29	10	S5884_134_0	5	08/20/2010	2011.01	08/20/2010 02:44:40 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	134	0	2011	State of South Carolina		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	135	0		29	10	S5884_135_0	5	08/20/2010	2011.01	08/20/2010 02:44:43 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	135	0	2011	State of Georgia		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	136	0		29	10	S5884_136_0	5	08/20/2010	2011.01	08/20/2010 02:44:45 PM Eastern Daylight Time		08/23/2010 02:27:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	136	0	2011	State of Michigan		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	137	0		29	10	S5884_137_0	5	08/20/2010	2011.01	08/20/2010 02:44:48 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	137	0	2011	State of Ohio		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	138	0		29	10	S5884_138_0	5	08/20/2010	2011.01	08/20/2010 02:44:51 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	138	0	2011	States of Indiana and Kentucky		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	139	0		29	10	S5884_139_0	5	08/20/2010	2011.01	08/20/2010 02:44:53 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	139	0	2011	State of Wisconsin		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	140	0		29	10	S5884_140_0	5	08/20/2010	2011.01	08/20/2010 02:44:56 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	140	0	2011	State of Missouri		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	141	0		29	10	S5884_141_0	5	08/20/2010	2011.01	08/20/2010 02:44:59 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 05:13:23 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	141	0	2011	State of Arkansas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	142	0		29	10	S5884_142_0	5	08/20/2010	2011.01	08/20/2010 02:37:07 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 04:34:21 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	142	0	2011	State of Mississippi		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	143	0		29	10	S5884_143_0	6	08/20/2010	2011.01	08/20/2010 02:39:57 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	143	0	2011	State of Texas		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	144	0		29	10	S5884_144_0	6	08/20/2010	2011.01	08/20/2010 02:40:00 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	144	0	2011	State of Oklahoma		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	145	0		29	10	S5884_145_0	6	08/20/2010	2011.01	08/20/2010 02:40:02 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	145	0	2011	States of IA, MN, MT, ND, NE, SD, WY		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	146	0		29	10	S5884_146_0	6	08/20/2010	2011.01	08/20/2010 02:40:05 PM Eastern Daylight Time		08/23/2010 02:28:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	146	0	2011	State of Arizona		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	147	0		29	10	S5884_147_0	6	08/20/2010	2011.01	08/20/2010 02:40:07 PM Eastern Daylight Time		08/23/2010 02:29:00 PM Eastern Daylight Time		08/23/2010 11:56:19 PM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Walmart-Preferred Rx Plan (PDP)	10	29					S5884	147	0	2011	States of Idaho and Utah		2						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(711)		(711)		(711)		(711)		1
S5884	834	0		29	10	S5884_834_0	2	05/24/2010	2011.01	05/24/2010 03:45:26 PM Eastern Daylight Time				06/04/2010 11:31:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored (PDP)	10	29					S5884	834	0	2011	All Regions except NY (03) and Puerto Rico (38)		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
S5884	835	0		29	10	S5884_835_0	2	05/24/2010	2011.01	05/24/2010 03:46:02 PM Eastern Daylight Time				06/04/2010 11:31:04 AM Eastern Daylight Time	HUMANA INSURANCE COMPANY	Humana Insurance Company	www.humana-medicare.com	Humana Employer Sponsored Non-CY (PDP)	10	29					S5884	835	0	2011	All Regions except NY (03) and Puerto Rico (38)		1						2							http://www.humana.com/members/tools/prescription_tools/medicare_drug_list.asp	http://www.humana.com/members/tools/prescription_tools/default.asp									(800)-281-6918		(800)-281-6918		(800)-706-0872		(800)-706-0872										(800)-833-3301		(800)-833-3301		(711)-000-0000		(711)-000-0000		1
S5904	001	0		29	10	S5904_001_0	3	06/02/2010	2011.01	06/02/2010 11:06:17 AM Eastern Daylight Time		06/07/2010 01:04:10 PM Eastern Daylight Time		06/07/2010 02:42:32 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.BlueMedicareFL.com/	BlueMedicare Rx-Option 1 (PDP)	10	29					S5904	001	0	2011	State of Florida		2						2							www.myprime.com	www.BlueMedicareFL.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
S5904	002	0		29	10	S5904_002_0	3	05/11/2010	2011.01	05/11/2010 03:49:18 PM Eastern Daylight Time		07/13/2010 02:37:51 PM Eastern Daylight Time		07/26/2010 01:20:41 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.BlueMedicareFL.com/	BlueMedicare Rx-Option 2 (PDP)	10	29					S5904	002	0	2011	State of Florida		2						2							www.myprime.com	www.BlueMedicareFL.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
S5904	801	0		29	10	S5904_801_0	2	05/20/2010	2011.01	05/20/2010 02:12:56 PM Eastern Daylight Time				06/07/2010 08:45:01 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.BlueMedicareFL.com/	BlueMedicare Group Rx (PDP)	10	29					S5904	801	0	2011	State of Florida with National Coverage		1						2							www.myprime.com	www.BlueMedicareFL.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
S5904	802	0		29	10	S5904_802_0	2	05/20/2010	2011.01	05/20/2010 12:59:21 PM Eastern Daylight Time				06/07/2010 08:45:01 AM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.	Blue Cross and Blue Shield of Florida, Inc.	www.BlueMedicareFL.com/	BlueMedicare Group Rx (PDP)	10	29					S5904	802	0	2011	State of Florida with National Coverage		1						2							www.myprime.com	www.BlueMedicareFL.com									(800)-926-6565		(800)-926-6565		(800)-876-2227		(800)-876-2227										(800)-955-8771		(800)-955-8771		(800)-955-8771		(800)-955-8771		1
S5907	001	0		29	10	S5907_001_0	1	06/03/2010	2011.01	06/03/2010 01:56:09 PM SA Western Standard Time		06/04/2010 05:22:57 PM SA Western Standard Time		06/04/2010 05:57:09 PM SA Western Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S FarmaMed (PDP)	10	29					S5907	001	0	2011	Island of Puerto Rico		2						2							www.ssspr.com	www.ssspr.com									(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
S5907	002	0		29	10	S5907_002_0	1	06/04/2010	2011.01	06/04/2010 08:03:22 AM SA Western Standard Time		06/04/2010 05:24:11 PM SA Western Standard Time		06/04/2010 05:57:09 PM SA Western Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S FarmaMed Plus (PDP)	10	29					S5907	002	0	2011	Island of Puerto Rico		2						2							www.ssspr.com	www.ssspr.com									(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
S5907	801	0		29	10	S5907_801_0	1	05/18/2010	2011.01	05/18/2010 08:35:10 AM SA Western Standard Time				06/04/2010 05:57:09 PM SA Western Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S FarmaMed A (PDP)	10	29					S5907	801	0	2011	Island of Puerto Rico		1						2							www.ssspr.com	www.ssspr.com									(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
S5907	802	0		29	10	S5907_802_0	1	05/18/2010	2011.01	05/18/2010 08:36:19 AM SA Western Standard Time				06/04/2010 05:57:09 PM SA Western Standard Time	TRIPLE-S SALUD, INC.	Triple-S Salud, Inc.	www.ssspr.com	Triple-S FarmaMed B (PDP)	10	29					S5907	802	0	2011	Island of Puerto Rico		1						2							www.ssspr.com	www.ssspr.com									(800)-510-0722		(787)-774-6083		(877)-207-8777		(787)-774-6083										(800)-383-4457		(787)-749-4059		(800)-383-4457		(787)-749-4059		1
S5916	001	0		29	10	S5916_001_0	2	07/29/2010	2011.01	07/29/2010 03:57:21 PM Mountain Daylight Time		07/29/2010 01:49:02 PM Pacific Daylight Time		07/30/2010 11:39:51 AM Pacific Daylight Time	REGENCE LIFE AND HEALTH INSURANCE COMPANY	Regence Life and Health	www.regence.com/medicare/script	Regence Medicare Script (PDP)	10	29					S5916	001	0	2011	Region of Idaho and Utah		2						2							www.regence.com/medicare/script	www.regence.com/medicare/script									(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
S5916	002	0		29	10	S5916_002_0	2	07/28/2010	2011.01	07/28/2010 04:42:46 PM Mountain Daylight Time		07/26/2010 01:28:10 PM Pacific Daylight Time		07/29/2010 10:38:15 AM Pacific Daylight Time	REGENCE LIFE AND HEALTH INSURANCE COMPANY	Regence Life and Health	www.regence.com/medicare/script	Regence Medicare Script Enhanced (PDP)	10	29					S5916	002	0	2011	Region of Idaho and Utah		2						2							www.regence.com/medicare/script	www.regence.com/medicare/script									(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
S5916	802	0		29	10	S5916_802_0	1	06/01/2010	2011.01	06/01/2010 03:19:58 PM Mountain Daylight Time				06/01/2010 03:02:58 PM Pacific Daylight Time	REGENCE LIFE AND HEALTH INSURANCE COMPANY	Regence Life and Health	www.regence.com/medicare/script	Regence Medicare Script (PDP)	10	29					S5916	802	0	2011	Region of Idaho and Utah		1						2							www.regence.com/medicare/script	www.regence.com/medicare/script									(800)-541-8981		(800)-541-8981		(800)-541-8981		(800)-541-8981										(711)-000-0000		(711)-000-0000		(711)-000-0000		(711)-000-0000		1
S5921	003	0		29	10	S5921_003_0	4	07/28/2010	2011.01	07/28/2010 03:45:02 PM Central Daylight Time		07/28/2010 02:44:59 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	003	0	2011	California		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	013	0		29	10	S5921_013_0	4	07/28/2010	2011.01	07/28/2010 03:47:45 PM Central Daylight Time		07/28/2010 02:45:35 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	013	0	2011	Alaska		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	023	0		29	10	S5921_023_0	4	07/28/2010	2011.01	07/28/2010 03:31:20 PM Central Daylight Time		07/28/2010 02:45:39 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	023	0	2011	Oregon and Washington		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	033	0		29	10	S5921_033_0	4	07/28/2010	2011.01	07/28/2010 03:42:47 PM Central Daylight Time		07/28/2010 02:45:42 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	033	0	2011	Idaho and Utah		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	043	0		29	10	S5921_043_0	4	07/28/2010	2011.01	07/28/2010 03:46:32 PM Central Daylight Time		07/28/2010 02:45:46 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	043	0	2011	Hawaii		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	053	0		29	10	S5921_053_0	4	07/28/2010	2011.01	07/28/2010 03:10:35 PM Central Daylight Time		07/28/2010 02:45:50 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	053	0	2011	Ohio		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	063	0		29	10	S5921_063_0	4	07/28/2010	2011.01	07/28/2010 03:11:29 PM Central Daylight Time		07/28/2010 02:45:54 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	063	0	2011	Indiana and Kentucky		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	073	0		29	10	S5921_073_0	4	07/28/2010	2011.01	07/28/2010 03:13:32 PM Central Daylight Time		07/28/2010 02:45:58 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	073	0	2011	Wisconsin		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	083	0		29	10	S5921_083_0	4	07/28/2010	2011.01	07/28/2010 03:14:42 PM Central Daylight Time		07/28/2010 02:46:02 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	083	0	2011	Illinois		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	093	0		29	10	S5921_093_0	4	07/28/2010	2011.01	07/28/2010 03:02:47 PM Central Daylight Time		07/28/2010 02:46:06 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	093	0	2011	Pennsylvania and West Virginia		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	103	0		29	10	S5921_103_0	4	07/28/2010	2011.01	07/28/2010 03:04:02 PM Central Daylight Time		07/28/2010 02:46:10 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	103	0	2011	Virginia		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	113	0		29	10	S5921_113_0	4	07/28/2010	2011.01	07/28/2010 03:05:10 PM Central Daylight Time		07/28/2010 02:46:14 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	113	0	2011	North Carolina		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	123	0		29	10	S5921_123_0	4	07/28/2010	2011.01	07/28/2010 03:06:03 PM Central Daylight Time		07/28/2010 02:46:18 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	123	0	2011	South Carolina		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	133	0		29	10	S5921_133_0	4	07/28/2010	2011.01	07/28/2010 03:07:16 PM Central Daylight Time		07/28/2010 02:46:22 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	133	0	2011	Georgia		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	143	0		29	10	S5921_143_0	4	07/28/2010	2011.01	07/28/2010 03:07:59 PM Central Daylight Time		07/28/2010 02:46:27 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	143	0	2011	Florida		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	153	0		29	10	S5921_153_0	4	07/28/2010	2011.01	07/28/2010 03:09:01 PM Central Daylight Time		07/28/2010 02:46:31 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	153	0	2011	Alabama and Tennessee		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	163	0		29	10	S5921_163_0	4	07/28/2010	2011.01	07/28/2010 03:09:44 PM Central Daylight Time		07/28/2010 02:46:35 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	163	0	2011	Michigan		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	173	0		29	10	S5921_173_0	4	07/28/2010	2011.01	07/28/2010 02:56:49 PM Central Daylight Time		07/28/2010 02:46:39 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	173	0	2011	New Hampshire and Maine		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	183	0		29	10	S5921_183_0	4	07/28/2010	2011.01	07/28/2010 02:57:47 PM Central Daylight Time		07/28/2010 02:46:43 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	183	0	2011	Connecticut, Massachusetts, Rhode Island, Vermont		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	193	0		29	10	S5921_193_0	4	07/28/2010	2011.01	07/28/2010 03:20:16 PM Central Daylight Time		07/28/2010 02:46:48 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	193	0	2011	Texas		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	213	0		29	10	S5921_213_0	4	07/28/2010	2011.01	07/28/2010 02:59:28 PM Central Daylight Time		07/28/2010 02:46:52 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	213	0	2011	New York		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	223	0		29	10	S5921_223_0	4	07/28/2010	2011.01	07/28/2010 03:26:58 PM Central Daylight Time		07/28/2010 02:46:56 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	223	0	2011	Colorado		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	233	0		29	10	S5921_233_0	4	07/28/2010	2011.01	07/28/2010 03:28:15 PM Central Daylight Time		07/28/2010 02:46:59 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	233	0	2011	Arizona		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	235	0		29	10	S5921_235_0	4	07/28/2010	2011.01	07/28/2010 03:21:05 PM Central Daylight Time		07/28/2010 02:47:03 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	235	0	2011	Oklahoma		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	239	0		29	10	S5921_239_0	4	07/28/2010	2011.01	07/28/2010 03:01:39 PM Central Daylight Time		07/28/2010 02:47:07 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	239	0	2011	Delaware, Maryland and Washington D.C.		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	249	0		29	10	S5921_249_0	4	07/28/2010	2011.01	07/28/2010 03:24:40 PM Central Daylight Time		07/28/2010 02:47:11 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	249	0	2011	IA, MN, MT, ND, NE, SD, WY		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	263	0		29	10	S5921_263_0	4	07/28/2010	2011.01	07/28/2010 03:25:57 PM Central Daylight Time		07/28/2010 02:47:15 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	263	0	2011	New Mexico		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	273	0		29	10	S5921_273_0	4	07/28/2010	2011.01	07/28/2010 03:29:24 PM Central Daylight Time		07/28/2010 02:47:19 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	273	0	2011	Nevada		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	283	0		29	10	S5921_283_0	4	07/28/2010	2011.01	07/28/2010 03:22:38 PM Central Daylight Time		07/28/2010 02:47:23 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	283	0	2011	Kansas		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	293	0		29	10	S5921_293_0	4	07/28/2010	2011.01	07/28/2010 03:00:27 PM Central Daylight Time		07/28/2010 02:47:27 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	293	0	2011	New Jersey		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	303	0		29	10	S5921_303_0	4	07/28/2010	2011.01	07/28/2010 03:15:55 PM Central Daylight Time		07/28/2010 02:47:32 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	303	0	2011	Missouri		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	313	0		29	10	S5921_313_0	4	07/28/2010	2011.01	07/28/2010 03:16:48 PM Central Daylight Time		07/28/2010 02:47:36 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	313	0	2011	Arkansas		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	323	0		29	10	S5921_323_0	4	07/28/2010	2011.01	07/28/2010 03:17:46 PM Central Daylight Time		07/28/2010 02:47:40 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	323	0	2011	Mississippi		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	333	0		29	10	S5921_333_0	4	07/28/2010	2011.01	07/28/2010 03:19:15 PM Central Daylight Time		07/28/2010 02:47:44 PM Central Daylight Time		07/28/2010 05:18:55 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	AARP MedicareRx Enhanced (PDP)	10	29					S5921	333	0	2011	Louisiana		2						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-867-5575		(888)-867-5575		(888)-867-5564		(888)-867-5564										(711)		(711)		(711)		(711)		1
S5921	802	0		29	10	S5921_802_0	1	06/03/2010	2011.01	06/03/2010 11:35:48 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5921	802	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5921	837	0		29	10	S5921_837_0	1	06/03/2010	2011.01	06/03/2010 11:35:42 AM Central Daylight Time				06/06/2010 12:58:07 PM Central Daylight Time	UNITEDHEALTHCARE INS. CO. AND UNITEDHEALTHCARE NY	UnitedHealthcare	www.AARPMedicareRx.com	UnitedHealthcare MedicareRx for Groups (PDP)	10	29					S5921	837	0	2011	National		1						2							www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP	www.AARPMedicarePlans.com/tools/find-prescription-drugs.html?type=PDP									(888)-556-6648		(888)-556-6648		(888)-556-6648		(888)-556-6648										(711)		(711)		(711)		(711)		1
S5932	001	0		29	10	S5932_001_0	2	06/02/2010	2011.01	06/02/2010 03:20:36 PM Central Daylight Time		07/29/2010 09:06:19 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg12 (PDP)	10	29					S5932	001	0	2011	Alabama, Tennessee		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	002	0		29	10	S5932_002_0	2	06/01/2010	2011.01	06/01/2010 02:18:25 PM Central Daylight Time		07/29/2010 09:06:47 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 1 (PDP)	10	29					S5932	002	0	2011	Northern New England		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	003	0		29	10	S5932_003_0	2	06/01/2010	2011.01	06/01/2010 02:18:42 PM Central Daylight Time		07/29/2010 09:07:20 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 2 (PDP)	10	29					S5932	003	0	2011	Central New England		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	004	0		29	10	S5932_004_0	2	06/01/2010	2011.01	06/01/2010 02:21:56 PM Central Daylight Time		07/29/2010 09:07:56 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 3 (PDP)	10	29					S5932	004	0	2011	New York		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	005	0		29	10	S5932_005_0	2	06/01/2010	2011.01	06/01/2010 02:22:10 PM Central Daylight Time		07/29/2010 09:08:28 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 4 (PDP)	10	29					S5932	005	0	2011	New Jersey		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	006	0		29	10	S5932_006_0	2	06/01/2010	2011.01	06/01/2010 02:22:42 PM Central Daylight Time		07/29/2010 09:09:02 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 6 (PDP)	10	29					S5932	006	0	2011	Pennsylvania, West Virginia		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	007	0		29	10	S5932_007_0	4	06/01/2010	2011.01	06/01/2010 02:22:58 PM Central Daylight Time		08/05/2010 01:02:49 PM Central Daylight Time		08/05/2010 04:32:41 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 7 (PDP)	10	29					S5932	007	0	2011	Virginia		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	008	0		29	10	S5932_008_0	2	06/01/2010	2011.01	06/01/2010 04:57:57 PM Central Daylight Time		07/29/2010 09:10:09 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 8 (PDP)	10	29					S5932	008	0	2011	North Carolina		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	009	0		29	10	S5932_009_0	2	06/01/2010	2011.01	06/01/2010 02:23:24 PM Central Daylight Time		07/29/2010 09:10:47 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 9 (PDP)	10	29					S5932	009	0	2011	South Carolina		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	010	0		29	10	S5932_010_0	2	06/01/2010	2011.01	06/01/2010 02:23:38 PM Central Daylight Time		07/29/2010 09:11:24 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 10 (PDP)	10	29					S5932	010	0	2011	Georgia		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	011	0		29	10	S5932_011_0	2	06/01/2010	2011.01	06/01/2010 02:23:51 PM Central Daylight Time		07/29/2010 09:11:59 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 11 (PDP)	10	29					S5932	011	0	2011	Florida		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	012	0		29	10	S5932_012_0	2	06/01/2010	2011.01	06/01/2010 02:24:06 PM Central Daylight Time		07/29/2010 09:12:30 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 13 (PDP)	10	29					S5932	012	0	2011	Michigan		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	013	0		29	10	S5932_013_0	3	06/01/2010	2011.01	06/01/2010 02:24:18 PM Central Daylight Time		08/06/2010 04:49:04 PM Central Daylight Time		08/07/2010 07:23:28 AM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 14 (PDP)	10	29					S5932	013	0	2011	Ohio		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	014	0		29	10	S5932_014_0	2	06/01/2010	2011.01	06/01/2010 02:24:40 PM Central Daylight Time		07/29/2010 09:14:00 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 15 (PDP)	10	29					S5932	014	0	2011	Indiana, Kentucky		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	015	0		29	10	S5932_015_0	2	06/01/2010	2011.01	06/01/2010 02:24:57 PM Central Daylight Time		07/29/2010 09:14:42 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 16 (PDP)	10	29					S5932	015	0	2011	Wisconsin		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	016	0		29	10	S5932_016_0	2	06/01/2010	2011.01	06/01/2010 04:58:09 PM Central Daylight Time		07/29/2010 09:15:13 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 17 (PDP)	10	29					S5932	016	0	2011	Illinois		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	017	0		29	10	S5932_017_0	3	06/01/2010	2011.01	06/01/2010 04:58:27 PM Central Daylight Time		08/05/2010 05:04:06 PM Central Daylight Time		08/06/2010 01:46:22 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 18 (PDP)	10	29					S5932	017	0	2011	Missouri		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	018	0		29	10	S5932_018_0	2	06/01/2010	2011.01	06/01/2010 04:58:37 PM Central Daylight Time		07/29/2010 09:16:20 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 19 (PDP)	10	29					S5932	018	0	2011	Arkansas		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	019	0		29	10	S5932_019_0	2	06/01/2010	2011.01	06/01/2010 02:26:00 PM Central Daylight Time		07/29/2010 09:17:03 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 20 (PDP)	10	29					S5932	019	0	2011	Mississippi		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	020	0		29	10	S5932_020_0	2	06/01/2010	2011.01	06/01/2010 04:58:50 PM Central Daylight Time		07/29/2010 09:17:35 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 21 (PDP)	10	29					S5932	020	0	2011	Louisiana		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	021	0		29	10	S5932_021_0	2	06/01/2010	2011.01	06/01/2010 04:59:01 PM Central Daylight Time		07/29/2010 09:18:10 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 22 (PDP)	10	29					S5932	021	0	2011	Texas		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	022	0		29	10	S5932_022_0	3	06/01/2010	2011.01	06/01/2010 04:59:11 PM Central Daylight Time		08/05/2010 05:04:39 PM Central Daylight Time		08/06/2010 01:46:22 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 23 (PDP)	10	29					S5932	022	0	2011	Oklahoma		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	023	0		29	10	S5932_023_0	2	06/01/2010	2011.01	06/01/2010 04:59:23 PM Central Daylight Time		07/29/2010 09:19:10 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 24 (PDP)	10	29					S5932	023	0	2011	Kansas		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	024	0		29	10	S5932_024_0	2	06/01/2010	2011.01	06/01/2010 04:59:35 PM Central Daylight Time		07/29/2010 09:19:49 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 25 (PDP)	10	29					S5932	024	0	2011	Upper Midwest and Northern Plains		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	025	0		29	10	S5932_025_0	2	06/01/2010	2011.01	06/01/2010 04:59:45 PM Central Daylight Time		07/29/2010 09:20:20 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 26 (PDP)	10	29					S5932	025	0	2011	New Mexico		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	026	0		29	10	S5932_026_0	4	06/01/2010	2011.01	06/01/2010 04:59:55 PM Central Daylight Time		08/05/2010 01:03:23 PM Central Daylight Time		08/05/2010 04:32:41 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 27 (PDP)	10	29					S5932	026	0	2011	Colorado		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	027	0		29	10	S5932_027_0	2	06/01/2010	2011.01	06/01/2010 05:00:06 PM Central Daylight Time		07/29/2010 09:21:36 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 28 (PDP)	10	29					S5932	027	0	2011	Arizona		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	028	0		29	10	S5932_028_0	2	06/01/2010	2011.01	06/01/2010 05:00:19 PM Central Daylight Time		07/29/2010 09:22:11 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 29 (PDP)	10	29					S5932	028	0	2011	Nevada		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	029	0		29	10	S5932_029_0	3	06/01/2010	2011.01	06/01/2010 05:00:30 PM Central Daylight Time		08/05/2010 05:05:17 PM Central Daylight Time		08/06/2010 01:46:22 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 30 (PDP)	10	29					S5932	029	0	2011	Oregon, Washington		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	030	0		29	10	S5932_030_0	2	06/01/2010	2011.01	06/01/2010 05:00:43 PM Central Daylight Time		07/29/2010 09:23:21 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 31 (PDP)	10	29					S5932	030	0	2011	Idaho, Utah		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	031	0		29	10	S5932_031_0	2	06/01/2010	2011.01	06/01/2010 05:00:54 PM Central Daylight Time		07/29/2010 09:23:54 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 32 (PDP)	10	29					S5932	031	0	2011	California		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	032	0		29	10	S5932_032_0	2	06/01/2010	2011.01	06/01/2010 05:01:07 PM Central Daylight Time		07/29/2010 09:24:31 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 33 (PDP)	10	29					S5932	032	0	2011	Hawaii		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	033	0		29	10	S5932_033_0	2	06/01/2010	2011.01	06/01/2010 04:47:36 PM Central Daylight Time		07/29/2010 09:25:05 AM Central Daylight Time		07/29/2010 05:25:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan-Reg 34 (PDP)	10	29					S5932	033	0	2011	Alaska		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	034	0		29	10	S5932_034_0	4	06/01/2010	2011.01	06/01/2010 04:47:50 PM Central Daylight Time		08/05/2010 01:04:03 PM Central Daylight Time		08/05/2010 04:32:41 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Prescription Drug Plan -Reg 5 (PDP)	10	29					S5932	034	0	2011	Mid-Atlantic		2						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	802	0		29	10	S5932_802_0	1	05/17/2010	2011.01	05/17/2010 03:23:43 PM Central Daylight Time				06/04/2010 03:08:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Retiree Prescription Plan (PDP)	10	29					S5932	802	0	2011	National		1						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5932	803	0		29	10	S5932_803_0	1	05/17/2010	2011.01	05/17/2010 03:23:50 PM Central Daylight Time				06/04/2010 03:08:29 PM Central Daylight Time	HEALTHSPRING LIFE  HEALTH INSURANCE COMPANY, INC.	HealthSpring Prescription Drug Plan	www.healthspring.com	HealthSpring Retiree Drug Plan (PDP)	10	29					S5932	803	0	2011	National		1						2							www.healthspring.com	www.healthspring.com									(800)-331-6293		(615)-291-7024		(800)-331-6293		(615)-291-7024										(866)-845-7230		(866)-845-7230		(866)-845-7230		(866)-845-7230		1
S5937	001	0		29	10	S5937_001_0	2	08/02/2010	2011.01	08/02/2010 11:07:03 AM Central Daylight Time		08/02/2010 10:35:00 AM Central Daylight Time		08/02/2010 11:08:44 AM Central Daylight Time	LOUISIANA HEALTH SERVICE AND INDEMNITY COMPANY	Blue Cross and Blue Shield of Louisiana	www.bcbsla.com	RxBLUE (PDP)	10	29					S5937	001	0	2011	Louisiana		2						2							http://www.bcbsla.com/RxBLUEFormulary	http://www.express-scripts.com									(888)-223-2583		(225)-298-7788		(800)-593-9735		(800)-593-9735										(800)-947-5277		(000)-000-0000		(800)-947-5277		(000)-000-0000		1
S5953	001	0		29	10	S5953_001_0	2	05/28/2010	2011.01	05/28/2010 12:07:38 PM Eastern Daylight Time		07/26/2010 09:10:26 AM Eastern Daylight Time		07/30/2010 05:13:10 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.scbluesmedadvantage.com/rx11	MedBlue Rx (PDP)	10	29					S5953	001	0	2011	South Carolina		2						2							www.SouthCarolinaBlues.com/marx10	www.SouthCarolinaBlues.com/marx10									(888)-645-6025		(888)-645-6025		(800)-930-2836		(800)-930-2836										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		1
S5953	002	0		29	10	S5953_002_0	2	07/26/2010	2011.01	07/26/2010 01:24:41 PM Eastern Daylight Time		07/26/2010 11:02:04 AM Eastern Daylight Time		08/04/2010 05:04:35 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.scbluesmedadvantage.com/rxplus10	MedBlue Rx Plus (PDP)	10	29					S5953	002	0	2011	South Carolina		2						2							www.SouthCarolinaBlues.com/marx10	www.SouthCarolinaBlues.com/marx10									(888)-645-6025		(888)-645-6025		(800)-930-2836		(800)-930-2836										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		1
S5953	801	0		29	10	S5953_801_0	1	04/29/2010	2011.01	04/29/2010 10:37:04 AM Eastern Daylight Time				06/01/2010 04:58:39 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/marx10	Group Blue Rx Plus (PDP)	10	29					S5953	801	0	2011	South Carolina		1						2							www.SouthCarolinaBlues.com/marx10	www.SouthCarolinaBlues.com/marx10									(888)-645-6025		(888)-645-6025		(800)-930-2836		(800)-930-2836										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		1
S5953	802	0		29	10	S5953_802_0	1	04/29/2010	2011.01	04/29/2010 10:37:14 AM Eastern Daylight Time				06/01/2010 04:58:39 PM Eastern Daylight Time	BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA	Blue Cross Blue Shield of South Carolina	www.southcarolinablues.com/marx10	Group Blue Rx Plus (PDP)	10	29					S5953	802	0	2011	South Carolina		1						2							www.SouthCarolinaBlues.com/marx10	www.SouthCarolinaBlues.com/marx10									(888)-645-6025		(888)-645-6025		(800)-930-2836		(800)-930-2836										(888)-645-6023		(888)-645-6023		(800)-681-3846		(800)-681-3846		1
S5954	801	0		29	10	S5954_801_0	3	05/13/2010	2011.01	05/13/2010 11:31:07 AM Central Daylight Time				05/21/2010 02:59:19 PM Central Daylight Time	DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancarerx.com	DeanCare Rx Employer (PDP)	10	29					S5954	801	0	2011	DeanCare Rx		1						2							http://www.deancare.com/deancarerx/Pharmacy/	http://www.deancare.com/deancarerx/Pharmacy/									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456		(608)-827-4086		(877)-733-6456		(608)-827-4086		1
S5954	803	0		29	10	S5954_803_0	3	05/13/2010	2011.01	05/13/2010 11:31:15 AM Central Daylight Time				05/21/2010 02:59:19 PM Central Daylight Time	DEAN HEALTH INSURANCE, INC.	Dean Health Insurance, Inc.	www.deancarerx.com	DeanCare Rx Employer II (PDP)	10	29					S5954	803	0	2011	DeanCare Rx		1						2							http://www.deancare.com/deancarerx/Pharmacy/	http://www.deancare.com/deancarerx/Pharmacy/									(888)-422-3326		(608)-827-4372		(888)-422-3326		(608)-827-4372										(877)-733-6456		(608)-827-4086		(877)-733-6456		(608)-827-4086		1
S5960	108	0		29	10	S5960_108_0	5	06/07/2010	2011.01	06/07/2010 12:27:39 PM Pacific Daylight Time		07/22/2010 04:29:05 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	108	0	2011	Central New England (CT, MA, RI, VT)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	109	0		29	10	S5960_109_0	5	06/03/2010	2011.01	06/03/2010 12:12:19 PM Pacific Daylight Time		07/22/2010 04:29:25 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	109	0	2011	New York (NY)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	110	0		29	10	S5960_110_0	5	05/30/2010	2011.01	05/30/2010 11:32:19 PM Pacific Daylight Time		07/22/2010 04:29:45 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	110	0	2011	New Jersey (NJ)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	111	0		29	10	S5960_111_0	5	05/30/2010	2011.01	05/30/2010 11:33:56 PM Pacific Daylight Time		07/22/2010 04:30:02 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	111	0	2011	Mid-Atlantic (DE, DC, MD)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	112	0		29	10	S5960_112_0	6	05/30/2010	2011.01	05/30/2010 11:35:18 PM Pacific Daylight Time		07/22/2010 04:30:24 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	112	0	2011	Pennsylvania, West Virginia (PA, WV)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	114	0		29	10	S5960_114_0	5	05/30/2010	2011.01	05/30/2010 11:37:13 PM Pacific Daylight Time		07/22/2010 04:30:45 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	114	0	2011	North Carolina (NC)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	115	0		29	10	S5960_115_0	5	05/30/2010	2011.01	05/30/2010 11:36:05 PM Pacific Daylight Time		07/22/2010 04:31:07 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	115	0	2011	South Carolina (SC)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	117	0		29	10	S5960_117_0	5	05/30/2010	2011.01	05/30/2010 11:40:54 PM Pacific Daylight Time		07/22/2010 04:31:26 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	117	0	2011	Florida (FL)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	118	0		29	10	S5960_118_0	5	05/30/2010	2011.01	05/30/2010 11:44:30 PM Pacific Daylight Time		07/22/2010 04:31:47 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	118	0	2011	Alabama, Tennessee (AL, TN)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	119	0		29	10	S5960_119_0	5	05/30/2010	2011.01	05/30/2010 11:31:11 PM Pacific Daylight Time		07/22/2010 04:32:07 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	119	0	2011	Michigan (MI)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	123	0		29	10	S5960_123_0	5	05/30/2010	2011.01	05/30/2010 11:35:35 PM Pacific Daylight Time		07/22/2010 04:32:25 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	123	0	2011	Illinois (IL)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	125	0		29	10	S5960_125_0	5	05/30/2010	2011.01	05/30/2010 11:45:33 PM Pacific Daylight Time		07/22/2010 04:32:45 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	125	0	2011	Arkansas (AR)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	126	0		29	10	S5960_126_0	5	05/30/2010	2011.01	05/30/2010 11:45:45 PM Pacific Daylight Time		07/22/2010 04:33:03 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	126	0	2011	Mississippi (MS)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	127	0		29	10	S5960_127_0	5	05/30/2010	2011.01	05/30/2010 11:38:00 PM Pacific Daylight Time		07/22/2010 04:33:22 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	127	0	2011	Louisiana (LA)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	128	0		29	10	S5960_128_0	5	05/30/2010	2011.01	05/30/2010 11:46:54 PM Pacific Daylight Time		07/22/2010 04:33:41 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	128	0	2011	Texas (TX)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	129	0		29	10	S5960_129_0	5	05/30/2010	2011.01	05/30/2010 11:38:15 PM Pacific Daylight Time		07/22/2010 04:34:00 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	129	0	2011	Oklahoma (OK)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	130	0		29	10	S5960_130_0	5	06/05/2010	2011.01	06/05/2010 02:50:16 AM Pacific Daylight Time		07/22/2010 04:34:18 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	130	0	2011	Kansas (KS)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	131	0		29	10	S5960_131_0	5	05/30/2010	2011.01	05/30/2010 11:42:08 PM Pacific Daylight Time		07/22/2010 04:34:38 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	131	0	2011	Upper Midwest and Northern Plains		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	132	0		29	10	S5960_132_0	5	05/30/2010	2011.01	05/30/2010 11:42:27 PM Pacific Daylight Time		07/22/2010 04:34:59 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	132	0	2011	New Mexico (NM)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	134	0		29	10	S5960_134_0	5	05/30/2010	2011.01	05/30/2010 11:42:43 PM Pacific Daylight Time		07/22/2010 04:35:15 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	134	0	2011	Arizona (AZ)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	136	0		29	10	S5960_136_0	5	05/30/2010	2011.01	05/30/2010 11:47:30 PM Pacific Daylight Time		07/22/2010 04:35:35 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	136	0	2011	Oregon, Washington (OR, WA)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	137	0		29	10	S5960_137_0	5	05/30/2010	2011.01	05/30/2010 11:43:00 PM Pacific Daylight Time		07/22/2010 04:35:53 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	137	0	2011	Idaho, Utah (ID, UT)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	139	0		29	10	S5960_139_0	5	05/30/2010	2011.01	05/30/2010 11:43:13 PM Pacific Daylight Time		07/22/2010 04:36:13 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	139	0	2011	Hawaii (HI)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	140	0		29	10	S5960_140_0	5	05/30/2010	2011.01	05/30/2010 11:50:31 PM Pacific Daylight Time		07/22/2010 04:36:32 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Standard (PDP)	10	29					S5960	140	0	2011	Alaska (AK)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	141	0		29	10	S5960_141_0	6	05/17/2010	2011.01	05/24/2010 08:59:18 AM Pacific Daylight Time		07/22/2010 04:36:52 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	141	0	2011	New York (NY)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	142	0		29	10	S5960_142_0	5	05/17/2010	2011.01	05/24/2010 08:59:18 AM Pacific Daylight Time		07/22/2010 04:37:08 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	142	0	2011	New Jersey (NJ)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	143	0		29	10	S5960_143_0	5	05/17/2010	2011.01	05/24/2010 08:59:18 AM Pacific Daylight Time		07/22/2010 04:37:28 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	143	0	2011	Mid-Atlantic (DC, DE, MD)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	144	0		29	10	S5960_144_0	5	05/17/2010	2011.01	05/24/2010 08:59:18 AM Pacific Daylight Time		07/22/2010 04:37:46 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	144	0	2011	Pennsylvania, West Virginia (PA, WV)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	145	0		29	10	S5960_145_0	5	05/17/2010	2011.01	05/24/2010 08:59:19 AM Pacific Daylight Time		07/22/2010 04:38:05 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	145	0	2011	North Carolina (NC)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	146	0		29	10	S5960_146_0	5	05/17/2010	2011.01	05/24/2010 08:59:19 AM Pacific Daylight Time		07/22/2010 04:38:26 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	146	0	2011	South Carolina (SC)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	147	0		29	10	S5960_147_0	5	05/17/2010	2011.01	05/24/2010 08:59:19 AM Pacific Daylight Time		07/22/2010 04:38:44 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	147	0	2011	Florida (FL)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	148	0		29	10	S5960_148_0	5	05/17/2010	2011.01	05/24/2010 08:59:19 AM Pacific Daylight Time		07/22/2010 04:39:05 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	148	0	2011	Alabama, Tennessee (AL, TN)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	149	0		29	10	S5960_149_0	5	05/17/2010	2011.01	05/24/2010 08:59:19 AM Pacific Daylight Time		07/22/2010 04:39:25 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	149	0	2011	Michigan (MI)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	150	0		29	10	S5960_150_0	5	05/17/2010	2011.01	05/24/2010 08:59:20 AM Pacific Daylight Time		07/22/2010 04:39:46 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	150	0	2011	Illinois (IL)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	151	0		29	10	S5960_151_0	5	05/17/2010	2011.01	05/24/2010 08:59:20 AM Pacific Daylight Time		07/22/2010 04:40:01 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	151	0	2011	Arkansas (AR)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	152	0		29	10	S5960_152_0	5	05/17/2010	2011.01	05/24/2010 08:59:20 AM Pacific Daylight Time		07/22/2010 04:40:20 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	152	0	2011	Mississippi (MS)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	153	0		29	10	S5960_153_0	5	05/17/2010	2011.01	05/24/2010 08:59:20 AM Pacific Daylight Time		07/22/2010 04:40:37 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	153	0	2011	Louisiana (LA)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	154	0		29	10	S5960_154_0	5	05/17/2010	2011.01	05/24/2010 08:59:20 AM Pacific Daylight Time		07/22/2010 04:40:56 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	154	0	2011	Texas (TX)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	155	0		29	10	S5960_155_0	5	05/17/2010	2011.01	05/24/2010 08:59:21 AM Pacific Daylight Time		07/22/2010 04:41:15 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	155	0	2011	Oklahoma (OK)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	156	0		29	10	S5960_156_0	5	05/17/2010	2011.01	05/24/2010 08:59:21 AM Pacific Daylight Time		07/22/2010 04:41:37 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	156	0	2011	Upper Midwest and Northern Plains		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	157	0		29	10	S5960_157_0	5	05/17/2010	2011.01	05/24/2010 08:59:21 AM Pacific Daylight Time		07/22/2010 04:41:55 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	157	0	2011	New Mexico (NM)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	158	0		29	10	S5960_158_0	5	05/17/2010	2011.01	05/24/2010 08:59:21 AM Pacific Daylight Time		07/22/2010 04:42:13 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	158	0	2011	Arizona (AZ)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	159	0		29	10	S5960_159_0	5	05/17/2010	2011.01	05/24/2010 08:59:22 AM Pacific Daylight Time		07/22/2010 04:42:33 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	159	0	2011	Oregon, Washington (OR, WA)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	160	0		29	10	S5960_160_0	5	05/17/2010	2011.01	05/24/2010 08:59:22 AM Pacific Daylight Time		07/22/2010 04:42:51 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	160	0	2011	Idaho, Utah (ID, UT)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	161	0		29	10	S5960_161_0	5	05/17/2010	2011.01	05/24/2010 08:59:22 AM Pacific Daylight Time		07/22/2010 04:43:07 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	161	0	2011	Hawaii (HI)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	162	0		29	10	S5960_162_0	5	05/17/2010	2011.01	05/24/2010 08:59:22 AM Pacific Daylight Time		07/22/2010 04:43:28 PM Pacific Daylight Time		07/25/2010 06:26:04 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards Plus (PDP)	10	29					S5960	162	0	2011	Alaska (AK)		2						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(877)-541-7382		(877)-541-7382										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	801	0		29	10	S5960_801_0	4	06/03/2010	2011.01	06/03/2010 12:28:38 PM Pacific Daylight Time				06/07/2010 07:27:06 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards (PDP)	10	29					S5960	801	0	2011	All States (Nationwide)		1						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5960	803	0		29	10	S5960_803_0	4	06/03/2010	2011.01	06/03/2010 12:28:45 PM Pacific Daylight Time				06/07/2010 07:27:06 PM Pacific Daylight Time	UNICARE LIFE AND HEALTH INSURANCE COMPANY	UniCare	www.unicare.com	MedicareRx Rewards (PDP)	10	29					S5960	803	0	2011	All States (Nationwide)		1						2							www.unicare.com	www.unicare.com									(800)-928-6201		(800)-928-6201		(866)-892-5334		(866)-892-5334										(877)-247-1657		(877)-247-1657		(800)-241-6894		(800)-241-6894		1
S5966	001	0		29	10	S5966_001_0	3	05/28/2010	2011.01	05/28/2010 08:57:00 AM Eastern Daylight Time		08/04/2010 12:36:52 PM Eastern Daylight Time		08/04/2010 01:34:04 PM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PDP	www.emblemhealth.com	Medicare Prescription Drug Plan (PDP)	10	29					S5966	001	0	2011	New York State		2						2							http://www.ghi.com/Default.aspx?Page=459	http://www.ghi.com/Default.aspx?Page=459									(877)-444-7241		(877)-444-7241		(800)-325-9792		(800)-325-9792										(888)-447-4833		(888)-447-4833		(888)-447-4833		(888)-447-4833		1
S5966	803	0		29	10	S5966_803_0	2	05/28/2010	2011.01	05/28/2010 08:57:02 AM Eastern Daylight Time				06/03/2010 08:51:44 AM Eastern Daylight Time	GROUP HEALTH INCORPORATED	EmblemHealth Medicare PDP	www.emblemhealth.com	National Drug Plan (PDP)	10	29					S5966	803	0	2011	United States		1						2							http://www.ghi.com/Default.aspx?Page=459	http://www.ghi.com/Default.aspx?Page=459									(800)-585-5786		(800)-585-5786		(800)-325-9792		(800)-325-9792										(800)-899-2114		(800)-899-2114		(888)-447-4833		(888)-447-4833		1
S5967	035	0		29	10	S5967_035_0	5	07/26/2010	2011.01	07/26/2010 10:35:03 AM Eastern Daylight Time		07/30/2010 11:22:37 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	035	0	2011	Northern New England		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	036	0		29	10	S5967_036_0	5	07/26/2010	2011.01	07/26/2010 10:37:00 AM Eastern Daylight Time		07/30/2010 11:51:35 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	036	0	2011	Central New England		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	037	0		29	10	S5967_037_0	5	07/26/2010	2011.01	07/26/2010 10:38:26 AM Eastern Daylight Time		07/30/2010 11:27:24 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	037	0	2011	New York		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	038	0		29	10	S5967_038_0	5	07/26/2010	2011.01	07/26/2010 10:39:49 AM Eastern Daylight Time		07/30/2010 11:27:55 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	038	0	2011	New Jersey		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	039	0		29	10	S5967_039_0	5	07/26/2010	2011.01	07/26/2010 10:41:08 AM Eastern Daylight Time		07/30/2010 11:28:25 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	039	0	2011	Mid-Atlantic		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	040	0		29	10	S5967_040_0	5	07/26/2010	2011.01	07/26/2010 10:43:06 AM Eastern Daylight Time		07/30/2010 11:28:52 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	040	0	2011	Pennsylvania, West Virginia		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	041	0		29	10	S5967_041_0	5	07/26/2010	2011.01	07/26/2010 10:44:52 AM Eastern Daylight Time		07/30/2010 11:29:32 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	041	0	2011	Virginia		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	042	0		29	10	S5967_042_0	5	07/26/2010	2011.01	07/26/2010 10:46:20 AM Eastern Daylight Time		07/30/2010 11:30:09 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	042	0	2011	North Carolina		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	043	0		29	10	S5967_043_0	5	07/26/2010	2011.01	07/26/2010 10:48:05 AM Eastern Daylight Time		07/30/2010 11:30:45 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	043	0	2011	South Carolina		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	044	0		29	10	S5967_044_0	5	07/26/2010	2011.01	07/26/2010 10:49:21 AM Eastern Daylight Time		07/30/2010 11:31:19 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	044	0	2011	Georgia		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	045	0		29	10	S5967_045_0	5	07/26/2010	2011.01	07/26/2010 10:50:45 AM Eastern Daylight Time		07/30/2010 11:32:06 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	045	0	2011	Florida		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	046	0		29	10	S5967_046_0	5	07/26/2010	2011.01	07/26/2010 10:52:01 AM Eastern Daylight Time		07/30/2010 11:32:42 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	046	0	2011	Alabama, Tennessee		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	047	0		29	10	S5967_047_0	5	07/26/2010	2011.01	07/26/2010 10:53:22 AM Eastern Daylight Time		07/30/2010 11:33:13 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	047	0	2011	Michigan		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	048	0		29	10	S5967_048_0	5	07/26/2010	2011.01	07/26/2010 10:54:44 AM Eastern Daylight Time		07/30/2010 11:33:40 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	048	0	2011	Ohio		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	049	0		29	10	S5967_049_0	5	07/26/2010	2011.01	07/26/2010 10:56:07 AM Eastern Daylight Time		07/30/2010 11:34:10 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	049	0	2011	Indiana, Kentucky		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	051	0		29	10	S5967_051_0	5	07/26/2010	2011.01	07/26/2010 10:57:28 AM Eastern Daylight Time		07/30/2010 11:34:49 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	051	0	2011	Illinois		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	052	0		29	10	S5967_052_0	5	07/26/2010	2011.01	07/26/2010 10:59:11 AM Eastern Daylight Time		07/30/2010 11:35:21 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	052	0	2011	Missouri		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	053	0		29	10	S5967_053_0	5	07/26/2010	2011.01	07/26/2010 11:00:24 AM Eastern Daylight Time		07/30/2010 11:36:03 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	053	0	2011	Arkansas		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	054	0		29	10	S5967_054_0	5	07/26/2010	2011.01	07/26/2010 11:02:03 AM Eastern Daylight Time		07/30/2010 11:36:38 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	054	0	2011	Mississippi		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	055	0		29	10	S5967_055_0	6	07/26/2010	2011.01	07/26/2010 11:03:47 AM Eastern Daylight Time		08/04/2010 03:46:54 PM Eastern Daylight Time		08/04/2010 03:53:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	055	0	2011	Louisiana		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	056	0		29	10	S5967_056_0	5	07/26/2010	2011.01	07/26/2010 11:05:14 AM Eastern Daylight Time		07/30/2010 11:38:25 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	056	0	2011	Texas		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	057	0		29	10	S5967_057_0	5	07/26/2010	2011.01	07/26/2010 11:06:33 AM Eastern Daylight Time		07/30/2010 11:38:55 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	057	0	2011	Oklahoma		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	058	0		29	10	S5967_058_0	5	07/26/2010	2011.01	07/26/2010 11:07:44 AM Eastern Daylight Time		07/30/2010 11:41:46 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	058	0	2011	Kansas		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	059	0		29	10	S5967_059_0	5	07/26/2010	2011.01	07/26/2010 11:08:31 AM Eastern Daylight Time		07/30/2010 11:43:08 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	059	0	2011	Upper Midwest and Northern Plains		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	060	0		29	10	S5967_060_0	5	07/26/2010	2011.01	07/26/2010 11:09:46 AM Eastern Daylight Time		07/30/2010 11:43:58 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	060	0	2011	New Mexico		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	061	0		29	10	S5967_061_0	5	07/26/2010	2011.01	07/26/2010 11:11:10 AM Eastern Daylight Time		07/30/2010 11:44:56 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	061	0	2011	Colorado		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	062	0		29	10	S5967_062_0	5	07/26/2010	2011.01	07/26/2010 11:12:27 AM Eastern Daylight Time		07/30/2010 11:45:57 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	062	0	2011	Arizona		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	063	0		29	10	S5967_063_0	5	07/26/2010	2011.01	07/26/2010 11:13:44 AM Eastern Daylight Time		07/30/2010 11:46:44 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	063	0	2011	Nevada		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	064	0		29	10	S5967_064_0	5	07/26/2010	2011.01	07/26/2010 11:14:24 AM Eastern Daylight Time		07/30/2010 11:47:27 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	064	0	2011	Oregon, Washington		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	065	0		29	10	S5967_065_0	6	07/26/2010	2011.01	07/26/2010 11:15:45 AM Eastern Daylight Time		08/04/2010 03:49:39 PM Eastern Daylight Time		08/04/2010 03:53:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	065	0	2011	Idaho, Utah		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	066	0		29	10	S5967_066_0	5	07/26/2010	2011.01	07/26/2010 11:17:03 AM Eastern Daylight Time		07/30/2010 11:48:46 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	066	0	2011	California		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	067	0		29	10	S5967_067_0	6	07/26/2010	2011.01	07/26/2010 11:18:21 AM Eastern Daylight Time		07/30/2010 11:49:19 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	067	0	2011	Hawaii		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	068	0		29	10	S5967_068_0	6	07/26/2010	2011.01	07/26/2010 11:19:38 AM Eastern Daylight Time		07/30/2010 11:49:56 AM Eastern Daylight Time		07/30/2010 11:59:44 AM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Signature (PDP)	10	29					S5967	068	0	2011	Alaska		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	138	0		29	10	S5967_138_0	4	06/07/2010	2011.01	06/07/2010 07:26:17 AM Eastern Daylight Time		06/07/2010 09:48:01 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	138	0	2011	Northern New England		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	139	0		29	10	S5967_139_0	4	06/07/2010	2011.01	06/07/2010 07:27:16 AM Eastern Daylight Time		06/07/2010 09:48:07 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	139	0	2011	Central New England		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	140	0		29	10	S5967_140_0	4	06/07/2010	2011.01	06/07/2010 07:28:03 AM Eastern Daylight Time		06/07/2010 09:48:14 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	140	0	2011	New York		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	141	0		29	10	S5967_141_0	4	06/07/2010	2011.01	06/07/2010 07:30:03 AM Eastern Daylight Time		06/07/2010 09:48:21 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	141	0	2011	New Jersey		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	142	0		29	10	S5967_142_0	4	06/07/2010	2011.01	06/07/2010 07:30:56 AM Eastern Daylight Time		06/07/2010 09:48:28 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	142	0	2011	Mid-Atlantic		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	143	0		29	10	S5967_143_0	4	06/07/2010	2011.01	06/07/2010 07:31:38 AM Eastern Daylight Time		06/07/2010 09:48:35 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	143	0	2011	Pennsylvania, West Virginia		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	144	0		29	10	S5967_144_0	4	06/07/2010	2011.01	06/07/2010 07:33:01 AM Eastern Daylight Time		06/07/2010 09:48:42 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	144	0	2011	Virginia		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	145	0		29	10	S5967_145_0	4	06/07/2010	2011.01	06/07/2010 07:33:42 AM Eastern Daylight Time		06/07/2010 09:48:50 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	145	0	2011	North Carolina		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	146	0		29	10	S5967_146_0	4	06/07/2010	2011.01	06/07/2010 07:34:38 AM Eastern Daylight Time		06/07/2010 09:48:57 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	146	0	2011	South Carolina		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	147	0		29	10	S5967_147_0	4	06/07/2010	2011.01	06/07/2010 07:35:22 AM Eastern Daylight Time		06/07/2010 09:49:03 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	147	0	2011	Georgia		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	148	0		29	10	S5967_148_0	4	06/07/2010	2011.01	06/07/2010 07:36:13 AM Eastern Daylight Time		06/07/2010 09:49:10 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	148	0	2011	Florida		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	149	0		29	10	S5967_149_0	4	06/07/2010	2011.01	06/07/2010 07:37:58 AM Eastern Daylight Time		06/07/2010 09:49:17 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	149	0	2011	Alabama, Tennessee		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	150	0		29	10	S5967_150_0	4	06/07/2010	2011.01	06/07/2010 07:38:22 AM Eastern Daylight Time		06/07/2010 09:49:24 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	150	0	2011	Michigan		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	151	0		29	10	S5967_151_0	4	06/07/2010	2011.01	06/07/2010 07:38:50 AM Eastern Daylight Time		06/07/2010 09:49:31 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	151	0	2011	Ohio		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	152	0		29	10	S5967_152_0	4	06/07/2010	2011.01	06/07/2010 07:39:39 AM Eastern Daylight Time		06/07/2010 09:49:38 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	152	0	2011	Indiana, Kentucky		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	154	0		29	10	S5967_154_0	4	06/07/2010	2011.01	06/07/2010 07:40:20 AM Eastern Daylight Time		06/07/2010 09:49:45 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	154	0	2011	Illinois		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	155	0		29	10	S5967_155_0	4	06/07/2010	2011.01	06/07/2010 07:41:03 AM Eastern Daylight Time		06/07/2010 09:49:52 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	155	0	2011	Missouri		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	156	0		29	10	S5967_156_0	4	06/07/2010	2011.01	06/07/2010 07:41:47 AM Eastern Daylight Time		06/07/2010 09:50:00 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	156	0	2011	Arkansas		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	157	0		29	10	S5967_157_0	4	06/07/2010	2011.01	06/07/2010 07:42:30 AM Eastern Daylight Time		06/07/2010 09:50:07 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	157	0	2011	Mississippi		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	158	0		29	10	S5967_158_0	4	06/07/2010	2011.01	06/07/2010 07:43:06 AM Eastern Daylight Time		06/07/2010 09:50:14 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	158	0	2011	Louisiana		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	159	0		29	10	S5967_159_0	4	06/07/2010	2011.01	06/07/2010 07:43:44 AM Eastern Daylight Time		06/07/2010 09:50:20 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	159	0	2011	Texas		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	160	0		29	10	S5967_160_0	4	06/07/2010	2011.01	06/07/2010 07:44:21 AM Eastern Daylight Time		06/07/2010 09:50:27 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	160	0	2011	Oklahoma		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	161	0		29	10	S5967_161_0	4	06/07/2010	2011.01	06/07/2010 07:44:52 AM Eastern Daylight Time		06/07/2010 09:50:34 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	161	0	2011	Kansas		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	162	0		29	10	S5967_162_0	4	06/07/2010	2011.01	06/07/2010 07:45:09 AM Eastern Daylight Time		06/07/2010 09:50:41 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	162	0	2011	Upper Midwest and Northern Plains		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	163	0		29	10	S5967_163_0	4	06/07/2010	2011.01	06/07/2010 07:45:26 AM Eastern Daylight Time		06/07/2010 09:50:48 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	163	0	2011	New Mexico		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	164	0		29	10	S5967_164_0	4	06/07/2010	2011.01	06/07/2010 07:45:56 AM Eastern Daylight Time		06/07/2010 09:50:55 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	164	0	2011	Colorado		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	165	0		29	10	S5967_165_0	4	06/07/2010	2011.01	06/07/2010 07:46:42 AM Eastern Daylight Time		06/07/2010 09:51:01 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	165	0	2011	Arizona		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	166	0		29	10	S5967_166_0	4	06/07/2010	2011.01	06/07/2010 07:47:36 AM Eastern Daylight Time		06/07/2010 09:51:08 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	166	0	2011	Nevada		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	167	0		29	10	S5967_167_0	4	06/07/2010	2011.01	06/07/2010 07:47:52 AM Eastern Daylight Time		06/07/2010 09:51:15 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	167	0	2011	Oregon, Washington		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	168	0		29	10	S5967_168_0	4	06/07/2010	2011.01	06/07/2010 07:48:36 AM Eastern Daylight Time		06/07/2010 09:51:22 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	168	0	2011	Idaho, Utah		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	169	0		29	10	S5967_169_0	4	06/07/2010	2011.01	06/07/2010 07:49:26 AM Eastern Daylight Time		06/07/2010 09:51:28 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	169	0	2011	California		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	170	0		29	10	S5967_170_0	5	07/21/2010	2011.01	07/21/2010 01:42:09 PM Eastern Daylight Time		07/21/2010 04:26:42 PM Eastern Daylight Time		07/21/2010 04:34:38 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	170	0	2011	Hawaii		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5967	171	0		29	10	S5967_171_0	4	06/07/2010	2011.01	06/07/2010 07:50:16 AM Eastern Daylight Time		06/07/2010 09:51:41 PM Eastern Daylight Time		06/07/2010 09:57:47 PM Eastern Daylight Time	WELLCARE PRESCRIPTION INSURANCE, INC.	WellCare	www.wellcarepdp.com	WellCare Classic (PDP)	10	29					S5967	171	0	2011	Alaska		2						2							www.wellcarepdp.com	www.wellcarepdp.com									(888)-550-5252		(888)-550-5252		(888)-293-5151		(888)-293-5151										(888)-816-5252		(888)-816-5252		(888)-816-5252		(888)-816-5252		1
S5975	801	0		29	10	S5975_801_0	1	06/04/2010	2011.01	06/04/2010 02:12:10 PM Pacific Daylight Time				06/04/2010 02:20:09 PM Pacific Daylight Time	ODS HEALTH PLAN, INC.	ODS Health Plan, Inc.	www.odscompanies.com/odsadvantage	ODS Advantage Rx Employer Option (PDP)	10	29					S5975	801	0	2011	National		1						2							www.odscompanies.com/odsadvantage	www.odscompanies.com/odsadvantage									(888)-786-7509		(503)-265-4709		(888)-217-2375		(503)-265-2975										(800)-433-6313		(503)-243-3958		(800)-433-6313		(503)-243-3958		1
S5983	004	0		29	10	S5983_004_0	2	06/04/2010	2011.01	06/04/2010 07:58:08 PM Eastern Daylight Time		06/04/2010 01:05:00 PM Eastern Daylight Time		06/05/2010 10:40:22 AM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Value (PDP)	10	29					S5983	004	0	2011	State of New York		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5983	005	0		29	10	S5983_005_0	1	06/04/2010	2011.01	06/04/2010 09:40:58 PM Eastern Daylight Time		06/05/2010 01:05:50 PM Eastern Daylight Time		06/05/2010 03:27:17 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan - Choice (PDP)	10	29					S5983	005	0	2011	State of New York		2						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5983	801	0		29	10	S5983_801_0	1	06/04/2010	2011.01	06/04/2010 12:27:19 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5983	801	0	2011	National Plan - Employer, Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5983	802	0		29	10	S5983_802_0	1	06/04/2010	2011.01	06/04/2010 12:27:31 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5983	802	0	2011	National Plan - Employer, Non-Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5983	803	0		29	10	S5983_803_0	1	06/04/2010	2011.01	06/04/2010 12:27:39 PM Eastern Daylight Time				06/05/2010 03:40:36 PM Eastern Daylight Time	MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK	Medco Medicare Prescription Plan	www.medcomedicare.com	Medco Medicare Prescription Plan (PDP)	10	29					S5983	803	0	2011	National Plan K - Calendar Year		1						2							www.medcomedicare.com	www.medcomedicare.com									(800)-758-4570		(800)-758-4570		(800)-758-3605		(800)-758-3605										(800)-716-3231		(800)-716-3231		(800)-716-3231		(800)-716-3231		1
S5993	001	0		29	10	S5993_001_0	5	08/11/2010	2011.01	08/11/2010 01:33:14 PM Eastern Daylight Time		08/12/2010 10:02:42 AM Eastern Daylight Time		08/12/2010 10:07:13 AM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Rx Standard (PDP)	10	29					S5993	001	0	2011	New Jersey		2						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
S5993	003	0		29	10	S5993_003_0	4	07/29/2010	2011.01	07/29/2010 08:40:55 AM Eastern Daylight Time		07/30/2010 07:30:09 PM Eastern Daylight Time		07/30/2010 07:50:52 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Rx Enhanced (PDP)	10	29					S5993	003	0	2011	New Jersey		2						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
S5993	801	0		29	10	S5993_801_0	1	06/02/2010	2011.01	06/02/2010 11:43:03 AM Eastern Daylight Time				06/03/2010 01:03:26 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Group Rx (PDP)	10	29					S5993	801	0	2011	New Jersey		1						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
S5993	802	0		29	10	S5993_802_0	1	06/02/2010	2011.01	06/02/2010 11:44:49 AM Eastern Daylight Time				06/03/2010 01:03:26 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Group Rx Non-CY (PDP)	10	29					S5993	802	0	2011	New Jersey		1						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
S5993	803	0		29	10	S5993_803_0	1	06/02/2010	2011.01	06/02/2010 11:42:42 AM Eastern Daylight Time				06/03/2010 01:03:26 PM Eastern Daylight Time	HORIZON HEALTHCARE SERVICES DBA HORIZON BCBS NJ	Horizon Blue Cross Blue Shield of New Jersey, Inc.	www.horizonblue.com	Horizon Medicare Blue Group Plan 803 (PDP)	10	29					S5993	803	0	2011	National		1						2							http://www.horizonblue.com/medicare/partd/Pharmacy_Formulary_search.aspx	http://www.horizonblue.com/medicare/partd/									(866)-236-7376		(866)-236-7376		(800)-224-1234		(800)-224-1234										(866)-236-1069		(866)-236-1069		(800)-852-7899		(800)-852-7899		1
S5998	001	0		29	10	S5998_001_0	4	07/28/2010	2011.01	07/28/2010 02:02:39 PM Eastern Daylight Time		07/26/2010 05:29:36 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	001	0	2011	New York BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	003	0		29	10	S5998_003_0	4	07/28/2010	2011.01	07/28/2010 02:03:34 PM Eastern Daylight Time		07/26/2010 05:30:20 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	003	0	2011	New Jersey BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	005	0		29	10	S5998_005_0	4	07/28/2010	2011.01	07/28/2010 02:03:34 PM Eastern Daylight Time		07/26/2010 05:30:56 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	005	0	2011	PA/WV BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	009	0		29	10	S5998_009_0	4	07/28/2010	2011.01	07/28/2010 02:03:35 PM Eastern Daylight Time		07/26/2010 05:31:30 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	009	0	2011	Michigan BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	011	0		29	10	S5998_011_0	4	07/28/2010	2011.01	07/28/2010 02:03:35 PM Eastern Daylight Time		07/26/2010 05:32:10 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	011	0	2011	Ohio BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	013	0		29	10	S5998_013_0	4	07/28/2010	2011.01	07/28/2010 02:03:35 PM Eastern Daylight Time		07/26/2010 05:33:48 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	013	0	2011	California BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	015	0		29	10	S5998_015_0	4	07/28/2010	2011.01	07/28/2010 02:03:35 PM Eastern Daylight Time		07/26/2010 05:34:34 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	015	0	2011	Central New England BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	016	0		29	10	S5998_016_0	4	07/28/2010	2011.01	07/28/2010 02:03:36 PM Eastern Daylight Time		07/26/2010 05:35:14 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	016	0	2011	Virginia BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	017	0		29	10	S5998_017_0	4	07/28/2010	2011.01	07/28/2010 02:03:36 PM Eastern Daylight Time		07/26/2010 05:35:54 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	017	0	2011	North Carolina BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	018	0		29	10	S5998_018_0	4	07/28/2010	2011.01	07/28/2010 02:03:36 PM Eastern Daylight Time		07/26/2010 05:36:28 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	018	0	2011	South Carolina BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	019	0		29	10	S5998_019_0	4	07/28/2010	2011.01	07/28/2010 02:03:36 PM Eastern Daylight Time		07/26/2010 05:39:10 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	019	0	2011	Georgia BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	020	0		29	10	S5998_020_0	4	07/28/2010	2011.01	07/28/2010 02:03:36 PM Eastern Daylight Time		07/26/2010 05:39:52 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	020	0	2011	Alabama and Tennessee BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	021	0		29	10	S5998_021_0	4	07/28/2010	2011.01	07/28/2010 02:03:37 PM Eastern Daylight Time		07/26/2010 05:40:38 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	021	0	2011	Indiana and Kentucky BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	022	0		29	10	S5998_022_0	4	07/28/2010	2011.01	07/28/2010 02:03:37 PM Eastern Daylight Time		07/26/2010 05:41:30 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	022	0	2011	Wisconsin BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	023	0		29	10	S5998_023_0	5	07/28/2010	2011.01	07/28/2010 02:03:52 PM Eastern Daylight Time		07/26/2010 05:42:18 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	023	0	2011	Missouri BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	024	0		29	10	S5998_024_0	5	07/28/2010	2011.01	07/28/2010 02:03:37 PM Eastern Daylight Time		07/26/2010 05:42:58 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	024	0	2011	Arkansas BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	025	0		29	10	S5998_025_0	4	07/28/2010	2011.01	07/28/2010 02:03:38 PM Eastern Daylight Time		07/26/2010 05:43:36 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	025	0	2011	Mississippi BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	026	0		29	10	S5998_026_0	5	07/28/2010	2011.01	07/28/2010 02:03:38 PM Eastern Daylight Time		07/26/2010 05:45:04 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	026	0	2011	Louisiana BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	027	0		29	10	S5998_027_0	5	07/28/2010	2011.01	07/28/2010 02:03:38 PM Eastern Daylight Time		07/26/2010 05:45:42 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	027	0	2011	Oklahoma BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	028	0		29	10	S5998_028_0	5	07/28/2010	2011.01	07/28/2010 02:03:38 PM Eastern Daylight Time		07/26/2010 05:46:24 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	028	0	2011	Kansas BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	029	0		29	10	S5998_029_0	4	07/28/2010	2011.01	07/28/2010 02:03:39 PM Eastern Daylight Time		07/26/2010 05:48:58 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	029	0	2011	Upper Midwest and Northern Plains BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	030	0		29	10	S5998_030_0	5	07/28/2010	2011.01	07/28/2010 02:03:39 PM Eastern Daylight Time		07/26/2010 05:49:46 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	030	0	2011	New Mexico BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	031	0		29	10	S5998_031_0	5	07/28/2010	2011.01	07/28/2010 02:03:39 PM Eastern Daylight Time		07/26/2010 05:50:26 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	031	0	2011	Colorado BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	032	0		29	10	S5998_032_0	5	07/28/2010	2011.01	07/28/2010 02:03:39 PM Eastern Daylight Time		07/26/2010 05:51:22 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	032	0	2011	Arizona BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	033	0		29	10	S5998_033_0	5	07/28/2010	2011.01	07/28/2010 02:03:39 PM Eastern Daylight Time		07/26/2010 05:52:30 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	033	0	2011	Nevada BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	034	0		29	10	S5998_034_0	4	07/28/2010	2011.01	07/28/2010 02:03:40 PM Eastern Daylight Time		07/26/2010 05:53:30 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	034	0	2011	Idaho and Utah BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	037	0		29	10	S5998_037_0	4	07/28/2010	2011.01	07/28/2010 02:03:40 PM Eastern Daylight Time		07/26/2010 05:54:08 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	037	0	2011	Mid-Atlantic Region (MD, DE and DC) BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	038	0		29	10	S5998_038_0	4	07/28/2010	2011.01	07/28/2010 02:03:40 PM Eastern Daylight Time		07/26/2010 05:54:44 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	038	0	2011	Illinois Bravo Rx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	039	0		29	10	S5998_039_0	4	07/28/2010	2011.01	07/28/2010 02:03:40 PM Eastern Daylight Time		07/26/2010 05:55:50 PM Eastern Daylight Time		07/28/2010 02:50:20 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	BravoRx (PDP)	10	29					S5998	039	0	2011	Texas BravoRx		2						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	801	0		29	10	S5998_801_0	1	06/03/2010	2011.01	06/03/2010 12:10:35 PM Eastern Daylight Time				06/03/2010 12:11:16 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	Bravo Employer Group PDP CY (PDP)	10	29					S5998	801	0	2011	Nationwide		1						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S5998	802	0		29	10	S5998_802_0	1	06/03/2010	2011.01	06/03/2010 12:10:48 PM Eastern Daylight Time				06/03/2010 12:11:16 PM Eastern Daylight Time	BRAVO HEALTH INSURANCE COMPANY, INC.	Bravo Health	www.mybravohealth.com	Bravo Employer Group PDP Non-CY (PDP)	10	29					S5998	802	0	2011	Nationwide		1						2							www.mybravohealth.com/formulary	www.mybravohealth.com									(877)-504-7252		(877)-504-7252		(800)-723-9209		(800)-723-9209										(711)		(711)		(711)		(711)		1
S6875	801	0		29	10	S6875_801_0	1	06/01/2010	2011.01	06/01/2010 10:29:45 AM Eastern Daylight Time				06/03/2010 05:54:45 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	Select Option	http://www.site65.com	Select Option Rx Group Option I CY (PDP)	10	29					S6875	801	0	2011	Pennsylvania, West Virginia area		1						2							http://www.site65.com/pgs_section_1-6_pages/03_medicare_formulary.html	http://www.site65.com/pgs_section_1-6_pages/03_group_rxnetwork.html									(888)-678-7009		(888)-678-7009		(877)-393-6733		(877)-393-6733										(888)-457-3002		(888)-457-3002		(877)-219-5457		(877)-219-5457		1
S6875	802	0		29	10	S6875_802_0	1	06/01/2010	2011.01	06/01/2010 10:31:30 AM Eastern Daylight Time				06/03/2010 05:54:45 PM Eastern Daylight Time	QCC INS CO D/B/A AMERIHEALTH INS CO	Select Option	http://www.site65.com	Select Option Rx Group Option I Non-CY (PDP)	10	29					S6875	802	0	2011	Pennsylvania, West Virginia Area		1						2							http://www.site65.com/pgs_section_1-6_pages/03_medicare_formulary.html	http://www.site65.com/pgs_section_1-6_pages/03_group_rxnetwork.html									(888)-678-7009		(888)-678-7009		(877)-393-6733		(877)-393-6733										(888)-457-3002		(888)-457-3002		(877)-219-5457		(877)-219-5457		1
S7694	001	0		29	10	S7694_001_0	3	07/23/2010	2011.01	07/23/2010 08:13:43 AM Eastern Daylight Time		06/05/2010 05:50:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	001	0	2011	Northern New England Region 1 Silver - ME, NH		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	002	0		29	10	S7694_002_0	4	07/23/2010	2011.01	07/23/2010 08:20:41 AM Eastern Daylight Time		06/05/2010 05:50:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	002	0	2011	Central New England EnvisionRxPlusSilver (CT/MA/RI		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	003	0		29	10	S7694_003_0	4	07/23/2010	2011.01	07/23/2010 08:20:41 AM Eastern Daylight Time		06/05/2010 05:50:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	003	0	2011	New York EnvsionRxPlus Silver Region 03		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	004	0		29	10	S7694_004_0	4	07/23/2010	2011.01	07/23/2010 08:20:41 AM Eastern Daylight Time		06/05/2010 05:50:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	004	0	2011	New Jersey EnvisionRxPlus Silver Region 04		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	005	0		29	10	S7694_005_0	4	07/23/2010	2011.01	07/23/2010 08:20:41 AM Eastern Daylight Time		06/05/2010 05:50:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	005	0	2011	Mid-Atlantic EnvisionRxPlusSilverRegion05(DE/DC/MD		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	006	0		29	10	S7694_006_0	4	07/23/2010	2011.01	07/23/2010 08:20:41 AM Eastern Daylight Time		06/05/2010 05:51:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	006	0	2011	Pennsylvania, WV,EnvisionRxPlus Silver Region 06		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	007	0		29	10	S7694_007_0	4	07/23/2010	2011.01	07/23/2010 08:20:41 AM Eastern Daylight Time		06/05/2010 05:51:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	007	0	2011	Virginia EnvisionRxPlus Silver Region 07		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	008	0		29	10	S7694_008_0	4	07/23/2010	2011.01	07/23/2010 08:20:41 AM Eastern Daylight Time		06/05/2010 05:51:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	008	0	2011	North Carolina EnvisionRxPlus Silver Region 08		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	009	0		29	10	S7694_009_0	4	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:51:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	009	0	2011	South Carolina EnvsionRxPlus Silver Region 09		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	010	0		29	10	S7694_010_0	3	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:51:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	010	0	2011	Georgia EnvisionRxPlus Silver Region 10		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	011	0		29	10	S7694_011_0	4	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:51:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	011	0	2011	Florida EnvisionRxPlus Silver Region 11		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	012	0		29	10	S7694_012_0	4	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:52:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	012	0	2011	Alabama,Tennessee EnvisionRxPlus Silver Region 12		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	014	0		29	10	S7694_014_0	4	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:52:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	014	0	2011	Ohio EnvisionRxPlus Silver Region 14		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	015	0		29	10	S7694_015_0	4	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:52:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	015	0	2011	Indiana, Kentucky EnvisionRxPlus Silver Region 15		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	016	0		29	10	S7694_016_0	4	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:52:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	016	0	2011	Wisconsin EnvisionRxPlus Silver Region 16		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	017	0		29	10	S7694_017_0	4	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:52:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	017	0	2011	Illinois EnvisionRxPlus Silver Region 17		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	018	0		29	10	S7694_018_0	4	07/23/2010	2011.01	07/23/2010 08:20:42 AM Eastern Daylight Time		06/05/2010 05:52:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	018	0	2011	Missouri EnvisionRxPlus Silver Region 18		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	019	0		29	10	S7694_019_0	4	07/23/2010	2011.01	07/23/2010 08:20:43 AM Eastern Daylight Time		06/05/2010 05:53:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	019	0	2011	Arkansas EnvisionRxPlus Silver Region 19		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	020	0		29	10	S7694_020_0	4	07/23/2010	2011.01	07/23/2010 08:20:43 AM Eastern Daylight Time		06/05/2010 05:53:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	020	0	2011	Mississippi EnvisionRxPlus Silver Region 20		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	021	0		29	10	S7694_021_0	4	07/23/2010	2011.01	07/23/2010 08:20:43 AM Eastern Daylight Time		06/05/2010 05:53:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	021	0	2011	Louisiana EnvisionRxPlus Silver Region 21		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	022	0		29	10	S7694_022_0	4	07/23/2010	2011.01	07/23/2010 08:20:43 AM Eastern Daylight Time		06/05/2010 05:53:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	022	0	2011	Texas EnvisionRxPlus Silver Region 22		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	023	0		29	10	S7694_023_0	4	07/23/2010	2011.01	07/23/2010 08:20:43 AM Eastern Daylight Time		06/05/2010 05:53:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	023	0	2011	Oklahoma EnvisionRxPlus Silver Region 23		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	024	0		29	10	S7694_024_0	4	07/23/2010	2011.01	07/23/2010 08:20:43 AM Eastern Daylight Time		06/05/2010 05:53:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	024	0	2011	Kansas EnvisionRxPlus Silver Region 24		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	025	0		29	10	S7694_025_0	4	07/23/2010	2011.01	07/23/2010 08:20:43 AM Eastern Daylight Time		06/05/2010 05:53:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	025	0	2011	Upper Midwest (IA,EnvisionRxPlus Silver Reg 25		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	026	0		29	10	S7694_026_0	4	07/23/2010	2011.01	07/23/2010 08:20:43 AM Eastern Daylight Time		06/05/2010 05:54:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	026	0	2011	New Mexico EnvisionRxPlus Silver Region 26		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	027	0		29	10	S7694_027_0	4	07/23/2010	2011.01	07/23/2010 08:20:44 AM Eastern Daylight Time		06/05/2010 05:54:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	027	0	2011	Colorado EnvisionRxPlus Silver Region 27		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	028	0		29	10	S7694_028_0	4	07/23/2010	2011.01	07/23/2010 08:20:44 AM Eastern Daylight Time		06/05/2010 05:54:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	028	0	2011	Arizona EnvisionRxPlus Silver Region 28		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	029	0		29	10	S7694_029_0	4	07/23/2010	2011.01	07/23/2010 08:20:44 AM Eastern Daylight Time		06/05/2010 05:54:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	029	0	2011	Nevada EnvisionRxPlus Silver Region 29		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	030	0		29	10	S7694_030_0	4	07/23/2010	2011.01	07/23/2010 08:20:44 AM Eastern Daylight Time		06/05/2010 05:54:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	030	0	2011	Oregon, Washington EnvisionRxPlus Silver Region 30		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	031	0		29	10	S7694_031_0	4	07/23/2010	2011.01	07/23/2010 08:20:44 AM Eastern Daylight Time		06/05/2010 05:54:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	031	0	2011	Idaho, Utah EnvisionRxPlus Silver Region 31		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	032	0		29	10	S7694_032_0	4	07/23/2010	2011.01	07/23/2010 08:20:44 AM Eastern Daylight Time		06/05/2010 05:54:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	032	0	2011	California EnvisionRxPlus Silver Region 32		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	033	0		29	10	S7694_033_0	4	07/23/2010	2011.01	07/23/2010 08:20:44 AM Eastern Daylight Time		06/05/2010 05:55:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	033	0	2011	Hawaii EnvisionRxPlus Silver Region 33		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	034	0		29	10	S7694_034_0	4	07/23/2010	2011.01	07/23/2010 08:20:44 AM Eastern Daylight Time		06/05/2010 05:55:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	034	0	2011	Alaska EnvisionRxPlus Silver Region 34		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	035	0		29	10	S7694_035_0	5	08/16/2010	2011.01	08/16/2010 03:02:23 PM Eastern Daylight Time		07/30/2010 02:57:33 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	035	0	2011	Northern New England EnvisionRxPlus Gold Region 01		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	036	0		29	10	S7694_036_0	5	08/16/2010	2011.01	08/16/2010 03:04:32 PM Eastern Daylight Time		07/30/2010 02:58:12 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	036	0	2011	Central New England EnvisionRxPlus Gold Region 02		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	037	0		29	10	S7694_037_0	5	08/16/2010	2011.01	08/16/2010 03:03:23 PM Eastern Daylight Time		07/30/2010 02:58:47 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	037	0	2011	New York EnvisionRxPlus Gold Region 03		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	038	0		29	10	S7694_038_0	5	08/16/2010	2011.01	08/16/2010 03:03:23 PM Eastern Daylight Time		07/30/2010 02:59:22 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	038	0	2011	New Jersey EnvisionRxPlus Gold Region 04		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	039	0		29	10	S7694_039_0	5	08/16/2010	2011.01	08/16/2010 03:03:23 PM Eastern Daylight Time		07/30/2010 02:59:57 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	039	0	2011	Mid-Atlantic EnvisionRxPlus Gold Region 05		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	040	0		29	10	S7694_040_0	5	08/16/2010	2011.01	08/16/2010 03:03:24 PM Eastern Daylight Time		07/30/2010 03:00:33 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	040	0	2011	Pennsylvania, WV, EnvisionRxPlus Gold Region 06		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	041	0		29	10	S7694_041_0	5	08/16/2010	2011.01	08/16/2010 03:03:24 PM Eastern Daylight Time		07/30/2010 03:01:10 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	041	0	2011	Virginia EnvisionRxPlus Gold Region 07		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	042	0		29	10	S7694_042_0	5	08/16/2010	2011.01	08/16/2010 03:03:24 PM Eastern Daylight Time		07/30/2010 03:01:54 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	042	0	2011	North Carolina EnvisionRxPlus Gold Region 08		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	043	0		29	10	S7694_043_0	5	08/16/2010	2011.01	08/16/2010 03:03:24 PM Eastern Daylight Time		07/30/2010 03:02:30 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	043	0	2011	South Carolina EnvisionRxPlus Gold Region 09		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	044	0		29	10	S7694_044_0	5	08/16/2010	2011.01	08/16/2010 03:03:25 PM Eastern Daylight Time		07/30/2010 03:03:07 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	044	0	2011	Georgia EnvisionRxPlus Gold Region 10		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	045	0		29	10	S7694_045_0	5	08/16/2010	2011.01	08/16/2010 03:03:25 PM Eastern Daylight Time		07/30/2010 03:03:48 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	045	0	2011	Florida EnvisionRxPlus Gold Region 11		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	046	0		29	10	S7694_046_0	5	08/16/2010	2011.01	08/16/2010 03:03:25 PM Eastern Daylight Time		07/30/2010 03:04:27 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	046	0	2011	Alabama, Tennessee EnvisionRxPlus Gold Region 12		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	048	0		29	10	S7694_048_0	5	08/16/2010	2011.01	08/16/2010 03:03:25 PM Eastern Daylight Time		07/30/2010 03:05:03 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	048	0	2011	Ohio EnvisionRxPlus Gold Region 14		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	049	0		29	10	S7694_049_0	5	08/16/2010	2011.01	08/16/2010 03:03:26 PM Eastern Daylight Time		07/30/2010 03:05:44 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	049	0	2011	Indiana, Kentucky EnvisionRxPlus Gold Region 15		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	050	0		29	10	S7694_050_0	5	08/16/2010	2011.01	08/16/2010 03:03:26 PM Eastern Daylight Time		07/30/2010 03:06:21 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	050	0	2011	Wisconsin EnvisionRxPlus Gold Region 16		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	051	0		29	10	S7694_051_0	5	08/16/2010	2011.01	08/16/2010 03:03:26 PM Eastern Daylight Time		07/30/2010 03:06:58 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	051	0	2011	Illionis EnvisionRxPlus Gold Region 17		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	052	0		29	10	S7694_052_0	5	08/16/2010	2011.01	08/16/2010 03:03:27 PM Eastern Daylight Time		07/30/2010 03:07:45 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	052	0	2011	Missouri EnvisionRxPlus Gold Region 18		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	053	0		29	10	S7694_053_0	5	08/16/2010	2011.01	08/16/2010 03:03:27 PM Eastern Daylight Time		07/30/2010 03:08:23 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	053	0	2011	Arkansas EnvisionRxPlus Gold Region 19		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	054	0		29	10	S7694_054_0	5	08/16/2010	2011.01	08/16/2010 03:03:27 PM Eastern Daylight Time		07/30/2010 03:08:59 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	054	0	2011	Mississippi EnvisionRxPlus Gold Region 20		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	055	0		29	10	S7694_055_0	5	08/16/2010	2011.01	08/16/2010 03:03:27 PM Eastern Daylight Time		07/30/2010 03:09:36 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	055	0	2011	Louisiana EnvisionRxPlus Gold Region 21		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	056	0		29	10	S7694_056_0	5	08/16/2010	2011.01	08/16/2010 03:03:28 PM Eastern Daylight Time		07/30/2010 03:10:15 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	056	0	2011	Texas EnvisionRxPlus Gold Region 22		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	057	0		29	10	S7694_057_0	5	08/16/2010	2011.01	08/16/2010 03:03:28 PM Eastern Daylight Time		07/30/2010 03:10:52 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	057	0	2011	Oklahoma EnvisionRxPlus Gold Region 23		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	058	0		29	10	S7694_058_0	5	08/16/2010	2011.01	08/16/2010 03:03:28 PM Eastern Daylight Time		07/30/2010 03:11:31 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	058	0	2011	Kansas EnvisionRxPlus Gold Region 24		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	059	0		29	10	S7694_059_0	5	08/16/2010	2011.01	08/16/2010 03:03:28 PM Eastern Daylight Time		07/30/2010 03:12:09 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	059	0	2011	Upper Midwest EnvisionRxPlus Gold Region 25		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	060	0		29	10	S7694_060_0	5	08/16/2010	2011.01	08/16/2010 03:03:29 PM Eastern Daylight Time		07/30/2010 03:12:52 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	060	0	2011	New Mexico EnvisionRxPlus Gold Region 26		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	061	0		29	10	S7694_061_0	5	08/16/2010	2011.01	08/16/2010 03:03:29 PM Eastern Daylight Time		07/30/2010 03:13:31 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	061	0	2011	Colorado EnvisionRxPlus Gold Region 27		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	062	0		29	10	S7694_062_0	5	08/16/2010	2011.01	08/16/2010 03:03:29 PM Eastern Daylight Time		07/30/2010 03:14:10 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	062	0	2011	Arizona EnvisionRxPlus Gold Region 28		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	063	0		29	10	S7694_063_0	5	08/16/2010	2011.01	08/16/2010 03:03:29 PM Eastern Daylight Time		07/30/2010 03:14:48 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	063	0	2011	Nevada EnvisionRxPlus Gold Region 29		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	064	0		29	10	S7694_064_0	5	08/16/2010	2011.01	08/16/2010 03:03:30 PM Eastern Daylight Time		07/30/2010 03:15:24 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	064	0	2011	Oregon, Washington EnvisionRxPlus Gold Region 30		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	065	0		29	10	S7694_065_0	5	08/16/2010	2011.01	08/16/2010 03:03:30 PM Eastern Daylight Time		07/30/2010 03:16:03 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	065	0	2011	Idaho, Utah EnvisionRxPlus Gold Region 31		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	066	0		29	10	S7694_066_0	5	08/16/2010	2011.01	08/16/2010 03:03:30 PM Eastern Daylight Time		07/30/2010 03:16:41 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	066	0	2011	California EnvisionRxPlus Gold Region 32		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	067	0		29	10	S7694_067_0	5	08/16/2010	2011.01	08/16/2010 03:03:31 PM Eastern Daylight Time		07/30/2010 03:17:17 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	067	0	2011	Hawaii EnvisionRxPlus Gold Region 33		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	068	0		29	10	S7694_068_0	5	08/16/2010	2011.01	08/16/2010 03:03:31 PM Eastern Daylight Time		07/30/2010 03:17:55 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	068	0	2011	Alaska EnvisionRxPlus Gold Region 34		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	070	0		29	10	S7694_070_0	3	07/23/2010	2011.01	07/23/2010 08:23:12 AM Eastern Daylight Time		06/05/2010 05:58:00 PM Eastern Daylight Time		07/23/2010 09:18:05 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	www.envisionrxplus.com	EnvisionRxPlus Silver (PDP)	10	29					S7694	070	0	2011	Michigan Region 13		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	071	0		29	10	S7694_071_0	5	08/16/2010	2011.01	08/16/2010 03:03:31 PM Eastern Daylight Time		07/30/2010 03:18:41 PM Eastern Daylight Time		08/16/2010 05:13:00 PM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	www.envisionrxplus.com	EnvisionRxPlus Gold (PDP)	10	29					S7694	071	0	2011	Michigan Region 13		2						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	801	0		29	10	S7694_801_0	3	06/03/2010	2011.01	06/03/2010 04:43:43 PM Eastern Daylight Time				06/06/2010 09:00:37 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	Employer Plan Calendar Year (PDP)	10	29					S7694	801	0	2011	National EGWP		1						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7694	802	0		29	10	S7694_802_0	3	06/03/2010	2011.01	06/03/2010 04:44:12 PM Eastern Daylight Time				06/06/2010 09:00:37 AM Eastern Daylight Time	ENVISION INSURANCE COMPANY	EnvisionRx Plus	EnvisionRxPlus.com	Employer Group Non-Calendar Year (PDP)	10	29					S7694	802	0	2011	National EGWP		1						2							www.envisionrxplus.com	www.envisionrxplus.com									(866)-250-2005		(866)-250-2005		(866)-250-2005		(866)-250-2005										(866)-763-9630		(866)-763-9630		(866)-763-9630		(866)-763-9630		1
S7950	801	0		29	10	S7950_801_0	1	04/29/2010	2011.01	04/29/2010 02:16:29 PM Central Daylight Time				05/21/2010 05:02:11 PM Central Daylight Time	EXPRESS SCRIPTS INSURANCE CO.	SAMAscript	www.samascript.com	SAMAscript (PDP)	10	29					S7950	801	0	2011	SAMAscript		1						2							www.express-scripts.com/samascript	www.express-scripts.com/samascript									(866)-273-5788		(866)-273-5788		(866)-273-5788		(866)-273-5788										(800)-899-2114		(800)-899-2114		(800)-899-2114		(800)-899-2114		1
S7950	802	0		29	10	S7950_802_0	1	04/29/2010	2011.01	04/29/2010 02:17:04 PM Central Daylight Time				05/21/2010 05:02:11 PM Central Daylight Time	EXPRESS SCRIPTS INSURANCE CO.	SAMAscript	www.samascript.com	SAMAscript (PDP)	10	29					S7950	802	0	2011	SAMAscript		1						2							www.express-scripts.com/samascript	www.express-scripts.com/samascript									(866)-273-5788		(866)-273-5788		(866)-273-5788		(866)-273-5788										(800)-899-2114		(800)-899-2114		(800)-899-2114		(800)-899-2114		1
S8067	001	0		29	10	S8067_001_0	5	08/16/2010	2011.01	08/16/2010 02:05:19 PM Eastern Daylight Time		08/17/2010 04:06:08 PM Eastern Daylight Time		08/17/2010 04:51:15 PM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerxpdp.com	SecureRx - Option 3 (PDP)	10	29					S8067	001	0	2011	Region 6 - Pennsylvania, West Virginia		2						2							https://www.securerx.com/DrugFormularies/	http://www.securerx.com									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
S8067	003	0		29	10	S8067_003_0	4	08/11/2010	2011.01	08/11/2010 09:23:21 AM Eastern Daylight Time		08/13/2010 04:50:06 PM Eastern Daylight Time		08/16/2010 10:25:46 PM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerxpdp.com	SecureRx - Option 1 (PDP)	10	29					S8067	003	0	2011	Region 06 - Pennsylvania and West Virginia		2						2							https://www.securerx.com/DrugFormularies/	http://www.securerx.com									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
S8067	801	0		29	10	S8067_801_0	3	05/11/2010	2011.01	05/11/2010 04:28:08 PM Eastern Daylight Time				06/07/2010 10:17:21 PM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerxpdp.com	SecureRx - ER (PDP)	10	29					S8067	801	0	2011	National		1						2							https://www.securerx.com/DrugFormularies/	http://www.securerx.com									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
S8067	802	0		29	10	S8067_802_0	3	05/11/2010	2011.01	05/11/2010 04:28:13 PM Eastern Daylight Time				06/07/2010 10:17:21 PM Eastern Daylight Time	AVALON INSURANCE COMPANY	Avalon Insurance Company	www.securerxpdp.com	SecureRx - ER - Non-Calendar PY (PDP)	10	29					S8067	802	0	2011	National		1						2							https://www.securerx.com/DrugFormularies/	http://www.securerx.com									(877)-234-3853		(877)-234-3853		(888)-839-7330		(888)-839-7330										(800)-779-6961		(800)-779-6961		(800)-779-6961		(800)-779-6961		1
S8841	803	0		29	10	S8841_803_0	1	04/14/2010	2011.01	04/14/2010 08:24:07 AM Pacific Daylight Time				05/20/2010 12:18:32 PM Pacific Daylight Time	NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.sxc.com	EGWP Calendar (PDP)	10	29					S8841	803	0	2011	National		1						2							www.nmhc.com	www.nmhc.com									(866)-443-1095		(866)-443-1095		(866)-443-1095		(866)-443-1095										(866)-443-1094		(866)-443-1094		(866)-443-1094		(866)-443-1094		1
S8841	804	0		29	10	S8841_804_0	2	04/14/2010	2011.01	04/14/2010 08:21:38 AM Pacific Daylight Time				06/03/2010 07:30:00 AM Pacific Daylight Time	NMHC GROUP SOLUTION INSURANCE, INC.	NMHC Group Solutions	www.sxc.com	EGWP Non-Calendar (PDP)	10	29					S8841	804	0	2011	National		1						2							www.nmhc.com	www.nmhc.com									(866)-443-1095		(866)-443-1095		(866)-443-1095		(866)-443-1095										(866)-443-1094		(866)-443-1094		(866)-443-1094		(866)-443-1094		1
