2017 Medicare Part D Stand-Alone Prescription Drug Plans .

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2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NameAlabamaAetna MedicareAlabamaExpress ScriptsMedicareAlabamaAlabamaAlabamaAlabamaPlan NameAetna Medicare RxSaver (PDP)Express ScriptsMedicare - Value(PDP)Humana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value RxUnitedHealthcare(PDP)WellCareWellCare Classic (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany NameBasicx 31.90 315.00S5810046AlabamaAetna MedicareBasicx 29.60 400.00S5660114AlabamaExpress ScriptsMedicareBasicx 26.80 400.00S5884106AlabamaHumana InsuranceCompanyBasicx 28.90 0.00S5601024AlabamaSilverScriptBasicx 29.90 400.00S0522016AlabamaSymphonix HealthBasicx 28.30 400.00S4802071AlabamaWellCareAlabamaWellCarePlan NameAetna Medicare RxSaver (PDP)Express ScriptsMedicare - Value(PDP)Humana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)WellCare Classic(PDP)WellCare Simple(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 25.00 360.00S5810046Basicx 30.70 360.00S5660114Basicx 29.40 360.00S5884106Basicx 21.40 0.00S5601024Basicx 29.60 360.00S0522016Basicx 27.80 360.00S5967149Basicx 27.10 360.00S2505001

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameBenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany NamePlan NameAlaskaAetna MedicareAetna Medicare RxSaver (PDP)EnvisionRxPlus (PDP)Basicx 35.70 400.00S7694034AlaskaCigna-HealthSpring Cigna-HealthSpringRxRx Secure (PDP)EnvisionRxPlusEnvisionRx PlusSilver (PDP)Humana Insurance Humana Preferred RxCompanyPlan (PDP)Basicx 26.80 400.00S5884116AlaskaHumana InsuranceCompanyAlaskaSymphonix HealthHumana PreferredRx Plan (PDP)Symphonix ValueRx (PDP)AlaskaUnitedHealthcareAARP MedicareRxSaver Plus (PDP)AlaskaAlaskaAlaskaEnvisionRx PlusAlaskaUnitedHealthcareAARP MedicareRxSaver Plus (PDP)Basicx 36.10 400.00S5921377AlaskaWellCareWellCare Classic (PDP)Basicx 34.50 400.00S4802096BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 33.40 360.00S5810068Basicx 33.60 360.00S5617227Basicx 36.70 360.00S7694034Basicx 25.70 360.00S5884116Basicx 34.40 360.00S0522047Basicx 37.10 360.00S5921377

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameBenefitType 0 PremiumwithFull LowIncomeSubsidy?ArizonaAetna MedicareArizonaBlue Cross and BlueShield of ArizonaMonthly Drug Annual DrugPremiumDeductibleContract Plan IDIDAetna Medicare RxSaver (PDP)Basicx 33.60 400.00S5810Blue MedicareRxValue (PDP)Basicx 35.40 400.00S6506StateCompany NamePlan Name062ArizonaAetna Medicare001ArizonaBlue Cross and BlueShield of ArizonaEnvisionRx PlusArizonaExpress EnvisionRxPlus (PDP)Express ScriptsMedicare - Value(PDP)Humana Insurance Humana Preferred RxCompanyPlan (PDP)Magellan RxMedicareMagellan Rx MedicareBasic (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value RxUnitedHealthcare(PDP)WellCareWellCare Classic (PDP) 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleAetna Medicare RxSaver (PDP)Basicx 28.50 360.00S5810062Blue MedicareRxValue (PDP)Basicx 26.10 360.00S6506001Basicx 34.40 360.00S5617138Basicx 29.30 360.00S7694028Basicx 33.20 360.00S5660130Basicx 31.30 360.00S5884146Basicx 32.20 360.00S4607023Basicx 21.90 0.00S5601056Basicx 31.80 360.00S0522044Basicx 23.40 360.00S5967165Basicx 32.10 400.00S7694028ArizonaBasicx 31.50 400.00S5660130ArizonaCigna-HealthSpring Cigna-HealthSpringRxRx Secure (PDP)EnvisionRxPlusEnvisionRx PlusSilver (PDP)Express ScriptsExpress ScriptsMedicare - ValueMedicare(PDP)Basicx 28.70 400.00S5884146ArizonaHumana InsuranceCompanyBasicx 32.70 400.00S4607023ArizonaMagellan RxMedicareBasicx 29.70 0.00S5601056ArizonaSilverScriptBasicx 21.70 400.00S0522044ArizonaSymphonix HealthHumana PreferredRx Plan (PDP)Magellan RxMedicare Basic(PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)Basicx 22.70 400.00S4802092ArizonaWellCareWellCare Classic(PDP)ArizonaArizonaBenefitTypeContract Plan IDID

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameArkansasAetna MedicareAetna Medicare RxSaver (PDP)ArkansasArkansasArkansasHumana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)WellCareWellCare Classic (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany NamePlan NameBasicx 21.50 395.00S5810053ArkansasAetna MedicareAetna Medicare RxSaver (PDP)Basicx 16.80 400.00S5884141ArkansasHumana InsuranceCompany 0.00S5601038ArkansasSilverScriptHumana PreferredRx Plan (PDP)SilverScript Choice(PDP)Basicx 15.70Basicx 20.80 400.00S4802073ArkansasWellCareWellCare Classic(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 20.40 360.00S5810053Basicx 21.90 360.00S5884141Basicx 11.40 0.00S5601038Basicx 18.20 360.00S5967156

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameCaliforniaAetna MedicareAetna Medicare RxSaver (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?BasicxMonthly Drug Annual DrugPremiumDeductible 32.10 400.00Contract Plan IDIDS5810066CaliforniaHumana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value ARP MedicareRxSaver Plus (PDP)Basicx 33.40 400.00S5921376CaliforniaWellCareWellCare Classic (PDP)Basicx 34.90 400.00S4802094CaliforniaCaliforniaStateCompany NameCaliforniaAetna MedicareCaliforniaEnvisionRx PlusPlan NameAetna Medicare RxSaver (PDP)EnvisionRxPlusSilver (PDP)Basicx 28.20 400.00S5884114CaliforniaHumana InsuranceCompanyBasicx 29.90 0.00S5601064CaliforniaSilverScriptBasicx 30.60 400.00S0522034CaliforniaSymphonix HealthHumana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)CaliforniaUnitedHealthcareAARP MedicareRxSaver Plus (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 24.80 360.00S5810066Basicx 32.00 360.00S7694032Basicx 27.30 360.00S5884114Basicx 23.10 0.00S5601064Basicx 27.30 360.00S0522034Basicx 31.00 360.00S5921376

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameColoradoAetna MedicareColoradoEnvisionRx PlusColoradoColoradoBenefitType 0 PremiumwithFull LowIncomeSubsidy?Aetna Medicare RxSaver (PDP)Basicx 30.50 400.00S5810EnvisionRxPlus (PDP)Basicx 28.90 400.00Basicx 27.10Basicx 32.00Humana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Monthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany Name061ColoradoAetna MedicareS7694027ColoradoEnvisionRx Plus 400.00S5884111ColoradoHumana InsuranceCompany 0.00S5601054ColoradoSilverScriptColoradoSymphonix HealthHumana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)ColoradoUnitedHealthcareAARP MedicareRxSaver Plus (PDP)ColoradoUnitedHealthcareAARP MedicareRxSaver Plus (PDP)Basicx 31.80 400.00S5921372ColoradoWellCareWellCare Classic (PDP)Basicx 31.60 400.00S4802091Plan NameAetna Medicare RxSaver (PDP)EnvisionRxPlusSilver (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 25.90 360.00S5810061Basicx 31.90 360.00S7694027Basicx 27.90 360.00S5884111Basicx 26.90 0.00S5601054Basicx 27.60 360.00S0522028Basicx 29.30 360.00S5921372

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameBenefitType 0 PremiumwithFull LowIncomeSubsidy?ConnecticutAetna MedicareConnecticutEnvisionRx PlusMonthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany NamePlan NameAetna Medicare RxSaver (PDP)Basicx 33.30 310.00S5810036EnvisionRxPlus (PDP)Basicx 14.60 260.00S7694002ConnecticutAetna MedicareAetna Medicare RxSaver (PDP)Basicx 28.90 400.00S5884102ConnecticutHumana InsuranceCompanyS5601004ConnecticutSilverScript 400.00S0522079ConnecticutSymphonix HealthHumana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)Basicx 32.30 0.00Basicx eConnecticutHumana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value AARP MedicareRxSaver Plus (PDP)Basicx 32.70 400.00S5921348ConnecticutWellCareWellCare Classic (PDP)Basicx 28.10 400.00S4802076ConnecticutConnecticutBenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 25.60 360.00S5810036Basicx 28.20 360.00S5884102Basicx 24.90 0.00S5601004Basicx 27.80 360.00S0522079AARP MedicareRxSaver Plus (PDP)Basicx 31.20 360.00S5921348WellCare Classic(PDP)Basicx 30.90 360.00S5967139

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameDelawareAetna MedicareAetna Medicare RxSaver (PDP)DelawareEnvisionRx PlusDelawareExpress ScriptsMedicareDelawareEnvisionRxPlus (PDP)Express ScriptsMedicare - Value(PDP)Humana Insurance Humana Preferred RxCompanyPlan (PDP)DelawareMagellan Rx MedicareBasic (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value awareDelawareDelawareMagellan RxMedicareWellCareAARP MedicareRxSaver Plus (PDP)WellCare Classic (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?StateCompany NameBasicx 33.20 360.00S5810039DelawareAetna MedicareBasicx 14.60 270.00S7694005DelawareEnvisionRx PlusBasicx 30.40 400.00S5660107DelawareExpress ScriptsMedicareBasicx 29.30 400.00S5884103DelawareHumana InsuranceCompanyBasicx 34.00 400.00S4607003DelawareMagellan RxMedicareBasicx 33.90 0.00S5601010DelawareSilverScriptBasicx 30.80 400.00S0522006DelawareSymphonix HealthBasicx 33.40 CareBasicxMonthly Drug Annual DrugPremiumDeductible 28.70 400.00Contract Plan IDIDS4802079Plan NameAetna Medicare RxSaver (PDP)EnvisionRxPlusSilver (PDP)Express ScriptsMedicare - Value(PDP)Humana PreferredRx Plan (PDP)Magellan RxMedicare Basic(PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)AARP MedicareRxSaver Plus (PDP)WellCare Classic(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 28.50 360.00S5810039Basicx 33.00 360.00S7694005Basicx 30.30 360.00S5660107Basicx 28.60 360.00S5884103Basicx 32.40 360.00S4607003Basicx 27.00 0.00S5601010Basicx 28.70 360.00S0522006Basicx 33.60 360.00S5921350Basicx 32.60 360.00S5967142

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateFloridaFloridaFloridaCompany NamePlan NameHumana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)WellCareWellCare Classic (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Basicx 26.10 400.00S5884Basicx 28.90 0.00S5601BasicxMonthly Drug Annual DrugPremiumDeductible 30.40 400.00Contract Plan IDIDS4802StateCompany NamePlan Name105FloridaHumana InsuranceCompany022FloridaSilverScriptHumana PreferredRx Plan (PDP)SilverScript Choice(PDP)FloridaUnitedHealthcareAARP MedicareRxSaver Plus (PDP)083BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 27.50 360.00S5884105Basicx 25.60 0.00S5601022Basicx 27.50 360.00S5921356

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameGeorgiaAetna MedicareGeorgiaEnvisionRx PlusGeorgiaGeorgiaBenefitType 0 PremiumwithFull LowIncomeSubsidy?Aetna Medicare RxSaver (PDP)Basicx 25.40 355.00S5810044EnvisionRxPlus (PDP)Basicx 14.60 260.00S7694010Basicx 21.90 400.00S5884Basicx 22.80 0.00S5601Humana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Monthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany NamePlan NameGeorgiaAetna MedicareAetna Medicare RxSaver (PDP)135GeorgiaHumana onix HealthGeorgiaWellCareHumana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)WellCare Classic(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 22.00 360.00S5810044Basicx 23.90 360.00S5884135Basicx 19.80 0.00S5601020Basicx 24.90 360.00S0522014Basicx 27.00 360.00S5967147

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameHawaiiAetna tna Medicare RxSaver (PDP)SilverScript Choice(PDP)Symphonix Value Rx(PDP)HawaiiWellCareWellCare Classic (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany NameBasicx 26.10 380.00S5810067HawaiiAetna MedicareBasicx 23.90 400.00S5601066HawaiiSilverScriptBasicx 23.40 400.00S0522046Basicx 25.30 400.00S4802095Plan NameAetna Medicare RxSaver (PDP)SilverScript Choice(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 24.20 360.00S5810067Basicx 25.80 0.00S5601066

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameIdahoAetna MedicareAetna Medicare RxSaver (PDP)IdahoEnvisionRx PlusIdahoExpress ScriptsMedicareEnvisionRxPlus (PDP)Express ScriptsMedicare - Value(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany NameBasicx 38.90 340.00S5810065IdahoAetna MedicareBasicx 37.60 400.00S7694031IdahoEnvisionRx PlusBasicx 36.50 400.00S5660133IdahoExpress ScriptsMedicareBasicx 34.80 400.00S5884147IdahoHumana InsuranceCompanyBasicx 33.80 0.00S5601062IdahoSilverScriptBasicx 37.70 400.00S0522032IdahoSymphonix HealthIdahoHumana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value RxUnitedHealthcare(PDP)IdahoUnitedHealthcareAARP MedicareRxSaver Plus (PDP)Basicx 39.70 llCare Classic (PDP)Basicx 32.20 400.00S4802021IdahoWellCareIdahoIdahoPlan NameAetna Medicare RxSaver (PDP)EnvisionRxPlusSilver (PDP)Express ScriptsMedicare - Value(PDP)Humana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)AARP MedicareRxSaver Plus (PDP)WellCare Classic(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 32.30 360.00S5810065Basicx 39.00 360.00S7694031Basicx 40.20 360.00S5660133Basicx 35.70 360.00S5884147Basicx 23.80 0.00S5601062Basicx 37.80 360.00S0522032Basicx 39.90 360.00S5921375Basicx 40.10 360.00S4802021

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameIllinoisAetna MedicareAetna Medicare RxSaver (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?BasicxMonthly Drug Annual DrugPremiumDeductible 29.80 400.00Contract Plan IDIDS5810051StateCompany NamePlan NameIllinoisAetna MedicareAetna Medicare RxSaver (PDP)IllinoisIllinoisIllinoisEnvisionRx PlusHISC - Blue CrossBlue Shield ofIllinoisEnvisionRxPlus (PDP)Blue CrossMedicareRx Basic(PDP)IllinoisHumana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value RxSymphonix sIllinoisWellCareAARP MedicareRxSaver Plus (PDP)WellCare Classic (PDP)Cigna-HealthSpring Cigna-HealthSpringRxRx Secure (PDP)EnvisionRxPlusEnvisionRx PlusSilver (PDP)Blue CrossHISC - Blue CrossMedicareRx BasicBlue Shield of Illinois(PDP)Basicx 29.00 400.00S7694017IllinoisBasicx 26.10 400.00S5715012IllinoisBasicx 25.90 400.00S5884107IllinoisHumana InsuranceCompanyBasicx 28.40 0.00S5601034IllinoisSilverScriptBasicx 26.50 360.00S0522001IllinoisSymphonix HealthBasicx 29.80 CareBasicx 26.50 400.00S4802087Humana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)AARP MedicareRxSaver Plus (PDP)WellCare Classic(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 25.70 360.00S5810051Basicx 30.70 360.00S5617224Basicx 30.00 360.00S7694017Basicx 30.00 360.00S5715012Basicx 26.70 360.00S5884107Basicx 20.50 0.00S5601034Basicx 26.50 360.00S0522001Basicx 31.30 360.00S5921362Basicx 30.20 360.00S5967154

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameIndianaAetna MedicareAetna Medicare RxSaver (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?BasicxMonthly Drug Annual DrugPremiumDeductible 31.70 270.00Contract Plan IDIDS5810049StateCompany NamePlan NameIndianaAetna MedicareAetna Medicare RxSaver (PDP)Basicx 31.20 400.00S5660117IndianaCigna-HealthSpring Cigna-HealthSpringRxRx Secure (PDP)Express ScriptsExpress ScriptsMedicare - ValueMedicare(PDP)Basicx 27.70 400.00S5884138IndianaHumana InsuranceCompanyBasicx 26.60 0.00S5601030IndianaSilverScriptBasicx 29.80 400.00S0522022IndianaSymphonix HealthHumana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)Basicx 28.90 400.00S4802086IndianaWellCareWellCare ianaExpress ScriptsMedicareExpress ScriptsMedicare - Value(PDP)Humana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value RxUnitedHealthcare(PDP)WellCareWellCare Classic (PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 27.80 360.00S5810049Basicx 33.40 360.00S5617222Basicx 31.50 360.00S5660117Basicx 30.00 360.00S5884138Basicx 19.00 0.00S5601030Basicx 30.00 360.00S0522022Basicx 32.00 360.00S5967152

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameIowaAetna MedicareAetna Medicare RxSaver (PDP)IowaIowaIowaIowaIowaHumana Insurance Humana Preferred RxCompanyPlan (PDP)SilverScript ChoiceSilverScript(PDP)Symphonix Value RxUnitedHealthcare(PDP)WellCareWellmark BlueCross and BlueShield of IowaBenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly Drug Annual DrugPremiumDeductibleContract Plan IDIDStateCompany NamePlan NameBasicx 31.40 375.00S5810059IowaAetna MedicareAetna Medicare RxSaver (PDP)Basicx 26.70 400.00S5884145IowaHumana InsuranceCompanyBasicx 31.30 0.00S5601050IowaSilverScriptBasicx 33.70 400.00S0522042IowaSymphonix HealthIowaWellCareWellCare Classic (PDP)Basicx 28.60 400.00S4802089MedicareBlue RxStandard (PDP)Basicx 35.10 400.00S5743001Humana PreferredRx Plan (PDP)SilverScript Choice(PDP)Symphonix ValueRx (PDP)WellCare Classic(PDP)BenefitType 0 PremiumwithFull LowIncomeSubsidy?Monthly DrugPremiumAnnual DrugDeductibleContract Plan IDIDBasicx 25.70 360.00S5810059Basicx 27.40 360.00S5884145Basicx 24.00 0.00S5601050Basicx 28.30 360.00S0522042Basicx 32.20 360.00S5967162

2017 Medicare Part D Stand-Alone Prescription Drug Plans2016 Medicare Part D Stand-Alone Prescription Drug PlansVSStateCompany NamePlan NameKansasAetna MedicareAetna Medicare RxSaver (PDP)KansasKansasKansas

Plan ID 2017 Medicare Part D Stand-Alone Prescription Drug Plans 2016 Medicare Part D Stand-Alone Prescription Drug Plans Alaska Aetna Medicare Aetna Medicare Rx Saver (PDP) Basic x 33.40 360.00 S5810 068 Alaska Cigna-HealthSpring Rx Cigna-Heal