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Application for Prescription Drug Affordability Advisory Council
Thank you for your interest in the Colorado Prescription Drug Affordability Advisory Council.

The Advisory Council is created in the Division of Insurance to provide stakeholder input to the Colorado Prescription Drug Affordability Review Board regarding the affordability of prescription drugs. The Advisory Council will include 15 members, 14 appointed by the Colorado Prescription Drug Affordability Review Board.

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Email *
Name (First, Last) *
Contact Information (Email, Phone) *
Current job title (Title, Company) *
Please explain why you wish to serve on the Advisory Council. *
Please select the experience you bring to the Advisory Council (Select up to 2) *
Required
In which congressional district do you live? *
Where do you have subject matter expertise?
If you answered "none of the above" to question 6, please explain the other subject expertise you bring to the Advisory Council?
SB21-175 requires the Board to appoint council members "who have experience serving underserved communities and reflect the diversity of the state with regard to race, ethnicity, immigration status, income, wealth, disability, age, gender identity, and geography". Please discuss how you meet these requirements.
Are you able to commit to a two year term? *
A copy of your responses will be emailed to the address you provided.
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