2024 Medicare Part D Prescription Drug Plans - Colorado

	A	B	C	D	E	F	G	H	I	J	K	L
1	CY2024 Medicare Part D Stand-Alone Prescription Drug Plans
2	Data as of September 05, 2023. Includes CY2024 approved contracts/plans. Employer sponsored plans (800 series) are excluded. Plans under sanction are not shown.					under sanction are not shown.
3	Notes: Data are subject to change as contracts are finalized. For CY2024, enhanced alternative plans may offer additional cost-sharing reductions in the gap on a sub-set of the							formulary drugs, beyond the standard Part D benefit.
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5	State	Organization Name	Plan Name	Benefit Type	Benefit Type Detail	Additional Drug Coverage Offered in the Gap	$0 Premium with Full Low-Income Subsidy?	Monthly Drug Premium	Annual Drug Deductible	Contract ID	Plan ID	Summary Star Rating
6	Colorado	Wellcare	Wellcare Classic (PDP)	Basic	AE	No	x	$41.40	$545.00	S4802	091
7	Colorado	Wellcare	Wellcare Value Script (PDP)	Enhanced	EA	No		$0.00	$400.00	S4802	160
8	Colorado	Wellcare	Wellcare Medicare Rx Value Plus (PDP)	Enhanced	EA	No		$82.20	$0.00	S4802	230
9	Colorado	Anthem MediBlue Rx (PDP)	Anthem MediBlue Rx Standard (PDP)	Basic	BA	No		$103.70	$545.00	S5596	059
10	Colorado	Anthem MediBlue Rx (PDP)	Anthem MediBlue Rx Plus (PDP)	Enhanced	EA	No		$132.60	$0.00	S5596	060
11	Colorado	Aetna Medicare	SilverScript Choice (PDP)	Basic	AE	No		$59.50	$545.00	S5601	054
12	Colorado	Aetna Medicare	SilverScript Plus (PDP)	Enhanced	EA	Yes		$115.20	$200.00	S5601	055
13	Colorado	Aetna Medicare	SilverScript SmartSaver (PDP)	Enhanced	EA	No		$20.10	$280.00	S5601	202
14	Colorado	Cigna	Cigna Secure Rx (PDP)	Basic	AE	No	x	$41.50	$545.00	S5617	133
15	Colorado	Cigna	Cigna Extra Rx (PDP)	Enhanced	EA	Yes		$95.10	$145.00	S5617	272
16	Colorado	Cigna	Cigna Saver Rx (PDP)	Enhanced	EA	No		$10.00	$545.00	S5617	377
17	Colorado	UnitedHealthcare	AARP Medicare Rx Preferred from UHC (PDP)	Enhanced	EA	No		$123.90	$0.00	S5820	026
18	Colorado	Humana	Humana Basic Rx Plan (PDP)	Basic	AE	No	x	$47.80	$545.00	S5884	111
19	Colorado	Humana	Humana Premier Rx Plan (PDP)	Enhanced	EA	Yes		$108.40	$300.00	S5884	173
20	Colorado	Humana	Humana Walmart Value Rx Plan (PDP)	Enhanced	EA	Yes		$48.70	$545.00	S5884	206
21	Colorado	UnitedHealthcare	AARP Medicare Rx Saver from UHC (PDP)	Basic	AE	No		$70.40	$545.00	S5921	372
22	Colorado	UnitedHealthcare	AARP Medicare Rx Walgreens from UHC (PDP)	Enhanced	EA	Yes		$69.70	$410.00	S5921	408
23	Colorado	Clear Spring Health	Clear Spring Health Value Rx (PDP)	Basic	AE	No	x	$27.20	$545.00	S6946	062
24	Colorado	Mutual of Omaha Rx	Mutual of Omaha Rx Plus (PDP)	Basic	AE	No		$104.30	$545.00	S7126	026
25	Colorado	Mutual of Omaha Rx	Mutual of Omaha Rx Premier (PDP)	Enhanced	EA	No		$100.70	$349.00	S7126	096
26	Colorado	Mutual of Omaha Rx	Mutual of Omaha Rx Essential (PDP)	Enhanced	EA	No		$22.80	$545.00	S7126	129
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