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Medco Health Solutions, Inc.<br />

100 Parsons Pond Drive<br />

Franklin Lakes, NJ 07417<br />

www.medco.com/rph<br />

<strong>Medco's</strong> <strong>Medicare</strong> <strong>Prescription</strong> <strong>Drug</strong> <strong>Plan</strong> <strong>and</strong> Medco’s <strong>Medicare</strong> Part D Sponsors’<br />

2009 Formulary Websites<br />

Reminder<br />

Announcement:<br />

The following are formulary websites for Medco <strong>and</strong> our clients’ <strong>Medicare</strong><br />

formularies. Some formularies may have changed.<br />

Visit the websites to view formulary updates, which may include additions,<br />

deletions, preferred status changes, or tier changes that are available 60 days prior<br />

to the effective date. Some websites may receive heavy volume <strong>and</strong> become<br />

unavailable from time to time. If that occurs, please try the website at a later<br />

time.<br />

Note:<br />

For more<br />

information:<br />

As additional websites become available, we will announce them.<br />

These websites contain the most current formularies <strong>and</strong> notification for future<br />

changes. <strong>Plan</strong>s using www.medco.com are using the Medco <strong>Medicare</strong><br />

<strong>Prescription</strong> <strong>Plan</strong> formulary (formerly known as YOURx PLAN.)<br />

To access formulary changes, go to www.medco.com/rph, select “Formulary”<br />

from the left side navigation links.<br />

Visit the Pharmacist Resource Center at www.medco.com/rph for additional<br />

<strong>Medicare</strong> Part D communications.<br />

Medco <strong>Plan</strong> Name<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® - Access<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® - Choice<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® - Value<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for AGC-IUOE Local<br />

701 Health <strong>and</strong> Welfare Trust Fund<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Alcatel-Lucent<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Bankers Fidelity –<br />

Access<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Bankers Fidelity –<br />

Choice<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Bankers Fidelity –<br />

Value<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Carpenters Health<br />

<strong>and</strong> Security <strong>Plan</strong> of Western Washington<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Chevron<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for City of Hammond<br />

Website<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

Medco is the that company many of your customers’ employers or health plans chose to<br />

manage their prescription drug benefits. Page 1 of 3


Medco <strong>Plan</strong> Name (Continued)<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for the Commonwealth<br />

of Virginia Retiree Health Benefits Program<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for the Delta Retiree<br />

Benefit Trust (DALRC)<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for District 1199J NJ<br />

Benefit Fund<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for DuPont<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Extend Health –<br />

Access<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Extend Health –<br />

Choice<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Extend Health –<br />

Value<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for GuideStone<br />

Financial Resources<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Kemper Retirees<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Medco Retirees<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for the Northwest<br />

Retiree Benefit Trust <strong>Plan</strong>s<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Public Employees<br />

Health Program (PEHP)<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for <strong>Medicare</strong> Options<br />

US RBT<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Seniors Choice<br />

Group Retiree Medical <strong>Plan</strong>s<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for SISC<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for Tennessee Valley<br />

Authority (TVA)<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for The Bledsoe Health<br />

Trust - Access<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® for The Bledsoe Health<br />

Trust - Choice<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ® (UFW Insurance Fund –<br />

Value)<br />

Medco <strong>Medicare</strong> <strong>Prescription</strong> <strong>Plan</strong> ®<br />

for Western Teamsters Welfare Trust<br />

Medco YOURx PLAN<br />

Medco YOURx PLAN <strong>Medicare</strong> <strong>and</strong> Medicaid eligible<br />

YOURx PLAN brought to you by Chevron<br />

Website<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

Medco is the that company many of your customers’ employers or health plans chose to<br />

manage their prescription drug benefits. Page 2 of 3


Medco Client <strong>Plan</strong> Name<br />

Advantage <strong>Plan</strong> from Medical Mutual of Ohio - MA-PD<br />

Advantage <strong>Plan</strong> from Medical Mutual of Ohio - PDP<br />

Advantage <strong>Plan</strong> from Medical Mutual of Ohio - Private<br />

Fee-for-Service<br />

AlohaCare Advantage Plus<br />

AlohaCare Advantage<br />

AmeriChoice Personal Care Plus<br />

APIPA Personal Care Plus<br />

Blue Cross <strong>and</strong> Blue Shield of North Carolina (BCBSNC)<br />

BlueCross BlueShield of Western New York<br />

BlueCross BlueShield of Western New York -Gap<br />

Coverage<br />

BlueShield of Northeastern New York<br />

Bravo Broad<br />

Bravo Classic<br />

Bravo Health-Narrow<br />

Bravo St<strong>and</strong>ard<br />

Bravo Rx<br />

Bravo Select<br />

CCM Direct<br />

CCM PACE<br />

Care Improvement<br />

Care Improvement Plus<br />

Educators Mutual Insurance Association<br />

First UA <strong>Medicare</strong> Group Part D <strong>Prescription</strong> <strong>Drug</strong><br />

Coverage<br />

First UA <strong>Medicare</strong> Part D <strong>Prescription</strong> <strong>Drug</strong> Coverage<br />

First UA <strong>Medicare</strong> Part D Silver <strong>Prescription</strong> <strong>Drug</strong><br />

Coverage<br />

HealthChoice<br />

Highmark<br />

Highmark<br />

SecureCare<br />

SecureChoice<br />

SecureFreedom<br />

SmartHealth Rx<br />

Senior Partners Silver<br />

Senior Partners Gold<br />

UA <strong>Medicare</strong> Group Part D <strong>Prescription</strong> <strong>Drug</strong> Coverage<br />

UA <strong>Medicare</strong> Part D <strong>Prescription</strong> <strong>Drug</strong> Coverage<br />

UA <strong>Medicare</strong> Part D Silver <strong>Prescription</strong> <strong>Drug</strong> Coverage<br />

Western Health Advantage<br />

WPS <strong>Medicare</strong>Rx <strong>Plan</strong><br />

Website<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.alohacare.com<br />

www.alohacare.com<br />

www.americhoice.com<br />

www.myapipa.com<br />

www.bcbsnc.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.careimprovementppo.com<br />

www.careimprovementplus.com<br />

www.educatorsmutual.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.highmark.com<br />

www.highmarkhealth.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.medco.com<br />

www.westernhealth.com<br />

www.medco.com<br />

Medco is the that company many of your customers’ employers or health plans chose to<br />

manage their prescription drug benefits. Page 3 of 3

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