Key
C | Covered - No restrictions |
Q | Has quantity limits |
S | Has step therapy |
P | Has prior authorization |
N | Not Covered |
| AARP Medicare Rx Basic from UHC (PDP) S5921-348 | Clear Spring Health Value Rx (PDP) S6946-060 | Wellcare Classic (PDP) S4802-076 |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| P | N | P |
| N | N | N |
| N | N | N |
| N | N | Q |
| N | N | N |
| P | N | P |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| P | N | N |
| QP | N | N |
| Q | N | Q |
| Q | N | Q |
| N | N | N |
| QP | N | QP |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| AARP Medicare Rx Basic from UHC (PDP) S5921-348 | Clear Spring Health Value Rx (PDP) S6946-060 | Wellcare Classic (PDP) S4802-076 |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | QP |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| Q | N | Q |
| C | N | C |
| N | N | N |
| C | N | C |
| N | N | N |
| N | N | N |
| N | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| Q | N | Q |
| N | N | N |
| N | N | N |
| P | N | C |
| N | N | N |
| C | N | C |
| Q | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| AARP Medicare Rx Basic from UHC (PDP) S5921-348 | Clear Spring Health Value Rx (PDP) S6946-060 | Wellcare Classic (PDP) S4802-076 |
| N | N | N |
| AARP Medicare Rx Basic from UHC (PDP) S5921-348 | Clear Spring Health Value Rx (PDP) S6946-060 | Wellcare Classic (PDP) S4802-076 |
| C | N | C |
| N | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| Q | N | C |
| N | N | N |
| C S | N | N |
| N | N | N |
| Q | N | QP |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | P |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| C | N | N |
| C | N | N |
| C | N | N |
| N | N | N |
| C | N | N |
| C | N | N |
| Q | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| C | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| Q | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| AARP Medicare Rx Basic from UHC (PDP) S5921-348 | Clear Spring Health Value Rx (PDP) S6946-060 | Wellcare Classic (PDP) S4802-076 |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| Q | N | Q |
| N | N | C |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | C |
| N | N | N |
| QP | N | P |
| N | N | N |
| N | N | N |
| C | N | Q |
| QP | N | P |
| QP | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| C | N | C |
| N | N | N |
| N | N | N |
| N | N | C |
| N | N | N |
| AARP Medicare Rx Basic from UHC (PDP) S5921-348 | Clear Spring Health Value Rx (PDP) S6946-060 | Wellcare Classic (PDP) S4802-076 |
| Q | N | Q |
| Q | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| QP | N | C |
| N | N | N |
| Q | N | Q |
| N | N | N |
| N | N | N |
| Q | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| P | N | P |
| P | N | P |
| Q | N | Q |
| C | N | P |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| Q | N | Q |
| Q | N | Q |
| N | N | N |
| Q | N | C |
| AARP Medicare Rx Basic from UHC (PDP) S5921-348 | Clear Spring Health Value Rx (PDP) S6946-060 | Wellcare Classic (PDP) S4802-076 |
| N | N | N |
| P | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| C | N | Q |
| C | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| C | N | QP |
| Q | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| C | N | C |
| C | N | C |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| C | N | C |
| N | N | N |
| AARP Medicare Rx Basic from UHC (PDP) S5921-348 | Clear Spring Health Value Rx (PDP) S6946-060 | Wellcare Classic (PDP) S4802-076 |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| P | N | QP |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| Q | N | Q |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |
| N | N | N |