Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

Medicare Current Beneficiary Survey (MCBS)

Attachment 4 English Specifications ATTACHMENTHI2

Medicare Current Beneficiary Survey (MCBS):(CMS Number CMS-P-0015A)

OMB: 0938-0568

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ATTACHMENT HI2
STATE PHARMACEUTICAL PROGRAMS

State
AK
AL
AZ
CT
DE
FL
HI
IL
IN
LA
MA
MD
ME
MN
MO
MT
NC
ND
NJ
NV
NY

Name
Alaska Senior Care Prescription Drug Benefit Program
Alabama Senior Rx (Partnership for Medication Access)
Arizona AIDS Drug Assistance Program (ADAP)
Connecticut AIDS Drug Assistance Program (CADAP); Connecticut Pharmaceutical Assistance
Contract to the Elderly and Disabled (ConnPACE)
Delaware Prescription Assistance Program (DPAP)
Florida State Pharmacy Assistance Programs (SPAP)
Hawaii State Pharmacy Assistance Program (SPAP); Affiliated Computer Service (ACS)
Prescription Benefit
Illinois Pharmaceutical Assistance Program "CircuitBreaker"; Illinois Cares Rx
Indiana Prescription Drug Program (Hooiser Rx)
Louisiana Senior Rx Program
Massachusetts Prescription Advantage Plan
Maryland Pharmacy Assistance Program (MPAP)
Maine Low Cost Drugs for the Elderly Program (LCD)
Minnesota AIDS Drug Assistance Program (ADAP)
Missouri RX Plan (MoRx)
Montana Big Sky Rx Program
North Carolina Rx; North Carolina PHRAMAssist
Prescription Connection for North Dakota
New Jersey Pharmaceutical Assistance for the Aged and Disabled (PAAD); New Jersey Senior
Gold Prescription Discount Program (Senior Gold)
Nevada Senior Rx
New York Elderly Pharmaceutical Insurance Coverace (EPIC)

ATTACHMENT HI2 (continued)
STATE PHARMACEUTICAL PROGRAMS

State
OR
PA
RI
SC
TN
VA
VT
WA
WI
WY

Name
Oregon Rx Drug Program; Northwest Rx Drug Consortium; Senior Rx Drug Assistance
Program
Pennsylvania PACE Needs Enhancement Tier (PACENET); Pennsylvania PACE Plus
Medicare; Pennsylvania Pharmaceutical Assistance Contract for the Elderly (PACE)
Rhode Island Pharmacy Assistance for the Elderly (RIPAE)
South Carolina GAP Assistance Pharmacy Program for Seniors (GAPS)
Tennessee CoverRx
Virginia State Pharmaceutical Assistance Program (SPAP); Virginia AIDS Drug Assistance
Program (ADAP)
Vermont VPharm
Washington Medicare Copayment Plan
Wisconsin Senior Care
Wyoming Prescription Drug Assistance Program (PDAP)


File Typeapplication/pdf
File TitleATTACHMENT HI2
AuthorRuth Malloy
File Modified2010-03-30
File Created2010-03-30

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