SimpliveraCoverage Companion

Pharmacy Benefit Dimensions PDP-11 (WD) (PDP)

INDEPENDENT HEALTH BENEFITS CORPORATION · 2027 plan year

Plan ID S4501-811-000

Showing NY · sold in 51 states and territories

AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY

Medicare Prescription Drug Plan★ 4.5 CMS Part D StarsEmployer group plan
MOOP (in-network)
—
MOOP (combined)
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Monthly premium
Not published
CMS publishes no consumer premium for this plan
Prescription drugs
This is a standalone drug plan

Offered only through an employer or union retiree plan; premiums are set by the group.

This plan in 2026

Plan information

Contract / Plan / Segment
S4501-811-000

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