2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Balance (PPO) Chapter 2: Important phone numbers and resources 57 State Pharmaceutical Assistance Programs – Contact Information Indiana | HoosierRx 1-866-267-4679 P.O. Box 6224 Indianapolis, IN 49206 TTY 711 https://www.in.gov/medicaid/members/194.htm 8 a.m.-4:30 p.m. local time, Monday-Friday Louisiana | Louisiana Department of Health 1-888-342-6207 Medicare Savings Program, P.O. Box 629 Baton Rouge, LA 70802 TTY 1-800-220-5404 http://dhh.louisiana.gov/index.cfm/page/236 8 a.m.-4:30 p.m. local time, Monday-Friday Massachusetts | Prescription Advantage Executive Office of 1-800-243-4636 Elder Affairs TTY 1-877-610-0241 P.O. Box 15153 Worcester, MA 01615-0153 9 a.m.-5 p.m. local time, https://www.prescriptionadvantagema.org/ Monday-Friday Maryland | Maryland Senior Prescription Drug Assistance 1-800-551-5995 Program (SPDAP) TTY 1-800-877-5156 c/o International Software Systems Inc. PO Box 749 Greenbriar, 8 a.m.-5 p.m. local time, MD 20768-0749 Monday-Friday www.marylandspdap.com Maine | Office of MaineCare Services 1-800-977-6740 109 Capitol ST 11 State House Station Augusta, ME 04333-0011 TTY 711 https://www.maine.gov/dhhs/oms 7 a.m.-6 p.m. local time, Monday-Friday Missouri | MissouriRx Plan (MORx) 1-800-392-2161 615 Howerton CT P.O. Box 6500 Jefferson City, MO 65102-6500 TTY 711 https://dss.mo.gov/mhd/faq/pages/faqmo_rx.htm 8 a.m.-5 p.m. local time, Monday-Friday Montana | Montana Big Sky Rx 1-866-369-1233 P.O. Box 202915 Helena, MT 59620-2915 TTY 711 www.bigskyrx.mt.gov 8 a.m.-5 p.m. local time, Monday-Friday New Jersey | New Jersey Pharmaceutical Assistance To The 1-800-792-9745 Aged & Disabled (PAAD) TTY 711 P.O. Box 715 Trenton, NJ 08625-0715 8:30 a.m.-4:30 p.m. local http://www.state.nj.us/humanservices/doas/paad/ time, Monday-Friday

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