document.write ("<h3 class=\"section\">Health Insurance Quotes</h3>");
bwapsaid = "10247";
bwapscid = "429"; //Change this as you need
bwapsmaxads = "6";
bwapsadsource = "";
document.write(unescape("%3Cscript src='http://www.healthcare.com/clickout/banner/bwads.js' type='text/javascript'%3E%3C/script%3E"));
document.write ("<form style=\"margin: 0px; padding: 0px;\" method=\"GET\" id=\"bwadsform\" name=\"bwadsform\" onsubmit=\"bwDisplayAds(); return false;\">");
document.write ("<input type=\"hidden\" name=\"source\" value=\"Homepage_SB_prescriptiondrug-info\" />");
document.write ("<b>1.</b> Choose Type:<br>");
document.write ("<select id=\"prodid\" style=\"width: 175px; background-color: #FCF5EC; border:solid 1px #7F9DB9\" name=\"prodid\">");
document.write ("<option value=\"200\" selected=\"selected\">Individual / Family</option>");
document.write ("<option value=\"220\">Group/Small Business</option>");
document.write ("<option value=\"210\">Short-Term</option>");
document.write ("<option value=\"250\">Student Insurance</option>");
document.write ("<option value=\"240\">Medicare Supplemental</option>");
document.write ("<option value=\"230\">Dental Insurance</option>");
document.write ("</select><br>");
document.write ("<b>2.</b> State:<br>");
document.write ("<input type=hidden name=state id=state value=\"\"><select id=\"bwtp\" style=\"width:105px; background-color: #FCF5EC; border:solid 1px #7F9DB9\" name=\"st\">");
document.write ("<option value=\"0\" selected=\"selected\">Select</option>");
document.write ("<option value=\"AL\">AL</option>");
document.write ("<option value=\"AK\">AK</option>");
document.write ("<option value=\"AZ\">AZ</option>");
document.write ("<option value=\"AR\">AR</option>");
document.write ("<option value=\"CA\">CA</option>");
document.write ("<option value=\"CO\">CO</option>");
document.write ("<option value=\"CT\">CT</option>");
document.write ("<option value=\"DE\">DE</option>");
document.write ("<option value=\"DC\">DC</option>");
document.write ("<option value=\"FL\">FL</option>");
document.write ("<option value=\"GA\">GA</option>");
document.write ("<option value=\"HI\">HI</option>");
document.write ("<option value=\"ID\">ID</option>");
document.write ("<option value=\"IL\">IL</option>");
document.write ("<option value=\"IN\">IN</option>");
document.write ("<option value=\"IA\">IA</option>");
document.write ("<option value=\"KS\">KS</option>");
document.write ("<option value=\"KY\">KY</option>");
document.write ("<option value=\"LA\">LA</option>");
document.write ("<option value=\"ME\">ME</option>");
document.write ("<option value=\"MA\">MA</option>");
document.write ("<option value=\"MD\">MD</option>");
document.write ("<option value=\"MI\">MI</option>");
document.write ("<option value=\"MN\">MN</option>");
document.write ("<option value=\"MS\">MS</option>");
document.write ("<option value=\"MO\">MO</option>");
document.write ("<option value=\"MT\">MT</option>");
document.write ("<option value=\"NE\">NE</option>");
document.write ("<option value=\"NV\">NV</option>");
document.write ("<option value=\"NH\">NH</option>");
document.write ("<option value=\"NJ\">NJ</option>");
document.write ("<option value=\"NM\">NM</option>");
document.write ("<option value=\"NY\">NY</option>");
document.write ("<option value=\"NC\">NC</option>");
document.write ("<option value=\"ND\">ND</option>");
document.write ("<option value=\"OH\">OH</option>");
document.write ("<option value=\"OK\">OK</option>");
document.write ("<option value=\"OR\">OR</option>");
document.write ("<option value=\"PA\">PA</option>");
document.write ("<option value=\"RI\">RI</option>");
document.write ("<option value=\"SC\">SC</option>");
document.write ("<option value=\"SD\">SD</option>");
document.write ("<option value=\"TN\">TN</option>");
document.write ("<option value=\"TX\">TX</option>");
document.write ("<option value=\"UT\">UT</option>");
document.write ("<option value=\"VA\">VA</option>");
document.write ("<option value=\"VI\">VI</option>");
document.write ("<option value=\"VT\">VT</option>");
document.write ("<option value=\"WA\">WA</option>");
document.write ("<option value=\"WV\">WV</option>");
document.write ("<option value=\"WI\">WI</option>");
document.write ("<option value=\"WY\">WY</option>");
document.write ("</select>&nbsp;");
document.write ("<input type=\"submit\" value=\"Search\" onClick=\"javascript:document.bwadsform.state.value=document.bwadsform.bwtp.value;bwDisplayAds();\" class=\"button\"/>");
document.write ("</form><script type=\"text/javascript\" src=\"http://www.healthcare.com/js/state.js\"></script>");
document.write ("<font class=\"small\">Powered by </font><img src=\"http://psdruginfo.com/images/healthcarecom_sm.gif\" border=0 width=120 height=25 align=top><br><br>");
//document.write ("<a href=\"http://healthcare.prescriptiondrug-info.com/syndication/directory/search/66b64c3f1bc44a87d277fbaa331969fd/\" class=\"navhref\" target=\"HCWin\">Find a Healthcare Provider</a><br><br>");