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My prescriptions

For Medica AccessAbility Solution® Enhanced (HMO D-SNP) (SNBC SNP) Members

About prescription drugs

  • List of Covered Drugs (Formulary) is a comprehensive list  that includes over-the-counter drugs as well as drugs covered by Medicare Part B, Medicare, Part D, and Medical Assistance.

    To get a covered drug:

    • Have your health care provider write a prescription for it
    • Take the prescription to a pharmacy in the Medica network

    The pharmacist will fill your prescription with a generic version of the drug if one is available. If there's no generic version, the pharmacist will give you a name-brand version.

    $0 Part D cost sharing

    Your Medica AccessAbility Solution Enhanced plan has no Part D cost sharing.

  • Some drugs need approval or prior authorization before you get your prescription filled. You or your health care provider can request prior authorization approval from us.

    You must get approval from us before you can fill your prescription for these drugs or we may not cover the cost.

    Prior Authorization

    It's important for your health care provider to fill the form out as completely as possible and list which medications have been tried and failed. Your provider should include the dosages that you used and the reason why the drugs didn’t work (e.g., side effects or effectiveness).


    Prescription Drug Coverage Determination Request form


    Appeals and denials

    If your prior authorization request for coverage of a prescription drug was denied and you want to appeal the decision, please fill out the form below.

    Coverage Redetermination Request form
  • Specialty drugs are used to treat certain complex or chronic health problems. They tend to be very expensive and may need special handling and monitoring.

    If you’re prescribed a specialty drug, your prescriber will need to send the prescription for it to our preferred specialty pharmacy, Accredo Specialty Pharmacy.*

    How to fill a new specialty drug prescription

    1. Check the List of Covered Drugs (Formulary), to see if your medication is a specialty drug.
    2. Fill your prescription through Accredo Specialty Pharmacy.*
      • First time filling a prescription: Call Accredo to set up an account. Have your Medica identification (ID) card ready when you call.
      • Refilling an active prescription: Create an account on the Accredo Patient Portal to manage refills.

    Accredo Patient Portal


    Accredo Specialty Pharmacy Customer Service

    Toll-free: 1-866-544-6817    (TTY: 711)

    7 a.m. – 10 p.m. CT, Monday – Friday
    7 a.m. – 4 p.m. CT, Saturday

    * There are a small number of drugs not available through Accredo Specialty Pharmacy. These drugs may be considered limited distribution by the manufacturer. This means you need to get them through a different specialty pharmacy.

    Your provider typically knows where to send prescriptions for limited distribution drugs, but if you have any questions, contact Accredo Specialty Pharmacy.

    If you fill your specialty drug prescription through a vendor other than Accredo Specialty Pharmacy*, your drug won’t be covered and you’ll be responsible for the entire cost.

Additional pharmacy benefits

Review your medications

Talk to a pharmacist and learn how to get the safest and most effective results from your drugs with Medication Therapy Management (MTM).

Learn about MTM

Transition of care

If your drug isn't on our List of Covered Drugs (Formulary), or if it has certain restrictions, you may be able to request coverage for a transition period.

Transition of Care Policy

Mail order

Your plan includes the option of having prescriptions filled through the mail.

Learn how to order your prescriptions through the mail

We're here to help

8 a.m. – 9 p.m. CT, daily

Mailing address:

Route CP540
P.O. Box 9310
Minneapolis, MN 55440

Medica AccessAbility Solution® Enhanced is an HMO D-SNP that contracts with both Medicare and the Minnesota Medical Assistance (Medicaid) program to provide benefits of both programs to enrollees. Enrollment in Medica AccessAbility Solution Enhanced depends on contract renewal.

American Indians can continue to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For elders age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, we will not require you to see your primary care provider prior to the referral.

Last updated: December 2023