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Pharmacy benefits

For Medica Advantage Solution® (HMO-POS) Members

How to check drug costs

Call us to get information on specific drugs available with your plan.

Ways to fill your prescription

Prescription support

Get extra help paying for your prescriptions (Low-Income Subsidy)

Contact any of the organizations below to see if you qualify for extra help paying for prescription drug premiums and costs.

 

Medicare

Contact information

1 (800) MEDICARE
(1-800-633-4227)
TTY: 1-877-486-2048

Hours

24 hours a day, seven days a week

Social Security Administration

Contact information

1 (800) 772-1213
TTY: 1-800-325-0778

Hours

7 a.m. – 7 p.m. CT,
Monday - Friday

State Medicaid Offices

Contact information

Minnesota

Hours

8 a.m. – 8 p.m., daily

Best available evidence policy

If you think you qualify for the Low-Income Subsidy, but your current information doesn't reflect that, you can request a review of your status on the Centers for Medicare & Medicaid (CMS) website.

Give your medications a checkup

If you qualify, our Medication Therapy Management (MTM) program provides one-on-one consultation with a pharmacist to manage your medications.

Pharmacy documents + coverage levels

Part D coverage levels

To see details for your Part D coverage level, choose your plan:

Prescription claim forms

Need reimbursement for covered Part D prescription medications and vaccinations not submitted to your Part D coverage? Use the claim instructions and form below to get your prescription processed under your Part D coverage.

Drug list (formulary)

Part B Drugs

For members new to therapy, we may require step therapy on some drugs covered under Medicare Part B.


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Last Updated: December 2023