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Pharmacy benefits

For Medica Group Advantage Solution℠ (PPO) members

Check drug costs

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

8 a.m. – 9 p.m. CT, Sunday – Saturday, 10/1 - 3/31
8 a.m. – 9 p.m. CT, Monday – Friday, 4/1 - 9/30

Ways to fill your prescription

Prescription support

Extra help paying for your prescription (Low-Income Subsidy)

Find out if you qualify for extra help paying for your prescription drug premiums and costs by contacting any of the organizations below. Click on your state Medicaid office to find contact information.

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.,
Monday - Friday

State Medicaid Offices

To find out more about Medicaid and its programs, contact the Medicaid agency for your state.

Contact Information

Minnesota
Wisconsin
Hours vary by state.

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 change to your status on the Centers for Medicare & Medicaid (CMS) website.

Give your medications a check-up

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

Pharmacy documents and coverage levels

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


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Last updated: December 2023