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Pharmacy benefits

For Medica Group Prime Solution℠ w/Rx (Cost)

Check drug costs

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

We're here to help.

8 a.m. - 9 p.m. CT

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. 


Contact Information

TTY: 1-877-486-2048


24 hours a day, seven days a week

Social Security Administration

Contact Information

TTY: 1-800-325-0778


7 a.m. – 7 p.m.,
Monday – Friday

State Medicaid Offices

Contact Information

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 + coverage levels

Part D 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 lists (formularies)

Last Updated: December 2023