Check drug costs
Call us to get information on specific drugs available with your plan.
Ways to fill your prescriptions
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 information1-800-MEDICARE(1-800-633-4227) TTY: 1-877-486-2048 |
Hours24 hours a day, 7 days a week |
|---|---|---|
Social Security Administration |
Contact information1-800-772-1213TTY: 1-800-325-0778 |
Hours7 a.m. – 7 p.m., Monday – Friday |
State Medicaid Offices |
Contact informationNorth DakotaSouth Dakota |
HoursHours 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 review your status on the Centers for Medicare & Medicaid (CMS) website.
About best available evidence on CMS.gov
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 find out more about MTM here:
Pharmacy documents and coverage levels
Part D coverage levels
To see the details for your Part D coverage level, choose your plan below.
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.
- Medicare Part D prescription claim form (PDF)
- Reimbursement instructions for prescription Part D costs (PDF)
Drug list (formulary)
Last Updated: November 2022