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Pharmacy benefits

For Medica Prime Solution® Core w/Rx (Cost) members 

Check drug costs

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

8 a.m. – 9 p.m. CT

Ways to fill your prescriptions

  • Fill your prescriptions through the mail. You'll get a 90-day supply of your medication — with no shipping or handling fees.

  • Get up to a 90-day supply at one time from a participating retail pharmacy.

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, 7 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

North Dakota
South Dakota


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 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:

Learn more about the MTM Program

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.

Drug list (formulary)

Last Updated: November 2022