Check drug costs
Call us to get information on specific drugs available with your plan.
Ways to fill your prescriptions
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)