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Pharmacy benefits

For Medica Prime Solution® Enhanced w/Rx 2 (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 prescription

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

Learn more about your mail order

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

About the 90-day refill option

Prescription support

Get extra help paying for your prescriptions (Low-Income Subsidy)

Contact any of the organizations below to see if you qualify for extra help paying for prescription drug premiums and costs. 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 to Friday

State Medicaid Offices

Contact information



8 a.m. - 5 p.m.,
Monday to Friday 

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 of 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. Find out more about MTM here:

Pharmacy documents + coverage levels

Part D coverage levels
To see 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 2023