Pharmacy benefits
For Medica Prime Solution® Premier w/Rx (Cost) members
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How to check drug costs
Ways to fill your prescription
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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
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Get up to a 90-day supply at one time from a participating retail pharmacy.
Mail order
Fill your prescriptions through the mail. You'll get a 90-day supply of your medication — with no shipping or handling fees.
90-day refills
Get up to a 90-day supply at one time from a participating retail pharmacy.
Prescription support
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.
Medicare |
Contact information 1-800-MEDICARE (1-800-633-4227) TTY: 1-877-486-2048 |
Hours 24 hours a day, 7 days a week |
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Social Security Administration |
Contact information 1-800-772-1213 TTY: 1-800-325-0778 |
Hours 7 a.m. — 7 p.m., Monday - Friday |
State Medicaid Offices |
Contact information North Dakota South Dakota |
Hours 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 change your status on the Centers for Medicare & Medicaid (CMS) website.
MTM: 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.
Pharmacy documents + coverage levels
Part D coverage levels
To see details for your Part D coverage level, choose your plan:
Prescription claim forms
Need reimbursement for covered Part D medications and vaccinations not submitted to your Part D coverage? Use the claim instructions and form below to get your prescriptions processed under your Part D coverage.
Drug list (formulary)
Last Updated: December 2023