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Pharmacy Benefits

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

Check drug costs

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

8 a.m. to 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 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

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, seven days a week

Social Security Administration

Contact Information

TTY: 1-800-325-0778


Monday to Friday,
7 a.m. – 7 p.m.

State Medicaid Offices

Contact Information

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 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 and 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 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