Pharmacy benefits
For Medica Prime Solution® Total w/Rx (Cost) members
On This Page
Check drug costs
Call us to get information on specific drugs available with your plan.
Ways to fill your prescription
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Mail Order
Fill your prescriptions through the mail. You'll get a 90-day supply of your medication — with no shipping or handling fees.
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90-day Refill
Get up to a 90-day supply at one time from a participating retail pharmacy.
Prescription support
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.
Medicare |
Contact Information1-800-MEDICARE(1-800-633-4227) TTY: 1-877-486-2048 |
Hours24 hours a day, seven days a week |
|---|---|---|
Social Security Administration |
Contact Information1-800-772-1213TTY: 1-800-325-0778 |
HoursMonday to Friday,7 a.m. – 7 p.m. |
State Medicaid Offices |
Contact InformationWisconsin |
HoursMonday to Friday, 7:45 a.m. – 4:30 p.m. |
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
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 2022