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Pharmacy benefits

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

How to 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. You'll pay two retail copayments or coinsurance amounts, and you’ll make fewer trips to your pharmacy.

Prescription support

Get extra help paying for your prescription (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.

Medicare

Contact information

1-800-MEDICARE
(1-800-633-4227)
TTY: 1-877-486-2048

Hours

24 hours a day, 7 days a week

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

Wisconsin

Hours

7:45 a.m. – 4:30 p.m., Monday – 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.

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 below.

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)

  • Fill your prescriptions through the mail. You'll get a 90-day supply of your medication — with no shipping or handling fees.
  • Get up to a 90-day supply at one time from a participating retail pharmacy.

    About the 90-day refill option


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Last Updated: December 2023