How to check drug costs
Call us to get information on specific drugs available with your plan.
Ways to fill your prescription
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 information1-800-MEDICARE |
Hours24 hours a day, |
|---|---|---|
Social Security Administration |
Contact information1-800-772-1213 |
Hours7 a.m. – 7 p.m., |
State Medicaid Offices |
Contact information |
Hours7:45 a.m. – 4:30 p.m., |
Best Available Evidence (BAE) 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.
About Best Available Evidence on CMS.gov
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.
2023 Total w/Rx ($258.70 combined monthly premium)
2024 Total w/Rx ($266.50 combined monthly premium)
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.
Medicare Part D prescription claim form (PDF)
Reimbursement instructions for prescription (Part D) costs (PDF)
Last Updated: December 2023