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My Prescriptions

For Medica Choice Care℠ PMAP Members (Prepaid Medical Assistance Program)

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We’re here to help you understand your prescription benefits.

Call us with any questions about your prescription benefits or to check drug costs.

 

1-800-373-8335 (toll-free) (TTY: 711)

8 a.m. – 6 p.m., CT, Monday – Friday

What do you want to do today?

About Prescription Drugs

The following is the comprehensive list of covered drugs that includes over-the-counter drugs along with drugs covered by Medical Assistance.

To receive a covered drug:

  • Have your health care provider write a prescription for it
  • Take the prescription to a pharmacy in the Medica network

The pharmacist will fill your prescription with a generic version of the drug if one is available. If there is no generic version, the pharmacist will give you a name brand version.

View 2022 drug list (PDF)

View 2023 drug list (PDF)

The most you will have to pay in prescription copays is $12 per month. Some mental health drugs and most family planning drugs do not have a copay.

Copay Amount
 Brand-name drugs $3.00
Generic Drugs $1.00

Specialty drugs are used to treat certain complicated health problems. These drugs tend to be very expensive and may need special handling and monitoring.

If you are prescribed a drug that is on our specialty drug list, your prescriber will need to send the prescription of that specialty drug to our preferred specialty pharmacy, Accredo Specialty Pharmacy.*

How to Fill a New Specialty Drug Prescription


Step 1: Check the specialty drug list, which shows all of the medications Medica considers specialty drugs.

Step 2: Your plan may not cover all of the drugs on the specialty drug list. To find out about your coverage for a specialty drug, please call Medica Member Services.

Step 3: Once you've verified your coverage, fill your prescription through Accredo Specialty Pharmacy.*

  • First time filling a prescription – Call Accredo to set up an account. Have your Medica identification (ID) card ready when you call.
  • Refilling an active prescription – Create an account on the Accredo Patient Portal to manage refills.

Questions?

Accredo Specialty Pharmacy Customer Service

Toll-free: 1-866-544-6817 (TTY: 711)

7 a.m. – 10 p.m. Central, Monday through Friday
7 a.m. – 4 p.m. Central, Saturday

* There are a small number of drugs not available through Accredo Specialty Pharmacy. These drugs may be considered limited distribution by the manufacturer and must be obtained through a different specialty pharmacy. These drugs have a “*” next to them in Medica’s specialty drug list.

Your provider typically knows where to send prescriptions for limited distribution drugs, but if you have any questions, contact Accredo Specialty Pharmacy.

If you fill your specialty drug prescription through a vendor other than Accredo Specialty Pharmacy*, your drug will not be covered and you will be responsible for the entire cost.

Additional Pharmacy Benefits

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Review Your Medications

Talk to a pharmacist and learn how to get the safest and most effective results from your drugs with Medication Therapy Management (MTM).

Contact Us

8 a.m. – 6 p.m., CT, Monday – Friday

Mailing address:

Medica

P.O. Box 9310

Minneapolis, MN 55440


American Indians can continue to use tribal and Indian Health Services (IHS) clinics. We will not require prior approval or impose any conditions for you to get services at these clinics. For elders age 65 years and older this includes Elderly Waiver (EW) services accessed through the tribe. If a doctor or other provider in a tribal or IHS clinic refers you to a provider in our network, we will not require you to see your primary care provider prior to the referral.

Last updated: December 2022