Pharmacy Resources

Pharmacy Resources by Segment

• Employer Sponsored – Large Group/Small Group
• Individual & Family Business
• Medicare
• Combined Medicare and Minnesota Health Care Programs
• Minnesota Health Care Programs

Medica offers pharmacy resources to help manage prescription-drug coverage and ensure appropriate use of medications. Express Scripts^® administers prescription benefits for all Medica members.

Medical Pharmacy Benefits

Medica offers medical pharmacy resources to help manage medical benefit drugs and prior authorization requests. Magellan Rx Management administers medical pharmacy benefits for eligible Medica members.

Drug management policies

Specialty Drug Program

Medica has programs to manage high-cost specialty medications. Explore more information about Medica’s specialty drug program by visiting the health plan pages to the left.

For Pharmacists

Medica member eligibility will be verified through the Express Scripts claim processing system. Under no circumstances should a Member whose eligibility has been verified, be denied a Pharmaceutical Service (subject to Pharmacy's professional judgement), or be asked to pay more than is due under the terms of the Pharmacy Participation Agreement with Medica.

Need Help?

Express Scripts Pharmacist Help Desk
1-800-922-1557
Open 24/7, year-round

Medica Provider Service Center
1-800-458-5512