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Medica Advantage Solution

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Information applicable to Medica Advantage Solution Part D members

Pharmacy Resources

2019 Resources

Preferred Drug Lists (Formularies)   

Part D Closed Formulary (Medica Advantage Solution®) – (PDF)

Prior Authorization (PA) Requests and Formulary Exceptions

Medication Request and Exception Forms

Medicare prior authorization inquiries 

PH: 855-344-0930

FAX: 855-633-7673


Part D Forms

MedWatch adverse drug reaction reporting forms


Part B Coverage

Blood Glucose Test Strips (Part B) – (PDF)


Prior Authorization and Step Therapy

Advantage Part D Prior Authorization Formulary Criteria (PDF)

Advantage Part D Step Therapy Formulary Criteria (PDF)

Mail Order Pharmacy 

Medica offers prescription mail order through CVS Caremark Mail Service Pharmacy. With a 90-day prescription, members may receive a 90-day supply of their medication through the mail with no shipping or handling fees. Part D plan members can request prescription fills using the CVS Caremark website, using the CVS Caremark mobile app or by calling CVS Caremark Mail Service Pharmacy at 1-844-470-5890. These actions will initiate a quick start process allowing CVS Caremark Mail Service Pharmacy to work directly with the member’s prescriber. Prescribers may fax (1-800-378-0323) or e-prescribe (CVS Caremark Mail Service Pharmacy, NCPDP ID: 0322038, 9501 E Shea Blvd., Scottsdale, AZ 85260) prescriptions for their patients.

Date: 12/14/2018 11:08:54 PM Version: 4.0.30319.42000 Machine Name: PWIVE-CMSWEB02