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Minnesota Health Care Programs

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Information applicable to Minnesota Health Care Programs members

Pharmacy Resources

2019

Covered Drug Lists (Formularies)


Prior Authorization (PA) Requests and Formulary Exceptions

Medication Request and Exception Forms

Minnesota Health Care Programs Prior Authorization Inquiries

Phone: 1-877-433-7643

Fax: 1-866-255-7569

Specialty Drug Program  

Medica relies on preferred vendors to manage specialty drugs for members. As of 1/1/2018, Accredo Specialty Pharmacy is our preferred Specialty Drug Program vendor.

Members who have questions about their specialty drug coverage should call the Customer Service number listed on the back of their Medica ID card.

For access to specialty drug referral forms, visit Accredo Specialty Pharmacy’s referral form page, or call Accredo Specialty Pharmacy at 1-866-544-6817.

Specialty Drug Lists

2019 Minnesota Health Care Programs Specialty Drug List (PDF)

 

Diabetic Meters

Accu-Chek® blood glucose meters and testing supplies are on Medica's formulary as the preferred option. Members have access to one of the listed Accu-Chek blood glucose meters at no extra cost:

  • Accu-Chek Guide
  • Accu-Chek Aviva Plus
  • Accu-Chek Nano

Members can receive a new preferred meter by:

  • Calling CVS Caremark toll-free at 1-800-588-4456, Monday through Friday from 8 a.m. and 6 p.m. Central time
  • Downloading, completing and submitting a Diabetic Supply Order Form (PDF)


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