The Pharmacy Directory and the over-the-counter catalog are the same for all Medica Prime Solution (Cost) members and available at the top of this page.
Pharmacy Directory for all Medica Prime Solution (Cost) members
Over-the-counter (OTC) catalog for all Individual Medica Prime Solution (Cost) members with an OTC allowance
2023 View or print Medicare over-the-counter catalog (PDF)
Iowa
Medica Prime Solution Premier (Cost)
(2023 $130.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Annual notice of changes (PDF) updated 2/20/2023
- 2023 Evidence of coverage (PDF) updated 2/20/2023
Medica Prime Solution Core (Cost)
(2023 $76.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Annual notice of changes (PDF) updated 2/20/2023
- 2023 Evidence of coverage (PDF) updated 2/20/2023
Medica Prime Solution Thrift (Cost)
(2023 $40.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Kansas
Medica Prime Solution Premier (Cost)
(2023 $130.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Core (Cost)
(2023 $76.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Thrift (Cost)
(2023 $40.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Minnesota
Medica Prime Solution Enhanced (Cost), Medica Prime Solution Enhanced w/Rx (Cost), Medica Prime Solution Enhanced w/Rx2
Medica Prime Solution Enhanced with Rx (Cost)
Available for 2023 is the Enhanced with Rx2 with $242.30 monthly premium
Medica Prime Solution Enhanced with Rx2 (Cost)
(2023 $242.30 monthly premium)
Medica Prime Solution Enhanced with no Rx (Cost)
(2023 $166.00 monthly premium)
Provider Directories
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx2 (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
Annual Notice of Changes documents
- 2023 Annual Notice of Changes with Rx transition to Rx2 (PDF) updated 2/20/2023
- 2023 Annual notice of changes with Rx2 (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Medica Prime Solution Basic (Cost), Medica Prime Solution Basic w/Rx (Cost), Medica Prime Solution Basic w/Rx2 (Cost)
Medica Prime Solution Basic with Rx (Cost)
(2023 $131.80 monthly premium)
Medica Prime Solution Basic with Rx2 (Cost)
(2023 $169.60 monthly premium)
Medica Prime Solution Basic with no Rx (Cost)
(2023 $86.00 monthly premium)
Provider Directories
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of coverage with Rx2 (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
Annual Notice of Changes documents
- 2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with Rx2 (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Medica Prime Solution Thrift (Cost), Medica Prime Solution Thrift w/Rx (Cost)
Medica Prime Solution Thrift with Rx (Cost)
(2023 $90.30 monthly premium)
Medica Prime Solution Thrift with no Rx (Cost)
(2023 $40.00 monthly premium)
Provider Directories
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
Annual Notice of Changes
- 2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Medica Prime Solution Standard (Cost), Medica Prime Solution Standard w/Rx (Cost)
Medica Prime Solution Standard with Rx (Cost)
(2023 $49.40 monthly premium)
Medica Prime Solution Standard with no Rx (Cost)
(2023 $0 monthly premium)
Provider Directories
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of Coverage with no Rx (PDF) updated 2/20/2023
Annual Notice of Changes
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes w/Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Missouri
Medica Prime Solution Premier (Cost)
(2023 $130.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Core (Cost)
(2023 $76.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Thrift (Cost)
(2023 $40.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Nebraska
Medica Prime Solution Standard (Cost)
(2023 $0.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Core (Cost)
(2023 $76.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Premier (Cost)
(2023 $130.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Thrift (Cost)
(2023 $40.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
North Dakota & South Dakota
Medica Prime Solution Premier (Cost), Medica Prime Solution Premier w/Rx (Cost)
Medica Prime Solution Premier with Rx (Cost)
2023 $266.20 monthly premium)
Medica Prime Solution Premier with no Rx (Cost)
(2023 $195.00 monthly premium)
Provider Directories
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory ND, SD, WY (PDF)
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
Annual Notice of Changes documents
- 2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Medica Prime Solution Core (Cost), Medica Prime Solution Core w/Rx (Cost)
Medica Prime Solution Core with Rx (Cost)
(2023 $149.10 monthly premium)
Medica Prime Solution Core with no Rx (Cost)
(2023 $86.00 monthly premium)
Provider Directories
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory ND, SD, WY (PDF)
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
Annual Notice of Changes documents
- 2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Medica Prime Solution Thrift (Cost), Medica Prime Solution Thrift w/Rx (Cost)
Medica Prime Solution Thrift with Rx (Cost)
(2023 $90.30 monthly premium)
Medica Prime Solution Thrift with no Rx (Cost)
(2023 $40.00 monthly premium)
Provider Directories
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory ND, SD, WY (PDF)
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
Annual Notice of Changes documents
- 2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Medica Prime Solution Standard (Cost)
(2023 $0 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory ND, SD, WY (PDF)
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Medica Prime Solution Standard w/Rx (Cost) - South Dakota Only
(2023 $49.40 monthly premium)
Provider Directories
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory ND, SD, WY (PDF)
Evidence of coverage documents
2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
Annual Notice of Changes documents
2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Oklahoma
Medica Prime Solution Premier (Cost)
(2023 $130.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Core (Cost)
(2023 $76.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Thrift (Cost)
(2023 $40.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory IA, KS, MO, NE, OK (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Wisconsin
Medica Prime Solution Standard (Cost)
(2023 $0.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory MN, WI (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Wisconsin Addendum to the Evidence of Coverage (PDF)
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Focus (Cost), Medica Prime Solution Focus w/Rx (Cost)
Medica Prime Solution Focus with Rx (Cost)
(2023 $140.70 monthly premium)
Medica Prime Solution Focus with no Rx (Cost)
(2023 $87.00 monthly premium)
Provider Directories
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
- 2023 Wisconsin Addendum to the Evidence of Coverage (PDF)
Annual Notice of Changes documents
- 2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Medica Prime Solution Total (Cost), Medica Prime Solution Total w/Rx (Cost)
Medica Prime Solution Total with Rx (Cost)
(2023 $258.70 monthly premium)
Medica Prime Solution Total with no Rx (Cost)
(2023 $194.00 monthly premium)
Provider Directories
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
- 2023 Wisconsin Addendum to the Evidence of Coverage (PDF)
Annual Notice of Changes documents
- 2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Evidence of coverage Wisconsin Rider
- 2023 Evidence of coverage – Wisconsin Rider Total with Rx (PDF)
- 2023 Evidence of coverage – Wisconsin Rider Total with no Rx (PDF)
Formulary (Drug List)
Medica Prime Solution Thrift (Cost), Medica Prime Solution Thrift w/Rx (Cost)
Medica Prime Solution Thrift with Rx (Cost)
(2023 $90.30 monthly premium)
Medica Prime Solution Thrift with no Rx (Cost)
(2023 $40.00 monthly premium)
Provider Directories
Evidence of Coverage documents
- 2023 Evidence of coverage with Rx (PDF) updated 2/20/2023
- 2023 Evidence of coverage with no Rx (PDF) updated 2/20/2023
- 2023 Wisconsin Addendum to the Evidence of Coverage (PDF)
Annual Notice of Changes documents
- 2023 Annual notice of changes with Rx (PDF) updated 2/20/2023
- 2023 Annual notice of changes with no Rx (PDF) updated 2/20/2023
Formulary (Drug List)
Wyoming
Medica Prime Solution Premier (Cost)
(2023 $195.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory ND, SD, WY (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Core (Cost)
(2023 $86.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory ND, SD, WY (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Medica Prime Solution Thrift (Cost)
(2023 $40.00 monthly premium)
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory ND SD WY (PDF)
- 2023 Evidence of coverage (PDF) updated 2/20/2023
- 2023 Annual notice of changes (PDF) updated 2/20/2023
Group Prime Solution Documents
Medica Group Prime Solution (Cost)
Provider Directories
- Search for 2023 providers online
- 2023 View or print Prime Solution provider directory for IA, KS, MO, NE, OK (PDF)
- 2023 View or print Prime Solution provider directory for MN, WI (PDF)
- 2023 View or print Prime Solution provider directory for ND, SD, WY (PDF)
Evidence of Coverage (EOC)
To get a copy of your Evidence of Coverage (EOC) or other plan documents, contact the Medica Member Service phone number on the back of you Medica ID card
Formulary (Drug List)
Order Materials by Mail
The easiest way to access your plan materials is to view or download them at the links above. If you prefer, we are able to send materials to you via mail.
Last Updated: January 2023