Your Prescription Drug Benefits
Use the secure MedImpact pharmacy portal to keep track of your medications and find a pharmacy near you. To register you will need to provide your Member ID, first and last name, and date of birth. When you create a username and password, you will be able to check your pharmacy benefits anytime. To learn more about using the portal, read this user guide.
Here are some common questions many members ask about the Prescription Drug plan for VNSNY CHOICE Total (HMO D-SNP). If you don’t see an answer to your question here, please call Member Service. We’re here to help!
Yes! Many Medicare drug plans have what’s called a coverage gap (sometimes known as “the donut hole”). This means that after you and your drug plan have spent a certain amount of money for covered drugs, you could have to pay more for your prescription drugs (up to a certain limit).
VNSNY CHOICE Total provides coverage of medications through all phases, including the gap. Since Total members are full subsidy beneficiaries, you will have no additional cost shares during the gap. You will always have $0 cost share.
MTMP is designed for members like you who have several chronic medical conditions or take many different drugs at the same time.
Who Qualifies for the MTMP?
You will be automatically enrolled in this program if you meet all of the following criteria:
- Take eight or more Medicare Part D-covered medications
- Have three or more of the following conditions or diseases: Chronic Heart Failure (CHF), Diabetes, Dyslipidemia, Hypertension, Asthma, or Chronic Obstructive Pulmonary Disease (COPD)
- Likely to spend more than $4,376 a year on your Part D-covered medications
What if I don’t wish to participate in MTMP?
If you would like additional information about this program or you do not wish to take part in the MTMP, please call Member Services at 1-866-783-1444 (TTY for the hearing impaired: 711), 8 am – 8 pm, 7 days a week.
As a rule, you must use a network pharmacy. There may be a rare instance when you need a medication and cannot get to a network pharmacy. Please see Chapter 5 (“Using the plan’s coverage for your Part D prescription drugs”) in your Member Handbook (2020 plan handbook and 2021 plan handbook) for situations when CHOICE would cover prescriptions filled at an out-of-network pharmacy. Be aware that you may need to pay for the items out of pocket and be reimbursed. If you think you can’t get to a network pharmacy, please call Member Services. We may be able to find one for you nearby.
It’s easy to find a participating pharmacy. Use the Provider and Pharmacy Search tool on this website. If you are unable to find a pharmacy using this tool, please call Member Services and we will help you.
CHOICE Total follows guidelines set by Medicare to improve the safety of prescription medications and prevent prescription drug abuse for some types of medications. You can find more information about these rules by reading our Medicare Part D Opioid Policies.
Drug Formulary PDF
Future Drug Formulary
Please check these formulary updates for upcoming changes in the drug coverage list.