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Drug Benefits, Resources, and
Pharmacy Portal and App

Prescription Drug Resources and Documents

Prescription Drug Resources

Future Formulary Changes

Please check these formulary updates for upcoming changes in the drug coverage list.

Requirements and Policies

Step Therapy Requirements

Prior Authorization Requirements

Prescription Drug Transition Policy

Medicare Part D Opioid Policies

Forms

Opioid Prior Authorization Request Form

Download: Request Form

Prescription Mail Order Form/Brochure

Request for Medicare Prescription Coverage Determination Form

Request for Medicare Prescription Coverage Redetermination Form