Prescription Drug Benefits
Check below for important information about the Part D Transition Process, Prior Authorizations, the Step Therapy Criteria for Part-D Medicare, and the coverage determination and redetermination processes.
You can also find out more about Getting Extra Help with Your Prescription Drug Coverage.
Prescription Drug Resources
Drug Formulary PDF
2021 Plan Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
Download:
Plan Future Formulary Changes – Feb/March/April/May/July/August/Nov 2021 – Effective October 1
Plan Future Formulary Changes – February/March/April/May/July 31 – Effective September 1
Plan Future Formulary Changes – February/March/April/May/July 3
Plan Future Formulary Changes – February/March/April/May 2021 – Effective June, 1
Plan Future Formulary Changes – February/March/April/May 2021
Plan Future Formulary Changes – February/March/May 2021
Plan Future Formulary Changes – March/May 2021
Requirements and Policies
Step Therapy Requirements
Prior Authorization Requirements
Prescription Drug Transition Policy
Request for Medicare Prescription Coverage Determination Form
Download:
Determination Form
Request for Medicare Prescription Coverage Redetermination Form
Download:
Redetermination Form