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Prescription Drug Forms and Information

Prescription Drug Resources and Documents

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.

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