Health Plans Documents
Access forms, documents, and resources for all Medicare Advantage plans.
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Drug Benefits
Choose your plan to view or download information about your drug benefits, including formularies. You can also select specific document types to view or download the ones you need.
Prescription Drug Copay Table
Drug List (Formulary)
EasyCare
Drug List (Formulary)
EasyCare Plus
Total
Drug List (Formulary)
EasyCare
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF:
EasyCare Plus
Total
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF:
Step Therapy Requirements