Health Plans Documents
Access forms, documents, and resources for all Medicare Advantage plans.
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Drug Benefits for EasyCare
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
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
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Step Therapy Requirements
Prior Authorization Requirements
Requirements and Policies
EasyCare
EasyCare Plus
Total
Medicare Part D Opioid Policies
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Prior Authorization Request Forms
Total
EasyCare Plus
EasyCare
Opioid Prior Authorization Request Form
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