Health Plans Documents

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Drug List (Formulary)
EasyCare Plus Total
2026 Online Drug List (Formulary)
Total EasyCare Plus
Drug List (Formulary)
Download PDF:
2026 Plan Formulary - July 2026 (English/Spanish/Chinese)
EasyCare Plus Total
Future Formulary Changes

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

Download PDF:
July 2026
Step Therapy Requirements
Total EasyCare Plus
Step Therapy Requirements
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July 2026
Prior Authorization Requirements
Total EasyCare Plus
Prior Authorization Requirements
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July 2026
Requirements and Policies
Total EasyCare Plus EasyCare
Medicare Part D Opioid Policies
Download PDF:
Opioid Pharmacist Tip Sheet
Prior Authorization Request Forms
EasyCare Plus EasyCare Total
Request for Medicare Prescription Drug Coverage Determination – Online Form
Total EasyCare Plus EasyCare
Request for Medicare Prescription Drug Coverage Determination – PDF Form
Download PDF:
Determination Form
Total EasyCare Plus EasyCare
Request for Medicare Prescription Drug Coverage Redetermination
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Redetermination Form