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Health Plans Documents

Access forms, documents, and resources for all Medicare Advantage plans.

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Drug Benefits for EasyCare Plus

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.

Drug List (Formulary)
Total EasyCare Plus
EasyCare Plus Total
Total EasyCare Plus
Drug List (Formulary)
EasyCare Plus Total
Future Formulary Changes

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

Download PDF:
Step Therapy Requirements
EasyCare Plus Total
Step Therapy Requirements
Download PDF:
Download PDF:
Prior Authorization Requirements
EasyCare Plus Total
Prior Authorization Requirements
Download PDF:
Download PDF:
Requirements and Policies
EasyCare EasyCare Plus Total
Medicare Part D Opioid Policies
EasyCare Plus
Prescription Drug Transitional Care Policy
Download PDF:
Prior Authorization Request Forms
Total EasyCare Plus EasyCare
Opioid Prior Authorization Request Form
EasyCare Plus Total EasyCare