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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.

Prescription Drug Copay Table
EasyCare Plus
Prescription Drug Copay Table
Drug List (Formulary)
Total EasyCare Plus
Total EasyCare Plus
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
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Download PDF:
Prior Authorization Requirements
Total EasyCare Plus
Prior Authorization Requirements
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Download PDF:
Requirements and Policies
Total EasyCare EasyCare Plus
Medicare Part D Opioid Policies
EasyCare Plus
Prescription Drug Transitional Care Policy
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Prior Authorization Request Forms
Total EasyCare Plus EasyCare
Opioid Prior Authorization Request Form