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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
EasyCare Plus
Prescription Drug Copay Table
EasyCare
Prescription Drug Copay Table
Drug List (Formulary)
EasyCare
Total EasyCare Plus
Total EasyCare Plus
EasyCare
EasyCare
Drug List (Formulary)
Total EasyCare Plus
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: