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Prescription Drug Benefits

Check below for important information about the Part D Transition Process, Prior Authorizations, the Step Therapy Criteria for Part-D Medicare, and the coverage determination and redetermination processes.

You can also find out more about Getting Extra Help with Your Prescription Drug Coverage.

Prescription Drug Resources

Drug Formulary PDF

Last updated: 11/29/2022
Requirements and Policies

Step Therapy Requirements

Last updated: 11/29/2022

Prior Authorization Requirements

Last updated: 06/30/2022

Prescription Drug Transitional Care Policy

Download PDF: English Spanish Chinese
Last updated: 11/15/2021

Request for Medicare Prescription Coverage Determination Form

Download PDF: Determination Form
Last updated: 02/05/2021

Request for Medicare Prescription Coverage Redetermination Form

Download PDF: Redetermination Form
Last updated: 11/15/2020