Your Prescription Drug Benefits
On this page, you can find links to tools, forms, and useful information to help you stay on top of your medications.
New for 2025
New for 2025
Look Up a Medication or Find a Network Pharmacy
Look Up a Medication or Find a Network Pharmacy
Helpful Information About Your Pharmacy Benefits
Helpful Information About Your Pharmacy Benefits
Manage Your Medications from Your Computer or Phone
Manage Your Medications from Your Computer or Phone
Medication Therapy Management Program
Medication Therapy Management Program
Who Qualifies for the Medication Therapy Management Program?
You will be automatically enrolled in this program if you meet all of the following criteria:
- You take eight or more medications covered by Medicare Part D.
- You have three or more of the following conditions or diseases: Alzheimer’s disease, bone disease (such as arthritis or osteoporosis), chronic heart failure (CHF), diabetes, dyslipidemia, End-Stage Renal Disease (ESRD), Human Immunodeficiency virus/Acquired immunodeficiency syndrome (HIV/AIDS), hypertension, Mental Health (including depression, schizophrenia, bipolar disorder, and other chronic/disabling mental health conditions) or Respiratory Disease (including asthma, chronic obstructive pulmonary disease (COPD), and other chronic lung disorders).
- You are likely to spend more than the amount listed below on your Part D–covered medications:
- For 2025 plan members: $1,623
Medicare Prescription Payment Plan
A new payment option that works with a plan’s current drug coverage to help you manage out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January-December). Starting in 2025, if you select this payment option, each month you’ll continue to pay the plan premium (if there is one), and will get a bill from the health plan to pay for prescription drugs (instead of paying the pharmacy). Even though you won’t pay for drugs at the pharmacy, you will still be responsible for the costs. If you want to know your drug cost before you take it home, you can call the plan or ask the pharmacist at the pharmacy.
There’s no cost to participate in the M3P. Participation is voluntary.
This payment option might help you manage monthly expenses, but it doesn’t save money or lower drug costs.
For more information, view the Medicare fact sheet:
It depends on your situation. This payment option might help you manage your monthly expenses, but it doesn’t save you money or lower drug costs. You will benefit from participating in the M3P if you have high drug costs earlier in the calendar year. Although you can start participating in this payment option at any time in the year, starting earlier (like before September), gives you more months to spread out your drug costs before year ends. Click here to find out if you are likely to benefit from this payment option.
This payment option may not be the best choice for you if:
- Yearly drug costs are low.
- Drug costs are the same each month.
- You don’t want to change how you pay for drugs.
- You are eligible for Extra Help from Medicare.
- You are eligible for a Medicare Savings Program.
- You get help paying for drugs from other organizations, like a State Pharmaceutical Assistance Program (SPAP), a coupon program, or other health coverage.