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Medications

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

2023 Plan Future Formulary Changes

Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF: October 2023
Last updated: October 1, 2023
Requirements and Policies

Step Therapy Requirements

Last updated: October 1, 2023

Prior Authorization Requirements

Last updated: October 1, 2023

Prescription Drug Transitional Care Policy

Download PDF: English Spanish Chinese
Last updated: June 7, 2023

Request for Medicare Prescription Coverage Determination Form

Download PDF: Determination Form
Last updated: March 31, 2023

Request for Medicare Prescription Coverage Redetermination Form

Download PDF: Redetermination Form
Last updated: November 15, 2020