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Drug Benefits and Resources for Members

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. Scroll down for answers to frequently asked questions about drug benefits.

Look Up a Medication or Find a Network Pharmacy

Manage Your Medications from Your Computer

Register for the secure MedImpact Pharmacy Portal to keep track of your medications and find a pharmacy near you.

Manage Your Medications from Your Phone

Once you have registered for the MedImpact Pharmacy Portal, you can also use the MedImpact mobile app to manage your medications right from your phone.

Note: You will need to register for the portal before you can use the app.

Medication Therapy Management

The Medication Therapy Management (MTM) program is designed for people who have several chronic medical conditions or take many different drugs at the same time.

Medicare Prescription Payment Plan

A new payment option that helps you manage out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January to December).

Prescription Drug Resources

Prescription Drug Copay Table

Drug Formulary PDF

Last updated: December 24, 2024

Future Formulary Changes

Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF: October 2024
Last updated: October 29, 2024

Requirements and Policies

Step Therapy Requirements

Download PDF: January 2025
Last updated: December 24, 2024

Prior Authorization Requirements

Download PDF: January 2025
Last updated: December 24, 2024

Prescription Drug Transition Policy

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

Medicare Part D Opioid Policies

Last updated: November 25, 2020

Forms

Opioid Prior Authorization Request Form

Download PDF: Request Form
Last updated: November 25, 2020

Prescription Mail-Order Form/Brochure

Download PDF: English Spanish Chinese
Last updated: October 3, 2023

Request for Medicare Prescription Coverage Determination Form

Download PDF: Determination Form
Last updated: May 9, 2024

Request for Medicare Prescription Coverage Redetermination Form

Download PDF: Redetermination Form
Last updated: January 7, 2025

Frequently Asked Questions