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: March 28, 2025
Plan Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
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April 2025
Last updated: March 28, 2025
Requirements and Policies
Step Therapy Requirements
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April 2025
Last updated: March 31, 2025
Prior Authorization Requirements
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April 2025
Last updated: March 31, 2025
Prescription Drug Transitional Care Policy
Request for Medicare Prescription Coverage Determination Form
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Determination Form
Last updated: March 17, 2025
Request for Medicare Prescription Coverage Redetermination Form
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Redetermination Form
Last updated: May 9, 2024