Part D - Pharmacy


Drug Formulary 2017

Find here the drug formulary, preauthorization criteria, step therapy criteria, formulary change notifications and OTC medication list of your plan.

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Coverage Determinations and Exceptions

Learn about the determinations and exceptions for your drug coverage.

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Transition Policy

Which are the circumstances where the plan can offer a temporary drug supply.

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Reimbursement Policy

How to request a reimbursement for medications.

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Pharmacy Out-of-Network Coverage

Learn the circumstances where it is permitted to use a pharmacy out of the network.

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Medication Therapy Management Program and Quality Guarantee

Program designed to help members manage and optimize the use of their medications.

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