Some covered medications have additional requirements, such as a prior authorization requirement or limits on coverage. See requirements and access Prevea360 Medicare Advantage prior authorization forms.
Read about how some vaccines are covered under the Part D benefit and when vaccines are covered under Medicare Part B.
Some drugs require Step Therapy or Prior Authorization. Learn more about drugs with special requirements.
Read some common questions and answers on Medicare pharmacy (Part D) topics.
Learn about our pharmacy transition process for prescription drug coverage when you are a new member to plan, a returning member, when you change locations of care, and other special circumstances.
Read more about Part D coverage determinations, exceptions, appeals and grievances.