Medications can play a significant role in your health care. The following information will help guide your decisions about medications and answer questions about your Medicare pharmacy benefits.
You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call:
View a listing of covered medications in our comprehensive formulary.
Request authorization of services that require prior authorization, including medical drug injectables.
Search for nationwide pharmacy providers available through Prevea360 Medicare Advantage plans. And learn about using out-of-network pharmacies.
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.
Read some common questions and answers on Medicare pharmacy (Part D) topics.
Learn about how we meet the CMS requirement to prevent clinically inappropriate overuse of opioid medicines and acetaminophen.
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.