Employer Group Medicare Drug & Pharmacy Information

With our plan you have Part D prescription drug coverage to help with the cost of your medications. We select the generic and brand name drugs in our list of drugs (formulary) as part of a quality treatment program.

To find out if your drug is covered, select the List of Drugs (Formulary) tab, or contact Member Services for help.

In addition, we can assist you with the following:

• Transitions of prescription drugs
• Prior Authorization, Step Therapy and Quantity Limits
• Find a Pharmacy
• Mail Order Pharmacy
• Out-of-Network Pharmacies
• Medication Therapy Management Program (MTMP)
• Medication Adherence and Quality Assurance
• Coverage Determinations/Drug Exceptions and Appeals
• Information about the List of Drugs or Changes

Part D Explanation of Benefits (EOB)

When you use your Part D benefit, we send you an Explanation of Benefits (EOB) to help you understand what prescriptions you filled and to keep track of your drug payments. The EOB is available for free in another format or language upon request.

If you have questions about your pharmacy benefits, please contact Member Services. We are here to help.

With our plan, your Part D prescription drugs are covered at no cost. We select the generic and brand name drugs in our List of Drugs (Formulary) as part of a quality treatment program. For more information about your Part D prescription drug and pharmacy benefit, please select a topic from the list below to learn more, or contact Member Services for help.

• List of Drugs (Formulary) and Drug Change Notices
• Find a Pharmacy
• Drug Transition Policy
• Prior Authorization, Step Therapy and Quantity Limits
• Drug Coverage Determinations (exceptions) and Redeterminations (appeals)
• Medication Therapy Management Program
• Drug Quality Assurance
• Mail Order Service
• Specialty Pharmacy
• Out-of-Network Pharmacies

Part D Prescription Drugs Explanation of Benefits (EOB)

When you use your Part D prescription drug benefit, we send you an Explanation of Benefits (EOB) to help you understand and keep track of your drug payments. The EOB is available for free in another format or language upon request.

If you have questions about your Part D prescription drug and pharmacy benefit, please contact Member Services. We are here to help.