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Pharmacy

Here you will find a variety of pharmacy-related links and tools for your use.

Coverage Determination 

Request coverage or exception for a prescription drug.

Medication Appeals

Appeal a coverage determination decision.

Preferred Drug Lists (PDLs)

This list contains information about drugs covered by the plan. Please check back for updates, as PDLs are periodically amended.

View Preferred Drug Lists


This list includes drugs available for your treatment. We ask your doctor to use this list when prescribing your medications.

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Last Updated On: 9/12/2015
Medicare and Prescription Drug Plan Members: A new and enhanced member portal will soon be available. This portal will offer a fresh homepage, all new billing and payment options for 2020, and more! Check back on 10/15 to see what else is new. ×