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Provider : Pharmacy Services

Search a list of prescription drugs covered by our plans.


  • Exactus Specialty Pharmacy
    Available at no additional cost to patients undergoing treatment for long-term, life-threatening or rare conditions.


Coverage Determination
Request coverage or exception for a prescription drug.

Medication Appeals
Appeal a coverage determination decision.

Other Useful Forms

Contact Us
Please refer to your Medicare Quick Reference Guides for contact information.

Last modified: 11/10/2014

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