Prescription Drug Information & Documents
2024 Prescription Drug Information & Documents
Call Member Services at 1-833-866-6559 (TTY: 1-800-955-8770)
Hours: 8 a.m. to 8 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, we are open 8 a.m. to 8 p.m. local time, Monday through Friday, except for major holidays.
Part D Formulary Information & Documents
- 2025 Comprehensive Formulary, last updated 8/26/2024 - English| Spanish
- 2025 Step Therapy criteria
- 2025 Prior Authorization criteria
- Part B Step Therapy and Prior Authorization Criteria
Click here to use our drug look up tool to view a list of covered medications and costs.