Pharmacy Programs

Choose one of our Medicare Advantage plans with prescription drug coverage to get everything you need in one easy plan. Learn more about Medicare Part D drug coverage and the coverage gap in our Understand Medicare section.

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$0 Tier 1 Generics

You can get Tier 1 generic drugs for $0 when you fill your prescription at Walgreens or other preferred cost-sharing pharmacies.

You can also get drugs at other standard cost-sharing network pharmacies for a low cost.

Retail 90

You can get a 90-day supply of your drugs for a 2-month copay at Walgreens or other preferred cost-sharing pharmacies.

And for the first time, you can now get a 90-day supply of your drugs for a 2.5-month copay at our other standard cost-sharing pharmacies. This applies in store or by mail.

Compare Drugs

Use our Compare Drugs tool to figure out what your meds will cost on our plans each year, and talk to your doctor about generic drug options. Connect to information and education about generic drugs and the savings they offer on Ask for Generics.

No Deductible on Tiers 1 and 2

You only have to meet a deductible for drugs on Tiers 3 through 5. In the past, you would've had a deductible for Tier 2 drugs, but you'll no longer need to meet a deductible for that tier.

Get the Lowest-Priced Option

If there is a lower-priced deal at the pharmacy than what you’d pay through us, you will get the drugs for that lower price.

Flu and Shingles Shots

You can get the flu shot at no cost to you when you use any in-network provider or pharmacy. If you get the shot at the doctor’s office, an office visit copay may apply.

The shingles shot falls under your pharmacy coverage, so you can get it any in-network provider or pharmacy that offers the shot for just your Tier 4 coinsurance.

Extra Help

You might be able to get extra help paying for your prescription drug premiums and costs.

For more info and to see if you qualify, contact:

Check the Best Available Evidence (BAE) for info about cost-sharing from CMS.

 

Formulary

Find all the drugs covered by your plan, and use the index at the end to find your drug quickly.

High Risk Medications

Find high-risk medications for the elderly and alternative treatments.

Prescription Drug Safety

Use this program for help taking multiple medications safely and effectively.

Find which drugs have special rules or limits to keep you safe.

Get details on how we'll help you switch to drugs we cover.

Go over the clinical guidelines for certain drugs.

Preauthorizations

Certain services and drugs require preauthorization, or approval of a drug or medical procedure before you get it. Only doctors can request this.

Providers should request preauthorizations through Your Health Alliance.


Other pharmacies are available in our network. The formulary and pharmacy network may change at any time. You will receive notice when necessary.