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Main Menu
- Shop for Plans show Shop for Plans menu
- I'm a Member show I'm a Member menu
-
Pharmacy Benefits
show Pharmacy Benefits menu
-
- Find a Doctor or Pharmacy
- List of Drugs (Formulary)
- Medication Therapy Management (MTMP)
- Mail Order Service
- Specialty Pharmacy
- Coverage Determinations and Redeterminations
- Prior Authorization, Step Therapy & Quantity Limitations
- Out-of-Network Pharmacies
- Medication (Drug) Management and Safety
- Drug Transition Policy
- Pharmacy Forms
- Medicare Prescription Payment Plan
-
Helpful Resources
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- Stop Medicare Fraud, Waste and Abuse
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- Best Available Evidence (BAE)
- This is a CMS policy that allows for changes to cost-sharing for low-income beneficiaries when there is evidence that information from a beneficiary is not up-to-date or accurate.
- Krames Health Library
- The Krames Health Library provides access to articles and fact sheets on health topics. Search health topics, such as cold or flu symptoms, dementia, and diabetes.
- HealthHub by WebMD Ignite
- Trusted information to help you on your health journey. WebMD Ignite provides clinically reviewed health & wellness education, resources, and tools. Visit the HealthHub by WebMD Ignite website.
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