With our plan you have Part D prescription drug coverage to help with the cost of your medications. We select the generic and brand name drugs in our list of drugs (formulary) as part of a quality treatment program.

To find out if your drug is covered, select the List of Drugs (Formulary) tab on the left, or contact Member Services for help.

In addition, we can assist you with the following:

• Transitions of prescription drugs
• Out-of-Network Pharmacies
• Quality Assurance
• Prior Authorization, Step Therapy and Quantity Limits
• Drug Exceptions and Appeals
• Find a doctor or pharmacy
• Mail Order Pharmacies
• Information about the List of Drugs or Changes

Part D Explanation of Benefits (EOB)

When you use your Part D benefit, we send you an Explanation of Benefits (EOB) to help you understand what prescriptions you filled and to keep track of your drug payments. The EOB is available for free in another format or language upon request.

With our plan you have Part D prescription drug coverage to help with the cost of your medications. We select the generic and brand name drugs in our list of drugs (formulary) as part of a quality treatment program.

To find out if your drug is covered, select the List of Drugs (Formulary) tab on the left, or contact Member Services for help.

In addition, we can assist you with the following:

Part D Explanation of Benefits (EOB)

When you use your Part D benefit, we send you an Explanation of Benefits (EOB) to help you understand what prescriptions you filled and to keep track of your drug payments. The EOB is available for free in another format or language upon request.