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Pharmacy Services


Medica Commercial and SPP 

Formulary Structure:  The List of Preferred Drugs, Formulary drug benefit and Nonformulary drug benefit.

Utilization Management Programs:  Prior authorization, Step Therapy and Quantity Limits.

Noncovered Services:  Prescriptions that are excluded from coverage.

Network Pharmacies: Choice 90 Retail Pharmacy Program, Mail Order and Specialty Drug Program.


Medicare Part D

Formulary Structure:  Medicare Part D List of Preferred Drugs currently offered by Medica to members.

Utilization Management Programs:  Prior Authorization, Step-Therapy and Quantity Level Limits.

Coverage Determinations:  Standard Part D Coverage Determination Requests, Urgent Part D Coverage Determination Requests and Right to Appeal on Denials.

Transition of Care:  Medica provides a transition of care period for all new Medica Part D members.

Prescription & Over-the-Counter Wrap Benefits:  Prescription & Over-the-Counter Wrap Benefits, Medicare Part B Pharmacy Drugs and Over-the-Counter Drugs.

Excluded Part D Drugs: Categories of medications generally excluded by Medicare Part D.



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