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Pharmacy Services

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Medica Drug Formularies

  • Medica Standard Commercial Drug Formulary
  • Medica Standard Commercial Drug Formulary Changes FAQ
  • Medica Drug Formulary for Minnesota Health Care Programs (Medica Choice CareSM and Medica MinnesotaCare) 
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Specialty Drug Program

Drug Management Policies

Pharmacy / Pharmacist Information

Medicare Part D Resources

Medicare Part D Drug Formularies
Medicare Part D Drug Formulary Changes
Medicare Part D Open Formulary Prior Authorization Descriptions
Medicare Part D Closed Formulary Prior Authorization Descriptions
Medicare Part D Open Formulary Step Therapy Program Descriptions
Medicare Part D Closed Formulary Step Therapy Program Descriptions
Outcomes Pharmaceutical Health Care® MTM Services: For pharmacists interested in providing Medication Therapy Management (MTM) services to Medica members enrolled in certain Medicare Part D plans.

Medication Request Forms

  • Epogen/Procrit/Aranesp
  • Growth Hormone
  • Medicare Part D Form for Appeal of Prescription Drug Denial
  • Medicare Part D Formulary and Prior Authorization Form
  • Medicare Part D Formulary and Prior Authorization Form - Online Submission 
  • MN Uniform Formulary Exception and Prior Authorization Form
  • Xolair
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