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Pharmacy Policies & Procedures

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 Care^SM and Medica MinnesotaCare) 
• Medicare Part D Drug Formularies
• Medica Drug Formulary for Individual and Family Plans

Specialty Drug Program

Drug Management Policies

Pharmacy / Pharmacist Information

Medicare Part D Resources

2013

• 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.

2012

• 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

• 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
  
  
• MedWatch Form: Note: This FDA form is needed if a prescriber requests a brand-name drug when an equivalent generic drug is available. Submit this form to Medica with the appropriate prior authorization form.