Articles
Extra Help Program - Low Income Subsidy (LIS)
You might be able to get extra help paying for your prescription drug premiums and costs. Low Income Subsidy Rates For more info and to see if you qualify, contact: Medicare.gov at (800) MEDICARE or (800) 633-4227, TTY (877) 486-2048. 24 ...
Specific Drug Requirements
Certain covered drugs have special rules or limits, like step therapy, prior authorization, and quantity limits, to keep you safe. Learn more about these and which drugs have them. How do I request a coverage determination or medical exception for...
Medication Therapy Management Program (MTMP)
Better therapeutic outcomes for members with multiple conditions Our Medication Therapy Management Program (MTMP) is focused on improving therapeutic outcomes for Medicare Part D members. To qualify for MTMP, a member must meet all of the following...
What is a Biosimilar?
A biosimilar is a highly similar product to the original biologic medication already approved by the Food and Drug Administration (FDA). Biosimilars are made with the same types of natural products and administered in similar ways. Biosimilars have ...