Formularies & Pharmacies

Prescription drug coverage can play a big role in your decision process when choosing which Medicare Advantage plan will work best for you.

The following information is here to help make it a bit easier for you to compare your options.

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View the following formularies to check which drugs are included:

2018 Prior Authorization Criteria (Individual/Group): Some drugs require you (or your physician) to get prior authorization.

2018 Prior Authorization Criteria (Pharmacy Benefit Dimensions PDP): Some drugs require you (or your physician) to get prior authorization.

2018 Step Therapy Criteria (Individual/Group): In some cases, Independent Health requires that you first try certain drugs to treat your medical condition before we will cover another drug for that condition.

2018 Step Therapy Criteria (Pharmacy Benefit Dimensions PDP): In some cases, Independent Health requires that you first try certain drugs to treat your medical condition before we will cover another drug for that condition.

2018 Formulary Quantity Limits (Individual/Group): Certain drugs have a quantity limit, which means we’ll provide coverage only up to the limit specified.

2018 Formulary Quantity Limits (Pharmacy Benefit Dimensions PDP): Certain drugs have a quantity limit, which means we’ll provide coverage only up to the limit specified.

View the following formularies to check which drugs are included:

2019 Prior Authorization Criteria (Individual/Group): Some drugs require you (or your physician) to get prior authorization.

2019 Prior Authorization Criteria (Pharmacy Benefit Dimensions PDP): Some drugs require you (or your physician) to get prior authorization.

2019 Step Therapy Criteria (Individual/Group): In some cases, Independent Health requires that you first try certain drugs to treat your medical condition before we will cover another drug for that condition.

2019 Step Therapy Criteria (Pharmacy Benefit Dimensions PDP): In some cases, Independent Health requires that you first try certain drugs to treat your medical condition before we will cover another drug for that condition.

2019 Formulary Quantity Limits (Individual/Group): Certain drugs have a quantity limit, which means we’ll provide coverage only up to the limit specified.

2019 Formulary Quantity Limits (Pharmacy Benefit Dimensions PDP): Certain drugs have a quantity limit, which means we’ll provide coverage only up to the limit specified.

Plan Transition Process: If you are new to the plan, we can help you transition when your current drugs are not on the formulary or your ability to get your drugs is limited.

You are covered both locally and nationally with our extensive pharmacy network. For the full list of participating locations, view our pharmacy directory:

Find the participating pharmacies near you

We offer mail order pharmacy services through ProAct and Wegmans Mail Order Pharmacy Services. You can use these services to obtain a 90-day supply of maintenance medications.

Learn more about ProAct and Wegmans Mail Order Pharmacy Services and get helpful tips on how to use your mail order pharmacy.

Registration Forms
ProAct Pharmacy Services Registration Form
Wegmans Mail Order Pharmacy Registration Form
Disclaimers
Independent Health is a Medicare Advantage organization with a Medicare contract offering HMO, HMO-SNP, HMO-POS and PPO plans. Enrollment in Independent Health depends on contract renewal.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
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Questions? Call Us.

(716) 250-4401 or
1-800-665-1502 (TTY: 711)

Hours:
October 1 – March 31: Monday – Sunday
8 a.m. – 8 p.m.

April 1 – September 30: Monday – Friday
8 a.m. – 8 p.m.