Plan transition process

Plan transition process

If you are currently taking a drug that is not on our formulary or subject to additional requirements or limits, you may be able to get a temporary supply of the drug. You can contact Customer Service to request an exception or switch to an alternative drug listed on our formulary, with your physician’s help. Contact us to see if you can get a temporary supply of the drug or for more details about our drug transition policy.

Customer Service
(541) 768-4550 or 1-800-832-4580, from 8 a.m. to 8 p.m.
TTY users should call 1-800-735-2900

Extra help for prescription drug costs

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or your State Medicaid office.

In general, beneficiaries must use network pharmacies to access their prescription drug benefit, except in non-routine circumstances. Quantity limitations and restrictions may apply.

Last modified: October 1, 2012
H3811_MA4001_2012A CMS Approved October 24, 2012