Dean Advantage Part D pharmacy benefits
Medications can play a significant role in your health care. The following information will help guide your decisions about medications and answer questions about your Medicare pharmacy benefits.
Need Extra Help?
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, all day, every day.
- The Social Security Office at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. TTY users should call 1-800-325-0778; or
- Your State Medicaid Office at 1-800-362-3002.
For more about Extra Help, see our summary chart.
Formulary
View a listing of covered medications in our comprehensive formulary.
Medical Management
Request authorization of services that require prior authorization, including medical drug injectables.
Find a pharmacy
Prescription drug savings
Find out ways to save on your prescriptions, including generic drugs, 100 day refills, and preferred pharmacy networks.
Utilization management for prescription drugs
Some covered medications have additional requirements, such as a prior authorization requirement or limits on coverage. Get prior authorization forms.
Pharmacy benefit guideline Q&A
Read some common questions and answers on Medicare pharmacy (Part D) topics.
Vaccine coverage
Read about how some vaccines are covered under the Part D benefit and when vaccines are covered under Medicare Part B.
Drug overutilization review program
Learn about how we meet the CMS requirement to prevent clinically inappropriate overuse of opioid medicines and acetaminophen.
Medication therapy management program
Pharmacy transition process
Learn about our pharmacy transition process for prescription drug coverage when you are a new member to plan, a returning member, when you change locations of care, and other special circumstances.
Part D coverage determinations, exceptions, appeals, and grievances
Read more about Part D coverage determinations, exceptions, appeals, and grievances.
Need additional information? Contact us. Get in touch to find out:
- How we control the use of services and costs.
- The number of appeals and grievances filed by our members.
- A summary description of how we pay our doctors.
- A description of our financial condition, including a summary of our most recent audit statement.