Drug and Pharmacy Information
Under Superior HealthPlan STAR+PLUS Medicare-Medicaid Plan (MMP), your prescriptions are paid for by us. Prescription drugs on our List of Drugs (Formulary) will be covered as long as the drug is medically necessary, and other plan rules are followed. If you have any questions regarding if your drugs are covered, you can click on the links below or contact Member Services for additional assistance.
In addition, we can assist you with the following:
- Transitions of prescription drugs
- Out-of-network coverage
- Quality assurance
- Utilization management (prior authorization requirements)
- Exceptions and appeals
- Find a Doctor or Pharmacy
- Information about any formulary changes
For more information, call the Member Services department at 1-866-896-1844. Hours are 8 a.m. to 8 p.m., Monday through Friday. After hours, on weekends and on holidays, you may be asked to leave a message. Your call will be returned within the next business day. TTY users call 711.
We are here to help you!
Last Updated: 04/19/2018
With our plan, your Part D prescription drugs are covered at no cost. We select the generic and brand name drugs in our list of drugs (formulary) as part of a quality treatment program. To find out if your drug is covered, select the List of Drugs (Formulary) tab on the left, or contact Member Services for help.
We also can assist you with:
Part D Explanation of Benefits (EOB)
When you use your Part D benefit, we send you an Explanation of Benefits (EOB) to help you understand and keep track of your drug payments. The EOB is available for free in another format or language upon request.
If you have questions about your pharmacy benefits, contact Member Services. We are here to help.
Last updated: 10/04/2018