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Resources
Members

  • Resources
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Pharmacy Documents

  • 2024 Pharmacy Directory - English

  • 2024 Pharmacy Directory - Spanish

  • Comprehensive Formulary - English (Updated December 1, 2024)

  • Comprehensive Formulary - Spanish (Updated December 1, 2024)

  • Medication Therapy Managment (MTM)

  • Medication Therapy Managment (MTM) - Spanish

  • Personal Medication List Form

  • Personal Medication List Form (Spanish)

  • Prior Authorization Criteria 2024 (Updated December 1, 2024)

  • Real Time Benefit Tool (RTBT) Medicare

  • Real Time Benefit Tool Guide

  • REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION

  • REQUEST FOR REDETERMINATION OF MEDICARE PRESCRIPTION DRUG DENIAL

  • Step Therapy Criteria 2024 (Updated December 1, 2024)

  • Member Health Tips
    • A Plan to Keep Your Child with Asthma Out of the ER
    • A Plan to Keep Your Child with Diabetes Out of the ER
    • Behavioral 5 Senses Chart - Bilingual
    • Breast Cancer Screening
    • Cervical Cancer Screening: Get the Right Test at the Right Time - Bilingual
    • Common Illnesses in Children & Where to Go For Care - Bilingual
    • Diabetes Emergencies: Signs, Symptoms, and Care
    • Diabetic Eye Exams: Why They Matter
    • Fighting Fentanyl Poisoning
    • First-Line Social Care for Children on Antipsychotics
    • Follow-Up After Emergency Department Visit for Mental Illness
    • Helping Youth & Young Adults Move From Pediatric to Adult Care - Bilingual
    • Postpartum Depression: Signs, Symptoms, and When to Get Help
    • Preeclampsia: Signs & Symptoms
    • Pregnancy Health - Therapeutic Services
    • RSV Antibody Treatment
  • Plan Year 2024
    • Additional Resources
      • Annual Notice of Change (Alamo Plan)
      • Annual Notice of Change and Low Income Subsidy Rider (D-SNP)
      • D-SNP EAC Interest Form
      • Extra Benefits Guide
      • Medicare Advantage HMO Prior Authorization List - 2024
      • Medicare Alamo Advantage Plan vs. Original Medicare 2024
      • Medicare Alamo Advantage Plan vs. Original Medicare 2024 - SPN
      • Medicare Appointment of Representative Form (ENG - Large Print)
      • Medicare Appointment of Representative Form (ENG)
      • Medicare Appointment of Representative Form (SPAN - Large Print)
      • Medicare Appointment of Representative Form (SPAN)
      • Non-Emergency Transportation Services
      • Non-Emergency Transportation Services - SPN
      • Provider Network Overview - English
      • Provider Network Overview - Spanish
      • Vision, Hearing, Dental Coverage Overview
    • Pharmacy Documents
      • 2024 Pharmacy Directory - English
      • 2024 Pharmacy Directory - Spanish
      • Comprehensive Formulary - English (Updated December 1, 2024)
      • Comprehensive Formulary - Spanish (Updated December 1, 2024)
      • Medication Therapy Managment (MTM)
      • Medication Therapy Managment (MTM) - Spanish
      • Personal Medication List Form
      • Personal Medication List Form (Spanish)
      • Prior Authorization Criteria 2024 (Updated December 1, 2024)
      • Real Time Benefit Tool (RTBT) Medicare
      • Real Time Benefit Tool Guide
      • REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION
      • REQUEST FOR REDETERMINATION OF MEDICARE PRESCRIPTION DRUG DENIAL
      • Step Therapy Criteria 2024 (Updated December 1, 2024)
    • Plan Documents
      • Medicare Advantage (HMO) D-SNP Evidence of Coverage - English
      • Medicare Advantage (HMO) D-SNP Evidence of Coverage - Spanish
      • Medicare Advantage (HMO) D-SNP Member Handbook - English
      • Medicare Advantage (HMO) D-SNP Member Handbook - Spanish
      • Medicare Advantage (HMO) D-SNP Summary of Benefits - English
      • Medicare Advantage (HMO) D-SNP Summary of Benefits - Spanish
      • Medicare Advantage (HMO) Provider Directory
      • Medicare Advantage 2024 Over-the-Counter (OTC) Catalog - English
      • Medicare Advantage 2024 OVER-the-Counter (OTC) Catalog - Spanish
      • Medicare Advantage Alamo (HMO) Evidence of Coverage - English
      • Medicare Advantage Alamo (HMO) Evidence of Coverage - Spanish
      • Medicare Advantage Alamo (HMO) Summary of Benefits - English
      • Medicare Advantage Alamo (HMO) Summary of Benefits - Spanish
      • Medicare Advantage Alamo Plan (HMO) Member Handbook - English
      • Medicare Advantage Alamo Plan (HMO) Member Handbook - Spanish
      • Welcome Letter (Sample)
  • Plan Year 2025
    • Additional Resources
      • 2025 Authorization List Codes - Clinician Administered Drugs
      • 2025 Medicare Contact Me Form
      • Behavioral 5 Senses Chart - Bilingual
      • Custom Prescription Packaging
      • Extra Benefits Guide
      • In-Home Urgent Care
      • Medicare Advantage (HMO) D-SNP Annual Notice of Change
      • Medicare Advantage Alamo (HMO) Annual Notice of Change
      • Medicare Advantage Individual Enrollment Request Form - English
      • Medicare Advantage Individual Enrollment Request Form - Spanish
      • Medicare Alamo Advantage Plan vs. Original Medicare 2025
      • Medicare Alamo Advantage Plan vs. Original Medicare 2025 - SPN
      • Medicare Appointment of Representative Form (ENG - Large Print)
      • Medicare Appointment of Representative Form (ENG)
      • Medicare Appointment of Representative Form (SPAN- Large Print)
      • Medicare Appointment of Representative Form (SPAN)
      • Medicare Pre-Enrollment Checklist - English
      • Medicare Pre-Enrollment Checklist - Spanish
      • MedLink
      • Member Advisory Committees
      • Member Portal
      • NationsBenefits® Flex Card Walmart® Announcement
      • Non-Emergency Medical Transportation Member FAQs
      • Non-Emergency Medical Transportation Member FAQs - SPAN
      • Non-Emergency Transportation Services - Bilingual
      • Sample Medicare Advantage Explanation of Benefits (English)
      • Sample Medicare Advantage Explanation of Benefits (Spanish)
      • The Right Care At the Right Place, At the Right Time - Bilingual
      • University Health MedLink Partnership
      • Vision, Hearing, & Dental Coverage Overview
    • Pharmacy Documents
      • 2025 Medicare Prescription Payment Plan Fact Sheet - English
      • 2025 Medicare Prescription Payment Plan Fact Sheet - Spanish
      • 2025 Pharmacy Directory - English
      • 2025 Pharmacy Directory - Spanish
      • Comprehensive Formulary - English (Updated May 1, 2025)
      • Comprehensive Formulary - Spanish (Updated May 1, 2025)
      • Medicare Prescription Payment Plan Participation Request Form - English
      • Medicare Prescription Payment Plan Participation Request Form - Spanish
      • Medication Therapy Management (MTM)
      • Medication Therapy Management (MTM) - Spanish
      • Personal Medication List Form
      • Personal Medication List Form (Spanish)
      • Prior Authorization Criteria 2025 (Updated May 1, 2025)
      • Real Time Benefit Tool (RTBT) Medicare
      • Real Time Benefit Tool Guide
      • Request for Medicare Prescription Drug Coverage Determination
      • Request for Redetermination of Medicare Prescription Drug Denial
      • Step Therapy Criteria 2025 (Updated May 1, 2025)
    • Plan Documents
      • Medicare Advantage 2025 Over-the-Counter (OTC) Catalog - English
      • Medicare Advantage 2025 Over-the-Counter (OTC) Catalog - Spanish
      • Medicare Advantage Alamo (HMO) Evidence of Coverage - English
      • Medicare Advantage Alamo (HMO) Evidence of Coverage - Spanish
      • Medicare Advantage Alamo (HMO) Provider Directory
      • Medicare Advantage Alamo (HMO) Summary of Benefits - English
      • Medicare Advantage Alamo (HMO) Summary of Benefits - Spanish
      • Medicare Advantage Alamo Plan (HMO) Member Handbook - English
      • Medicare Advantage Alamo Plan (HMO) Member Handbook - Spanish
      • Medicare Advantage D-SNP (HMO) Evidence of Coverage - English
      • Medicare Advantage D-SNP (HMO) Evidence of Coverage - Spanish
      • Medicare Advantage D-SNP (HMO) Member Handbook - English
      • Medicare Advantage D-SNP (HMO) Member Handbook - Spanish
      • Medicare Advantage D-SNP (HMO) Provider Directory
      • Medicare Advantage D-SNP (HMO) Summary of Benefits - English
      • Medicare Advantage D-SNP (HMO) Summary of Benefits - Spanish
      • Welcome Letter (Sample)
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Avenida Guadalupe
1410 Guadalupe
Ste. #222
San Antonio, TX 78207
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210-358-6386

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1.​833.​434.​2347

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Need help in another language? Community First Health Plans has bilingual health care specialists who can assist you over the phone. You can also request any materials on this website in another format, such as large print, or in another language. Simply call Member Services.

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