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2025 Medicare Prescription Payment Plan Fact Sheet - English
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Comprehensive Formulary - English (Updated October 1, 2024)
Comprehensive Formulary - Spanish (Updated October 1, 2024)
Medicare Prescription Payment Plan Participation Request Form - English
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Prior Authorization Criteria 2025 (Updated November 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 2025 (Updated November 1, 2024)
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