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2025 Centers Plan for Medicare Advantage Care (HMO) Materials

Comprehensive Formulary (Drug List)

Language Link Last Updated
English
06/01/25
Español
06/01/25

Other Formulary-Related Documents

Language Link Last Updated
Prior Authorization Requirement
05/30/25
Step Therapy Requirement
05/30/25
Future Formulary Changes
05/21/25

Interpreter Services & Non-Discrimination Notice

Language Link Last Updated
English
12/18/24
Spanish
12/18/24

Evidence of Coverage

Language Link Last Updated
English
11/19/24
Español
11/19/24

Annual Notice of Changes

Language Link Last Updated
English
11/19/24
Español
11/19/24

Summary of Benefits

Language Link Last Updated
English
11/19/24
Español
11/19/24

Medicare Provider Directory (pdf)

Language Link Last Updated
English
04/01/25
Español
04/23/25

Pharmacy Directory (pdf)

Language Link Last Updated
English
04/23/25
Español
10/15/24

If you would like a copy of our Provider/Pharmacy Directory mailed to you, please call Member Services at 1-877-940-9330

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Last modified: Jun 2, 2025