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Enter your ZIP code to learn about the CarePlus Medicare Advantage plans in your area.
Read about pharmacy-related safety alerts, announcements and other medication-related information.
PDFCarePlus to remove sevelamer from formularies in April 2016 (link opens in new window)
PDFCarePlus Announces Changes to 2016 Formularies (link opens in new window)
PDFCarePlus to remove Olysio and Victrelis from Formularies in July (link opens in new window)
PDFCarePlus Will Require Prior Authorization for Diovan in April 2015 (link opens in new window)
PDFMedications to Avoid in the Elderly (link opens in new window)
Access formulary lists and Part D utilization management requirements by visiting CarePlus Prescription Drug Guides and Part D Information page.
Find out how to request a coverage determination for a Part D prescription drug and access coverage determination request forms.
PDFHow to Request a Coverage Determination or an Exception (link opens in new window)
PDFMedicare Coverage Determination Request Form (link opens in new window)
If you prefer, you may complete the Coverage Determination Request (link opens in new window) online. Before completing the online request, you may want to view our accepted file types (link opens in new window) .
You can also access the Medicare Coverage Determination Request Form at the following CMS Part D webpage link: Part D Coverage Determination Request Form (link opens in new window) .
CarePlus makes arrangements to continue to provide necessary drugs to our members through a transition period. Read about our Part D Transition Policy.
PDFPart D Prescription Drug Plan Transition Policy for Providers (link opens in new window)
CarePlus appreciates your participation and role in delivering quality pharmacy services to our members. The CarePlus Pharmacy Manual is intended to assist pharmacy staff in processing claims for CarePlus plans.
CarePlus Health Plans, Inc provides this external link solely for our members' information and convenience. When you select a link to an external website, you are leaving the CarePlus website and are subject to the privacy and security policies of the sponsors of that external website.
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