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Prescription Drug Benefits

Upon joining Simply Healthcare a Medicare Advantage Health Maintenance Organization (HMO) that offers Medicare prescription drug coverage, you must get your prescription drugs (Part D) through the plan's network pharmacies.

Important Information about your Prescription Drug Benefits:

Beginning January 1, 2017, Simply Healthcare will be using Express Scripts to manage pharmacy benefits. Your pharmacy benefits will remain the same, but it is important that you remember to start using your new Member ID Card to fill your prescription(s) starting January 1, 2017. If you do not receive your new Member ID Card before January 1, 2017, please call Member Services at
1-877-577-0115 (TTY 711) to ask for one. 

What are Medicare Part D Covered Drugs?

Medicare Part D covered drugs are available only by prescription, approved by the Food and Drug Administration (FDA) and used and sold in the United States. These medications are listed on the plan’s formulary.

Medicare covered Part D drugs include:

  • Prescription drugs
  • Biological products
  • Insulin as defined by the Centers for Medicare and Medicaid Services (CMS)
  • Certain vaccines
  • Medical supplies associated with the injection of insulin such as syringes, needles, alcohol swabs, and gauze

Please use the links below for additional information regarding the plan’s prescription drug benefits.


Last Updated: 
December 29, 2016