Your Pharmacy Coverage
Plans with pharmacy coverage built right in help you keep all your coverage in one place and help you save with special programs and discounts made for you. Learn about pharmacy plans and the coverage gap.
Save Time and Money
$2 Tier 1 Generics
Get Tier 1 generic drugs for $2 at any in-network pharmacy.
90 Day Supply Options
Limit your trips to the pharmacy with two convenient options. With our mail-order benefit, you can get a 90-day supply of your drugs delivered directly to you for two copays. If you prefer to get your drugs at a retail pharmacy, you can visit any in-network pharmacy and get a 90-day supply for three copays.
Drug Compare Tool
See how much you’ll pay each month and how much you could save by switching to a pharmacy with lower prescription costs or by taking a lower-cost drug. You can check costs at different pharmacies and see the differences in costs between retail (pickup) or mail order (delivery of a 90-day supply). You can also estimate your total annual drug costs.
If the pharmacy offers a lower price than what you'd pay through us, you'll get the drugs for that lower price.
Focus on prevention with coverage for a yearly wellness visit, routine screenings, flu shot and more.
The shingles shot falls under your pharmacy coverage, so you can get it at any in-network provider or pharmacy that offers the shot for your Tier 3 copay.
Savings for Members without Part D
Our Medicare Advantage members without Part D coverage get help paying for their prescription drug costs by showing their health plan ID card.
You might be able to get help to pay for your prescription drug premiums and costs through the Extra Help program. To see if you qualify, call one of the following:
- Medicare.gov at (800) MEDICARE (800-633-4227), (TTY 877-486-2048).
- 24 hours a day, seven days a week
- The Social Security Administration (800) 772-1213, (TTY 800-325-0778).
- 7 a.m. to 7 p.m., Monday through Friday
- The Illinois Medicaid Office
- The Iowa Medicaid Office
- The Washington Medicaid Office
LIS Premium Rate Sheets
Find all the drugs covered by your plan. Use the index at the end to find your drug quickly.
- 2021 Formulary - Midwest
- 2021 Formulary - Northwest
- 2021 Formulary - Northwest (En Espanol)
- 2021 Formulary - OSF
- Formulary Updates - Midwest
- Formulary Updates - Northwest
- Formulary Updates - OSF
- Formulary Updates - Reid Health Alliance
Preauthorizations and Clinical Guidelines
Certain services and drugs require preauthorization, or approval of a drug or medical procedure before you get it.
Providers should request preauthorizations through hally.com.
Receive Over-the-Counter Products Using Your Plan
As a member of Health Alliance Medicare, you can select up to $40 worth of over-the-counter items every quarter and have them shipped to your door for free.
Our Over-the-Counter Catalog includes certain medicines, vitamins, denture care, blood pressure monitors, and much more.
To get started, check out our Over-the-Counter Catalog to find items you may need. When you’re ready, Order Online or call (855) 824-2021 (TTY: 771). You can also use the order form that was mailed to you with the Over-the-Counter Catalog.
High Risk Medications
Find high-risk medications for aging adults and alternative treatments.
Prescription Drug Safety
Use this program for help taking multiple medications safely and effectively.
Find which drugs have special rules or limits to keep you safe.
Get details on how we'll help you switch to drugs we cover.