MDwise 24111.000
For formulary assistance, please call (800) 910-4691, 24 hours, 7 days a week. To download a comprehensive list of Part D prescribed drugs covered by the plan, please visit www.mdwise.org
Your formulary coverage, pharmacy network or participating providers may change from time to time. If you are impacted you will receive notification. Premium, co-pay, co-insurance and deductibles may vary based on a member’s level of Extra Help. Please call (800) 910-4691 for additional details.
Important Message about What You Pay for Vaccines – Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible. Call Customer Care for more information.
Important Message about What You Pay for Insulin – You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.
