Pharmacy & Drugs

Here, you can find information on Medicare Prescription Drug Benefit (Part D)

El Paso Health Medicare Advantage (HMO) members can access their prescription drug benefit information in this section.

Pharmacy & Drugs Tools

Preferred Diabetic Supply Vendors

Roche and Abbott are El Paso Health’s preferred diabetic supply vendors.

Use your El Paso Health Medicare Advantage Member ID card to get test strips and other supplies with ease.

For more information, call Member Services.

Navitus Pharmacy Real-Time Benefit Check tool

Learn about Navitus pharmacy new Real-Time Benefit Check tool (RTBC) to find the most cost-effective medications.
Learn More

Medication Therapy Management (MTM) program

This program helps you and your doctor make sure that your medications are working. It also helps us identify and reduce possible medication problems.
Learn More

Important Documents

Pharmacy and Provider Directories

Visit one of our Plan Materials pages to view and download directories.
DSNP Plan Materials Total and Giveback
Plan Materials

Comprehensive and Abridged Formularies

View and download a full list of drugs covered by your plan.
Comprehensive Formulary

Part D Coverage Determinations and Appeal Requests

You can request for a prescription drug to be covered by your El Paso Health Medicare Advantage plan.
Learn More

Need help paying for Medication?

Medicare Prescription Payment Plan for 2025

A new payment option that works with your current drug coverage to help you manage your out of pocket Medicare Part D drug costs.
Learn More

Low Income Subsidy (LIS)

A Medicare program to help people with limited income and resources pay Medicare prescription drug program costs.
Learn More

Our Part D Benefit for El Paso Health Medicare Advantage

El Paso Health Medicare Advantage has a “closed” formulary, which means that drugs that are within a given therapeutic class are covered as allowed under the Medicare Part D prescription drug program. A “closed” formulary also limits the number of eligible Part D medications that will be reimbursed by the plan.

We also cover the drugs that are part of the Medicare Part B benefit, including most injectable drugs administered by a physician. The amounts you pay for those drugs do not count toward the Part D deductibles or out-of-pocket amounts.

Our El Paso Health Medicare Advantage Part D Transition Policy is available here.

If you need assistance, call Member Services.
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