El Paso Health Advantage Dual SNP (HMO D-SNP) members can access their prescription drug benefit information in this section. Here, you can find information on: · Medicare Prescription Drug Benefit (Part D)
- Pharmacy Directory
- Comprehensive and Abridged Formularies (available drug list)
- Part D Coverage Determinations and Appeal Requests
- Low Income Subsidy (LIS)
- Medication Therapy Management (MTM) program
Our Part D Benefit
We are pleased to offer Medicare Part D prescription drug benefit.
El Paso Health Advantage Dual SNP (HMO D-SNP) 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 Advantage Dual SNP (HMO D-SNP) Part D Transition Policy is available here.
If you need assistance, call Member Services at 1-833-742-3125 (TTY 711), from October 1 to March 31, 8:00 am to 8:00 pm, 7 days a week and April 1 through September 30, Monday through Friday, 8:00 am to 8:00 pm Mountain Time.