Details about our formulary Learn more about how our Medicare prescription drug coverage works for you. Temporary Medication Supply If your drug isn't on our formulary, you can get a temporary supply while you discuss options with your doctor. Exceptions It's important to have the drugs you need. To request coverage of a drug that isn't on our formulary, or at a different cost-sharing level, use our exception process. Appeals/Grievances/Coverage Determinations Review our processes to make sure any issues are resolved quickly. Quality Assurance Review our efforts to ensure you receive safe and appropriate care. How to get extra help with your Part D drug costs

In consultation with a team of health care professionals, we have selected a list of drugs (formulary) which represents the prescription therapies believed to be a necessary part of a quality treatment program.

Our extensive formulary includes the most frequently prescribed drugs for people with Medicare.

See the list of drugs we cover:
Comprehensive Formulary List for Alliance Medicare PPO and HAP Senior Plus plan options with prescription drug benefits (Requires Adobe Reader)

Comprehensive Formulary List for Alliance Medicare Rx plan options (Requires Adobe Reader)

Broad pharmacy network

As a plan member, you can get both brand-name and generic prescription drugs at any pharmacy in our broad network of more than 1,500 pharmacies, which includes:

• Medical center and long-term care pharmacies
• Neighborhood pharmacies
• Well-known stores like Rite Aid, Meijer, Walgreens, Kmart, Costco, Kroger, and more
• Indian Health, Tribal, and Urban pharmacies
• Home delivery and mail-order pharmacies, like Pharmacy Advantage and Walgreens

You must use network pharmacies to receive your prescription drug benefit, except under non-routine circumstances when you cannot reasonably use network pharmacies.

To find a pharmacy that's convenient for you, refer to our pharmacy directory or contact Client Services.

Coverage while you travel

You can get your prescription drugs at any pharmacy with nationwide locations (like Walgreens or Kmart) that contracts with HAP or Alliance. And you are always covered throughout the U.S. for emergency prescriptions when you're out of the plan network.

Important Information

Part D benefits are provided through a network of contracted pharmacies. HAP Senior Plus, Alliance Medicare PPO and Alliance Medicare Rx all use the same pharmacy network.

There are 1597 pharmacies in the Senior Plus/Alliance Medicare PPO/Alliance Medicare Rx network. We meet CMS standards for access based on our service areas, as follows:

• 100% of beneficiaries who live in rural areas have a pharmacy within a 15 mile radius
• 100% of beneficiaries who live in suburban areas have a pharmacy within a 5 mile radius
• 100% of beneficiaries who live in urban areas have a pharmacy within in a 2 mile radius

As a member of either HAP Senior Plus, Alliance Medicare PPO or Alliance Medicare Rx, you will also be able to obtain covered drugs at out-of network pharmacies.

Get more information on the HAP and Alliance Health and Life Insurance Company contract with Centers for Medicare and Medicaid.