- medicamentos receta
- limites cobertura medicamentos
- Criterios de autorización previa de la Parte D de 2025
Criterios de autorización previa de la Parte D de 2025
Busca tu plan a continuación para encontrar los criterios de autorización previa.
Alabama
Arizona
- Devoted EXTRA Arizona (HMO) y Devoted PRIME Arizona (HMO)
- Devoted CHOICE Arizona (PPO) – Condados de Cochise, Coconino, Graham, La Paz, Pima, Santa Cruz, Yavapai, y Yuma
- Devoted CHOICE Arizona (PPO) – Condados de Maricopa y Pinal
- Todos los demás planes de Arizona
Arkansas
Colorado
Florida
- Devoted EXTRA Florida (HMO) y Devoted CHOICE GIVEBACK Florida (PPO) – Todos los condados excepto Pensacola
- Todos los demás planes de Florida
Georgia
Hawaii
Illinois
Indiana
Kentucky
Mississippi
Missouri
North Carolina
- Devoted CHOICE North Carolina (PPO) & Devoted CHOICE GIVEBACK North Carolina (PPO)
- Todos los demás planes de North Carolina
Ohio
Oregon
- Devoted GIVEBACK Oregon (HMO) y Devoted PREMIUM Oregon (HMO)
- Devoted CORE Oregon (HMO) – Condados de Clackamas, Columbia, Multnomah, y Washington
- Devoted CORE Oregon (HMO) – Condados de Lane, Lincoln, y Linn
- Devoted CHOICE Oregon (PPO) y Devoted CHOICE PLUS Oregon (PPO)
Pennsylvania
- Devoted CHOICE Pennsylvania (PPO) y Devoted CHOICE GIVEBACK Pennsylvania (PPO) – Condados de Berks, Bucks, Chester, Delaware, Lehigh, Montgomery, Northampton, y Philadelphia
- Devoted CHOICE Pennsylvania (PPO) y Devoted CHOICE GIVEBACK Pennsylvania (PPO) – Condados de Armstrong, Bedford, Blair, Carbon, Clarion, Clearfield, Clinton, Crawford, Elk, Forest, Fulton, Huntingdon, Jefferson, Lackawanna, Lawrence, Luzerne, Monroe, Somerset, Susquehanna, y Wyoming
- Devoted DUAL PLUS Pennsylvania (HMO D-SNP)
- Devoted CHOICE PLUS Pennsylvania (PPO), Devoted CORE Pennsylvania (HMO), y Devoted GIVEBACK Pennsylvania (HMO)
South Carolina
Tennessee
- Devoted CHOICE Tennessee (PPO) y Devoted CHOICE GIVEBACK Tennessee (PPO) – Condados de Fayette, Hardeman, Haywood, y Shelby
- Devoted CHOICE Tennessee (PPO) y Devoted CHOICE GIVEBACK Tennessee (PPO) – Todos los condados excepto Fayette, Hardeman, Haywood, y Shelby
- Devoted BE WELL PLUS Tennessee (HMO C-SNP), Devoted CORE Tennessee (HMO), y Devoted GIVEBACK Tennessee (HMO)
Texas
- Devoted CORE Austin (HMO), DUAL PLUS Plans, Devoted EXTRA Greater Houston (HMO), y Devoted GIVEBACK San Antonio (HMO)
- Todos los demás planes de Texas