Here’s what you need to know.

What’s changing?

If you have Part D prescription drug coverage through Medica, it is important that you know we’re making changes to our pharmacy program.

Starting January 1, 2020, Medica’s pharmacy program will be administered by Express Scripts® (ESI). ESI will maintain Medica’s List of Covered Drugs (formulary), process claims and help us better coordinate your care.

Why are these changes happening?

These changes will help keep health care costs as low as possible for everyone, while continuing to make sure you have access to safe, affordable and effective prescriptions.

Coverage changes

Some members will see changes in their prescription coverage for certain drugs and supplies. Those affected by coverage changes, will receive a letter with details about specific changes. If you receive this important letter, talk with your doctor or pharmacist about your treatment options.

View 2019 Part D List of Covered Drugs (formulary)
View 2020 Part D List of Covered Drugs (formulary)

Your new ID card

Watch for your new ID card to arrive in the mail before the end of the year. Your card will include new information for your pharmacist. Starting January 1, bring your new card to the pharmacy so that your pharmacist can update your information and make sure you receive the right coverage for your prescriptions.

Large pharmacy network

You’ll have access to more than 68,000 pharmacies nationwide – including chain pharmacies (Walgreens, CVS Pharmacy, etc.) and neighborhood pharmacies. Some Medicare plans may be affected by a new preferred/non-preferred network.

The Formulary and/or pharmacy network may change at any time. You will receive notice when necessary.

Pharmacy location

24/7 access to digital tools & resources

COMING SOON! Starting January 1, 2020, download the free “Express Scripts®” app from the Apple AppStore, or get it on Google Play. You can access these same tools and resources through mymedica.com.

Express Scripts App Screenshot

Look forward to these digital features

Digital ID Card

Be sure to show your Medica ID card each time you go to the pharmacy. That way, you’ll receive the right coverage for your prescriptions. Can’t find your ID card? View or print your digital pharmacy ID.

Find a Pharmacy

Search an extensive list of all retail pharmacies in your plan and find the most convenient locations. You can fill your prescription at any in-network pharmacy.

Search our 2020 pharmacy network

Check Drug Coverage

Find out if your drug is covered.

Search our 2020 drug cost tool

Review your Medications

Talk with a pharmacist and learn how to get the safest and most effective results from your drugs and Medication Therapy Management (MTM).

Learn about our MTM Program

Prescription Mail Service

Filling long-term drugs through home delivery using Express Scripts PharmacySM may be a convenient option. You can receive a 90-day supply of your medication through the mail with no shipping or handling fees.

Learn about prescription mail order

Here are some things you can do starting January 1st.

  1. Talk with your doctor or pharmacist about any changes to your prescriptions.
  2. Use your new ID card.
  3. Download the mobile app and register to connect your pharmacy benefit information, or visit the ESI website through mymedica.com for your access to view and manage your prescriptions.
Have more questions?
View the FAQs.
Visit FAQs
Speak with a Medica Consultant.

Have questions about these changes? Give us a call.

Toll free: 1-888-496-5652 (TTY: 711)
Metro Minneapolis: 952-992-2300

April 1 – September 30: 8 a.m. to 8 p.m., Central, M-F
October 1 – March 31: 8 a.m. to 8 p.m., Central, M-Sun