2021 Medicare Stride Pharmacy Program

Members enjoy prescription drug benefits as part of our StrideSM Basic Rx (HMO), Stride℠ Value Rx (HMO), Stride℠ Value Rx Plus (HMO), Stride℠ Choice Rx (HMO-POS) and Stride℠ Gain Rx℠ (HMO) Medicare Advantage plans. Our goal is to help you navigate and understand how we cover drugs under these plans and assist you in getting the prescription drugs you need.

Formulary (list of covered drugs)
Find out if and how your drug is covered: view PDF or search our formulary

Pharmacy Benefits
Learn about our drug coverage

Pharmacy Locator
Locate a pharmacy in our network

Part D Coverage and Appeals
What you can do if your drug is not covered or is restricted in some way

Transition of Care
Review our transition policy and process for providing temporary supplies of drugs

Medication Therapy Management Program (MTMP)
Learn about a program we offer to help our members use their drugs safely and effectively

2021 Low Income Subsidy (LIS) Premium Summary
This chart shows the monthly plan premiums for people who get extra help from Medicare to help pay for their prescription drug costs.

CMS’s Policy on Best Available Evidence
The Centers for Medicare & Medicaid Services provides guidance on ways to substantiate your eligibility for Extra Help. Please review this information or call 1-800-MEDICARE if you believe your eligibility for Extra Help is not properly recorded.

Harvard Pilgrim is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Stride℠ (HMO) depends on contract renewal.

Links on this page may take you away from the Harvard Pilgrim Health Care website.

Y0098_21111                                                         Last Update: 10/1/20