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Medicare StrideSM Value RX (HMO) and Stride Value RX Plus (HMO) 2016

Stride Id Card

MedImpact logo
Harvard Pilgrim Health Care partners with MedImpact Healthcare Systems, Inc. to administer our pharmacy benefit. As our pharmacy benefits manager (PBM), among other things, MedImpact facilitates the processing of claims at the pharmacy.

1A comprehensive formulary is a complete list of prescription drugs covered by Stride Value RX (HMO) and Stride Value RX Plus (HMO) in 2016.

Y0098_16114 Approved Last update 07-08-2016

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Transition Policy*

Prior Authorization Criteria*

Step Therapy Criteria*

Medicare Part C Appeals and Grievances*

Medicare Part D Coverage Determinations, Exceptions, Grievances and Appeals*

Prescription Claim Form*

Walgreens Mail Order Brochure

Walgreens Mail Order Form*

Medicare Prescription Drug Determination Request Form*

Medicare Prescription Drug Redetermination Request Form*

Medication Therapy Management Program (MTMP)