Prescription Drug Coverage FAQs
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What is the KelseyCare Advantage Formulary?
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Can I talk to someone about prescription drug coverage?
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What if a drug I’m currently using, or my doctor wants me to use, isn’t listed in the formulary?
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What do I do before I can talk to my doctor about changing my drugs or requesting an exception?
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What if I have unexpected medication changes due to level-of-care changes?
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What is a Medication Therapy Management (MTM) program?
We’re here to help
Please Contact a Health Plan Specialist at 713-442-5646 (TTY:711)
From October 1 to March 31
8 a.m. - 8 p.m.
7 days a week
From April 1 to September 30
8 a.m. - 8 p.m.
Monday - Friday