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Get prescription drug information - HMO-POS plans

Look up your prescription drugs to find out what tier they are on. Or locate a network pharmacy near you. For Ally Rx D-SNP prescription drug information, click here.

Cost savings on select insulins

For all Rx plans, you pay $35 for a 1-month supply of eligible insulin products in the Deductible, Initial Coverage and Coverage Gap stages. Click “View Select Insulins” below to see the list of eligible insulin products. NOTE: Insulin administered in an insulin pump is NOT covered under this Part D benefit as it is covered under Medicare Part B.

For more information regarding insulin products, click “View 2022 formulary” above, choose “Antidiabetic Agents” then “Insulins.” Eligible insulins will be designated SI in the Notes & Restrictions column.

For non-covered insulins, such as Humalog, the select insulins list includes similar insulins. If you need help finding an insulin that is similar to the one you are using, please call our Pharmacy Benefit Specialists at 1-877-873-5611 (TTY 711). We are open Monday through Friday, 8 a.m. to 5 p.m.

View Select Insulins

How are my prescription drugs covered? 

Get the most value out of your pharmacy benefit by understanding the formulary for your health insurance plan. A formulary is a list of drugs that are covered by your plan. Look up your prescriptions and learn what tier your drugs are in. The tier tells you how much you will have to pay for your prescription.

Low Income

Subsidy Extra help from Medicare for your drug costs and premiums

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our plan. This table shows you what your monthly plan premium will be if you get extra help.

Your level of extra help Monthly Premium for Spirit Rx* Monthly Premium for Essence Rx*  Monthly Premium for Ascend Rx* Monthly Premium for Esteem Rx*
100% $186.70 $45.70  $0.00 $0
75% $197.30 $56.30  $10.00 $0
50% $207.90 $66.90  $20.00 $0
25% $218.40 $77.40  $30.00 $0

* This does not include any Medicare Part B premium you may have to pay. It also does not include the $43 dental premium if you selected the optional comprehensive dental benefit.

Self-help tools

Web access and tools to provide drug pricing transparency, alternative drugs, history of drug claims and side effect information.

Opioid management

Opioids relieve moderate to severe pain but can have side effects and serious risks. Safety measures help reduce opioid use.



2022 Medicare Advantage HMO-POS Interactive formulary
2022 Medicare HMO-POS Comprehensive formulary
2022 Medicare Advantage HMO-POS  Prior Authorization formulary

Part D Drug Reimbursement Request form
Part D Vaccine Reimbursement Request form
MedImpact Direct - Medication Mail Order Form
Drug Transition Policy
Drug Safety News
 New rules for pain medications
Hospice Information for Medicare Part D Plans

Security Health Plan and its agents are not in any way connected with the Medicare program.