Pharmacy & Prescription Drug Information

Note:
Advantage Medicare Plan has more than 800 contracted pharmacies in Oklahoma. CommunityCare Prescription Drug Plan has contracts with pharmacies that equals or exceeds CMS requirements for pharmacy access in your area.

Mail Order Prescription Drug Program

Choose from two convenient options. Click here for more mail order prescription information.

On-line Formulary

Search for prescription medications that promote clinically useful and cost-effective drug therapy.

Find a Pharmacy

CommunityCare Prescription Drug Plan is pleased to make its provider directory available to its members. The online directory is for your reference only.

CommunityCare Prescription Drug Plan makes every effort to maintain current and accurate provider data; however, periodic changes to a provider's status can occur. Please contact Customer Service at (918) 594-5323 or 1-800-642-8065 if you have questions about a provider's participation with CommunityCare Prescription Drug Plan. TTY/TDD users should call 1-800-722-0353.

The participating providers listed in the directory are independent contractors and are not employees of CommunityCare Prescription Drug Plan. All health care decisions are strictly the responsibility of the patient and the provider.

Monthly Plan Premiums for People who get Extra Help from Medicare

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. Click here view the low income subsidy premium table.

Drug Management Programs

For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. These requirements and limits ensure that our members use these drugs in the most effective way and also help us control drug plan costs. Click here for more information regarding our drug management programs.

CMS Best Available Evidence Policy

CMS has created a best available evidence (BAE) policy, which requires sponsors whose plans cover Part D prescription drugs to provide access to those drugs at the correct low-income subsidy (LIS) cost-sharing level when presented with evidence of a beneficiary’s LIS eligibility, even if the sponsor’s system and CMS’s system do not yet reflect that eligibility. Click here to view the Best Available Policy and related resources located on the CMS website.

Service Area

Although Medicare is a Federal program, CommunityCare Prescription Drug Plan is available only to individuals who live in our plan service area. To stay a member of our plan, you must keep living in this service area.

The CommunityCare Prescription Drug Plan service area includes: State of Oklahoma

If you plan to move out of the service area, please contact Customer Service at 918-594-5202.