2010 Part D Prescription Drug Coverage

• To search our online formulary, click here
• To login as a member and create your own Medicine Cabinet, click here 
• If you have questions about True Blue HMO, Secure Blue PPO and Flexi Blue PFFS, please call Customer Service at 1-800-289-8617 or 208-395-8200, 8:00 AM to 8:00 PM (MT) seven days a week. TTY users should call 1-800-377-1363.
• If you have general questions about Medicare prescription drug coverage, please call Medicare at 1-800-MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week. TTY users should call 1-877-486-2048.

True Blue HMO, Secure Blue PPO and Flexi Blue PFFS are Medicare Advantage plans with a Medicare contract. For more detailed information about True Blue HMO, Secure Blue PPO and Flexi Blue PFFS prescription drug coverage, please review the Evidence of Coverage and other plan materials below.

Formulary Information

	Online Formulary Search
	How to Use a Formulary
	What if My Drug is Not in the Formulary
	Transition Plan Policy
	Call Us - We Can Help
	Notice of Formulary Change

Prescription Drug Coverage

	Prescription Drug Determinations
	Prior Authorization Criteria - Drugs covered under Medicare Part B or Part D
	True Blue HMO Prior Authorization Criteria
	Flexi Blue PFFS Prior Authorization Criteria
	Secure Blue PPO Prior Authorization Criteria
	Pharmacy Directory
	True Blue HMO Formulary
	Secure Blue PPO Formulary
	Flexi Blue PFFS Formulary
	Prescription Drug Cost Sharing/Out-of-Network

Your Rights and Responsibilities

Quality Policy

Benefit and Enrollment Information

	LIS Premium Summary
	Best Available Evidence (BAE)
	Evidence of Coverage
	Summary of Benefits
	Medicare Advantage Plan Service Area
	Customer Service and Assistance Resources
	Grievance and Appeals Process
	True Blue HMO/Secure Blue PPO Enrollment Application
	Flexi Blue PFFS Enrollment Application
	Your Rights
	Ending Membership
	Plan Disclosures

H1350 H1302 H5862 MK 10056 (XX/XX/XX)
Pending CMS Approval