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Search for Covered Drugs

CCA covers a wide range of both over-the-counter, brand-name and generic prescription drugs at no cost to you. Find out if a medication is covered under your plan and what to do when it’s not.

CCA Medicare Excel Plans Coverage

Real-time Benefit Tool

What’s my out-of-pocket expense? Click below to check up-to-date medication costs at your pharmacy of choice.

Download Our Covered Drugs List

CCA Medicare Excel 001 Drug Formulary (2023)

Coverage Determination

For some drugs, you will need to get approval (“prior authorization”) from CCA Health before we can agree to cover a drug for your patient. The requirement for getting approval in advance may also help to guide appropriate use of certain drugs. If you do not get this approval, your patient’s drug might not be covered by the plan.

Drug Prior Authorization Request Form

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CCA Health Redetermination Form

If your request for coverage for a prescription drug was denied, you have the right to ask for an appeal of our decision.

Appeal Form for Drugs

Appeal Form for Drugs

Medication Transition Process

What can you do if a drug is not on the drug list or if the drug is restricted in some way?

If a drug is not on the drug list or is restricted, here are things you can do:

Read the document below to learn more.

Medication Transition Process

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Drug Quality and Utilization Management

Special rules restrict how and when the plan covers certain drugs. A team of doctors and pharmacists developed these rules to help our members use drugs in the most effective ways. These special rules also help control overall drug costs, which keeps drug coverage more affordable. Read the document below to learn more.

Drug Quality and Utilization Management

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