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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?

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 Advantage Plans Coverage

CCA Medicare Dual Special Needs Plan Coverage

CCA Medicare Excel (HMO-POS) (MI) – List of Covered Drugs/Formulary (2024)

CCA Medicare Maximum (HMO D-SNP) (MI) – List of Covered Drugs (Formulary) (2024)

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 the appropriate use of certain drugs. If you do not get this approval, your patient’s drug might not be covered by the plan.

Prior Authorization Request Form (OptumRx) MI

Coverage Determination Form MI

If your request for coverage for a prescription drug was denied, you have the right to ask for an appeal of our decision within 60 days of the notice of denial.

Filing a Grievance, Complaint, Coverage Decision, or Appeal MI

Redetermination Request Forms MI

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