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Commercial Large Group

Pharmacy Overview for Providers Home > Commercial 

Information applicable to commercial large group members

Pharmacy Resources

2017 Resources

Drug Lists (Formularies)

Medication Request and Exception Forms

Prior Authorization (PA) Requests and Formulary Exceptions »

NOTE: The majority of commercial member enrollment files for a Jan. 1 effective date have been processed. There are some, however, that are still in process as employers finalize their year-end enrollment. It is possible that providers may be unable to verify eligibility for these members. If this occurs, please resubmit these eligibility requests a week or two later. Medica apologizes for any delay.

Specialty Drug Program

Medica relies on preferred vendors to manage specialty drugs for members. Fairview Specialty Pharmacy is our preferred Specialty Drug Program vendor. If a medication is not available at the Fairview Specialty Pharmacy, refer to the Specialty Drug List for additional locations.

Learn more at Fairview Specialty Pharmacy » 

Group plan members who use a drug savings card to help pay for their specialty drugs filled through specialty pharmacy will experience a change in the way the savings applies to their plan starting 1/1/2018.

View Drug Manufacturer Savings Card Program Changes (PDF) »

Members who have questions about their specialty drug coverage, the member should call the Customer Service number listed on the back of their Medica ID card.

Specialty Drug Lists

View the Commercial Specialty Drug List (PDF) »

Mail Order Pharmacy 

Medica offers pharmacy mail order through Fairview Mail Service Pharmacy. Members may receive a 90-day supply of their medication through the mail with a 90-day prescription, with no shipping or handling fees. Members can register for this service by phone or online.

Visit Fairview Mail Service Pharmacy for member information about using this service » 

Coming Soon

Starting Jan. 1, 2018, CVS Caremark Mail Service Pharmacy will be the new provider of prescription mail services for Commercial Plan members members, replacing Fairview Mail Service Pharmacy. Members may receive a 90-day supply of their medication through the mail, with no shipping or handling fees.

Diabetic Meters

OneTouch blood glucose meters and test strips are on Medica’s formulary as the preferred option. Members have access to one of the listed OneTouch blood glucose meters at no extra cost:

  • OneTouch Verio®
  • OneTouch Verio Flex
  • OneTouch Verio IQ

Compare OneTouch Verio meters »

Members can receive a new preferred meter by calling CVS Caremark at 1-800-588-4456 or submitting a Diabetic Meter Request Form (PDF).

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