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Medica DUAL Solution

Pharmacy Overview for Providers Home > Medica Dual Solution

Information applicable to Medica DUAL Solution® members (Medicare and Minnesota Health Care Programs Combined)

Pharmacy Resources

2016 Resources

Covered Drug Lists (Formularies)


Medication Request and Exception Forms


Part D Forms

Medica DUAL Solution Coverage Determination Request Form (Part D prior authorization)

Medica DUAL Solution Coverage Redetermination Request Form (Part D redetermination)

Adverse drug reaction reporting form (MedWatch form) »


Prior Authorization

Dual Closed Formulary (PDF)


Step Therapy

Dual Closed Formulary (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 Part D 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.

Product Information: Fact Sheets

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