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Frequently Asked Questions

Your Pharmacy Benefits

Please click here for a Pharmacy Locator and Formulary Search for the Positive Healthcare Partners Medicare Advantage Part D prescription drug benefit. The link will take you to a new site and the page will open in a new window.

Please click here to download the Positive Healthcare Partners Pharmacy Directory as an Adobe Acrobat PDF.

Please click here to download the Positive Healthcare Partners Abridged Formulary as an Adobe Acrobat PDF.

Please click here to download the Positive Healthcare Partners Appeals and Grievances Information as an Adobe Acrobat PDF.

Please click here to download the Positive Healthcare Partners Appointment of a Representative Information as an Adobe Acrobat PDF.

Please click here to download Form CMS-1696 (Appointment of a Representative) as an Adobe Acrobat PDF.

Please click here to download the Positive Healthcare Partners Coverage and Determination Information as an Adobe Acrobat PDF.

Please click here to download the Positive Healthcare Partners Prior Authorization Form/Drug Formulary Exception Form as an Adobe Acrobat PDF.

Please click here to download the Positive Healthcare Partners Evidence of Coverage as an Adobe Acrobat PDF. (See sections 10 thru 12 for appeals and grievances about your prescription drug benefits).

Please click here to download the Positive Healthcare Partners Medication Therapy Management Program (MTMP) as an Adobe Acrobat PDF.

You will need the Adobe Acrobat Reader program to view the Pharmacy Directory and Abridged Formulary. To download this free program please click here - the link will open a new window and take you to the Adobe website.

You may request printed copies of the Pharmacy Directory and/or Abridged Formulary, at any time, by contacting the Positive Healthcare Partners Customer Service Department at 800-263-0067, TTY/TTD at 800-735-2929.