Plan Information and Forms
This section allows you to review the important plan information and forms that go with your PrescribaRxSM plan.
- Special Member Benefits – learn more about special prescription savings from *ScriptSave® with your plan.
- Member FAQ – find answers to the most commonly asked questions about PrescribaRx.
- Save Money on Prescriptions – find ways to save money on your prescriptions.
- Medication Therapy Management Programs – find out if you qualify for special programs for people with certain conditions.
- Extra Help for Limited Income Individuals – find out if you qualify for Extra Help
- 2010 Plan Guide – review this guide to Medicare and 2010 PrescribaRx plans.
- Summary of Benefits – review this important document to view some of the features of our plans and compare our plans.
- Evidence of Coverage – review important documents, which describe the details about your coverage through us.
- Additional Forms – download additional plan forms and documents.
*The products and services described are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the PrescribaRx grievance process.

