FirstCare Advantage Dual SNP (HMO SNP) Available Drug Lists

Formulary Updates

Your approved formulary can change throughout the year. Click on the formularies below to view the most current drug list. The effective documents on the list sum up the list of changes for you. It will tell you which drugs have been added or removed for the month. Please call customer service if you have additional questions. (Comprehensive Formulary updated August 2019)

FirstCare Advantage Dual SNP (HMO SNP) Comprehensive Formulary
(last updated 08/06/2019)
FirstCare Advantage Dual SNP (HMO SNP) Comprehensive Formulary—En Español
(last updated 08/06/2019)

FirstCare Advantage Dual SNP (HMO SNP) Abridged Formulary
(last updated 08/06/2019)
FirstCare Advantage Dual SNP (HMO SNP) Abridged Formulary—En Español
(last updated 08/06/2019)

Formulary Utilization Management

FirstCare Advantage Dual SNP (HMO SNP) Formulary has certain Utilization management requirements, such as step therapy, prior authorization, or quantity level limits. Please see documents below to find out more information on utilization management rules for medications on our Formulary.


2019 Step Therapy Criteria Approval Formulary ID

2019 Prior Authorization Criteria Documentation

Resources

Access a Doctor, 24/7/365

FirstCare Virtual Care—powered by MDLIVE lets you connect with a doctor from wherever you are. For more details, click here.

Talk to a Nurse—Nurse24™

Need care advice? Should you see a doctor? Get the info you need today! FirstCare members can talk to a nurse 24/7 by calling 1-855-828-1013 to get answers 24 hours a day, 7 days a week! TTY users can call 7-1-1 or  1-800-955-8771. Voice communication is available at 1-800-955-8770.

Utilization Management

Ever wonder how we decide what services to authorize? Our utilization management (UM) decisions are based on medical evidence and consensus of health care professionals. For more details, click here.

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How to Learn More

Schedule a sit-down:
Feel free to contact us, and a FirstCare Advantage Dual SNP (HMO SNP) representative will gladly sit down with you and compare the plans in greater detail.
 
Call us at:
1-866-229-4969
We are available;
October 1- March 31, 8 a.m. to 8 p.m. Central Time (CT) daily;
April 1- September 30, 8 a.m. to 8 p.m. Central Time (CT) Monday through Friday.
 
For TTY or for accommodation of persons with special needs, please call TTY 1-800-562-5259.
 
Or, write:
FirstCare Advantage Dual SNP (HMO SNP)
Attn:  Customer Service
1901 West Loop 289, Suite 9
Lubbock, TX 79407

"What's Covered" App
Centers for Medicare & Medicaid Services (CMS) has an app that gives you access to content about original Medicare. For more information, click here.

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