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. (Updated November 2016)

FirstCare Advantage Dual SNP (HMO SNP) Comprehensive Formulary

FirstCare Advantage Dual SNP (HMO SNP) Comprehensive Formulary—En Español

FirstCare Advantage Dual SNP (HMO SNP) Abridged Formulary

FirstCare Advantage Dual SNP (HMO SNP) Abridged Formulary—En Español
 

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.

Step Therapy Requirements

2019 Step Therapy Criteria Approval Formulary ID
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Resources

Virtual Care Powered by MDLive

We've teamed up with MDLIVE to provide our members with access to Telehealth visits to board-certified doctors, pediatricians, licensed therapists and more- using your smartphone, tablet or desktop.  ***Available January 1, 2019***

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.

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

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