Medicare Member Appeals
You can ask us to recheck a decision about your health plan or prescription drug coverage for services or benefits you’ve received.
Single-Source Generic Drugs
When a patent expires for a brand drug, the FDA can grant a period of exclusivity to one company to make the generic form of the drug.
Your HMSA Drug Formulary List
Your formulary is a list of prescription drugs, both generic and brand name, that are covered under your drug plan. Find out what’s inside your formulary.
What are Generic Drugs?
Generics work like brand-name drugs in dosage, strength, and performance. They have to meet the same quality and safety standards as brand-name drugs.
CVS Caremark is HMSA’s Pharmacy Benefit Manager
CVS Caremark has replaced Medco Health Solutions as HMSA’s pharmacy benefit manager.
Choose Generic Drugs and Save Money
Generic drugs are safe, effective, and have the same active ingredients as brand-name drugs. Ask your doctor or pharmacist if generic drugs will work for you.
HMSA’s Dental, Prescription Drug, Vision, and Chiropractic Riders
HMSA offers separate add-on plans outside your medical plan such as coverage for prescription drugs, vision services, dental services, and chiropractic care.
When does a Drug Become Generic?
Generic drug versions may be introduced after the patent for the brand-name drug expires, which is usually 20 years.
CVS Caremark is Available to Answer Your Drug Questions
Do you have a question about the side effects of a drug you’re taking? Call HMSA Customer Relations who will put you in touch with a pharmacist.
Plan Certificates Describe Additional Coverage
Plan certificates contain benefit information for your plan rider or add-on plans to your medical and dental coverage.