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Part D Coverage Resource

  • Plan Documents

2027 CA Evidence of Coverage (EOC) for Champion Secure Plan (English) – COMING SOON

  • Document
  • Plan Documents

2027 CA Evidence of Coverage (EOC) for Champion Home Plan (English) – COMING SOON

  • Document
  • Plan Documents

2027 CA Evidence of Coverage (EOC) for Champion Compass Plan (English) – COMING SOON

  • Document
  • Plan Documents

2027 CA Evidence of Coverage (EOC) for Champion AnWell Plan (English) – COMING SOON

  • Document
  • Part D Coverage, Plan Resources

2027 LIS (Low Income Subsidy) Chart

Monthly Plan Premium Information for People who get Extra Help from Medicare to Help Pay for their Prescription Drug Costs
  • Article
  • Part D Coverage, Plan Documents

Covered Medication List (Formulary) – Nevada (Spanish)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document
  • Part D Coverage, Plan Documents

Covered Medication List (Formulary) – California (Spanish)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document
  • Part D Coverage, Plan Documents

Covered Medication List (Formulary) – California (English)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document
  • Part D Coverage, Plan Documents

Covered Medication List (Formulary) – Nevada (English)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.
  • Document
  • Part D Coverage, Plan Documents

Prior Authorization Criteria

*Note: Prior Authorization Criteria Form is updated on a monthly basis.
  • Document
  • Part D Coverage, Plan Documents

Step Therapy Criteria Form

*Note: Step Therapy Criteria Form is updated on a monthly basis.
  • Document
  • Directories

Find a Pharmacy – 2027 – Nevada – COMING SOON

  • External Link
  • Directories

Find a Pharmacy – 2027 – California – COMING SOON

  • External Link
  • Plan Documents

2027 NV Evidence of Coverage (EOC) for Champion Choice Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.
  • Document
  • Plan Documents

2027 NV Evidence of Coverage (EOC) for Champion Care Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.
  • Document
  • Plan Documents

2027 NV Evidence of Coverage (EOC) for Champion Ally Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.
  • Document
  • Plan Documents

2027 NV Evidence of Coverage (EOC) for Champion Plus Plan (English) – COMING SOON

  • Document
  • Plan Documents

2027 NV Evidence of Coverage (EOC) for Champion Connect Plan (English) – COMING SOON

  • Document
  • Plan Documents

2027 NV Evidence of Coverage (EOC) for Champion Advantage Plan (English) – COMING SOON

  • Document
  • Plan Documents

2027 CA Evidence of Coverage (EOC) for Champion Secure Plan (English) – COMING SOON

  • Document