How to Use the Drug Lookup Tool

Our online Drug Lookup Tool makes it easy to find out if your medication is covered under your SECUR Health Plan and what your potential costs may be.

1. Search by Medication Name: Simply enter the name of your medication to check if it’s included in our formulary.
2. View Coverage Details: The tool will provide information on the drug’s tier, any associated costs, and whether prior authorization or step therapy is required.
3. Review Alternatives: If your medication is not covered, the tool may suggest covered alternatives that you can discuss with your healthcare provider.

Important Considerations for Drug Coverage

• Prior Authorization: Some medications may require prior authorization before they are covered. This process ensures that the drug is medically necessary. More information can be found in our criteria file links:
  Prior Authorization Criteria Tier 1 and Prior Authorization Criteria Tier 5
• Step Therapy: For certain medications, we may require you to try a more cost-effective drug first before moving to a more expensive option. More information can be found in our criteria file links:
  Step Therapy Criteria Tier 1 and  Step Therapy Criteria Tier 5
• Quantity Limits: Some drugs may have limits on the amount you can receive at one time. This is to ensure safe and effective use of the medication.

Additional Resources

• Prescription Drug Determination Request
• Prescription Drug Redetermination Request
• Medicare Prescription Payment Plan (M3P) Overview
• Medicare Prescription Payment Plan (M3P) Election Forms:
  Advantage M3P Form
  Enhanced M3P Form
  Edge M3P Form
• Medicare Prescription Payment Plan (M3P) Fact Sheet
• Part D Prescription Drug Plan Transition Policy Description

Stay Informed About Your Coverage

• Check the Formulary Regularly: The list of covered drugs can change, so it’s important to review the formulary periodically or before getting a new prescription.
• Use Preferred Pharmacies: Filling your prescriptions at in-network pharmacies can lower your out-of-pocket costs. Use our Pharmacy Lookup Tool to find a pharmacy near you.
• Mail Order: For members enrolled in SECUR Enhanced (HMO I-SNP) or SECUR Edge (HMO I-SNP), our plans’ mail-order service requires you to order a 90-day supply.
  To get information about filling your prescription by mail, please call our Member Service  at 1.833.76SECUR (1.833.767.3287) and TTY 711, or visithttps://www.costco.com/pharmacy/home-delivery. Usually, a mail-order pharmacy order will be delivered to you in no more than 14 days. If there is a delay of more than 48 hours, please call our Member Services at 1.833.76SECUR (1.833.767.3287) and TTY 711 or Costco Mail Order Pharmacy at 1.800.607.6861 to resolve the delay or obtain authorization to receive fill at a retail pharmacy.Click here for step-by-step instructions on how to register for mail-order pharmacy services.

Contact Us for Assistance

If you have any questions about your drug coverage or need help using the Drug Lookup Tool, our Member Services team is here to assist you. Contact us at 1.833.76SECUR (1.833.767.3287) or TTY 711. We’re available 7 days a week from 8 a.m. to 8 p.m. (ET) from October 1 – March 31, 8 a.m. to 8 p.m. (ET), Monday through Friday from April 1 – September 30.

At SECUR Health Plan, we’re committed to providing you with the resources and support you need to manage your prescription medications effectively and affordably. Access our formulary and drug lookup tools today to make the most of your SECUR HMO I-SNP drug coverage.

Contact Member Services

Our dedicated Member Services team is here to assist you. Reach out to us at 1.833.76SECUR (1.833.767.3287) or TTY 711 for any questions or assistance with your plan. We are available seven (7) days a week from 8 a.m. to 8 p.m. (ET)  from October 1 – March 31, 8 a.m. to 8 p.m. (ET), Monday through Friday from April 1 – September 30.

Privacy or HIPAA Concerns

• Phone: 1.833.76SECUR (1.833.767.3287) and TTY 711
• Fax: 813.357.5352
• Email: [email protected]
• Mailing Address: 8761 N. 56th Street, P.O. Box 16349, Tampa, FL 33617

Medicare

• Website: www.medicare.gov
• Phone:   1.800.MEDICARE   (1.800.633.4277)

Medicare is available 24 hours a day, seven days a week, except for some federal holidays.