Quartz Dual Eligible Rx Drug Coverage
Extra Help for Part D drugs
If you qualify for Low-Income Subsidy (LIS), also known as “Extra Help,” you will pay reduced cost-sharing for your Part D drugs.
Depending on your level of LIS, your share of the cost will be one of the amounts shown below:
- Generics: $0/$1.45/$4.15/15%
- Brand/other: $0/$4.30/$10.35/15%
Transition fill
This program allows you to keep taking your medicine if it’s not on your new plan’s drug list or if it’s restricted in some way. Go to QuartzBenefits.com/MATransitionFill for more details.
Insulin savings
You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.
Preventive vaccines
Our plan covers most Part D vaccines at no cost to you, even if your plan has a deductible and you haven’t paid it. Go to our Drug Coverage page on our website or call a Quartz Champion for more information.
Is my drug covered?
To see if a drug is covered, you can search our formulary (a list of drugs our plans cover) at QuartzBenefits.com/MAformulary.
If your medicines are not listed on the drug list, talk with your doctor to see if there are other options. Or call a Quartz Champion at (800) 394-5566 (TTY: 711).
You will need to use network pharmacies to fill your prescriptions for covered Part D drugs. You can search for in-network pharmacies in our provider/pharmacy directory at QuartzBenefits.com/Dualfindadoctor. Or call a Quartz Champion for help finding one at (800) 394-5566 (TTY: 711).