Medicare Advantage Members
Drug Coverage – Gundersen health system
Quartz Medicare Advantage (HMO) offers extra member benefits. Extra benefits are quick and easy ways to manage your health — leaving you more time to live your life.
Prior Authorization Criteria & Part D Formulary
A formulary is a list of drugs covered by Quartz Medicare Advantage (HMO). The formulary also shows some other information about each drug. Quartz must approve some drugs before they are covered. Our criteria describe when we will approve drugs to be used.
View the formulary and criteria
In some cases, exceptions can be considered by Quartz Medicare Advantage.
Learn more about exception requests
Pharmacy Benefits Tool
Want to learn more about your prescriptions and coverage? Need to find pharmacy contact information and hours? Are you looking for medication cost information and savings opportunities? Learn more about the Pharmacy Benefits Tool.
The Pharmacy Benefits Tool can answer these questions and more. You can access it in one of three ways:
Log in to Quartz MyChart and select Pharmacy Benefit (by clicking on this link, you will leave the Quartz Medicare Advantage website).
Log in to MyRxInfo directly (by clicking on this link, you will leave the Quartz Medicare Advantage website).
Download the MyRxInfo app on your phone (through the App Store (iOS) or Google Play (Android). MyRxInfo offers the same benefits as above, plus the ability to set up reminders to take your medications (including Apple Watch integration).
Help with Prescriptions
To find a pharmacy in your area, get help with a question, or learn how to get the best vaccine benefit possible, review the links below.
Dispose of Unwanted Medications (by clicking on this link, you will leave the Quartz Medicare Advantage website)
Part D Prescription Drug Reimbursement Form
If your drug is not on the Formulary (drug list) or is restricted, you may be able to get a temporary supply of the drug in certain situations.
Medication Therapy Management Program
Quartz Medicare Advantage offers a Medication Therapy Management program to members who meet certain criteria. We will send you a letter and may call you if you qualify.