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Medicare Advantage 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. For some drugs, Quartz must approve them before they are covered. Our criteria describe when we will approve drugs to be used.

View the formulary and criteria

View copayment amounts

Exception Requests

In some cases, exceptions can be considered by Quartz Medicare Advantage.

Learn more about exception requests

Complete an exception request

Pharmacy Benefits Tool

Want to learn more about your prescriptions and coverage? Need to find in-network pharmacy contact information and hours? Are you looking for medication cost information and savings opportunities? Use Quartz Rx to answer these questions and more.

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.

Find a Pharmacy

Mail-Order Pharmacy

Provider/Pharmacy Directory

Frequently Asked Questions

Help With Drug Costs

Low-Income Subsidy

Vaccine Coverage

Dispose of Unwanted Medications (by clicking on this link, you will leave the Quartz Medicare Advantage website)

Part D Prescription Drug Reimbursement Form

Transition Fills

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.

Learn More

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.

Learn More

Medicare Advantage Drug Information

Looking for information on your drug plan? Reach out to a Quartz Champion, or check your formulary (drug list).