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Pharmacy Information and Authorization

Formulary 2019

 

Member Benefit Information

Page Last Updated:  9/3/2019

Provider Partners Illinois Advantage offered by Provider Partners Health Plan is a health plan with a Medicare Contract. Enrollment in Provider Partners Illinois Advantage depends on contract renewal.
H8067_002_PPHPWEB

Provider Partners Maryland Advantage offered by Provider Partners Health Plan is a health plan with a Medicare Contract. Enrollment in Provider Partners Maryland Advantage depends on contract renewal.
H8067_001_PPHPWEB

Provider Partners Health Plan of Ohio is a Health Plan with a Medicare Contract. Enrollment in Provider Partners Health Plan of Ohio depends on contract renewal.
H7119_001_PPHPWEB

Provider Partners Pennsylvania Advantage offered by Provider Partners Health Plan of Pennsylvania is a Health Plan with a Medicare Contract. Enrollment in Provider Partners Pennsylvania Advantage depends on contract renewal.
H4093_001_PPHPWEB

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