Superior Select Health Plans

A Partnership for Care

  •  Home
  • Tribute Health Plan HMO-POS SNP – 2017 Plan Year Information(current)

Plan Documents and Resources


Summary of Benefits
Annual Notice of Changes
Evidence of Coverage
Plan Ratings
Enrollment Form
Extra Help

Pharmacy Information


Formulary

Online Formulary Search
Comprehensive FormularyUpdated on 11/1/2017
Formulary ChangesUpdated on 11/1/2017
Step TherapyUpdated on 11/1/2017
Quantity LimitUpdated on 11/1/2017
Pharmacy Prior AuthorizationUpdated on 11/1/2017

Part D Coverage Determination

Online Coverage Determination/Redetermination
Part D Coverage Determination Request Form
Part D Coverage Redetermination Request Form

Other Resources

Pharmacy Search
Medication Transition Policy
Medication Therapy Management

This section last modified: Nov 6, 2017 @ 3:13 pm

Back to top