聯邦醫療保險新手嗎？請確保您有周全的保障。立即投保！&nbsp;[致電我們](tel:844-667-5502)

Search for a specific drug by name and see if generic equivalents are available.

Medicare Advantage covered medications

Medicare Advantage Covered Medications - Bright HealthCare

處方集是您的Bright HealthCare計劃所承保藥物的清單的正式名稱，有時也稱作「藥品清單」。您可以在本頁面找到各州的處方集資訊。


綜合性藥方集

All plans (excluding New York DSNP Plans)  
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2022-ma-formulary-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2022-ma-formulary-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2022-ma-formulary-combined-cn.pdf)

New York DSNP Plans   
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2022-ma-formulary-combined-en-dsnp.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2022-ma-formulary-combined-es-dsnp.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2022-ma-formulary-combined-cn-dsnp.pdf)


2022年的綜合性處方集

By selecting your state link below, you can view 2022 Medicare Part D benefit and medication information, check drug prices, and find participating pharmacies.

Medicare Part D benefit information


[亞利桑那州](https://openenrollment.medimpact.com/#/plancode?BHG01202201)

[科羅拉多州](https://openenrollment.medimpact.com/#/plancode?BHG01202202)

[佛羅里達州](https://openenrollment.medimpact.com/#/plancode?BHG01202203)

[伊利諾州](https://openenrollment.medimpact.com/#/plancode?BHG01202204)

[紐約州](https://openenrollment.medimpact.com/#/plancode?BHG01202205)

2022年的額外資源

$0 Copay Drug List English
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2022_MA_0_DrugList.pdf)

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承保裁定請求表 

[英文](https://cdn1.brighthealthplan.com/docs/2022-coverage-determination-request-form.pdf)

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[處方藥額外經濟援助](https://zh.brighthealthcare.com/medicare-advantage/resource/extra-help)

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[電子預先授權請求](https://www.medimpact.com/forclients/epa-program)

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郵購摘要 

[英文](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-mof-summary.pdf)

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郵購表 

[英文](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-mof-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-mof-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-mof-cn.pdf)

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[藥物治療管理計劃](https://zh.brighthealthcare.com/medicare-advantage/resource/medication-management)  

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[Monthly Formulary Changes](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-ma-monthly-formulary-changes.pdf)

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[Safe Medication Disposal](https://cdn1.brighthealthplan.com/docs/ma-resources/BHC_MTM_2022.pdf)

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[處方藥藥物過渡政策](https://zh.brighthealthcare.com/medicare-advantage/resource/drug-transition-policy)

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[品質保證及醫療服務使用管理](https://zh.brighthealthcare.com/medicare-advantage/resource/qa-and-um)

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B部分逐步療法藥物清單

[英文](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-st-criteria-part-b.pdf)

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Part D Prior Auth Criteria

[英文](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-pa-criteria-part-d.pdf)

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Part D Step Therapy

[英文](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-st-criteria-part-d.pdf)

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[D部分承保裁定、上訴與申訴](https://zh.brighthealthcare.com/medicare-advantage/resource/part-d-appeals-grievances)

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處方藥遭拒重新裁定請求表 

[英文](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-coverage-redetermination-request-form.pdf)

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報銷費用申請表格 

[英文](https://cdn1.brighthealthplan.com/docs/ma-resources/2022-ma-reimbursement-claim-form.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/ma-resources/claim_form_partd_es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/ma-resources/claim_form_partd_cn.pdf)

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安全使用鴉片類止痛藥 - 聯邦醫療保險D部分病患的資訊 

[英文](https://cdn1.brighthealthplan.com/docs/ma-resources/cms-safe-use-opioid-beneficiary-partd.pdf)


2021 Formulary Resources

阿拉巴馬州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-cn.pdf)

亞利桑那州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-cn.pdf)

科羅拉多州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-cn.pdf)

佛羅里達州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-cn.pdf)

伊利諾州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-cn.pdf)

內布拉斯加州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-cn.pdf)

New York (exluding CSNP and DSNP Plans)   
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-cn.pdf)

New York DSNP Plans   
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-combined-en-dsnp.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-combined-es-dsnp.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-combined-cn-dsnp.pdf)

New York CSNP Plans  
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-combined-en-csnp.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-combined-es-csnp.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-combined-cn-csnp.pdf)

俄亥俄州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21318-combined-cn.pdf)

南卡羅萊納州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-cn.pdf)

田納西州 
[英文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-en.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-es.pdf)
[中文](https://cdn1.brighthealthplan.com/docs/formulary/2021-ma-formulary-21593-combined-cn.pdf)


2021年的綜合性處方集

Check out these helpful forms and documents. We’re here to help with any questions! Just call [833-665-5346](tel:833-665-5346).

[Drug coverage exceptions](https://zh.brighthealthcare.com/medicare-advantage/resource/part-d-appeals-grievances)

[Monthly Formulary Changes](https://cdn1.brighthealthplan.com/docs/ma-resources/2021-ma-monthly-formulary-changes.pdf)

[Monthly Formulary Changes DSNP](https://cdn1.brighthealthplan.com/docs/ma-resources/2021-ma-monthly-formulary-changes-DSNP.pdf)

[Monthly Formulary Changes CSNP](https://cdn1.brighthealthplan.com/docs/ma-resources/2021-ma-monthly-formulary-changes-CSNP.pdf)

2021年的額外資源

我們建議您在使用處方集之前，先了解如何看懂處方集。

[Pharmacy 101: Prescription costs and coverage for Medicare Advantage members](https://zh.brighthealthcare.com/medicare-advantage/pharmacy101)

Once you’ve mastered the Formulary, find out how to save money on your presciptions:

[藥房入門：3大處方藥省錢訣竅](https://zh.brighthealthcare.com/medicare-advantage/resource/save-on-prescriptions)

Questions? We can help. Call our pharmacy team at 833-665-5346.

*網站最後更新時間：2022年4月25日*

*Y0127_Bright_Health*