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Optimizing Medications
For better health

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  • Comprehensive Medication
    Management
    • CMM Evidence and Research
    • The 3 Pillars of CMM: Assessments
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    • Implementation System Support
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Optimizing Medications
For better health
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  • About the
    Platform
    • About Us
  • Comprehensive Medication
    Management
    • CMM Evidence and Research
    • The 3 Pillars of CMM: Assessments
    • Medication Therapy Problem Documentation
    • MTP Documentation Tool
  • CMM Implementation
    System
    • CMM Implementation Pathway
    • CMM Improvement Pathway
    • Implementation System Resources
    • Implementation System Support
  • Resource
    Library
    • Optimizing Medications in Practice
    • Resources for Providers
    • Resources for Patients
    • Reducing Medication Costs
    • Improving Medication Adherence
    • Navigating Insurance

Navigating Insurance

Tools and resources for accessing insurance formularies and understanding drug coverage benefits.

  • Formulary Lookup
  • Easing the Prior Authorization Burden
  • Medicare and Medicaid Information

Formulary Lookup

Searchable tools to assist you in finding which medications your patients’ insurance formularies cover, and to what extent.

Medicare.gov Medicare Plan Finder
Interactive tool to assist patients in searching available Medicare Advantage and Part D insurance plan options
DRG Fingertip Formulary
Formulary search tool filterable by state, insurer, and/or drug (note: free login required to use site)
Formulary Search Tool for Medicare Part D Drug Plans (Q1Group LLC)
Tool that provides Medicare Part D prescription drug plan (PDP) information; includes a formulary browser
Formulary Browser for Medicare Advantage Drug Plans (Q1Group LLC)
Tool that provides information on Medicare Advantage plans with drug coverage (MAPD); includes a formulary browser

Easing the Prior Authorization Burden

Resources that can help in the submission of prior authorizations for medication coverage.

Cover My Meds
Software platform designed to automate Prior Authorization (PA) submission and review. Site has training videos, user guides, and FAQs 

Medicare and Medicaid Information

Websites that provide information on Medicare and Medicaid programs.

State Health Insurance Assistance Programs (SHIP)
National network of programs that offer counseling and assistance for Medicare-eligible individuals
Medicaid.gov Website
The official U.S. government website for Medicaid
Medicare.gov Website
The official U.S. government website for Medicare
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UNC Eshelman School of Pharmacy
University of Minnesota College of Pharmacy
UNC Eshelman School of Pharmacy Eshelman Institute for Innovation