Pharmacy and Drug Coverage
Know how your pharmacy plan works to get the full advantage of all the benefits we offer.
OptumRx Member Coverage Find a Pharmacy
Medicare Part D Changes in 2025
With new changes to Medicare Part D in 2025 from the Centers for Medicare & Medicaid Services (CMS), it’s important to review your options.
Learn More
Pharmacy Tools
As a member you have access to easy to use pharmacy directory tools, formulary drug lists and more.
Find Covered Drugs
Review a complete list of the drugs covered under your plan.
2025
View 2025 ChoiceElite & ChoicePlus Drug Formulary
View 2025 DUALPartnership Drug Formulary
View 2025 Step Therapy Criteria
View 2025 Drug Prior Authorization Criteria
Apply for a Medicare Prescription Payment Plan
Learn more about the program and see if you're eligible.
Explore a Payment Plan
Get Prescriptions Delivered to Your Home*
We’ve partnered with Optum Rx to provide prescription home delivery for our members.
Fill out the mail order form below or contact customer service at (844) 642-9090 (TTY: 711) to get more information.
Doctors, pharmacies and drug coverage: Where to start
Here’s what you need to know about doctors, pharmacies and drug coverage with Medicare Advantage.
The basics of Medicare Part D prescription coverage
Medicare Part D prescription coverage is an optional plan that helps cover the cost of prescription drugs. To help you decide if Part D is right for you, learn about coverage basics and what to consider before choosing a plan or deciding not to enroll.
Are prescription drugs covered with Medicare Advantage?
Prescription drug or pharmacy coverage is an important aspect of your health insurance. When you’re eligible for Medicare, there are a variety of ways you can receive prescription drug benefits, depending on the type of Medicare plan you choose.
*Not applicable to Align DUALPartnership plans (HMO D-SNP)
Sanford Health Plan and Sanford Health Plan of Minnesota have HMO and PPO plans with a Medicare contract. Sanford Health Plan D-SNPs have contracts with State Medicaid programs. Sanford Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, or any other classification protected under the law. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.
CMS ID Number: H8385_SHPMAWebsite_PY2025_ND_SD_IA, H3186_SHPMAWebsite_PY2025_MN H8967_SHPMAWebsite_PY2025_ND
Last Updated On: 4.8.25 at 10:00 AM