Pharmacy and Drug Coverage

Know how your pharmacy plan works to get the full advantage of all the benefits we offer.

OptumRx Member Coverage

Medicare Prescription Payment Plan

The Medicare Prescription Payment Plan allows you to spread out your Part D prescription drug payments into smaller, monthly installments, introduced as part of the Inflation Reduction Act for 2025. This program does not save you money or lower your drug costs—it’s a monthly payment plan. Learn more about the program and see if you are eligible.

Pharmacy Tools


As a member you have access to easy to use pharmacy directory tools, formulary drug lists and more.

Find a Pharmacy

Search our easy-to-use online directory to find a pharmacy near you.

Find a Pharmacy

Find Covered Drugs

Review a complete list of the drugs covered under your plan.

ChoiceElite & ChoicePlus
View 2025 Drug Formulary
View 2025 Step Therapy Criteria
View 2025 Drug Prior Authorization Criteria

DUALPartnership
View 2025 Drug Formulary
View 2025 Step Therapy Criteria
View 2025 Drug Prior Authorization Criteria

2024
View 2024 Drug Formulary
View 2024 Step Therapy Criteria
View 2024 Drug Prior Authorization Criteria

 

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.

Apply for Home Delivery

Watch Instructional Video

Already a Member?

Log in to your personalized pharmacy portal to view your specific plan detail.

Log In

*Not applicable to Align DUALPartnership plans (HMO D-SNP)

Align powered by Sanford Health Plan is a HMO, PPO plan with a Medicare contract. Our D-SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. Align powered by Sanford Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Every year, Medicare evaluates plans based on a 5-star rating system.


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Last Updated On: 3.13.24 at 10:00 AM