2020

• Enrollment Application
  • English  Spanish
• Notice of Availability of Member Materials
  • English  Spanish

• Summary of Benefits
  • English  Spanish
• Evidence of Coverage
  • English  Spanish
• Medicaid Member Handbook
  • English Spanish
• List of Covered Drugs (Formulary)
  • English  Spanish
• OTC Catalog
• Provider and Pharmacy Directory

You can get this information for free in other languages. Call 1-800-362-2266 and TTY/TDD: 711 during 8 a.m. – 8 p.m. Eastern time, 7 days a week. The call is free.

Usted puede obtener esta informacion en otros idiomas de forma gratuita. Llame al 1-800-362-2266 y TTY/TDD: 711, 8 a.m. – 8 p.m. Hora del Este, los 7 días de la semana. La llamada es gratuita.