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Non-Premium Plan

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2012 VIVA MEDICARE Plus Rx Extra Value

VIVA MEDICARE Plus Rx Extra Value is designed for people who have both Medicare and Medicaid. This plan includes additional benefits like transportation dental, and vision benefits.
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Formulary Resources
Click here for the VIVA MEDICARE Plus prior authorization criteria. Click here for the VIVA MEDICARE Plus step therapy criteria. The formulary may change during the year. Members can find information regarding any mid-year non-maintenance formulary changes to the printed formulary by clicking here, calling Member Services, or reviewing your monthly Part D Explanation of Benefits (EOB) to see which of the drugs you are currently taking are coming off the VIVA MEDICARE Plus formulary. Click here to make a Prior Authorization or Exception Request