Click on a plan name below to see all available forms and
resources. If you have any questions or cannont find a resource you
are looking for please contact us
For the 2012 Evidences of Coverage, you can find information
regarding the grievance, coverage determiniation (including
exceptions), and appeals process in the following sections:
VIVA MEDICARE Plus Select:
Chapter 7
All other VIVA MEDICARE
Plus plans: Chapter 9
Drugs Requiring Prior Authorization
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.