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Medi-Pak Rx®

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Medi-Pak Rx® Pre-Enrollment Disclaimers

Enrollment Limitations

Medicare beneficiaries may enroll in a plan only during specific times of the year. For more information, see Enrollment Guidelines or call us at 1-800-634-6314, 8 a.m. – 8 p.m., 7 days a week (TTY: 1-800-370-5869).

Benefit Changes

Medi-Pak Rx benefits, formulary, pharmacy, network premium and/or copayments/coinsurance may change on January 1, 2009. Please contact Medi-Pak Rx for details.

Network Limitations

Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances when they cannot reasonably use network pharmacies.

Hours of Operation

Call us at 1-800-634-6314, 8 a.m. – 8 p.m., 7 days a week (TTY: 1-800-370-5869).

Availability of Alternative Formats

Pre-enrollment materials and the Med-Pak Rx Evidence of Coverage are available in alternative formats.



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