Forms & Documents
Instructions on How to Get Covered Services During a Disaster.
Medicare Plans
MediSun Plus (HMO D-SNP) 016
HealthSun MediSun Full Dual Plus (HMO D-SNP) 025
HealthSun MediSun Full Dual Extra (HMO D-SNP) 026
Member Notices and Updates
Member Announcements
Plan Changes and Disenrollment Information
Plan Changes and Disenrollment
Prescription Drug Benefits
Prescription Drug Benefits
- 2026 Creole Part D Transition Policy
- 2026 Creole Prescription Drug Formulary – updated 09/11/2026
- 2026 Creole Prescription Drugs Formulary Changes – updated 09/03/2026
- 2026 OTC Order Form - All Plans
- 2026 Part D Transition Policy
- 2026 Prescription Drug Formulary – updated 09/11/2026
- 2026 Prescription Drugs Formulary Changes – updated 09/03/2026
- 2026 Prior Authorization Criteria - updated 09/11/2026
- 2026 Step Therapy Criteria - updated 09/11/2026
- 2026 Step Therapy Criteria Part B Drugs only – 07/01/2026
- 2026 Therapy Management Medication (MTM) Program
- 2027 Creole Part D Transition Policy
- 2027 Creole Prescription Drug Formulary – updated 08/21/2026
- 2027 OTC Catalog
- 2027 OTC Order Form - All Plans
- 2027 Part D Transition Policy
- 2027 Prescription Drug Formulary – updated 08/21/2026
- 2027 Therapy Management Medication (MTM) Program
- Appointment of Representative Form
- B vs. D Coverage Determination Request Form
- Lost, Damaged, or Stolen Medication Form
- Medicare Prescription Payment Plan Participation Request Form - M3P
- Medication Sync Request Form
- Mizajou Lis Medikaman Preferansyèl
- Part D Reimbursement Request Form
- Personal Medication List Form
- Preferred Drug List Updates
- Prescription Coverage Determination Request Form
- Vacation Supply Form