Liberty Health Advantage HMO
1 Huntington Quadrangle - Suite 3N01
Melville, NY 11747
Phone: (866) 542-4269
TTY: (800) 662-1220
Office Hours: 8:00 a.m. - 6:00 p.m. Mon-Fri
Sales Hours: 8:00 a.m. - 8:00 p.m. Daily
Part D Drug Information
Phone: 800.546.5677, TTY:866.706.4759
Hours: 8:00 a.m. - 9 p.m. EST M-F
Saturday 9:00 a.m. - 6 p.m.,
and Sunday 11:00 a.m. - 5:00 p.m.
RxBin: 004758
RxPCN: DNPS

Liberty Health Advantage (LHA)

Provides the following useful tools in aiding our members locate participating pharmacies and a formulary look up.

Liberty Health Advantage has contracts with over 1602 pharmacies that meet or exceed CMS requirements for pharmacy access in your area.

Forms

Medicare Part D Coverage Determination and Redetermination
Appointment of Representative

Grievance and Appeals - Prescription Drug

Summary of plan grievance, coverage determination (including exceptions) and appeals processes
 


Transition Policy

General Transition Policy



Pharmacy Searches

Liberty Health Advantage Pharmacy Search

Formulary Searches

Liberty Health Advantage Formulary

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  • Notice of Formulary Change

  • Last updated: 30 August 2010 12:45 p.m.

    H3337_10_4006_all 10/09