Liberty Health Advantage HMO
1 Huntington Quadrangle - Suite 3N01Melville, 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 Medicare Prescription Drug Determination Request Form (Members) Medicare Prescription Drug Determination Request Form (Providers) Grievance and Appeals - Prescription Drug
Summary of plan grievance, coverage determination (including exceptions)
and appeals processes
Transition Policy
Pharmacy Directory
Liberty Health Advantage Pharmacy Search Formulary Changes
Formulary Searches
Liberty Health Advantage Formulary Pharmacy Copayments
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