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Quick Reference Formulary Guide Medications with Prior Authorization Step Therapy and Quantity Limit To help ensure that your prescription medications are as safe and effective as possible Mutual of Omaha s Prescription Drug Program has special Pharmacy Intervention Program in place. Some medications require approval before our program will honor the claim they are identified on the formulary as Prior Authorization/Step Therapy PAR and Quantity .

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Mutual of Omaha sells Medicare Supplement Insurance and Medicare Part D plans, dental insurance, life insurance and other insurance products such as long-term care and disability insurance. It also offers other financial services such as annuities, mortgages and investment services.

Mutual of Omaha - Express Scripts is the pharmacy benefit manager for Mutual of Omaha Rx and will be providing some services on behalf of Mutual of Omaha Rx. Mutual of Omaha - Mutual of Omaha Rx (PDP) is a prescription drug plan with a Medicare contract.

We offer affordable copays, $0 to $20, for a 30-day supply on most commonly prescribed drugs. Our Essential plan offers a $0 deductible on Tier 1 and our Premier plan offers a $0 deductible on Tiers 1 & 2. Our Premier plan offers a $0 deductible and a $25 copay for a 30-day supply at preferred pharmacies.

Over the Phone To pay by phone, call Customer Service at 1-877-770-9808, Monday through Friday, 8:00 a.m. to 9:30 p.m., Eastern Time. TTY users, call 1-866-544-2982.

Tier 5: Specialty CVS preferred network, including: CVS, CVS-Target, Walmart, Kroger pharmacy, Safeway pharmacy, Sam's Club and regional Rx networks. *Other pharmacies are available in our network. Visit MutualofOmahaRx.com For a full list of our preferred and participating pharmacy network.

Express Scripts is the pharmacy benefit manager for Mutual of Omaha Rx and will be providing some services on behalf of Mutual of Omaha Rx.

Mutual of Omaha Rx (PDP) is a prescription drug plan with a Medicare contract. Enrollment in the Mutual of Omaha Rx plan depends on contract renewal.

Mutual of Omaha Network Pharmacies This carrier's preferred pharmacy network is the same for both plans. CVS, Target, Sam's Club, Walmart, and many regional drug stores are on the list of preferred pharmacies with Mutual of Omaha.

United of Omaha Life Insurance Company United of Omaha® offers a diversified portfolio of life insurance, fixed annuities, medicare supplement and other insurance and financial services products through Mutual of Omaha's agency sales force, group sales offices and independent agent networks.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232