IMPORTANT NOTICE:
Horizon and Braven Health Prescription Drug Benefits
GLP-1 medications like Ozempic and Mounjaro are covered by the prescription drug benefits of Horizon Medicare Blue Rx (PDP) and Braven Health Medicare Advantage plans. GLP-1 medications are used to treat obesity and type 2 diabetes.
Medicare, however, only covers these medications for diabetes.
Prior authorization is also required for GLP-1 medications. This implies that before we agree to cover the medication, the member or their practitioner must obtain plan approval. To guarantee pharmaceutical safety and assist in directing the proper use of specific medications, prior permission is implemented.
The medication may not be covered by the plan if the member DOES NOT receive this permission.
Members or providers can begin the prior authorization process by calling one of the two numbers below:
- For Braven Health:1-855-457-0222 (TTY 711), 24 hours a day, seven days a week
- For Horizon: 1-800-391-1906 (TTY 711), Monday – Friday from 8 a.m. to 5 p.m
Members and providers can also make a request electronically through MyPrime.com Providers may also make a request electronically through CoverMyMeds on Availty.
We are dedicated to providing exceptional service, so please do not hesitate to contact our dedicated Total Benefit Solutions health insurance specialists at (215)-355-2121 or fill out the contact form below. We are available to answer any questions or address any concerns you may have.