FEP Medicare Prescription Drug Program (MPDP)
New for 2024: A Medicare prescription drug benefit for eligible members who qualify for Medicare Part A and/or Medicare Part B utilizing Medicare as their Primary Health Care coverage.
Resources to help you learn more
See how the FEP Medicare Prescription Drug Program can help you save on the prescriptions you need. Download our guide to learn more.
Download Guide
MPDP Resources
Evidence of Coverage (EOC)
View instructions on how to get your prescriptions drugs, your rights and responsibilities and more.
Basic Option EOC
Standard Option EOC
MPDP Pharmacy Directory
View the network of pharmacies where you can fill your prescriptions.
MPDP Formularies
View the approved drug list under the MPDP drug tiers.
FEP Blue Focus MPDP Drug List
Basic Option MPDP Drug List
Standard Option MPDP Drug List
Additional MPDP Materials
Prescription Drug Transition Policy
Coming Soon
Annual Notice of Change
Coming Soon
Summary of Benefits
FEP Blue Focus Summary of Benefits
Basic Option Summary of Benefits
Standard Option Summary of Benefits
Prior Approval Criteria
Some medications require prior approval before coverage is provided. You can view a list for each plan below.
FEP Blue Focus MPDP Criteria
Basic Option MPDP Criteria
Standard Option MPDP Criteria
Step Therapy Criteria
Some medications may require a previous use of one or more drugs before coverage is provided. You can view a list for each plan below.
FEP Blue Focus MPDP Step Criteria
Basic Option MPDP Step Criteria
Standard Option MPDP Step Criteria
Enhanced Prior Approval Criteria
Additional drug coverage under this enhanced benefit may require prior approval before coverage is provided. View the list below for more information.
Enhanced Prior Approval Criteria
Utilization Management Forms
Coming Soon
Part D Model Coverage Determination and Redetermination Request Forms
Coming Soon
Appeal Request
If we have denied coverage or payment for a drug under your Medicare Part D benefit and you do not agree with our decision, you have the right to appeal the decision. View the document below for more information.
CMS Appointment of Representative Form (CMS Form-1696)
If you’re in MPDP and would like to appoint a person to file a grievance, request a coverage determination or request an appeal on your behalf, you and the person accepting the appointment must fill out this form and submit it with your request. Your prescribing physician or other prescriber may request a coverage determination, redetermination or IRE reconsideration on your behalf without having to be an appointed representative.

To file a complaint directly with Medicare, you can call 1-800-MEDICARE or submit an online form.
If you’re a member of MPDP or a physician and have questions about process or status, you can call 1-800-MEDICARE.
To view a Notice of Privacy Practices as required under the HIPAA Privacy Rule (45 CFR 164.520) click here.
MPDP FAQs
We know you may have questions about our new prescription drug benefit. Here we address your most common questions.