Find forms and documents to help you manage your plan.
Automatic Payment Form - Prescription Drug Plans (PDF)
Find prescription drug forms and information, such as claim forms and formularies, on MyPrime.com. You will be asked a few questions so the site can determine which set of forms to show you.
2022 Step Therapy (PDF)
2022 Prior Authorization Criteria (PDF)
Important: If your prescription drug coverage is not from Florida Blue Medicare (through our pharmacy benefits manager, Prime Therapeutics), please contact your pharmacy benefits administrator for the forms you need.