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Change happens. We’re here to help you have a smooth transition and access to your medication.

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State of Michigan Prescription Drug Plan Resources

OptumRx Home Delivery Brochure and Mail Order Form
OptumRx Direct Member Reimbursement Form
Reporting Potential Fraud, Waste and Abuse
COVID-19 Vaccines, Tests and Treatments

State of Michigan Active Employees and Non-Medicare Eligible Retirees

2025 State of Michigan Select Formulary effective 1/1/25
2025 State HDHP with HSA Preventive Drug List
2024 State of Michigan Select Formulary effective 7/1/24
2024 State of Michigan Select Formulary effective 1/1/24
State of Michigan Copay Structure
State Health Plan PPO Home Delivery Flyer

State of Michigan Medicare Eligible Retirees

2025 Medicare Prescription Drug Plan Resources

2025 Medicare-Eligible Retiree Formulary
2025 Medicare-Eligible Retiree WRAP Coverage Drug List
Pre 1987 Evidence of Coverage
Pre 1987 Annual Notification of Change
Pre 1987 Summary of Benefits
Post 1987 Evidence of Coverage
Post 1987 Annual Notification of Change
Post 1987 Summary of Benefits

2024 Medicare Prescription Drug Plan Resources

2024 Medicare-Eligible Retiree Formulary
2024 Medicare-Eligible Retiree Wrap Coverage Drug List
Pre 1987 Evidence of Coverage
Pre 1987 Annual Notification of Change
Pre 1987 Summary of Benefits
Post 1987 Evidence of Coverage
Post 1987 Annual Notification of Coverage
Post 1987 Summary of Benefits