New West Medicare Prescription Drug Information

2010 Prescription Drug Information

Medicare Appointment of Representative Form - You have the right to elect someone to help you with your claims and discuss your coverage. If you need this assistance, this form tells you how to make that arrangement.

Pharmacy Links

Pharmacy Directory - New West Medicare has contracts with pharmacies that equals or exceeds CMS requirements for pharmacy access in your area. The pharmacy portion of the directory begins after the list of providers. Once the document opens, search for “Pharmacy Directory.”

You must use network pharmacies to access your prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. For the most current list of pharmacies see the “find a provider” box on the top right hand side of this page.

Express Scripts Mail Service Form

Ridgeway Prescription Mail Service Form
Ridgeway Mail Order Pharmacy is located at:
2824 US Hwy 93 North
Victor, MT 59875
Call them at 406-642-6040 (Local)
1-800-630-3214 (Toll Free)
406-642-6050 (Fax)
Mange your prescriptions online at http://www.ridgewayrx.com

Prescription Drug Complaints & Appeals

Medicare Prescription Drug Coverage and Your Rights - You have the right to a written explanation if your pharmacist or physician denies you access to certain drugs. Learn more now…

Medication Appeal Rights
If you don't agree with a decision regarding your Medicare you may appeal that decision.

Drug Therapy Management Programs

Medication Prior Authorization Form

Part D Appeals, Grievances and Coverage Determinations

Part D Prescription Drug Transition Process

Redetermination Request Form

RX Coverage Determination Form

Information on Extra Help

You may be able to get Extra Help to pay for your prescription drug premiums and costs. If you are not getting this extra help you can see if you qualify or to get more information, call one of the numbers or access one of the links below.

1-800-Medicare (1-800-633-4227). TTY users should call 1-877-486-2048. You can call this number 24 hours a day, 7 days a week;
The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778; or
Montana’s Medicaid Office at 1-800-332-2272.

Medicare’s Policy on Best Available Evidence for Low Income Subsidy

Apply for Low Income Subsidy with the Social Security Administration

5 Ways to Lower Your Costs During the Coverage Gap

Pharmaceutical Assistance Programs

Montana Medicaid Information

Physical Address:
New West Health Services
130 Neill Ave
Helena, MT 59601

New West Health Services
2132 Broadwater Ave., Unit A-1
Billings, MT 59102

New West Health Services
1203 Hwy 2 West, Suite #45
Kalispell, MT 59901-6071

Note: (H2701_NW#135-09-09) CMS Approval Date: 10-13-2009
Last updated on 07-22-2010