Prescription Drug Plans

Plan Information and Forms

Find helpful resources including forms, plan materials and more.

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My account

Sign in to view details about your coverage. When you sign in, you can track and manage your spending to date, including your total drug costs and out-of-pocket costs. You can also print a temporary ID card or order a replacement member ID card, among other tasks. If you don’t have an account, please register.

Mail-order forms

Enrollment forms

To get an enrollment form for an AARP MedicareRx plan, go to View plans and pricing and enter your ZIP code. Choose one of the available plans in your area and view plan details. You’ll find the form you need in the Helpful Resources section.

Payment and reimbursement forms

Authorization forms

Other forms and plan materials

Find Medicare Prescription Drug Plans in Your Area

Questions?

Call UnitedHealthcare at:

1-877-596-3258
 (TTY 711)

Hours: 8 a.m. - 8 p.m. local time,
7 days a week

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