Rocky Mountain Health Plans DualCare Plus (HMO D-SNP) Look Up Tools

Find A Drug

This search option is only available for desktop users. Note that you can download a list of covered drugs above.

RMHP DualCare Plus (HMO D-SNP)

This search option is only available for desktop users. Note that you can download a list of covered drugs below.

Download a printable drug list https://www.rmhp.org/formulary

Pharmacy Prior Authorization Request

Submit a Pharmacy Prior Authorization Request

What if I disagree with a Prior Authorization Decision?

If we make a coverage decision and you are not satisfied with this decision, you can "appeal" the decision. An appeal is a formal way of asking us to review and change a coverage decision we have made. To learn more about the appeal process, visit https://www.rmhp.org/learning-center/helpful-resources

Sometimes, the prescription you take isn't on your plan's drug list, or it's subject to certain limits. Start by talking to your doctor to see if there's another medication on the drug list that you can switch to. If there isn't an appropriate alternative drug, you or your doctor can ask for a formulary exception. Contact RMHP Customer Service to request a formulary exception. If it's approved, you can continue taking your current medication for a certain period of time.

Whether you're switching drugs or waiting for an exception approval, you may be eligible for a transition supply of your current drug.

  • You must get your 1-month supply, as described in your Evidence of Coverage (EOC), during the first 90 days with the plan as a new member.
  • You may also be eligible for a one-time, temporary 1-month supply if you qualify for an emergency fill while residing in a long-term care (LTC) facility after the first 90 days as a new member or you have encountered a level of care change.
  • If your doctor writes your prescription for fewer days, you may refill the drug until you've received at least a 1-month supply, as described in your EOC.

You may be eligible for a temporary supply of prescription drugs if:

  • You are a new Member and it's during the first 90 days of your membership in the plan
  • You have been in the plan for more than 90 days and reside in a long-term care (LTC) facility and need a supply right away
  • You have a level of care change at any time during the plan year (for example: going into a long term care facility from a hospital, going home from a hospital stay, or going home from a long term care facility stay)

Be sure to review your EOC for details.

Download Formularies

Medication Therapy Management Program

As part of the UnitedHealthcare family of plans, RMHP works with closely with UnitedHealthcare. Eligible RMHP Members can participate in UnitedHealthcare's Medication Therapy Management (MTM) program. This program helps qualifying Members understand their coverage and how to use their medications. It can also help identify possible risks of side effects and potentially harmful drug combinations. There is no cost to this program.

Members will automatically be enrolled in the MTM program if you:

  • take eight (8) or more chronic Part D medications, and
  • have three (3) or more long-term health conditions, and
  • are likely to spend more than $4,044 a year on covered Part D medications

You also must have three or more of these health conditions to qualify for the program:

  • Diabetes Hypertension (High Blood Pressure)
  • Heart Failure
  • High Cholesterol
  • Rheumatoid Arthritis

Within 60 days of becoming eligible, you'll receive an offer by mail or phone to complete a Comprehensive Medication Review (CMR).

You can complete the CMR by phone or in person with a qualified health care provider. It takes about 30 minutes. A pharmacist, or qualified CMR provider, will review your medication history, including prescription and over-the-counter medications, and look for any issues.

Within 14 days of the CMR, you'll receive a Medication Action Plan. It summarizes any clinical concerns and a Personal Medication List of your medication history. This can be helpful when meeting with your doctor or pharmacist. The results may also be sent to your doctor.

In addition to the CMR, Targeted Medication Reviews are completed at least quarterly. These reviews are done to find any drug-to-drug interactions or other medication concerns and will be sent to your doctor. The MTM program is not a plan benefit. For more information about the MTM program, contact RMHP Customer Service at 800-346-4643.

Download a Personal Medication List.

Dental Provider Search

Find a Dentist

View RMHP’s printable directories

If you need help finding a network provider, please call 1-800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link provided above, or email customer_service@rmhp.org.  Hours are 8 am – 8 pm MT, 7 days/week, October 1 – March 31, and 8 am – 8 pm MT, Monday-Friday, April 1–September 30.

Search for a Network Pharmacy

Find a Pharmacy

View RMHP’s printable directories     

If you need help finding a network provider, please call 1-800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link provided above, or email customer_service@rmhp.org.  Hours are 8 am – 8 pm MT, 7 days/week, October 1 – March 31, and 8 am – 8 pm MT, Monday-Friday, April 1–September 30.

Search for a Vision Provider

Find a Vision Provider www.medicare.myuhcvision.com

View RMHP’s printable directories

If you need help finding a network provider, please call 1-800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link provided above, or email customer_service@rmhp.org.  Hours are 8 am – 8 pm MT, 7 days/week, October 1 – March 31, and 8 am – 8 pm MT, Monday-Friday, April 1–September 30.

Search for a Fitness Facility

Find a Fitness Facility www.uhcrenewactive.com

View RMHP’s printable directories

If you need help finding a network provider, please call 1-800-346-4643 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link provided above, or email customer_service@rmhp.org.  Hours are 8 am – 8 pm MT, 7 days/week, October 1 – March 31, and 8 am – 8 pm MT, Monday-Friday, April 1–September 30.