Montana Members
Individual & Family
Montana Members
Our plans come with and without prescription drug coverage and are backed by proven personal service and the expertise of physicians whose top priority is your health.
Important Information
Members are responsible to obtain prior authorization (approval from Clear Choice in advance) for certain procedures or services. The prior authorization document identifies or describes what requires prior authorization.

Please refer to the member prior authorization requirements document.
Your Life. Your Choice.
Prior Authorization Requirements
Member Prior Authorization Requirements
Certain procedures or services require prior authorization from Clear Choice Health Plans, Inc. This document identifies or describes what requires prior authorization.
Benefit Details
Pharmacy Benefits Brochure
Get the most out of your prescription drug benefit. Learn more about filling prescriptions, our preferred drug list (formulary), mail order services, limitations and prior authorization.
Common Tasks
Find a Doctor
Use our Online Provider Directory to assist you in finding the Health Care provider that best suits your needs.
Prescription Drug Information
Preferred Rx Drug List (Alphabetical)
View an alphabetical listing of our preferred list of prescription drugs (formulary).
Preferred Rx Drug List (By Therapy Class)
View our preferred list of prescription drugs (formulary) by therapy class.
Preferred Rx Drug List (Alphabetical- Spanish)
View an alphabetical listing of our preferred list of prescription drugs (formulary) in Spanish.
2008 Preferred Rx Drug Additions & Deletions
View a listing of changes to our preferred list of prescription drugs (formulary).
Sign In to View Your Rx Benefit Details
Sign in at www.express-scripts.com to get the most out of your prescription drug coverage. Simply click on “Activate Your Account” and follow the instructions. You will need your member number from your Clear Choice ID card to activate your account.
Printable Forms
Mail Order Form
Complete this form and mail it with your written prescription(s) and copay (by credit card, debit card, or check) to Ridgeway Pharmacy, 2824 US Hwy 93 North, Victor, MT 59875.
Member Grievance Form
Use this form for complaints about issues that do not involve a denial of coverage of services, and have occurred within the last 60 days.
Member Appeal Form
If you would like to appeal coverage you have received, please complete and submit this form.