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Healthcare Provider Information
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Library
Coupe Benefit Summaries
- 2025 Allianz Benefit Summary
- 2025 Summary of Benefits & Coverage
- Comparison Chart - 2025 Coupe Plan vs 2024 Premium Plan
How to use your Coupe Health Plan
Coupe Health Documents
- Coupe Member Authorized Representative Form (MN)
- 2025 Allianz Open Enrollment Guide
- Coupe Health Continuity of Care Request Form
Your Pharmacy Resources
- Prime Therapeutics - How to determine your Drug Coverage 2025
- Prime Therapeutics - Retail Pharmacy Listing 30-day Prescription - Select Network - Jan 2025
- Prime Therapeutics - Retail Pharmacy Listing 90-day Prescription - Select Network - Jan 2025
- 2025 KeyRx Drug List
- 2025 KeyRx Insulin Drug List
- 2025 KeyRx ACA Prev Standard
- 2025 Allianz Life - RX Fact Sheet
- 2025 KeyRX Drug List (Depression)
- Prime Specialty Drug Program