Medicare Part D

Part D Drug Lists

Our Medicare formularies provide information on which drugs are covered and what drug management programs may apply for specific plans.

2023

2022

Formulary Changes

We may add or remove drugs from these formulary lists during the year. We will generally notify members of a negative formulary change at least 60 days before the date that the change becomes effective through a formulary change notice. A negative formulary change occurs when:

Removing a drug from our formulary
Adding prior authorization, quantity limit, or step therapy requirements
Moving a drug to a higher cost-sharing tier

If the Food and Drug Administration (FDA) deems a drug on our formulary to be unsafe or the drug's manufacturer removes the drug from the market, we will immediately remove the drug from our formulary.

Additional Resources

For more information about Medicare Part D, considering the following resources from the Centers for Medicare and Medicaid Services (CMS):

If you have a question related to a specific patient or claim, please contact Provider Services at 800-605-3256.