CDPHP Medicare Advantage Drug Plans use a formulary, which is a list of covered drugs selected to meet patients' needs. It’s important to check this list every year to ensure your medications are covered. Formularies are reviewed and updated on a regular basis by medical and pharmacy professionals. If the formulary changes, enrollees will be notified before the change takes effect.
Drugs on the formulary are organized into different tiers. What you pay depends on which tier your drugs are in. Please note that generic brand prescriptions are frequently the most cost-effective choice.
If you take a drug that is not on our formulary, you may ask us to cover that drug by filling out and submitting the Request for Medicare Prescription Drug Coverage Determination form.