Medicare Formulary

Compare plans and find educational material

Do your patients need Medicare Part D prescription drug coverage?

Medicare Advantage Formularies

• 2025 Medicare Advantage Drug Plans Formulary (5-Tier) | (2024)
  The list of covered drugs for all individual members of CDPHP Medicare Advantage plans with Part D prescription drug coverage.  

• 2025 Medicare Advantage Group Drug Plans Enhanced Formulary (5-Tier) | (2024)
  The list of covered drugs for employer group members of CDPHP Medicare Advantage Group Drug Plans with Part D drug coverage.

• 2025 Medicare: Notice of Formulary Updates coming soon | (2024)
  List of updates and changes to the CDPHP Medicare Advantage Drug Plans Formulary.

• 2025 Medicare Advantage Part D Formulary Step Therapy Drug List | (2024) 

• 2025 Medicare Advantage Part D High Risk Medications List | (2024) 

• American Geriatric Society BEERS Criteria

Medicare Advantage Prior Authorization Forms

• 2025 Medicare Prior Authorization Guidelines Grid coming soon | (2024)
  This grid outlines those services that require prior authorization through the CDPHP pharmacy department.

• 2025 Medicare Part D Prior Authorization Criteria coming soon | (2024)
  This document outlines the criteria for the services that require prior authorization through the CDPHP pharmacy department.

To download educational materials and more information about Medicare's medical and prescription drug coverage, visit the CMS site.