Medicare Formulary

Compare plans and find educational material

Do your patients need Medicare Part D prescription drug coverage?

Medicare Advantage Formularies

• 2023 Medicare Advantage Drug Plans Formulary (5-Tier)
  The list of covered drugs for all individual members of CDPHP Medicare Advantage plans with Part D prescription drug coverage. 

• 2023 Medicare HMO C-SNP Formulary
  The list of covered drugs for all individual members of CDPHP Medicare Care Advantage (HMO C-SNP) plans.

• 2023 Medicare Advantage Group Drug Plans Enhanced Formulary (5-Tier)
  The list of covered drugs for employer group members of CDPHP Medicare Advantage Group Drug Plans with Part D drug coverage.

• 2023 Medicare: Notice of Formulary Updates
  List of updates and changes to the CDPHP Medicare Advantage Drug Plans Formulary.

• 2023 Medicare Advantage Part D Formulary Step Therapy Drug List

• 2023 Medicare Advantage Part D High Risk Medications List

• American Geriatric Society BEERS Criteria

Medicare Advantage Prior Authorization Forms

• 2023 Medicare Prior Authorization Guidelines Grid
  This grid outlines those services that require prior authorization through the CDPHP pharmacy department.

• 2023 Medicare Part D Prior Authorization Criteria
  This document outlines the criteria for the services that require prior authorization through the CDPHP pharmacy department.

• 2023 Medicare Prior Authorization Drugs (Part B versus Part D)

Drugs on this list may be covered under Medicare Part B or Part D depending on the circumstances.

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