Medicare Formulary

Compare plans and find educational material

Do your patients need Medicare Part D prescription drug coverage?

Medicare Advantage Formularies and Part D Coverage Documents

• 2026 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.  

• 2026 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.

• 2026 Medicare Advantage Notice of Formulary Updates
  List of updates and changes to the CDPHP Individual Medicare Advantage Drug Plans Formulary.

• 2026 Medicare Advantage Group Notice of Formulary Updates
  List of updates and changes to the CDPHP Group Medicare Advantage Drug Plans Enhanced Formulary.

• 2026 Medicare Advantage Part D Formulary Step Therapy Drug List

• American Geriatric Society BEERS Criteria

• Medical Benefit Formulary/Prior Authorization Medication List
  This grid outlines those services that require prior authorization through the CDPHP pharmacy department.

• 2026 Medicare Part D Prior Authorization Policy
  This document outlines the criteria for the services that require prior authorization through the CDPHP pharmacy department.

Medicare Advantage Prior Authorization and Redetermination Forms

• Coverage Determination Request Form

• Medical Exception Request and Prior Authorization Form

• Request for Redetermination of Medicare Prescription Drug Denial

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