Guidelines

How do I find out if my Medicare covers a drug?

How do I find out if my Medicare covers a drug?

Visit Medicare.gov, or call 1-800-MEDICARE (1-800-633-4227) to get the most current information. TTY users can call 1-877-486-2048. Paid for by the Department of Health & Human Services. Medicare prescription drug coverage (Part D) helps you pay for both brand-name and generic drugs.

Does Medicare have a drug formulary?

Most Medicare drug plans have their own list of covered drugs, called a formulary. Plans cover both generic and brand-name prescription drugs. The formulary includes at least 2 drugs in the most commonly prescribed categories and classes.

Who Develops Medicare formulary?

The health plan generally creates this list by forming a pharmacy and therapeutics committee consisting of pharmacists and physicians from various medical specialties. This committee evaluates and selects new and existing medications for what is called the (health plan’s) formulary.

What is the formulary for the Medicare drug plan?

Each Medicare drug plan has its own list of covered drugs. This is called a formulary (drug list). Our formulary lists the drugs covered by our Medicare plans. You can search the list by the name of your medication.

Where can I find the Medicare Formulary for 2021?

You may have Formulary I, or you may have Formulary II. If you don’t know which one applies to your plan, contact Member Services. You can also download or print the entire 2021 Medicare drug list for your plan: We contract with more than 63,000 pharmacies.

What kind of drugs are covered by Medicare?

Most Medicare drug plans have their own list of covered drugs, called a formulary. Plans cover both generic and brand-name prescription drugs. The formulary includes at least 2 drugs in the most commonly prescribed categories and classes.

How can I search the Medicare drug list?

You can search the list by the name of your medication. When we make our drug list, our team of pharmacists and doctors reviews information on new medicines covered by the U.S. Food and Drug Administration.