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Prescription Drug Formulary

A prescription drug formulary is a list of drugs a Medicare Advantage plan covers. The MedStar Medicare Choice formulary includes thousands of brand-name and generic medications. These drugs have been approved for coverage by the health plan and are also reviewed and approved by Medicare.

How Do I Request an Exception To the Formulary? 

To submit a request for a coverage determination, utilization exception, formulary exception, or tiering exception:

  • Request Form – Coverage Determination, Formulary Exception or Tiering Exception:  Medicare Part D enrollees can use this form to request coverage determinations (including tiering, utilization or formulary exception requests) from their Medicare Part D plan sponsor.  You or your physician can request a prescription coverage determination or an appeal by calling 855-266-0712 (TTY users should dial 855-250-5604 for MD Relay).  For more information on how to submit a request for an exception to the formulary please click here.

 

2018 Downloadable Formulary

MedStar Medicare Choice (HMO) 2018 Prescription Drug Comprehensive Formulary

MedStar Medicare Choice Dual Advantage (HMO SNP) 2018 Prescription Drug Comprehensive Formulary

MedStar Medicare Choice Care Advantage (HMO SNP) 2018 Prescription Drug Comprehensive Formulary

 

2018 Searchable Formulary

 

2017 Downloadable Formulary

MedStar Medicare Choice (HMO) 2017 Prescription Drug Comprehensive Formulary

MedStar Medicare Choice Dual Advantage (HMO SNP) 2017 Prescription Drug Comprehensive Formulary

MedStar Medicare Choice Care Advantage (HMO SNP) 2017 Prescription Drug Comprehensive Formulary

2017 Searchable Formulary

 

 

 

 

H9915_18_4013 -  Approved

Last Update Date: 10/4/2017