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
2018 Searchable Formulary
H9915_18_4048 - Pending CMS Approval
Last Update Date: 1/1/2018