Presbyterian Senior Care (HMO)/ (HMO-POS)
Presbyterian Dual Plus (HMO D-SNP)
Presbyterian UltraFlex (HMO-POS)
Presbyterian MediCare PPO
2024 Formulary (List of Covered Drugs)
A formulary is a list of covered drugs selected by Presbyterian Senior Care (HMO)/ (HMO-POS), Presbyterian MediCare PPO, and Presbyterian Dual Plus (HMO SNP) in consultation with a team of health care providers.
Some medications listed may have additional requirements or limitations of coverage. These requirements and limits may include prior authorization, quantity limits, or step therapy.
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How do I use this search tool?
You may search the Presbyterian Medicare Advantage Plans Formulary in the following ways:
- Alphabetical Search – You can find a drug by choosing the first letter in the drug name from the list of letters below.
- Brand & Generic Name Search – You can find a drug by using its brand name, and or generic name. Type in the first few letters of the drug name in the box and search.
- Therapeutic Class Search – You can find all of the drugs on the formulary that are used to treat certain conditions, like antidepressant medications, vaccines, nutrients. Choose a therapeutic class from the list below
Important
This search tool contains information about the drugs we cover in these plans. The Formulary may change at any time. You will receive notice when necessary. For existing members, this formulary has changed since last year. Please use this search tool to make sure that it still contains the drugs you take.
View a PDF version of our drug formulary >