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 Medicare-Approved 2025 Incentive Formulary: 25021   5 Tier Incentive Formulary

Download the latest comprehensive copy of the Medicare Part-D formulary with prior authorization here

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All drugs returned upon search are covered on the formulary. The formulary status (e.g., tier) and any applicable coverage restrictions (e.g., prior authorization, quantity limit) are denoted by symbols. A “Definition of Symbols” is displayed immediately following the search results.

 

  

 


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Disclaimer

Formulary ID: 25021
Formulary Effective Date: 05/01/2025
Updated:
05/2025
CMS Approval Date:
05/01/2025
CMS Version:
16
CMS Marketing Materials Id:
EGHP_24_9240_C

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