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MA-PD Formulary (2026)
Classic Plan (HMO-POS), Value Plan (HMO), Rewards Plan (HMO), SunSaver (HMO), Complete Care (HMO), Emerald Plus (HMO), Premier Access (HMO-POS)

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  • Analgesics
  • Anesthetics
  • Anti-Addiction/ Substance Abuse Treatment Agents
  • Antibacterials
  • Anticonvulsants
  • Antidementia Agents
  • Antidepressants
  • Antiemetics
  • Antifungals
  • Antigout Agents
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  • Antimycobacterials
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  • Antiparkinson Agents
  • Antipsychotics
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  • Antivirals
  • Anxiolytics
  • Bipolar Agents
  • Blood Glucose Regulators
  • Blood Products And Modifiers
  • Cardiovascular Agents
  • Central Nervous System Agents
  • Dental And Oral Agents
  • Dermatological Agents
  • Electrolytes/Minerals/Metals/Vitamins
  • Gastrointestinal Agents
  • Genetic Or Enzyme Or Protein Disorder: Replacement, Modifiers, Treatment
  • Genitourinary Agents
  • Hormonal Agents, Stimulant/ Replacement/ Modifying (Adrenal)
  • Hormonal Agents, Stimulant/ Replacement/ Modifying (Pituitary)
  • Hormonal Agents, Stimulant/ Replacement/ Modifying (Prostaglandins)
  • Hormonal Agents, Stimulant/ Replacement/ Modifying (Sex Hormones/ Modifiers)
  • Hormonal Agents, Stimulant/ Replacement/ Modifying (Thyroid)
  • Hormonal Agents, Suppressant (Adrenal Or Pituitary)
  • Hormonal Agents, Suppressant (Thyroid)
  • Immunological Agents
  • Inflammatory Bowel Disease Agents
  • Metabolic Bone Disease Agents
  • Non-Frf Drugs
  • Ophthalmic Agents
  • Otic Agents
  • Respiratory Tract/ Pulmonary Agents
  • Skeletal Muscle Relaxants
  • Sleep Disorder Agents
©1997-2026 Managed Markets Insight and Technology, LLC. All Rights Reserved Terms of Use
Formulary Id: 26396
Formulary Effective Date: 07/01/2026
Updated:
07/2026
CMS Approval Date:
07/01/2026
CMS Version:
24

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