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 Medicare-Approved 2022 Incentive Formulary: 22036   5 Tier Incentive Formulary

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

For detailed instructions on how to use this site, please click here

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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 Highmark Choice Company, Highmark Senior Health Company, Highmark BCBSD Inc. and Highmark Senior Solutions Company are Medicare Advantage plans with a Medicare contract. Highmark Health Insurance Company is a PDP plan with a Medicare contract. Enrollment in Highmark Choice Company, Highmark Senior Health Company, Highmark Senior Solutions Company, Highmark BCBSD Inc., and Highmark Health Insurance Company depends on contract renewal

 

 

Disclaimer

Formulary Id: 22036
Formulary Effective Date: 06/01/2022
Updated:
06/2022
CMS Approval Date:
06/01/2022
CMS Version:
27
CMS Marketing Materials Id:
EGHP_21_4434_C

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