Medicare-Approved 2022 Performance Formulary: 22038
5 Tier Performance 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.