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                      Medicare-Approved 2019 Performance Formulary: 19232

  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.


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Federal Contracting Statement:
Highmark Senior Health Company, Highmark Choice Company and Highmark Senior Solutions Company are Medicare Advantage plans with a Medicare contract. HM Health Insurance Company is a PDP plan with a Medicare contract. Enrollment in Highmark Senior Health Company, Highmark Choice Company, Highmark Senior Solutions Company and HM Health Insurance Company depends on contract renewal.


Formulary Id: 19232
Formulary Effective Date: 07/01/2019
CMS Approval Date:
CMS Version:
CMS Marketing Materials Id:

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