Medicare-Approved 2023 Performance Formulary: 23028
5 Tier Performance 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.
To access the 2024 Performance Formulary, click here.