2024 CCA Medicare Excel 24328.000
What is the CCA Health California Comprehensive Formulary?
A formulary is a list of covered drugs selected by CCA Health California in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. CCA Health California will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a CCA Health California's network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.
The Medicare program allows us to make changes in our prescription drug formulary list at any time during the calendar year. As previously explained, the formulary is a list of drugs. A change in our drug formulary could affect which drugs are covered, the members co pay and the limit on usage.
To download a comprehensive list of Part D prescribed drugs covered by your Plan please visit the following website link.
- Important Message About What You Pay for Vaccines – Our plan covers most Part D vaccines at no cost to you. Call Member Services for more information.
- Important Message About What You Pay for Insulin You won’t pay more than $0 for a one-month supply of select covered insulins during the initial coverage limit and coverage gap or “donut hole” stages of your benefit.” Please refer to your Evidence of Coverage (EOC) for more information.
How to Search for Drugs
o Use the alphabetical list to search by the first letter of your medication.
o Search by typing part of the generic (chemical) and brand (trade) names.
o Search by selecting the therapeutic class of the medication you are looking for.
Please Note: If you enter the brand name of a drug and only the generic name is displayed, the brand drug is Not Covered but the equivalent generic is covered on the tier shown.