Medicare-Approved 2017 Closed Formulary: 00017449
5 Tier Closed Formulary
Download the latest comprehensive copy of the Medicare Part-D formulary with prior authorization here
The following Incentive Formulary applies to members of an employer/retiree, union, or trust fund health plan, please click here to access the 2017 Incentive formulary (00017450)
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.