Approved Drug List for 2008 Plans

PriorityMedicare approved drug list

The approved drug (formulary) list tells you what prescription drugs are covered by our PriorityMedicare^SM plans. The drug list also includes each drug's tier or cost level.
Jump down the page to drug tier and prescription copay information.

If you buy your own coverage

• Print a copy of the list of approved drugs (192KB PDF)*.
  You'll find an index of drug names on page 49.
  For the most up-to-date information, please use the online approved drug list. A link appears below.
• Print a copy of the instructions for using the drug list and answers to frequently asked questions (52KB PDF)*.

If you have coverage through your employer

Check your Evidence of Coverage booklet to see if you are covered by the 2007 or 2008 plan.
If you're covered by a 2008 plan, use this approved drug list (formulary):

• Print a copy of the 2008 list of approved drugs (197KB PDF)*.
  You'll find an index of drug names on page 48.
  For the most up-to-date information, please use the online approved drug list. A link appears below.
• Print a copy of the 2008 instructions for using the drug list and answers to frequently asked questions (53KB PDF)*.

If you're covered by a 2007 plan, use this approved drug list (formulary):

• Print a copy of the 2007 list of approved drugs (197KB PDF)*.
  You'll find an index of drug names on page 50.
  For the most up-to-date information, please use the online approved drug list. A link appears below.
• Print a copy of the 2007 instructions for using the drug list and answers to frequently asked questions (41KB PDF)*.

More information about covered drugs

• Search our online approved drug list (formulary).
  Note: Clicking this link will take you away from this PriorityMedicare section of the Priority Health website.
• View pending changes to the approved drug list.
• View a list of drugs not covered by Medicare plans.
• View special instructions on paying for vaccinations.
• Find out what to do if a drug you need isn't on the approved drug list or you'd like to request an exception to our approved drug list.
• Learn about Medicare step therapy requirements.

Your doctor or other health care provider may need the following information.
Providers in our network have access to these forms on the priorityhealth.com website.

• Prior authorization forms for drugs
  Note: Clicking on this link will take you away from the PriorityMedicare site.
• Coverage Determination Request form (237KB PDF)*

*You'll need Adobe^® Reader software to view and print PDF files. Download it free now!

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Drug tiers for 2008

Tier	Drug Type	Drug copay* for medical plans	Drug copay* for Rx Plan
1	Generics	$10	$7
2	Preferred brand-name	$35	$28
3	Non-preferred brand-name	$60	$56

*Copays apply after any deductible required by your plan has been met and are for a 31-day supply. Costs may vary when your plan is provided by an employer.

People on limited incomes may pay less for their drugs. If you have PriorityMedicare Rx, find out if you qualify here.

For other PriorityMedicare plans, use the Search by County tool to see what's available in your area. Go to the details page of the plan you're interested in and click on the link beneath the table that says "Find Out More."