What is a formulary?

A formulary is a list of covered drugs selected by Priority Health Medicare 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. Priority Health Medicare will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a Priority Health Medicare network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

Formulary updates

With drugs being added and removed each year, it is important to keep our listed up-to-date. See our formulary changes list.

Drug approval process

What determines which drugs are added or removed from our formulary? Our deciding factors are determined by comprehensive research, science and health advantages. Learn more.