Formulary

The list of prescription drugs a plan covers.

Key Takeaways

  • Each Part D and Medicare Advantage drug plan has its own formulary.
  • Drugs are grouped into cost tiers.
  • Formularies can change from year to year.

A formulary is the list of prescription medications a drug plan agrees to cover, usually organized into tiers that determine your cost. A lower tier means a smaller copay.

Because formularies change annually, a plan that covered your medications affordably last year may not this year β€” one reason an annual review pays off.

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