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Formularies and Notice of SilverScript Medicare Part D Formulary Updates

Notice of SilverScript Medicare Part D Formulary Updates

We may remove drugs from the formulary, add prior authorization, quantity limits and/or step therapy restrictions on a drug, and/or move a drug to a higher cost-sharing tier during the plan year. If the change affects a drug you take, we will notify you with SilverScript Medicare Part D updates at least 60 days before the change is effective. However, if the U.S. Food and Drug Administration (FDA) deems a drug on our formulary to be unsafe or if the drug’s manufacturer removes a drug from the market, we may immediately remove the drug from the formulary and notify all affected members as soon as possible.

SilverScript Medicare Part D Comprehensive Formularies

SilverScript Medicare Part D Formulary Updates


Our Formulary and Formulary Alternatives

Our formulary is the list of prescription drugs we cover. You can view and/or print the Comprehensive Formulary (complete list of covered drugs) by clicking the Comprehensive Formulary link shown above. When you search our formulary for a drug using the Drug Search Tool on our website, the results will let you know whether there are formulary alternatives such as lower-cost generic or brand drugs. If your drug is not covered, we provide a “formulary alternative" link that lets you know whether an alternative drug is covered by our plan.

We include formulary alternatives in the Drug Search Tool to help you and your prescribing doctor determine the proper course of action when a drug you take is not covered by your plan. That is, whether to request an exception or simply write a new prescription for a formulary alternative. To help your doctor decide on a formulary alternative, please print your plan’s comprehensive formulary and take it with you when you visit your doctor. Remember, by switching to an alternative generic or brand-name drug included on our formulary, you can avoid paying full cost for a non-formulary drug.

For the most recent list of drugs please contact Customer Care toll-free at 1-866-235-5660, 24 hours a day, 7 days a week. TTY users call 1-866-236-1069 or use the Comprehensive Formularies and Formulary Updates links above.

SilverScript comprehensive formularies are updated monthly or whenever formulary changes occur. This is not a complete list of all formulary alternatives covered by your Part D plan. The drugs listed are for comparison purposes and may differ in effectiveness, dosing, side effects and/or drug interaction profiles. Always seek the advice of your doctor.

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Use the Plan Advisor to help you choose the right plan. Begin by selecting the statement below that best describes what you want from your Medicare prescription drug plan. Based on the statement you choose, the Plan Advisor will highlight the recommended SilverScript plan so you may compare it to the remaining SilverScript plans.

Plan Advisor
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Thank you for using the Plan Advisor. Based on the statement you selected, the most appropriate SilverScript plan is highlighted based on your specific needs. The key differences highlighted by the Plan Advisor are intended only as a basic guideline. Because there are other factors to consider, please review each plan before deciding on the plan that’s right for you and your budget.

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