Formularies and Notice of SilverScript Medicare Part D Formulary
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.