Medicare Part D
Formulary and Drug Search Tool
Formulary
The Care Improvement Plus formulary (list of covered drugs) is extensive. Our comprehensive formulary is the same for all Care Improvement Plus plans, eliminating the need to compare formularies when choosing a plan. To view a comprehensive listing of our plans' covered drugs, click here. (Revised 6/2010)
Upcoming Changes to Care Improvement Plus's Formulary
Care Improvement Plus may add or remove drugs from our formulary during the year. If we remove drugs from our formulary, add prior authorization, add quantity limits and/or step therapy restrictions on a drug, and/or move a drug at a higher cost-sharing tier, we will notify you of the change at least 60 days before the date that the change becomes effective. However, if the Food and Drug Administration (FDA) deems a drug on our formulary to be unsafe or the drug's manufacturer removes the drug from the market, in which case we will immediately remove the drug from our formulary.
For information about updates that have been made to our plans' formulary, click here. (Revised 8/2010)
Exceptions and Appeals
To learn about your rights in requested an exception or appeal on a medication request please fill out the
following forms.
Prior Authorizations
Members will need to get prior authorization for certain drugs on our formulary. Drugs will need a prior authorization (PA) if they have a B/D and/or a PA next to them on the formulary. Members or their provider can call 1-800-204-1002 (TTY 1-800-713-1603) to request a prior authorization. For more information regarding the criteria for medications that have prior authorization,
please click here.
Click here to access the Medicare Prescription Drug Plan Finder. By clicking this link you are now leaving the
Care Improvement Plus website.
Drug Pricing Tool
Each Care Improvement Plus Plan has a drug pricing tool that was specifically designed to show beneficiaries how much their prescriptions will cost during all coverage stages (initial coverage, coverage gap – doughnut hole, and catastrophic coverage).
Search for a drug in
5 easy steps:
- Click on a link
- Select the beneficiary's state from the dropdown list and click continue
- Enter drug name and click Search, or use the alphabet list of commonly prescribed medications to find a drug that begins with that letter
- Select the drug's strength
- The prices that display reflect the cost of the entered drug in all coverage stages
Chronic Condition Special Needs Plans
Medicare/Full Medicaid Special Needs Plan
Medicare Advantage Prescription Drug Plan
Pharmacy Directory and Locator Tool
Pharmacy Directory
The printed versions of these directories is current as of the date on the booklet's cover; however, a pharmacy's listing in the printed directory does not guarantee that the pharmacy is still in the network. Pharmacies may have been added or removed from the list after this directory was printed. For the most up-to-date listing, access the Pharmacy Locator below.
To view a printed version of the Pharmacy directory that covers your beneficiary's service area, click on the appropriate link below.
Pharmacy Locator
To get current information about Care Improvement Plus network pharmacies in a beneficiary's area, follow these 3 Easy Steps:
1. To access the pharmacy locator, click here
2. Enter a zip code or city, state and click Locate Pharmacy
3. Choose a pharmacy from the results.
Chronic Condition Special Needs Plans
Medicare/Full Medicaid Special Needs Plan
Medicare Advantage Prescription Drug Plan
This page was last updated on: 7/30/2010 3:00:56 PM
