Medicare Part D Formulary Lookup Guide 2025

Learn how to check if your medications are covered by Medicare Part D plans using formulary lookup tools. Essential information for choosing the right prescription drug plan.

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What is a Medicare Part D Formulary?

A formulary is the official list of prescription drugs covered by a Medicare Part D plan. Each plan has its own formulary, which includes both brand-name and generic medications.

Formularies are organized into tiers, with each tier having different cost-sharing amounts. Understanding your plan's formulary is crucial for managing prescription costs.

Important:

If your medication isn't on a plan's formulary, you'll pay the full cost unless you get an exception.

Formulary Basics

  • Updated annually: Formularies can change each year
  • Plan-specific: Each insurer has different drug lists
  • Tier system: Drugs organized by cost levels
  • Restrictions may apply: Some drugs have coverage limitations

Understanding Drug Tiers

Medicare Part D plans organize medications into tiers, with each tier having different copay or coinsurance amounts.

Tier 1 - Generic

Lowest-cost generic medications

Typical Copay: $3-$15

Most affordable option

Tier 2 - Preferred Brand

Brand-name drugs preferred by the plan

Typical Copay: $20-$50

Lower cost brand options

Tier 3 - Non-Preferred Brand

Brand-name drugs not on preferred list

Typical Copay: $50-$100

Higher cost brands

Tier 4 - Specialty

High-cost specialty medications

Coinsurance: 25%-50%

Most expensive tier

Tier 5 - Premium Specialty

Highest-cost specialty drugs

Coinsurance: 25%-33%

Very high-cost medications

Not Covered

Medications not on formulary

Cost: 100% (Full Price)

Unless exception granted

How to Use Medicare Part D Formulary Lookup Tools

1

Gather Your Medication Information

Before starting your formulary search, collect complete information about all medications you take:

  • Exact medication names (generic and brand)
  • Dosage strengths (mg, mcg, etc.)
  • Dosage forms (tablet, capsule, liquid)
  • Quantities you need per month
  • Any special formulations
  • Your prescription bottles for reference
2

Access the Medicare Plan Finder

Visit Medicare.gov's official Plan Finder tool for the most accurate and up-to-date formulary information:

What You'll Need:

  • • Your ZIP code
  • • List of medications
  • • Preferred pharmacies
  • • Medicare number (if available)
Go to Medicare Plan Finder
3

Enter Your Medications

Use the drug lookup feature to add each of your medications to your profile:

Search Tips:

  • • Type the first few letters and select from the dropdown
  • • Choose the exact strength and form you take
  • • Add all medications, including over-the-counter if prescribed
4

Review Coverage Details

For each plan, check the detailed formulary information for your medications:

Coverage Information:

  • • Drug tier level
  • • Estimated copay amount
  • • Coverage restrictions
  • • Quantity limits

Red Flags to Watch:

  • • Prior authorization required
  • • Step therapy mandated
  • • Not covered by plan
  • • Quantity restrictions

Understanding Coverage Restrictions

Even if your medication is on a formulary, there may be restrictions that affect your access or cost.

Prior Authorization (PA)

Your doctor must get plan approval before you can get the medication covered.

Timeline: Usually 1-3 business days

Process: Doctor submits medical justification

Step Therapy (ST)

You must try a cheaper, preferred drug first before the plan covers the prescribed medication.

Requirement: Try lower-cost alternatives first

Exception: If cheaper drugs don't work or cause side effects

Quantity Limits (QL)

The plan limits how much of the medication you can get at one time.

Example: 30 pills per month instead of 90

Override: Doctor can request higher quantities

Age/Gender Restrictions

Some medications are only covered for specific age groups or genders.

Common: Pediatric or women's health medications

Alternative: Generic or different formulation may be covered

Alternative Formulary Lookup Methods

Individual Plan Websites

Most Medicare Part D plan sponsors provide formulary lookup tools on their websites:

Pros: Plan-specific details, may be more current
Cons: Must check each plan separately

Common Plan Sponsors:

  • • AARP Medicare Rx Plans
  • • Humana Prescription Drug Plans
  • • CVS Health Medicare Part D Plans
  • • Cigna Medicare Part D Plans

Pharmacy Resources

Your pharmacist can help check coverage and suggest alternatives:

Expert advice: Pharmacists understand formularies
Alternative suggestions: Generic or therapeutic substitutes
Real-time pricing: Actual costs at that pharmacy

When to Ask Your Pharmacist:

  • • Drug not covered by your plan
  • • High copay for your medication
  • • Prior authorization required
  • • Looking for generic alternatives

What If Your Medication Isn't Covered?

Options When Drugs Aren't on Formulary

Immediate Solutions:

  • 1.Ask about generic alternatives
  • 2.Look for therapeutic equivalents
  • 3.Check manufacturer discount programs
  • 4.Consider different plan during Open Enrollment

Exception Requests:

  • 1.Formulary exception (add drug to list)
  • 2.Tiering exception (lower copay tier)
  • 3.Medical necessity documentation
  • 4.Appeal process if denied

Exception Request Process

Your doctor can request an exception for non-formulary drugs or lower tier placement:

Step 1: Doctor Submits

Medical justification and alternative drug failures

Step 2: Plan Review

Plan has 72 hours for standard requests

Step 3: Decision

Approved, denied, or additional information needed

Formulary Lookup Best Practices

✓ Do This

  • Check all your medications before choosing a plan
  • Review formularies annually during Open Enrollment
  • Look at both coverage and restrictions
  • Consider future medication needs
  • Compare total costs, not just premiums
  • Ask your doctor about generic alternatives

✗ Avoid This

  • Choosing a plan without checking drug coverage
  • Assuming last year's formulary is the same
  • Only looking at Tier 1 generic coverage
  • Ignoring coverage restrictions and limits
  • Focusing only on monthly premium costs
  • Waiting until you need a prescription to check coverage

Need Help with Medicare Part D Formulary Research?

Our Medicare specialists can check drug coverage across all available plans and help you find the plan with the best formulary for your specific medications. This service is completely free.

Licensed Medicare experts • Formulary research • Free consultation

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