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Medicare Formulary
Medicare Formulary
HealthPartners uses a formulary, which is a list of drugs selected in consultation with a team of healthcare providers believed to be a necessary part of a quality treatment program. The formulary outlines the drugs that HealthPartners will cover for its members as long as the drug is medically necessary, filled at a HealthPartners network pharmacy, and all other plan rules are followed.
For more information, please review your plan's Evidence of Coverage or call
Member Services
.
You can print the complete
2009 drug formulary
(updated in November 2009) or the
2010 drug formulary
(effective January 1, 2010) or call
Member Services
to have one mailed to you. Please see the Drug Management Programs section of the
Evidence of Coverage
for information about our quality assurance policies and procedures, including Medication Therapy Management and drug utilization.
For the most up-to-date information on which drugs are covered, use the function below to search for a drug name or category. This search is updated on the first of each month.
Additional items to assist you with formulary-related needs include:
Frequently Asked Questions
Coverage Determination Form to request a formulary exception or prior authorization --
COMING SOON
Coverage Redetermination Form to request a denial redetermination --
COMING SOON
HealthPartners Transitional Medication Process
Information on how to file a complaint or appeal
If you have someone acting on your behalf, fill out the Individual Authorized Representative Form --
COMING SOON
.
2010 HealthPartners/MedImpact Payer Sheets
HealthPartners MSHO Plan Medicaid Wrap Drug List
If you have questions about any of the information contained on this page, please contact
Member Services
.
HealthPartners is a health plan with a Medicare contract. Pending CMS approval
Drug Name
OR
Drug Category
Select a Category
ACIDIFYING AGENTS
ADRENALS
ALKALINIZING AGENTS
ALPHA-ADRENERGIC BLOCKING AGENTS
AMMONIA DETOXICANTS
ANALGESICS AND ANTIPYRETICS
ANDROGENS
ANOREXIGENICS, RESPIRATORY AND CEREBRAL STIMULANTS
ANTHELMINTICS
ANTI-INFECTIVES (EARS, EYES, NOSE & THROAT)
ANTI-INFECTIVES (SKIN AND MUCOUS MEMBRANE)
ANTI-INFLAMMATORY AGENTS (EARS, EYES, NOSE & THROAT)
ANTI-INFLAMMATORY AGENTS (GASTROINTESTINAL DRUGS)
ANTI-INFLAMMATORY AGENTS (RESPIRATORY)
ANTI-INFLAMMATORY AGENTS (SKIN AND MUCOUS)
ANTIALLERGIC AGENTS
ANTIBACTERIALS
ANTICHOLINERGIC AGENTS
ANTICONVULSANTS
ANTIDIABETIC AGENTS
ANTIDIARRHEA AGENTS
ANTIEMETICS (including drugs for Nausea & Vomiting)
ANTIFUNGAL (SYSTEMIC)
ANTIGLAUCOMA AGENTS
ANTIHEMORRHAGIC AGENTS
ANTIHYPOGLYCEMIC AGENTS
ANTILIPEMIC AGENTS (CHOLESTEROL LOWERING MEDICATIONS)
ANTIMANIC AGENTS
ANTIMIGRAINE AGENTS
ANTIMYCOBACTERIALS
ANTINEOPLASTIC AGENTS (CANCER DRUGS)
ANTIPARKINSONIAN AGENTS
ANTIPROTOZOALS
ANTIPRURITICS AND LOCAL ANESTHETICS
ANTITHROMBOTIC AGENTS
ANTIULCER AGENTS AND ACID SUPPRESSANTS
ANTIVIRALS (SYSTEMIC)
ANXIOLYTICS, SEDATIVES AND HYPNOTICS
AUTONOMIC DRUGS, MISCELLANEOUS
BETA-ADRENERGIC BLOCKING AGENTS
CALCIUM-CHANNEL BLOCKING AGENTS
CALORIC AGENTS
CARDIAC DRUGS
CATHARTICS AND LAXATIVES
CELL STIMULANTS AND PROLIFERANTS
CENTRAL NERVOUS SYSTEM AGENTS, MISCELLANEOUS
CHOLELITHOLYTIC AGENTS
CONTRACEPTIVES
DEPIGMENTING AND PIGMENTING AGENTS
DEVICES
DIGESTANTS
DIURETICS
EARS, EYES, NOSE & THROAT (EENT) DRUGS, MISCELLANEOUS
EMOLLIENTS, DEMULCENTS, AND PROTECTANTS
ENZYMES
ESTROGENS AND ANTIESTROGENS
FIRST GENERATION ANTIHISTAMINES
GASTROINTESTINAL DRUGS, MISCELLANEOUS
GENITOURINARY SMOOTH MUSCLE RELAXANTS
GOLD COMPOUNDS
GONADOTROPINS
HEAVY METAL ANTAGONISTS
HEMATOPOIETIC AGENTS
HEMORRHEOLOGIC AGENTS
HYPOTENSIVE AGENTS
ION-REMOVING AGENTS
IRRIGATING SOLUTIONS
KERATOPLASTIC AGENTS
LOCAL ANESTHETICS (EARS, EYES, NOSE & THROAT)
LOCAL ANESTHETICS (PARENTERAL)
MISCELLANEOUS THERAPEUTIC AGENTS
MUCOLYTIC AGENTS
MULTIVITAMIN PREPARATIONS
MYDRIATICS
OPIATE ANTAGONISTS
OXYTOCICS
PARASYMPATHOMIMETIC (CHOLINERGIC AGENTS)
PARATHYROID AGENTS
PHARMACEUTICAL AIDS
PITUITARY AGENTS
PROGESTINS
PROKINETIC AGENTS
PSYCHOTHERAPEUTIC AGENTS
RENIN-ANGIOTENSIN-ALDOSTERONE SYSTEM INHIBITORS
REPLACEMENT PREPARATIONS
RESPIRATORY SMOOTH MUSCLE RELAXANTS
SECOND GENERATION ANTIHISTAMINES
SERUMS
SKELETAL MUSCLE RELAXANTS
SKIN AND MUCOUS MEMBRANE AGENTS, MISCELLANEOUS
SOMATOTROPIN AGONISTS AND ANTAGONISTS
SYMPATHOLYTIC ADRENERGIC BLOCKING AGENTS
SYMPATHOMIMETIC (ADRENERGIC) AGENTS
THYROID AND ANTITHYROID AGENTS
TOXOIDS
URICOSURIC AGENTS
URINARY ANTI-INFECTIVES
VACCINES
VASOCONSTRICTORS
VASODILATING AGENTS
VITAMIN D
OR
First Letter of Drug Name
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