A comprehensive formulary is an entire list of Part D drugs covered by a Part D plan. The drugs on the list are selected by HealthPartners in consultation with a team of health care providers believed to be a necessary part of a quality treatment program. It outlines the drugs that HealthPartners will cover for its Medicare plan members as long as the drug is medically necessary, filled at a HealthPartners network pharmacy and all other plan rules are followed. 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. Generally, the formulary does not change during the year. There are some exceptions. For details, please see page 2 of the printable formulary. If your drug is not on our formulary, you can request a coverage decision or exception by completing the Coverage Determination Form.
Search the formulary now by clicking on the name of a plan in the box above. This search reflects the formulary as of January 1, 2014. After that, it will be updated on the first of each month if we have changes. You can also print the complete 2014 drug formularies by downloading the PDFs below.
Additional items to assist you with formulary-related needs include:
- Formulary FAQ
- Freedom Coverage Determinations, Appeals and Grievances
- MSHO Coverage Determinations, Appeals and Grievances
- Appointment of Representation Form
- Transitional Medication Process
- HealthPartners MSHO Plan Drug Wrap List
- 2014 Prior Authorization Criteria
- 2014 Step Therapy Criteria
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