Medicare Advantage Drug Lists

MA Drug Lists

You can search our drug list using either link below. Using the PDF you can search by medical condition at the beginning or alphabetically by drug name using the index and the end.

We select the drugs on our list in consultation with a team of healthcare providers. They represent the prescription therapies believed to be a necessary part of a quality treatment program. Our plans will generally cover the drugs on our list as long as they are medically necessary, prescriptions are filled at our network pharmacies and other plan rules are followed.

Use these links to see our drug list or to find generic drug equivalents.

Printable Formularies

2019 Plan Year

  • Performance Formulary (Printable Drug List) (updated 10/1/2019)
    Plans that use this formulary: True Blue Rx Option I (HMO) and True Blue Rx Option II (HMO)
  • Essentials Formulary (Printable Drug List) (Español) (updated 10/1/2019)
    Plans that use this formulary: True Blue Rx (HMO), True Blue Rx Gem (HMO), True Blue Rx Preferred (HMO), and True Blue Special Needs Plan (HMO SNP)

2020 Plan Year

  • Performance Formulary (Printable Drug List) (updated 10/1/2019)
    Plans that use this formulary: True Blue Rx Option I (HMO) and True Blue Rx Option II (HMO)
  • Standard Formulary (Printable Drug List) (updated 10/01/2019)
    Plans that use this formulary: True Blue Rx (HMO), True Blue Rx Gem (HMO), True Blue Rx Preferred (HMO), and True Blue Rx St Luke's Health Partners (HMO)

You can also review the drug list information in the plan's Evidence of Coverage.

Notice of Formulary Changes

During the year, we may remove drugs from our list or add rules about whether and when we cover certain drugs. When that happens we will list any changes below. You can also access a printable PDF of our drug list below.

2019 Notices

Prior Authorization Drugs

Some drugs require prior authorization before they are covered by your plan. If you fail to get authorization first, you may be responsible for paying the entire cost of the medication.

2019 Lists

2020 Lists

Step Therapy Drugs

Some drugs require Step Therapy to guarantee coverage. This means that if both Drug A and Drug B treat the same condition, you may have to try using Drug A before we cover Drug B.

2019 Lists

2020 Lists

  • Performance Formulary - Step Therapy (updated 10/15/2019)
    Plans that use this formulary: True Blue Rx Option I (HMO) and True Blue Rx Option II (HMO)
  • Standard Formulary - Step Therapy (updated 10/15/2019)
    Plans that use this formulary: True Blue Rx (HMO), True Blue Rx Gem (HMO), True Blue Rx Preferred (HMO), and True Blue Rx St. Luke's Health Partners (HMO)
last update 10/11/2019

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