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Where can I find the Medicare Part D prescription drug plan formularies or drug lists?

Category: Online Tool Tips
Updated: Aug, 22 2023


Our Q1Medicare® Formulary Browser includes formularies for all Medicare Part D prescription drug plans (PDPs) and Medicare Advantage plans (MAPDs) - and is packed with valuable information about your drug coverage such as drug tier, cost-sharing, and drug usage management restrictions for each formulary drug.

You can access our Formulary Browser directly at: FormularyBrowser.com and to get started select your state or entering your ZIP code (if you selected "MAPD") and select a Medicare plan carrier (such as AARP or Aetna). 

Our Formulary Browser allows you to browse through any plan’s drug list alphabetically to review drug tier, cost-sharing details, and drug usage management for each covered drug. 
 
Q1Medicare.com Formulary Browser

When browsing the formulary, you will see a small icon (like a stack of paper) next to the drug name - and this icon is a link to our Q1Rx® Drug Finder (Q1Rx.com).  Our Drug Finder allows you to look at coverage for a specific drug across all stand-alone Medicare Part D plans (PDPs) or Medicare Advantage plans that offer drug coverage (MAPD) plans in your service area.


Using the Q1Rx Drug Finder, you can review plan features, drug tier, cost-sharing details (with estimated cost and explanation), drug usage management, and each plan’s average negotiated retail drug price (when available - otherwise we will show "tbd" meaning the drug price has not yet been released to us).  You click on the cost-sharing (for instance, 40% or $47) for more about drug costs and the medication's pricing history (click on cost-sharing value or the retail average negotiated retail drug price).

You can access our Drug Finder directly at: Q1Rx.com.

Q1Medicare Q1Rx Drug Finder Q1Rx.com

Please notice the drug's average negotiated retail price for each Medicare prescription drug plan is shown in the right column.  The actual retail price that you will see at a pharmacy can vary depending on your chosen pharmacy and recent changes in retail pricing.  If we show "tbd" then the retail price information is "to be determined" when the data is released to us.

You can use the “Rx$” icon found on our Formulary Browser and Drug Finder to see any cost-sharing differences between a Medicare prescription drug plan’s preferred and standard network pharmacies.

You can also contact your Medicare plan provider and ask them to send you a printed comprehensive formulary or ask the plan where to find their online formulary.

If you do not know the plan’s Member Services telephone number, you can click on the Medicare plan name on our PDP-Finder.com or MA-Finder.com tools to see the plan’s Member Services telephone number or you can call Medicare at 1-800-633-4227 for more information about a particular Medicare plan. 





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Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
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  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.