(1) Make sure you have convenient access to retail pharmacies;
(2) Have a process for you to get drugs that are not on the list of covered drugs (formulary) when it is medically necessary; and
(3) Provide useful information to you, such as how formularies and medication management programs work, information on saving money with generic drugs, and grievance and appeal processes.
Make a list of all your current medications, including name, dose size (for example- 2 pills, 300 mg in each pill), dosage frequency (for example- 2 times a day) and monthly costs of your current prescriptions.
You can use this information to compare the list of drugs (also called a formulary) that are covered under each plan. You can get the list of drugs a plan covers by calling the plan or by visiting the plan's website.
(Source: U.S. Department of Health & Human Services)