As you may know, Medicare Part D prescription drug plans update their plan formularies (drug lists) throughout the plan year and the
May 2024
Medicare Part D formulary updates included
fifty-two (52) new drugs, thirty-seven (37) of which are generics - with a total of seventy-five (75) new generic equivalents
(variations of manufacturer, drug-strength, and packaging).
Of the
thirty-seven (37) new generic medications,
ten (10) are newly-introduced generic drugs. These new generic drugs include:
- AMETHIA [Simpesse®],
- BISOPROLOL FUMARATE [Zebeta®],
- BROMFENAC SOD [BromSite®],
- CETIRIZINE HCL [Zyrtec Syrup®],
- CYCLOSERINE [Seromycin®],
- DEFLAZACORT [Emflaza®],
- HEATHER [Sharobel 28-Day®],
- LOTEPREDNOL ETABONATE [Alrex®],
- MIFEPRISTONE [Korlym®], and
- TRIENTINE HCL®].
Please note that these new generic drugs are not available on all Medicare Part D
(
PDP) or Medicare Advantage plan (
MAPD) formularies. You can review the chart below to see the (often limited)
number of plan formularies that now include these drugs.
*The number of formularies counts the unique formularies that offer this
medication. As a note, the same formulary can be used by one or many
different Medicare Part D plans. The same formulary can be used by both
PDP and MAPD plans.
What Could the Addition of New Generic Drugs Mean to You?
- You may be able to save money by switching
from the brand-name drug to its generic equivalent – with your prescriber’s
approval and a new prescription. Please note, you will need to look
carefully at coverage costs as we have found that many generics are being
offered on the same tier as their brand-name equivalent or the generics do not
have a significantly lower retail price.
- Your brand-name drug may no longer be
available if a generic is now available. Based on past
experience, you may find that many Medicare Part D plans discontinue
coverage for the brand-name drug in the months following the
introduction of the generic equivalent - or your plan may immediately drop the brand-name drug now that the generic is being introduced.
If you have received notice
from your Medicare Part D plan
that your brand-name medication will be dropped, you should speak
with your
prescriber to determine if you can take the generic equivalent or
if you must continue taking the brand-name drug, you will
need to ask your plan for a formulary
exception to continue coverage for your brand-name
drug.
You can click for a chart
showing the trends in formulary coverage for some of the more popular
Medicare drugs and their generic equivalents.
As a note, both our
Formulary Browser
(you can view all the drugs covered by a single Medicare prescription drug plan) and our Q1Rx
Drug Finder
(you can view all the Medicare drug plans covering a single drug) have been
updated with the May 2024 Medicare Part D formulary data.