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June 2012 Updates to our Drug Finder and Formulary Browser Tools

Monthly Formulary changes · published Jun 13, 2012

To help you get an idea of the most recent changes to your Medicare plan’s drug list, we have updated both our online 2012 FormularyBrowser and DrugFinder tools with the latest Medicare Part D prescription drug formulary data available from CMS.

Searching for a Medication Across all Medicare Plans: Our DrugFinder

Do you want to see which Medicare prescription drug plans now cover a certain medication? Our updated DrugFinder allows you to quickly search across all Medicare Part D plans or Medicare Advantage plans by using either the drug name or 11-digit National Drug Code (or NDC) that is usually found on your prescription drug container.  You can find our DrugFinder at on this site.

The DrugFinder results show details of how each Medicare plan covers a particular drug along with the 2012 Medicare plan features and costs.  For instance, you can compare step-therapy, quantity limit, and prior authorization requirements - along with comparing the cost-sharing (what you pay) for a specific medication covered by all plans in your area.  For example, you can click here if you would like to see all stand-alone Medicare Part D plans in Florida covering Plavix 75mg tablet. The follow table shows two examples of the 32 plans in Florida coverage Plavix 75mg.

Drug: Drug: PLAVIX 75MG TABLET (NDC: 63653117105)
2012 Medicare Part D Plan Information

Plan Name

Monthly
Prem.

De- duct-
ible

Gap
Coverage

Plan
ID

Drug Tier Information

Cost-Sharing

Drug
Usage
Mgmt

Tier
Nbr.

Tier
Description

30-Day
Prfrd.
Pharm

90-Day
Mail
Order

CIGNA Medicare Rx Plan Two (PDP)

$69.10

$0

Few Generics

S5617
-181

3

Preferred Brand Drugs

$41.00

$102.50

None

Browse Plan Formulary

Aetna Medicare Rx Premier (PDP)

$86.50

$0

Many Generics

S5810
-240

4

Non-Preferred Brand Drugs

$80.00

$225.00

Q:1/1Days

Browse Plan Formulary

Browsing Medications on Your Medicare Plan’s Drug List: Our FormularyBrowser Our FormularyBrowser allows you to review drug coverage for any Medicare Part D plan or Medicare Advantage plan and provides details on cost-sharing, drug tier, mail order options, and drug usage management (or utilization management).

You can use the FormularyBrowser by first selecting your state (or entering ZIP code) and then the name of your Medicare Part D plan.  You then can browse all prescription drugs found within your Medicare Part D plan’s formulary by drug letter.  Using the example in the chart above, if you were to click the link to “Browse Plan Formulary”, you would go to either the Florida CIGNA Rx Plan Two formulary or the Florida Aetna Medicare Rx Essentials formulary for all drugs starting with the letter “P”.

If you would like to see if your Medicare Part D plan or Medicare Advantage plan covers a particular medication, you can access our FormularyBrowser at on this site.

Still not sure how these tools work or need more information about your Medicare Part D plan’s formulary? Click here to let us know.