Q1Medicare.com
Powered by Q1Group LLC
Powered by Q1Group LLC
Education and Decision Support Tools for the Medicare Community
  • ☰ MENU
  • Home
  • Contact
  • MAPD
  • PDP
  • 2018
  • 2019
  • FAQs
  • Articles
  • Contact
  • 2018
  • 2019
  • FAQs
  • Articles
  • Latest Medicare News

Latest Medicare News on Your Formulary (Drug List)
Category: Your Formulary (Drug List)
Back To News Home
Browse All in Category (12)
Most Viewed in Category
• Chart of 2017 BIN and PCN values for each Medicare Part D prescription drug plan (part 1 of 3)
The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2017 Medicare Part D plan sponsor.  Please note, the data below is Part 1 of 3, wi . . .
• Chart of 2017 BIN and PCN values for each Medicare Part D Plan (part 3 of 3)
The Centers for Medicare & Medicaid Services (CMS) has released a compilation of the BIN and PCN values for each 2017 Medicare Part D plan sponsor. Please note, due to the size of the file, the . . .
• How drugs are organized on a plan formulary -- the meaning of the drug tiers
Medicare prescription drug plans organize covered medications into different logical categories or tiers -- each with a different co-payment or cost-sharing amount (for instance, you may have a $5 co- . . .
• Chart of 2017 BIN and PCN values for each Medicare Part D Plan (part 2 of 3)
The Centers for Medicare & Medicaid Services (CMS) has released a compilation of the BIN and PCN values for each 2017 Medicare Part D plan sponsor. Please note, due the size of the file, the BI . . .
• Reminder: Starting January 1, 2013, Medicare Part D plans cover Barbiturates for certain conditions and Benzodiazepines
A certain group of medications were specifically excluded from Medicare Part D plan coverage and, previous to 2013, they included certain anti-anxiety and anti-seizure drugs - Barbiturates (Barbiturat . . .
• How Drugs are Organized on the 2013 Plan Formularies - Drug Tier Meanings
Medicare prescription drug plans organize covered medications into different logical categories or tiers -- each with a different co-payment or cost-sharing amount (for instance, you may have a $5 co- . . .
• What are the differences between drug tiers on a 2016 Medicare prescription drug plan formulary?
Drug tiers are used by Medicare Part D plans to organize medications into logical cost-sharing groups.  As background, both stand-alone Medicare Part D plans and Medicare Advantage plans with . . .
• Do all 2016 Medicare prescription drug plans place the same medications on the same drug tiers?
No. Not only can Medicare prescription drug plans have different drug tier definitions, but drug plans do not always place the same medications on the same formulary tiers (or have similar cost-sha . . .
• How drugs are organized on a plan formulary -- the meaning of the 2016 drug tiers
Medicare prescription drug plans organize covered medications into different logical categories or tiers -- each with a different cost-sharing amount (for instance, you may have a $5 co-pay for generi . . .
• Is there a way to quickly see which drugs are covered by my 2013 Medicare prescription drug plan?
We have our 2013 Formulary Browser tool online that lets you search through any 2013 Medicare Part D or Medicare Advantage plan formulary. To get started, you can click here or go to FormularyBr . . .
Latest in Category
• How drugs are organized on a plan formulary -- the meaning of the 2017 drug tiers
Medicare prescription drug plans (PDPs and MAPDs) organize covered medications into different "logical" categories or tiers -- each with a different cost-sharing amount.  For example, you may hav . . .
• Chart of 2017 BIN and PCN values for each Medicare Part D Plan (part 3 of 3)
The Centers for Medicare & Medicaid Services (CMS) has released a compilation of the BIN and PCN values for each 2017 Medicare Part D plan sponsor. Please note, due to the size of the file, the . . .
• Chart of 2017 BIN and PCN values for each Medicare Part D Plan (part 2 of 3)
The Centers for Medicare & Medicaid Services (CMS) has released a compilation of the BIN and PCN values for each 2017 Medicare Part D plan sponsor. Please note, due the size of the file, the BI . . .
• Chart of 2017 BIN and PCN values for each Medicare Part D prescription drug plan (part 1 of 3)
The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2017 Medicare Part D plan sponsor.  Please note, the data below is Part 1 of 3, wi . . .
• Do all 2016 Medicare prescription drug plans place the same medications on the same drug tiers?
No. Not only can Medicare prescription drug plans have different drug tier definitions, but drug plans do not always place the same medications on the same formulary tiers (or have similar cost-sha . . .
• What are the differences between drug tiers on a 2016 Medicare prescription drug plan formulary?
Drug tiers are used by Medicare Part D plans to organize medications into logical cost-sharing groups.  As background, both stand-alone Medicare Part D plans and Medicare Advantage plans with . . .
• How drugs are organized on a plan formulary -- the meaning of the 2016 drug tiers
Medicare prescription drug plans organize covered medications into different logical categories or tiers -- each with a different cost-sharing amount (for instance, you may have a $5 co-pay for generi . . .
• How Drugs are Organized on the 2013 Plan Formularies - Drug Tier Meanings
Medicare prescription drug plans organize covered medications into different logical categories or tiers -- each with a different co-payment or cost-sharing amount (for instance, you may have a $5 co- . . .
• Is there a way to quickly see which drugs are covered by my 2013 Medicare prescription drug plan?
We have our 2013 Formulary Browser tool online that lets you search through any 2013 Medicare Part D or Medicare Advantage plan formulary. To get started, you can click here or go to FormularyBr . . .
• Reminder: Starting January 1, 2013, Medicare Part D plans cover Barbiturates for certain conditions and Benzodiazepines
A certain group of medications were specifically excluded from Medicare Part D plan coverage and, previous to 2013, they included certain anti-anxiety and anti-seizure drugs - Barbiturates (Barbiturat . . .
Back To News Home
Browse All (12) Items in Category



Advertisement

Medicare Supplements
fill the gaps in your
Original Medicare
1. Enter Your ZIP Code:
» Medicare Supplement FAQs

Advertisement

Browse Categories
Selecting Your Medicare Plan
Star Ratings & Plan Quality
Annual Medicare Plan Changes
Enrollment Topics
Late Enrollment Penalty
Your Formulary (Drug List)
Monthly Formulary Changes
Your Medicare Plan Coverage
Pharmacies & Providers
Changing Medicare Plans
Special Enrollment Periods SEP
The Donut Hole or Coverage Gap
Donut Hole Discounts
Straddle Claims and High Costs
Out of Pocket: TrOOP and MOOP
Medicaid, LIS, & Extra Help
IRMAA - for Higher Incomes
Medicare Advantage Plans MAPD
Medicare Supplements - Medigap
Medicare Plan Providers
Marketing Medicare Products
General Medicare Part D PDP
General Medicare
Diabetes and Diabetic Coverage
Your Health & Wellness
About Q1Medicare.com


Ask a Pharmacist*
Have questions about your medication?

» Answers to Your Medication Questions, Free!
Available Monday - Friday
8am to 5pm MST
*A free service included with your no cost drug discount card.

Quick Links




Advertisement



Pets are Family Too!
Use your drug discount card to save on medications for the entire family ‐ including your pets.

» Learn more about savings on Pet Medications
  • No enrollment fee and no limits on usage
  • Everyone in your household can use the same card, including your pets
Your drug discount card is available to you at no cost.

© Q1Group LLC 2005 - 2018


Tips & Disclaimers
  • 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 PDP-Compare.com and MA-Compare.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.
  • 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.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • 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.
.