Why does your Q1Medicare Formulary Browser include drugs not found in my drug plan's printed formulary?
Since most Medicare drug plans provide coverage for over 3,000 prescription medications - plans may have both a printed version of their "comprehensive" or complete formulary - and a smaller, "abridged" version of the complete formulary that includes only a partial listing of all the drugs covered by the plan.
So, when new plan materials are mailed to plan members, some Medicare drug plans will send only the smaller printed "abridged" formulary - with the larger, complete printed formularies available upon request.
Where to review any complete Medicare Part D formulary?
Both our
Formulary
Browser (view all drugs covered by a single Medicare drug plan) and
Q1Rx® Drug
Finder (view all drug plans covering a single, specific drug) show the comprehensive
formulary data (or a complete set of all formulary drugs).
When you click on the above "Formulary Browser" link, you can choose "PDP" (stand-alone Medicare Part D plan) or "MAPD" (Medicare Advantage plan that includes drug coverage). The "PDP" selection is pre-chosen by default.
You can then choose your state from the “State”
drop-down box and choose your “Plan Family” from the drop-down box (such as “AARP
plans” – then click the green “Search” button and you will see the plans available
from this provider in your state and you can choose one of those plans to see
the formulary. The drugs are listed alphabetically.
After seeing the results of your Formulary Browser search, you can also click on the icon
after the drug name and you can see all of the Medicare Part D plans in
Virginia that also cover this same medication and at what cost. (This
is a direct link to our Q1Rx
Drug Finder tool (found at
Q1Rx.com) and you can change the prescription name to whatever you wish.)
For assistance (and example screens) using the Formulary Browser, please see our Frequently Asked Question (FAQ):
Do you have an online Formulary Browser to view all prescription drugs covered by any Medicare Part D plan?
also found at
Q1FAQ.com/205
Going directly to our
Q1Rx® Drug Finder: To use our Q1Rx Drug Finder, you can start at
Q1Rx.com, then enter your chosen drug name, click the green "Search" button, and then choose the drug strength and packaging and again click "Search".
For assistance (and example screens) using the Q1Rx Drug Finder, please see our Frequently Asked Question (FAQ):
What is the Q1Rx Drug Finder? also found at
Q1FAQ.com/217
Missing your plan's complete formulary?
If the printed formulary (or drug list) you received is not the
complete (or comprehensive) formulary, there will be a telephone number on the
formulary document that you can call to have a comprehensive drug list mailed
to you - or you should see information where you can download a larger,
complete formulary - or you will find a link to the Medicare drug plan's online formulary search.
Important: Formularies can change at any time of the year.
Your Medicare Part D drug plan formulary can change throughout the plan
year and new drugs may be added to your Medicare drug plan (especially
generic medications that are newly-released) - and a Medicare plan will
often reissue new versions of the plan's complete formulary throughout
the year.
And since a drug plan's formulary can change at any time during the
year, it is possible that our Q1Medicare formulary data may be slightly
behind the newest drug releases - so, to double-check about the latest
drugs added to your Medicare plan, please call your plan's Member
Services department (the toll-free number is on your Member ID card) or
visit the plan's website and check the plan's online formulary tools.
Important: Your Medicare plan may also cover Bonus Drugs that are not usually covered by the Medicare Part D program.
Please also keep in mind that our Formulary Browser and Q1Rx Drug Finder do not show coverage of
bonus or supplemental drugs or
non-Part D drugs
(such as Rogaine® for hair loss or Viagra® for ED).
However, your Medicare drug plan may cover these drugs as an additional
drug plan benefit and this coverage will be shown within your plan
documentation.
Remember that coverage of non-Part D or supplemental drugs will not count toward your Medicare Part D spending limits.