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  •  Drug Search and Pricing
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Use the Drug Search and
Pricing Tool

  • Click “Drug Search and Pricing,” then enter your ZIP Code.
  • Enter drug name(s).
  • Select the drug form, strength and dosage. Repeat to create a list.
  • If a drug is not covered, try selecting a different drug strength,
    or click “Alternatives Available” if it appears.
  • Click "Get Prices" and select pharmacy type. For a different pharmacy,
    change the pharmacy name in the dispensing pharmacy or plan selection.
  • Click “Pricing Details” to price selected drugs.
  • Click “Estimated Monthly Budget Amount.” for a budget estimate.

SilverScript Medicare Part D Formulary

A Medicare Part D drug list (Formulary) is a list of drugs covered by a plan. Formularies are developed to meet the needs of most members based on the most commonly prescribed drugs, including certain prescription drugs that Medicare requires that we cover. The SilverScript Medicare Part D formulary is updated throughout the plan year and may change if:

  • The plan no longer covers a drug.
  • A new drug is added.
  • A drug is moved to a different cost-sharing Tier.
  • A Prior Authorization, Step Therapy restriction or Quantity Limit has been added or changed for a drug.
  • A drug is removed from the market.

SilverScript covers both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as their brand-name equivalents. Generic drugs usually cost less than brand-name drugs and are rated by the U.S. Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

We may remove drugs from the SilverScript Medicare Part D formulary, add prior authorization, quantity limits and/or step therapy restrictions on a drug, and/or move a drug to a higher cost-sharing tier during the plan year. If the change affects a drug you take, we will notify you at least 60 days before the change is effective. However, if the U.S. Food and Drug Administration (FDA) deems a drug on our formulary to be unsafe, or if the drug's manufacturer removes the drug from the market, we may immediately remove the drug from the SilverScript Medicare Part D formulary and notify all affected members as soon as possible.

Drugs Not Covered by Your SilverScript Medicare Part D Formulary

Federal law prohibits your Medicare Part D Prescription Drug plan from covering certain types of drugs, including:

  • Non-prescription drugs (also called over-the-counter drugs).
  • Drugs when used for treatment of anorexia, weight loss or weight gain.
  • Drugs when used to promote fertility.
  • Drugs when used for cosmetic or hair growth purposes.
  • Drugs when used for the relief of cough or cold symptoms.
  • Prescription vitamins and minerals (except for prenatal vitamins and fluoride preparations).
  • Drugs when used for the treatment of sexual or erectile dysfunction (ED).
  • Outpatient drugs for which the manufacturer seeks to require that associated tests or monitoring services be purchased exclusively from the manufacturer as a condition of the sale.

In addition, Medicare Prescription Drug plans are unable to cover the following:

  • Drugs that would be covered under Medicare Part A or Part B. Some drugs are covered under Medicare Part B in certain cases and under Medicare Part D in others. In most cases, your pharmacist or provider will appropriately determine whether to bill Medicare Part B or Part D for your drug.
  • Drugs not approved by the U.S. Food and Drug Administration (FDA) or that are purchased outside the United States and its territories.
  • Off-label use, in many cases, where a drug is used in any way other than those indicated on a drug's label as approved by the Food and Drug Administration. (Generally, coverage for "off-label use" is allowed only when use is supported by certain references.)

Last Updated: 08/2013
14232 V5

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Use the Plan Advisor to help you choose the right plan. Begin by selecting the statement below that best describes what you want from your Medicare prescription drug plan. Based on the statement you choose, the Plan Advisor will highlight the recommended SilverScript plan so you may compare it to the remaining SilverScript plans.

Plan Advisor
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Thank you for using the Plan Advisor. Based on the statement you selected, the most appropriate SilverScript plan is highlighted based on your specific needs. The key differences highlighted by the Plan Advisor are intended only as a basic guideline. Because there are other factors to consider, please review each plan before deciding on the plan that’s right for you and your budget.

See Plan Details

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