Formularies and Notice of SilverScript Medicare Part D Formulary Updates
Notice of SilverScript Medicare Part D Formulary Updates
We may remove drugs from the 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 in writing 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 a drug from the market, we may immediately
remove the drug from the formulary and notify all affected members as soon as possible.
SilverScript Medicare Part D Comprehensive Formularies
Our Formulary and Formulary Alternatives
Our Comprehensive Formulary is a complete list of prescription drugs we cover. When
you search our formulary for a drug using the Drug Search
and Pricing Tool, the results will let you know whether there are formulary
alternatives such as lower-cost generic or brand drugs. If your drug is not covered,
we provide a “formulary alternative" link that lets you know whether an alternative
drug is covered by our plan.
We include formulary alternatives in the Drug Search
and Pricing Tool, to help you and your prescribing doctor determine the
proper course of action when a drug you take is not covered by your plan. That is,
whether to request an exception or simply write a new prescription for a formulary
alternative. To help your doctor decide on a formulary alternative, please print
your plan’s comprehensive formulary and take it with you when you visit your doctor.
Remember, by switching to an alternative generic or brand-name drug included on
our formulary, you can avoid paying full cost for a non-formulary drug.
For the most recent list of drugs, please contact Customer Care toll-free at 1-866-235-5660,
24 hours a day, 7 days a week. TTY users call 711.Or use the Comprehensive Formulary
and Formulary Updates links above.
The SilverScript Comprehensive formulary is updated monthly or when formulary changes
occur. This is not a complete list of all formulary alternatives covered by your
Part D plan. The drugs listed are for comparison purposes and may differ in effectiveness,
dosing, side effects and/or drug interaction profiles. Always seek the advice of