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
SilverScript Medicare Part D Formulary Updates
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. 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 your doctor or other prescriber.
We include formulary alternatives in the Drug Search and Pricing Tool to
help you and your prescribing doctor or other prescriber 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 or other prescriber decide on a formulary alternative,
please print your plan’s comprehensive formulary and take it with you when you visit your doctor or other
prescriber. 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.