2019 Formularies and Notice of SilverScript Medicare Part D Formulary Updates


Notice of SilverScript Medicare Part D Formulary Updates

We may immediately remove a brand-name drug on our Drug List if we are replacing it with a new generic drug that will appear on the same or lower cost-sharing tier and with the same or fewer restrictions. Or, when adding the new generic drug, we may decide to keep the brand-name drug on our Drug List, but immediately move it to a different cost-sharing tier or add new restrictions. We may not tell you in advance before we make that change, but we will later provide you with information about the specific change(s) we have made. Also, if the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug’s manufacturer removes the drug from the market, we may immediately remove the drug from our formulary and provide notice to members who take the drug.

Before we make other changes during the year to our Drug List that affect members currently taking a drug and require us to provide advance notice, we will notify affected members of the change at least 30 days before the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 30-day supply of the drug.

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 inform them that your plan’s comprehensive formulary can be viewed on our documents page. 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 Phone Number1-866-235-5660, 24 hours a day, 7 days a week. TTY users call TeleType Number 711. Or you may use the Comprehensive Formulary and Formulary Updates links above. The SilverScript Comprehensive formulary is updated monthly or when formulary changes occur.