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Prescription Drugs

Elderplan offers a range of Medicare Advantage Prescription Drug plans. Various prescription drug plans, include a comprehensive list of covered medications known as formularies. This formulary outlines which drugs are covered under each plan and any requirements, such as Prior Authorization (PA), Step Therapy (ST), and Quantity Limits (QLs).

Understanding your plan’s specific formulary is essential. Note that these formularies can vary depending on the plan you are enrolled in. Learn more about Prescription Drugs and Using the Formulary.

Formularies

If you are enrolled in:

  • Elderplan for Medicaid Beneficiaries (HMO-POS D-SNP)
  • Elderplan Advantage for Nursing Home Residents (HMO-POS I-SNP)
  • Elderplan Plus Long-Term Care (HMO-POS D-SNP)

Use the following formulary:

Woman working at a Pharmacy

You can also download this formulary:

Remember, formularies can change. Stay informed by browsing the Formulary Changes:


If you are enrolled in:

  • Elderplan Flex (HMO-POS)
  • Elderplan Extra Help (HMO-POS)
  • Elderplan Select (HMO-POS I-SNP/IE-SNP)

Use the following formulary:

Asian Woman Working at Pharmacy

You can also download this formulary:

Remember, formularies can change. Stay informed by browsing the Formulary Changes:

If you are enrolled in:

You should use the

  • Elderplan for Medicaid Beneficiaries (HMO-POS D-SNP)
  • Elderplan Advantage for Nursing Home Residents (HMO-POS I-SNP)
  • Elderplan Plus Long-Term Care (HMO-POS D-SNP)

You can also download the Comprehensive Formulary:

Remember, formularies can change. Stay informed by browsing the Formulary Changes:


If you are enrolled in:

You should use the

  • Elderplan Flex (HMO-POS)
  • Elderplan Extra Help (HMO-POS)
  • Elderplan Assist (HMO-POS IE-SNP)
  • Elderplan Select (HMO-POS I-SNP/IE-SNP)

You can also download the Comprehensive Formulary:

Remember, formularies can change. Stay informed by browsing the Formulary Changes:

Effective January 1, 2024, Elderplan will limit coverage of blood glucose meters/monitors and test strips to the following products:

For more information on the formulary, including details about the New Medicare Prescription Payment Plan, browse our Using Prescription Drugs & Formulary page.