Understanding which medications are covered under your plan is crucial, and we’re here to make it as simple as possible. Here, you’ll find your plan’s formulary—a complete list of the prescription drugs covered by your Medicare Part D plan. Whether you’re checking coverage or comparing options, you can be confident in managing your prescriptions.

2025 Formulary 
Click the links below to access 2025 Formulary.

Base Formulary
Base Step Therapy Formulary
4T Step Therapy Formulary
4T Formulary
5T Step Therapy Formulary
5T Formulary

2025 Formulary Changes

2025 Notable Formulary Changes

2025 Formularios En Español (Spanish Formularies)

Formulario Básico
Formulario de pasos Básicos
Formulario de pasos de 4 niveles
Formulario de 4 niveles
Formulario de pasos de 5 niveles
Formulario de 5 niveles