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Formulary

 

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.

 

2026 Retiree RxCare Formulary 
Click the links below to access 2026 Formulary.

Premier Plus 4T Formulary
Premier Base Formulary
Premier 4T Formulary
Premier 5T Formulary

 

2026 Retiree RxCare Formulary Changes
Click the links below to access 2026 Formulary Changes.

Premier Plus 4T Formulary Changes
Premier Base Formulary Changes
Premier 4T Formulary Changes
Premier 5T Formulary Changes


2026 Retiree RxCare Formulary (Spanish)  
Click the links below to access 2026 Formulary (Spanish).

Premier Plus 4T Formulary
Premier Base Formulary
Premier 4T Formulary
Premier 5T Formulary