Formulary (Drug List)

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Formulary and Pharmacy Directories

A formulary is a list of prescription medications that are covered by your plan and are available in a booklet format and an online searchable tool.      

A pharmacy directory is a listing of pharmacies in your plan's network, including preferred retail pharmacies, mail-order, home infusion and long-term care pharmacies.    


2016 Formularies

2016 First Health Part D Premier Plus Formulary

Formulary Change Notice - English / Spanish
This document outlines upcoming changes to the First Health Part D Premier Plus (PDP) formulary that may impact you. There are no negative formulary changes year over year at this time.
Online Searchable Formulary
See if a drug is covered and get estimated costs for your medication.
Printable Comprehensive Formulary - English / Spanish
Comprehensive formulary for First Health Part D Premier Plus (PDP).


2016 First Health Part D Value Plus Formulary

Formulary Change Notice - English / Spanish
This document outlines upcoming changes to the First Health Part D Value Plus (PDP) formulary that may impact you. There are no negative formulary changes year over year at this time.
Online Searchable Formulary
See if a drug is covered and get estimated costs for your medication.
Printable Comprehensive Formulary - English / Spanish
Comprehensive formulary for First Health Part D Value Plus (PDP).


ADDITIONAL INFORMATION

Exceptions, Appeals and Grievances Information
Locate exceptions, grievance & appeal information for members.
Prescription Drug Forms
Locate prescription drug forms for your plan.

Y0022_PDPCCP_2013_4006_1202b Approved
CMS Approved Date: 02/08/2013
Page Last Updated: 03/09/2016

© Copyright 2008-2016 Coventry Health Care

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.