Check Our Medicare Drug List

See if your prescription drug is covered

Our prescription drug list (formulary) shows:

The drugs we cover
The tier a drug is on
Any limits or requirements before we cover the drug
Mail order availability

Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers.

2020

Members - Log in to find your drugs

Guests - Select a plan & find your drugs

View drug-related documents for your plan

Other drug references

Changes to the drug list (formulary)

We review our drug list on a monthly basis and make changes as necessary. Most changes are positive. An example would be adding new generics that have come on the market.

Sometimes we have to make a negative change to our formulary. Like if the FDA views a drug as unsafe or the drug maker removes the drug from the market.

Prior authorization, quantity limits & step therapy

Some drugs have rules you need to follow before we cover them. These include:

Prior authorization
You or your doctor need approval from us before we cover the drug.
Step therapy
We require you to try another drug first before we cover your drug.
Quantity limits
For certain drugs, we limit the amount you can get.

You and your doctor can ask us to make an exception to one of our coverage rules. This includes requesting an exception to a prior authorization, step therapy or quantity limit rule.

Transition rules

There may be times where you’re taking a drug that either isn’t on our drug list or has special rules before we cover it. Learn about our transition process to see if you’re eligible for a short-term supply of medication. This temporary supply allows you to work with your doctor to either transition to a new drug or request an exception to continue your current drug.

Details about our 2020 transition process

Participating physicians, hospitals and other health care providers are independent contractors. They're neither agents nor employees of Innovation Health. The availability of any particular provider can't be guaranteed. Provider network make-up is subject to change.

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Members:
Email us or call Member Services at the number on your ID card.

Don’t have your ID card handy?
Find a phone number

Not yet a Member?
Email us or call an Innovation Health representative at 1-800-572-7124 (TTY: 711), Monday through Friday, 8 AM to 8 PM

We speak your language: We have free interpreter services to answer questions you may have about our health or drug plan.
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Prescription Drugs

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Members

See if your prescription drug is covered

2020

View drug-related documents for your plan

Innovation Health-Aetna Medicare Connect (HMO) H2829-001

Innovation Health-Aetna Medicare Voyager (PPO) H1100-001

Innovation Health-Aetna Medicare Premier (PPO) H1100-002

Other drug references

Changes to the drug list (formulary)

Prior authorization, quantity limits & step therapy

Transition rules

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