2009 Medicare Assured ® Online Formulary:
Recent Updates

Download Printable Formulary (PDF) Request Medicare Assured SM Drug Exception Form View Entire Formulary View Year to Date Updates
*NOTES
GC - Generic Covered PA - Prior Authorization
ST - Step Therapy QL - Quantity Limited
GA - Generic Available SP - Specialty Pharmacy
OTC - Over The Counter - This drug does not count towards your total out of pocket expenditure and if you are receiving extra help to pay for your prescription, you will not receive any extra help to pay for it.
 Alendronate Sodium/Vitamin D3  Fosamax Plus D
 Miscellaneous Therapeutic Agents  Miscellaneous Therapeutic Agents
  QL
 12/31/2008
 Formulary deletion.