2009 Medicare Assured ® Online Formulary:
Year to Date Updates

Download Printable Formulary (PDF) Request Medicare Assured SM Drug Exception Form View Entire Formulary View Recent 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.