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A formulary (sometimes called a “Drug List”) is a list of Part D prescription drugs covered by Gateway Health Plan Medicare Assured® HMO. The drugs on this list are selected by the Plan with the help of a team of doctors and pharmacists. The list must meet requirements set by Medicare. Medicare has approved the Medicare Assured® HMO Drug List.
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| *Notes |
| GC - Generic Covered |
PA - Prior Authorization |
| ST - Step Therapy |
QL - Quantity Limited |
| GA - Generic Available |
SP - Specialty Pharmacy |
| Drug Tier 1 = Generic |
Drug Tier 2 = Preferred Brand |
| Drug Tier 3 = Brand |
Drug Tier 4 = Specialty |
| Last updated: 6/24/2010 (00010020 20) |
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| Gateway Health Plan Medicare Assured® HMO covers both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. |
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