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Coverage and cost

  • How do I know what medicines are covered?

    Your pharmacy plan covers many different kinds of prescriptions medicines. You can see the exact medicines your plan covers by reading the drug list, or formulary. Your plan’s drug list will tell you what medicines are covered and which are not, including brand-name and generic medicines.

    Keep in mind that some medicines may be on your drug list, but they may not be covered for situations that aren't considered medically necessary. For instance, the medicine Retin-A (tretinoin) treats acne in people under age 21, but a doctor may prescribe it for cosmetic purposes. Check your plans’ Evidence of Coverage or Certificate of coverage document to learn more.