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Prescription Drug Formularies

Is your prescription covered under your plan? The Formulary Search Tool can give you the answers you need.

Martin’s Point Generations Advantage uses a prescription drug formulary—a list of covered drugs that have been selected in consultation with a team of health care providers.

Generations Advantage plan formularies represent the prescription therapies believed to be a necessary part of a quality treatment program. 

Below you will find information relating to your plan's prescription drug formulary. 

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Drug Formularies and Search Tool

Is your prescription covered? The drug formulary can give you the answers you need.

magnifying glass search icon

2025 | Formulary Search

Use the Formulary Search Tool to find your Generations Advantage plan's coverage information for specific medications:

Prime | Formulary Search Tool
  
Select | Formulary Search Tool
  
Access | Formulary Search Tool
  
Value Plus | Formulary Search Tool
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2025 | Formulary PDF

A PDF copy of the formulary for each Generations Advantage plan is available for members to download and print at home:

Prime | 2025 Formulary [PDF]
  
Select | 2025 Formulary [PDF]
  
Access | 2025 Formulary [PDF]
  
Value Plus | 2025 Formulary [PDF]
magnifying glass search icon

2026 | Formulary Search

 

Use the Formulary Search Tool to find your Generations Advantage plan's coverage information for specific medications:

Prime | Formulary Search Tool
  
Select | Formulary Search Tool
  
Essential | Formulary Search Tool
document download icon

2026 | Formulary PDF

Coming soon — PDFs will be posted here once finalized.

A PDF copy of the formulary for each Generations Advantage plan will be available for members to download and print at home:

Prime | 2026 Formulary [PDF]
  
Select | 2026 Formulary [PDF]
  
Essential | 2026 Formulary [PDF]


Drug formulary search tips

If the medication you are searching for is not covered by the benefit, this message will appear in red above the medication name: “The drug you have selected is not covered by the plan you have chosen. Please select a different strength or click the Alternatives Available link if listed below."

To see alternative medications that are covered on the formulary, click on the blue “Alternatives Available” link to the right of the medication name.


Helpful tips and step-by-step instructions for searching the formulary for a specific prescription drug can be found here:

Enter name of medication into the box (2 character minimum) and wait for a list to appear.

This list will contain all the covered strengths for the drug.

Choose the strength you want and press enter.

A box that says “Add to List” appears to the right of the medication name.

Click on the box.

A chart will present the following:

  • Medication name and strength
  • Brand or Generic indicator
  • Tier the medication is covered on (this will help you determine your cost share)
  • Any special requirements for coverage of the medication (e.g. Prior Authorization, Quantity Limits, etc.)
  • Some medications are not available by mail order. This will be noted in the medication description on the formulary

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Changes to the Drug Formulary

Our formulary is reviewed and updated regularly by medical and pharmacy professionals. A formulary may change during the year if we remove drugs from our formulary, add a prior authorization requirement, add quantity limits and/or step therapy restrictions on a drug, and/or move a drug to a higher cost-sharing tier.

Generally, if you are taking a drug on our formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during that same coverage year except when a new, less expensive generic drug becomes available or when new adverse information about the safety or effectiveness of a drug is released.

We must notify you at least 30 days before any of these changes become effective. At the time you request a refill, you will receive a 30-day supply of the drug. Martin’s Point Generations Advantage 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.

Download the latest formulary changes:

2025 Coverage:

Formulary Changes: Prime & Select [PDF]

Formulary Changes: Value Plus & Access [PDF]

2026 Coverage:
Formulary change PDFs are coming soon and will be posted here once available.

Formulary Changes: Prime & Select [PDF]

Formulary Changes: Essential [PDF]


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Need help? We're here for you.

Whether you’re exploring plan options or already a Generations Advantage member, our team is ready to help.

Prospective Members: Call us at 1-800-961-4572 (TTY: 711)
Current Members: Call Member Services at 1-866-544-7504 (TTY: 711)