Pharmacy and Prescription Resources

Generations Advantage Prime (HMO-POS), Select (LPPO), Focus DC (HMO SNP), Value Plus (HMO) and Flex (RPPO) plans have Part D Prescription Drug coverage built right into the plan. Your prescription coverage is included in your premium. Below you will find links to the formulary (list of covered drugs) for each plan.

2020 Formulary (List of Covered Drugs)

Prime Plan Formulary (List of Covered Drugs)
For Prime, there are no deductibles to meet. With your very first prescription, you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use.

Flex Plan Formulary (List of Covered Drugs)
Flex has a $275 deductible for Tiers 3, 4, and 5 medications. There is no deductible for Ters 1 and 2 medications; you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use. For Tiers 3, 4 and 5, you pay the full cost of the drug until you reach your deductible.

Select Plan Formulary (List of Covered Drugs)
For Select, there are no deductibles to meet. With your very first prescription, you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use.

Value Plus Plan Formulary (List of Covered Drugs)
Value Plus has a $275 deductible for Tiers 3, 4 and 5 medications. There is no deductible for Tiers 1 and 2 medications; you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use. For Tiers 3, 4 and 5, you pay the full cost of the drug until you reach your deductible.

Focus DC Plan Formulary (List of Covered Drugs)
For Focus DC, there are no deductibles to meet. With your very first prescription, you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use.

2020 Pharmacy List

Find a Pharmacy.

For more information: Formularies and how to search the Formulary (List of Covered Drugs)

Additional Prescription Information

Coverage Determination and Exceptions Process

Coverage Limits and Extra Help

Medicare Part D Prescription Drug Coverage

Medication Therapy Management

Medication Transition Process

Pharmacies and Out-of-Network Coverage

Prescription Utilization Management

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