Part D drug coverage is included with both Presbyterian Senior Care (HMO) Plan 2 and Plan 3 and Presbyterian MediCare PPO Plan 2 and Plan 3. There is NO drug coverage in either Plan 1.
Review Prescription Drug Benefits to understand drug tiers, cost sharing, and coverage limits.
- Prescription Drug Benefits
Search the Formulary drug list to see if your drugs are covered. We explain what to do if a drug is not covered, how to request an exception, and the describe Specialty Pharmacy Network Providers.
- Formulary (Drug List)
Learn the options to help you get the most out of your medications by identifying and resolving any medication-related issues. This program is provided at no cost to our members and is not considered a benefit.
- Medication Therapy Management (MTM) Program
Find pharmacies by name or location. Note that some medications are required to be obtained through a designated specialty pharmacy provider.
- Networked Pharmacy Providers
Drug Formulary Safety
If you're considering prescription drug coverage with one of our Medicare Advantage plans, you'll be happy to know that we use a drug formulary developed by a team of health care providers. They regularly look at the safety and cost of drugs, selecting the most effective and cost-effective drug in each class. It's one of the most important ways we safeguard your health and help keep drug costs affordable.