Formulary/Drug Lists and Drug Coverage

 

What is a Formulary?

A Formulary, sometimes called a Covered Drug List, is a list of prescription drugs generally covered by your pharmacy benefit. MVP will generally cover the drugs listed in our Formulary as long as the drug is medically necessary, the prescription is filled at an MVP network pharmacy, and other plan rules are followed.

The Formulary was developed and approved by the MVP Pharmacy & Therapeutics (P&T) Committee.  The Committee is comprised of practicing physicians, representing a variety of medical specialties, practicing pharmacists and clinical health plan staff including medical directors and registered pharmacists. A physician and pharmacist with training and experience in the care of the elderly and disabled are also included on the Committee.

 

 

 

 

 

Last updated: October 1, 2018

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2018 Drug Coverage Info

 

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Important Information

 

MVP Health Plan, Inc. is an HMO-POS/PPO/MSA organization with a Medicare contract. Enrollment in MVP Health Plan depends on contract renewal. This information is not a complete description of benefits. Call 1-800-665-7924 (TTY: 1-800-662-1220) for more information.

Every year, Medicare evaluates plans based on a 5-star rating system. Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Medicare beneficiaries may also enroll in Preferred Gold HMO-POS, GoldValue HMO-POS, GoldSecure HMO-POS, Gold PPO, and/or WellSelect PPO through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

 

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