Prescription Coverage

CDPHP Medicare Advantage Drug Plans use a formulary, which is a list of covered drugs selected to meet patients' needs. Formularies are reviewed and updated on a regular basis by medical and pharmacy professionals. If the formulary changes, enrollees will be notified before the change takes effect.

Drugs on the formulary are organized into different tiers. What you pay depends on which tier your drugs are in. Please note that generic brand prescriptions are frequently the most cost-effective choice.

If you take a drug that is not on our formulary, you may ask us to cover that drug by filling out and submitting the Request for Medicare Prescription Drug Coverage Determination form.

Drug List

» Use our online drug look-up tool to review our list of covered drugs (formulary)

Download a PDF of the formulary

Mail Order

Skip the trip to the pharmacy and get your medications right to your door with mail order prescription delivery at no additional cost. Most members pay nothing for many generic drugs.

Save on Prescriptions at Preferred Retail Locations

Prescription drug coverage allows you to fill prescriptions at any in-network preferred or standard pharmacy. If you choose to use a preferred pharmacy, you’ll pay nothing for Tier 1 and Tier 2 drugs. If you use a standard pharmacy, you will have a copay for these medications, and could pay more for other drugs as well. Check your Summary of Benefits for plan details.

Enjoy deep discounts on certain generic drugs when purchased at one of these participating retail locations: ConnectRx, Market 32/Price Chopper, Walmart, Hannaford, ShopRite, Walgreens, Kinney Drugs, RiteAid, Stop & Shop, Giant Foods, and Food Lion.

$35 Cost Share for Insulin

Pay no more than $35 for a 30-day supply of insulin.

Important Message About What You Pay for Vaccines

Our plan covers most Part D vaccines at no cost to you even if you haven’t paid your deductible. Call the Pharmacy Customer Care Center for more information.

Medicare Prescription Payment Plan

This new payment option* can help you manage monthly expenses by spreading your out-of-pocket Medicare Part D drug costs across the calendar year. But keep in mind it doesn't save you money or lower your drug costs.

Download a PDF of the fact sheet

Download a PDF of the 2025 application

*This may not be your best option if you get help paying for prescriptions through Extra Help or a State Pharmaceutical Assistance Program (SPAP). Go to Medicare.gov/prescription-payment-plan/will-this-help-me to find out if you’re likely to benefit.

Enrollment processing requirements apply. Before plan year: Your enrollment must be processed in 10 calendar days of receipt or the number of calendar days before the plan enrollment starts, whichever is shorter. During plan year: Your enrollment must be processed in 24 hours.

Urgent prescription fill procedure followed for those who pay out-of-pocket before enrollment is processed.