A Formulary is a list of covered drugs. Select a link below to view the Formulary and search for a drug.
Within the Formulary, you will see which drugs may have special requirements including:
- Prior Authorization - You or your physician are required to get approval before you can fill a prescription for the drug.
- Step Therapy - You are required to try certain drugs to treat your health condition before Senior Preferred will cover another drug for that condition.
- Quantity Limits - There is a limit on the amount of this drug that is covered per prescription, or within a specific timeframe.
These drugs are selected by Senior Preferred in consultation with the Pharmacy and Therapeutics (P&T) Committee, a team of health care providers. This list represents the prescription therapies believed to be a necessary part of a quality treatment program. Senior Preferred will generally cover the drugs listed in our Formulary as long as the drug is medically necessary, the prescription is filled at a Senior Preferred network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage (EOC). You can view your plan documents, including the EOC, here.
Brand and Generic Drugs
Senior Preferred covers both brand name drugs and generic drugs within the Formulary. 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.
Updating the Formulary
Formulary development and maintenance is an ongoing process. The P&T Committee regularly reviews new and existing medications to ensure the formulary remains responsive to the needs of our members and providers. The Formulary is updated periodically and changes are placed in the Senior Preferred member newsletter. Only medications most commonly prescribed at the time the Formulary is published are listed. Below, you will find links to the Senior Preferred member newsletter where you can review changes made at the most recent P&T Committee meetings.
This web page was updated on September 27, 2016.