What Exactly is a Part D Formulary? TopicsPopular TopicsMost Recent Medicare Working Past 65 Lifestyle & Wellness Considering Retirement Existing Clients Just when you thought Medicare couldn’t get any more confusing, you learn a new word: the Part D formulary. So, what exactly is a formulary and why is it so important? What is a Drug Formulary? Each Medicare Prescription Drug plan has a list of drugs that it covers. This list is called a formulary. Within your plan’s formulary, prescription drugs are categorized by tiers. Drugs placed in a lower tier tend to be less costly, while drugs placed in higher tiers are more expensive. Expert Tip: If your doctor prescribes a brand name drug to you, ask if a generic version is available. It could end up saving you money! Why is the Formulary Important? Understanding the basics of your plan’s formulary is important because this list can have a significant impact on the amount you pay for your prescriptions. And many people do not realize that insurance companies change the formulary on an annual basis. Insurance companies sometimes move drugs on their plan formularies into different tiers from year to year. They also sometimes take drugs off the formulary altogether. This means that if your drugs change tiers, the cost you pay this year for your drugs could be very different next year. What’s more, if any of your drugs are removed from the formulary, you could be required to pay 100 percent of the cost of the drug completely out of pocket. This adds up! Making Sure You Are Informed About Your Plan’s Drug Formulary Insurance companies typically make changes to their plans’ formularies during Medicare’s open enrollment period, also referred to as the Annual Enrollment Period or AEP. This time frame occurs each year between Oct. 15 and Dec. 7. The government requires that insurance companies notify enrollees about changes by sending out a document no later than Sept. 30 called the Annual Notice of Change (ANOC). This document is over 100 pages long and explains all the changes to your plan’s benefits, costs and formulary. When you receive this document, it is very important that you review it carefully to ensure that you know what changes are being made to your coverage. Based on this information, you can decide if your plan will still meet your health needs and budget in the coming year or if you need to begin looking at different options. Our goal is to keep you informed and to provide you with the knowledge and confidence you need to make the most important decisions affecting your health plan coverage. We deliver Medicare peace of mind. Health care seems to be changing every day, but you don’t have to go it alone. Let our compassionate experts make finding the right health plan for you easy! Want to Learn More? Contact us at 1-866-600-5638 or firstname.lastname@example.org to get started on your Medicare journey. Stay informed about Medicare An easy way to stay updated on Medicare and any important changes is to sign up for the free, customizable RetireMEDiQ newsletter. Based on your personal preferences and interests, helpful articles and community-related content will be sent directly to your inbox. Sign up for our newsletter Yes! Tell me more about Medicare and help me explore my options.Name First Email* Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone*By entering your information, you are authorizing RetireMEDiQ to communicate with you directly regarding Medicare news and health care coverage.vidhiddenPhoneThis field is for validation purposes and should be left unchanged.