A Formulary is a list of drugs covered by a plan.
As a new or continuing member in our Plan, you may be taking drugs that are not on our Formulary. Or, you may be taking a drug that
is on our Formulary, but your ability to get it is limited. You should talk to your doctor to decide if you should switch to an
appropriate drug that we cover or request a Formulary exception, so we can cover the drug you take.
For each of your drugs that is not on our Formulary, or if your ability to get your drugs is limited, we will cover a temporary
30-day supply (unless you have a prescription written for fewer days) when you go to a network pharmacy.
After your first 30-day supply, we will not pay for these drugs. For additional information on our transition policy,
please refer to the plan's Formulary.
Are you familiar with the TEAMStar Part D Low Cost Generics Program?
If you go to a Union Designated Pharmacy, you will only pay a $5 copay for a 1-month supply from a list of Tier 1 Generics (i.e. Low Cost Generics).
Find out which drugs are covered under the TEAMStar Medicare Part D (PDP) plans and how much they
Lookup and Price a Drug
It's easy to find the drug information you're looking for. Click on a plan below to determine if your drug is covered, to see your expected costs and find alternatives if your drug is not on our formulary.
Below, you can download a complete list of the drugs covered, a prior authorization form, and guidelines for Step Therapy drugs, if needed.
Note: You must have Adobe Reader version 5.0 or higher installed on your computer in order to view and print the above file properly.