Covered Drugs and Formulary

See the full list of generic and brand name drugs covered by MVP Medicare plans that include Part D prescription drug coverage.

2024 Medicare Formularies

The following are formularies that are part of our 2024 Medicare Advantage Plans:

What Is a Formulary?

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

The MVP Pharmacy & Therapeutics (P&T) Committee developed and approved our Formulary. The P&T Committee includes practicing doctors, representing a variety of medical specialties, as well as practicing pharmacists and clinical health plan staff members, including medical directors and registered pharmacists. A doctor and pharmacist with training and experience in the care of the elderly and disabled are also included on the Committee.

Learn About Our Formulary

Find out what a formulary is and how to use this important resource.

Formulary Search Tools

You can find drugs in our formulary for each plan:

Insulin Coverage


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.

Important Message About What You Pay for Insulin

You won’t pay more than $35 for a one-month supply of each insulin covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible.

$0 Preferred Generic Drugs

We cover many commonly used generic drugs at no cost. Tier 1 of the formulary (Preferred Generic Drugs) includes select drugs to treat diabetes, blood pressure, bone health, and high cholesterol. Browse the tabs below for a list of these drugs, and talk to your doctor to find out if any may be right for you.

Drugs to Control Blood Pressure These medications are covered at no cost if you have MVP Medicare Part D coverage: Drugs to Control Diabetes Drugs to Control High Cholesterol Drugs to Treat Acid Reflux Drugs to Treat Osteoporosis/Bone Health

Alendronate sodium 35 mg and 70 mg tabs are covered at no cost if you have MVP Medicare Part D coverage.

Drugs to Treat Thyroid Conditions

MVP Health Plan, Inc. is an HMO-POS/PPO/HMO D-SNP organization with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in MVP Health Plan depends on contract renewal. MVP Health Plan, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 12/31/2024 based on review of MVP Health Plan’s Model of Care. Health benefit plans are issued by MVP Health Plan, Inc., an operating subsidiary of MVP Health Care, Inc. Not all plans available in all states and counties. 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. For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).

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Last Updated: 7/22/2024