Look Up Prescription Drugs

Use this tool to estimate your drug costs based on the drugs you take. You'll need your prescription information, dosage and frequency.

 



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The list of covered drugs was last updated on 07.01.2014.

The drug costs displayed are estimates and may vary based on the specific quantity, strength and/or dosage of the medication and the pharmacy you use.It may be important to look beyond your current needs at the value of having Medicare prescription drug insurance. Enrolling when you become eligible may help give you peace of mind, should your drug needs become more significant in the future. It may also help you avoid the Medicare late enrollment penalty.

No drug will move to a higher cost tier unless a new generic version becomes available. If this occurs, you will be notified in your Explanation of Benefits (EOB) 60 days before the change takes effect.

Medicare Advantage plans

Find important information about appeals and grievances, and learn how to file them.
View coverage determinations and appeals process.

See a complete plan drug list What is a formulary (drug list)?    
Learn about Prior Authorization criteria, Step Therapy criteria and the 60-day formulary change notice
Note: the drug list may change during the plan year.

View the AARP MedicareComplete insured through UnitedHealthcare drug transition process

Note: PDF (Portable Document Format) files can be viewed with Adobe® Reader®. If you don't already have this viewer on your computer, download it free from the .

What is a formulary (drug list)

A list of drugs covered by your Medicare Part D plan benefit. A drug list may also be referred to as a covered medications list (CML), a preferred drug list (PDL), a select drug list or a formulary. These drugs are dispensed through participating pharmacies to covered members. Drug lists may differ between Medicare prescription drug plans.

Carefully weigh the differences in drug lists against the plan costs and other features when choosing a plan that may best meet your needs. A drug list may change during the year.

Generic drugs

AARP Medicare Plans insured through UnitedHealthcare, cover both brand name and generic drugs. 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.

What is this?

Estimated Annual Drug Costs are the amounts you pay as your share of your prescription drug costs, such as deductibles (if applicable), copays/coinsurance and the amounts you pay in the coverage gap.

Coinsurance

A kind of cost sharing where you pay a percentage of the cost of a service. For example, a plan might pay 75% and you would pay 25%.

Copay

A kind of cost sharing where you pay a predictable, pre-set amount.

Copay

If you qualify with the Social Security Administration, you could get help paying for your plan's monthly premiums and annual deductible, as well as the cost of your drug copays. The amount of extra help is based on your income and resources (including savings and stocks, but not your home). If you qualify, you could receive an average of $4,0001 in financial help per year for your prescription drug plan expenses.

1SSA.gov website,

Contact UnitedHealthcare:

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Quantity Limits (QL)

The plan will only cover a certain amount of these drugs for one copay or over a defined number of days. These limits may be in place to ensure safe and efficient use of a drug. If your doctor prescribes more than this amount or thinks the limit is not right for your situation, you or your doctor can ask the plan to cover the additional quantity.

If you do not get approval from the plan for a drug with a requirement or limit before using it, you may be responsible for paying the full cost of the drug.

Quantity Limits (QL)

The plan will cover only a certain amount of this drug for one copay or over a certain number of days. These limits may be in place to ensure safe and effective use of the drug. If your doctor prescribes more than this amount or thinks the limit is not right for your situation, you and your doctor can ask the plan to cover the additional quantity.

Prior Authorization (PA)

The plan requires you or your doctor to get prior authorization for certain drugs. This means the plan needs more information from your doctor to make sure the drug is being used correctly for a medical condition covered by Medicare. If you don't get approval, the plan may not cover the drug.

Step Therapy (ST)

There are effective, lower-cost drugs that treat the same medical condition as this drug. You may be required to try one or more of these other drugs before the plan will cover your drug. If you have already tried other drugs or your doctor thinks they are not right for you, you and your doctor can ask the plan to cover this drug.

Coinsurance

A kind of cost sharing where you pay a percentage of the cost of a service. For example, a plan might pay 75% and you would pay 25%.

Limited Access (LA)

Drugs are considered "limited-access" if the FDA says the drug can be given out only by certain facilities or doctors. These drugs may require extra handling, provider coordination or patient education that can't be done at a network pharmacy.

Total drug costs

The amount you (or others on your behalf) pay plus the amount the plan pays starting January 1. Premiums are not included in total drug costs.

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