Drug Search

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This drug search enables you to see if your prescription drug is a covered drug, if your prescription is a generic or brand name drug, and if any special restrictions apply. This drug list is reviewed at least once per month and was last updated on 4/1/2021.

If you would like a comprehensive printable version of the drug list click the "Print Drug List" button on the left. A comprehensive formulary is a complete list of covered drugs.

Note to Providers

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Effective January 1, 2019, we will be changing how we cover opioids and other medications considered to be frequently abused or misused. We have made these changes to comply with CMS requirements and to promote the safe use of medications by our members. Please see FAQ documents for more information on how these changes may affect you and your patients.

• 2019 Opioid Changes FAQ
• Safety and Monitoring Program FAQ

Quality Assurance

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To help ensure the safety of our members, PacificSource Medicare enforces the following Drug Utilization Review and Medication Error Identification and Reduction policy.

• Quality Assurance Policy

Important Information

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PacificSource Medicare plans cover both brand name drugs 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.

To have your prescriptions filled at our Preferred mail-order pharmacy, please use the mail-order form, register online , or call.

CVS Caremark Mail-Order Services
Register online at: www.CareMark.com
Toll-Free: 866-362-4009
TTY/TDD: 711

Your Rights

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You and your doctor have the right to request an exception to the plan’s formulary or coverage criteria. If your drug is not included in this drug search, you should first contact Customer Service and confirm that your drug is not covered. If you learn that your PacificSource Medicare plan does not cover your drug, you have two options:

1. You can ask Customer Service for a list of similar drugs that are covered by PacificSource Medicare. When you receive the list, show it to your doctor and ask him or her to prescribe a similar drug that is covered by PacificSource Medicare.
2. If you would like to request an exception, please contact the PacificSource Medicare Customer Service Department.

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The list of covered drugs (formulary) may change at any time. You will receive notice when necessary.