Pharmacy

Medicare Part D Drugs

Definition:

A Part D drug is available only by prescription, approved by the Food and Drug Administration, used and sold in the United States and used for a medically accepted indication. Covered Part D drugs include prescription drugs, biological products, insulin and some vaccines.

Benefit:

For all questions related to Part D drug benefits, and coverage requirements, please consult the member's Evidence of Coverage available by clicking here.

For details around MediGold's drug benefits click here.

The Formulary

Members receive a formulary annually. If any formulary changes are made that will limit the members' ability to fill their prescriptions, MediGold will notify members before the change is made. At least a 60 day notice will be given. To access the formulary click here.

Link to formulary changes.
Link to Find and Price a Drug.
Link to Pharmacy prior authorization requirements.
Link to Pharmacy directory. You can either search by name/provider type or scroll below to access the full Pharmacy Directory in a PDF.

For information on our Rx Prescriber Intervention Programs, click here.