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 or call Provider Services.

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, or call Provider Services to request a hard copy.

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.