Preferred Medication Lists

Please choose the medication list option that applies to you.
See your membership card for co-pay options (dollar amounts may vary).

• 2-Tier Preferred Medication List
   
  2008 2-Tier Preferred Medication List
  (revised: 10/30/2008 2:51:04 AM)
• 3-Tier Preferred Medication List
   
  2008 3-Tier Preferred Medication List
  (revised: 10/30/2008 2:51:13 AM)
• 5-Tier Preferred Medication List
   
  2008 5-Tier Preferred Medication List
  (revised: 10/30/2008 2:51:23 AM)
• 2008 Pocket Formulary
• AvMed's Authorization Requirements & Processes 
• Commercial Rx Mail Order Form   

• 2008 Comprehensive Formularies
  
  • AvMed Premier Care 2008 Formulary
    (revised: 11/21/2008 4:46:27 PM)
  • AvMed Medicare Preferred PPO 2008 Formulary
    (revised: 11/21/2008 4:46:30 PM)
• 2009 Comprehensive Formularies
  
  • AvMed Premier Care 2009 Formulary
    (revised: 11/20/2008 10:00:02 PM)
  • AvMed Medicare Preferred PPO 2009 Formulary
    (revised: 11/20/2008 10:00:02 PM)
• Notice of Formulary Changes
• AvMed's Authorization Requirements & Processes 
• Part D Prior Authorization Criteria
• Explanation of Part D Appeals
• Medicare Rx Mail Order Form   
• Medication Exception Request Form
• Quality Assurance: Drug Management Programs 

If you qualify for extra help with your Medicare prescription drug coverage costs, Medicare may cover all or some portion of your prescription drug costs.  In certain cases, CMS systems do not reflect a beneficiary's correct low-income subsidy (LIS) status at a particular point.  To address these situations, CMS has created the best available evidence (BAE) policy that requires plans to accept appropriate documentation as evidence of establishing the accurate level of cost sharing the member should be paying.  Please use the link provided to learn more about this policy.