A Medicare Part D formulary is a list of the drugs the plan covers, organized into tiers with different out-of-pocket costs. Many, or all, of the products featured on this page are from our ...

I was just prescribed a medicine that is not covered by my Part D plan because it is "not on their formulary." What does this mean, and what can I do? All Medicare Part D plan have formularies. Simply ...

Insight provides an in-depth look at health care issues in and affecting California. Have a story suggestion? Let us know. As the ground continues to shift on health care coverage, I answer readers’ ...

John McManus, 65, of Rockville, Maryland, speaks with a Senior Prescription Drug Assistance Program outreach consultant, left, about the Medicare Part D drug subsidy program. Photographer: Stephen ...

Medicare beneficiary out-of-pocket costs for generic drugs are increasing as Part D plans place generics in higher formulary tiers. This week, as the House Energy and Commerce Committee hearings on ...

The lower prices stem from the Medicare negotiation program created under the Biden administration's Inflation Reduction Act.

With appreciation for feedback from Mark Fendrick, Director of the Value-Based Insurance Design (V-BID) Center at the University of Michigan, and Daneen Seekoni, Vice President of Policy and Advocacy ...

Medicare Part D and many Medicare Advantage plans generally cover Lyrica and its generic form, pregabalin, for individuals with prescription drug benefits. The cost of Lyrica under Medicare can vary ...

Medicare formularies were inconsistent in increasing restrictiveness to drugs that received FDA black box warnings for death and/or cardiovascular risk with safer available drug alternatives.

The transition to the Trump-Vance administration is in full swing. Although the specifics of the new administration’s health agenda aren’t clear, some of the first—and most consequential—decisions the ...

I was just prescribed a medicine that is not covered by my Part D plan because it is “not on their formulary.” What does this mean, and what can I do? All Medicare Part D plan have formularies. Simply ...