Medimpact Formulary List.pdf

The MedImpact formulary is a list of covered drugs selected by physician and pharmacist experts, and the plan covers drugs listed in the formulary as long as certain conditions are met. The formulary can change during the year, and members will be notified of changes. Members can confirm their medication is on the formulary by checking drug categories, an alphabetical index listing, or the MedImpact website or mobile app. The plan covers both brand name and generic drugs, and generic drugs are generally less expensive. Some covered drugs may have additional requirements or limits on coverage, such as prior authorization, quantity limits, or step therapy. The formulary has a tier benefit design, with members responsible for a portion of the cost of a prescription drug based on the drug's tier and copayment or coinsurance. There are general exclusions on the formulary, including over-the-counter medications, anti-obesity drugs, and experimental drug products. If a drug is not on the formulary, members can contact the plan to ask for a list of similar covered drugs or request an exception to the formulary.