Prescription Drug Coverage

Find covered medications, pharmacies, prescription drug costs, and

other Medicare Part D resources.

Find a Covered Drug

Search the MedCare Partners Health Plan of Texas List of Covered Drugs (Formulary).

Download/Print the complete Drug List here:

Find a Pharmacy

Find a participating pharmacy near you.

Download/Print the complete Pharmacy Directory here:

Real-Time Pharmacy Tool

Search for drugs on the Drug List to get an estimate of what you’ll pay and see if there are alternative drugs on the Drug List that could treat the same condition

Coverage Determinations & Exceptions

Learn how to request coverage or an exception for a prescription drug.

Request a Coverage Determinaton or Redetermination (Appeal) Button:

Drug Prior Authorization Criteria

Step Therapy Criteria

Medication Therapy Management

Learn about medication review services available to eligible members.

Medicare Prescription Payment Plan

Learn about options for managing your out-of-pocket Part D costs.

Prescription Drug Transition Policy

Learn about temporary prescription drug coverage when certain medications change or are not on the formulary.

Need help with your Prescription Drugs?

We’re here to help.

1-866-MCP-TX01
(1-866-627-8901)
TTY: 711

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