2024 Medicare HealthPartners UnityPoint Health

Welcome

We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

What is a Formulary?

A formulary is a list of drugs that are covered by an insurance plan. These drugs represent the prescription therapies believed to be a necessary part of a quality treatment program. The drug list for HealthPartners UnityPoint Health is a comprehensive drug list. A comprehensive drug list is the entire list of drugs covered by a Part D plan. A team of pharmacists and doctors selects these drugs. Our experts review information on new medicines and compare it to the medicines that are already on the list. The goal? To make sure our drug list has the safest and most effective medicines. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

Print the 2024 Medicare drug lists

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• 2024 HealthPartners UnityPoint Health Drug List (PDF) (Last Updated 11/2024)
• Prior Authorization criteria (PDF) (Last Updated 11/2024)
• Step Therapy criteria (PDF) (Last Updated 11/2024)
• Changes to the Drug List (PDF)


How to Search For Drugs?


• Search by typing the first part of the generic (chemical) and brand (trade) names.
• Search by selecting the therapeutic class of the medication you are looking for.
• Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible. Call Member Services for more information.
• Part D Covered Insulins - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible.
• Oral antiviral drug for COVID-19 - Our plan covers PAXLOVID (nirmatrelvir and ritonavir) at $0 cost-sharing.
Products matching the search terms will display. Drugs that are on the List of Covered Drugs (Formulary) will display with tier status and limits and restrictions such as Prior Authorization, Quantity Limits, or Step Therapy requirements. Drugs that are not included on the List of Covered Drugs will display as “NF” (not on the formulary).

How to Request an Exception

If your drug is not on our formulary, you can request a coverage decision or exception by completing the Coverage Determination Form. Please see the Drug Management Programs section of the Evidence of Coverage for information about our quality assurance policies and procedures, including Medication Therapy Management and drug utilization.