Health Partners Medicare has a comprehensive formulary, which is a complete list of covered, commonly prescribed prescription drugs. These drugs are selected by a team of health care providers, including doctors and pharmacists, on the basis of their medical advantage, safety, ease of use and cost. The drugs listed on our formulary are available to members in our plans that include Part D prescription drug coverage.
Our formulary contains brand name drugs and generic drugs. It usually does not include a brand name drug when the same medicine comes as a generic. This may affect which medications you get when using your Health Partners Medicare prescription benefit.
Also, manufacturers that have not contracted with the government’s rebate program are excluded from our formulary.
Search for a drug in the formulary
You can look up a drug alphabetically by name or by drug class using these resources:
- Search the online 2019 formulary: Prime (HMO)
- Search the online 2019 formulary: Special (HMO SNP)
- Download a PDF of the 2019 formulary: Prime (HMO)
- Download a PDF of the 2019 formulary: Special (HMO SNP)
The formulary may change at any time. You will receive notice when necessary.
If you need additional help or information, please call Member Relations at 1-866-901-8000 (TTY 711). If you would like a formulary mailed to you, call us or send us a request.
Our formulary is reviewed on a regular basis and there may be changes to it throughout the year. We may add or remove drugs from the formulary, make quantity limits or other restrictions. For the Value and Prime plans, we may also change a drug’s cost-sharing tier.
Prior Authorization/Formulary Exception
There may be occasions when your doctor would like you to have a drug that is not listed in our formulary. In these instances, the non-formulary medication may be requested through a Prior Authorization/Formulary Exception.