Pharmacy and Prescription Drug Information

Part D benefits are included with our Choice Plus and Premier plans.

With Advantage Medicare Plan, getting your prescriptions is simple. Our plans have no deductibles to meet, and no “preferred” pharmacy network to worry about.

Below are the member copays while in the Initial Coverage Limit:

30 Day Supply	Choice Plus	Premier
Tier 1 - Preferred Generic	$5	$0
Tier 2 - Generic	$13	$12
Tier 3 - Preferred Brand Name	$40	$40
Tier 4 - Non-Preferred Drugs	$95	$95
Tier 5 - Specialty Tier	33% of the cost	33% of the cost

On-line Formulary

Search for prescription medications that promote clinically useful and cost-effective drug therapy.

• Search our formulary
• View and download the Abridged Formulary, Comprehensive Formulary, upcoming changes and utilization management criteria

Mail Order Prescription Drug Program

Choose from two convenient options. More mail order prescription information.

Find a Pharmacy

Advantage Medicare Plan is pleased to make its pharmacy directory available to its members. The online directory is for your reference only.

Advantage Medicare Plan makes every effort to maintain current and accurate pharmacy data; however, periodic changes to a pharmacy's status can occur. Please contact Customer Service at 918-594-5202 or 1-800-333-3275 if you have questions about a pharmacy's participation with Advantage Medicare Plan. TTY/TDD users should call 1-800-722-0353.

The participating pharmacies listed in the directory are independent contractors and are not employees of Advantage Medicare Plan. All health care decisions are strictly the responsibility of the patient and the pharmacy.

• Search the most current list of participating Pharmacies.
• View the Advantage Medicare Plan Pharmacy Directory - updated 7/29/2021
• View the Large Print Advantage Medicare Plan Pharmacy Directory - updated 7/29/2021

Monthly Plan Premiums for People who get Extra Help from Medicare

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan. Low income subsidy premium table.

Drug Management Programs

For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. These requirements and limits ensure that our members use these drugs in the most effective way and also help us control drug plan costs. More information regarding our drug management programs.

CMS Best Available Evidence Policy

CMS has created a best available evidence (BAE) policy, which requires sponsors whose plans cover Part D prescription drugs to provide access to those drugs at the correct low-income subsidy (LIS) cost-sharing level when presented with evidence of a beneficiary’s LIS eligibility, even if the sponsor’s system and CMS’s system do not yet reflect that eligibility. Best Available Policy and related resources located on the CMS website.