Prescription & Pharmacy
2025 Medicare Advantage Formulary Core and Comfort
List of covered drugs.
List of covered drugs.
List of covered drugs.
For Group Medicare Advantage (PPO) Classic Rx2, Select Rx 2, Select Rx 3, Premier Rx 2, Premier Rx 3, Elite plans
For Group Medicare Advantage Classic Rx 1 and Value Rx 4 (PPO) plans
Quantity Limit
Program effective Date: Nov 01, 2025