AgeWell New York Advantage Plus Covered Drugs (Formulary & Medication)

What is a formulary?

A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at our network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

View the Searchable Formulary

Updated 08/01/2021| Formulary  ID 21509, Version Number 13

Download a printable comprehensive formulary

The comprehensive formulary includes a list of the drugs (formulary) for our plan.  For more recent information or other questions, please contact our Pharmacy Benefit Manager, Elixir for AgeWell New York Member Services at 1-844-782-7670 or for TTY users, 1-800-662-1220, 7 days a week 24 hours a day, or visit www.agewellnewyork.com.

Updated 08/01/2021| Formulary  ID 21509, Version Number 13

 

Prior Authorizationopens PDF file   Quantity Limitsopens PDF file  Step Therapyopens PDF file  Addendumopens PDF file

Request a Formulary:

If you would like to request a printed hard copy formulary mailed to your home, please call Member Services at 1-866-237-3210, email your request or fill out the request form below.

Learn more about your pharmacy benefits.

AgeWell New York Advantage Plus Pharmacy

 

The formulary and/or pharmacy network may change at any time. You will receive notice when necessary.