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Formulary

The Formulary is the list of drugs covered by Community Care. It is also called the "Drug List". The drugs on this list were selected with the help of doctors and pharmacists. The list must meet the requirements of Medicare and/or Medicaid.

The formulary explains what prescription drugs are covered by the plan. It also tells you if there are any rules that limit coverage of a drug. The partnership program provides prescription drugs and certain over-the-counter medications for all members.

If you have Medicare, your prescription drug coverage is through Medicare Part D.

If you have Medicaid only, your prescription drug coverage is through Wisconsin Medicaid. Contact Wisconsin Medicaid Member Services at 1-800-362-3002 for more information.

If you are not sure if you have Medicare and/or Medicaid, please ask your care team for help.

To review the 2023 Medicare Part D Formulary, click here. 
 

Material ID: H2034_Form_11.2015 & H5207_Form_11.2015 CMS Approved: 11/13/2015

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