Formulary (Available Drug List)

El Paso Health Medicare Advantage Dual (HMO D-SNP) covers both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

 

Can the Formulary Change?

We may add or remove drugs from the formulary during the year. Changes in the formulary may affect which drugs are covered and how much you will pay when filling your prescription. If we remove drugs from the formulary, or add prior authorizations, quantity limits and/or step therapy restrictions on a drug, and you are taking the drug affected by the change, we will notify you of the change at least 30 days before the date that the change becomes effective. However, if a drug is removed from our formulary because the drug has been recalled from the market, we will not give 30 days notice before removing the drug from the formulary. Instead, we will remove the drug from our formulary immediately and notify members about the change as soon as possible

 

Formularies (Drug Lists)

Below you will find our Formularies. If you need a printed copy mailed to you, please call Member Services toll free at 1-833-742-3125 (TTY 711). We are available October 1 – March 31, 8 a.m. to 8 p.m. Mountain Time (MT) daily; and, April 1 – September 30, 8 a.m. to 8 p.m. Mountain Time (MT) Monday through Friday.

The documents below are in PDF format. Click on picture to download a document. You need Adobe Acrobat to read a PDF. If you don’t have Adobe Acrobat you can download it for free here.

If you need assistance, call Member Services at 1-833-742-3125 (TTY 711), from October 1 to March 31, 8:00 am to 8:00 pm, 7 days a week and April 1 through September 30, Monday through Friday, 8:00 am to 8:00 pm Mountain Time

H3407_website CMS Accepted 10/09/2019 | Last Updated: 1/2/2024