Medicare Advantage Part D Covered Medications (Formulary)

Browse MVP’s Medicare Part D formulary to find covered generic and brand-name drugs, including $0 preferred generics and updated coverage rules.

Medicare Advantage Part D Covered Medications (Formulary)

Browse MVP’s Medicare Part D formulary to find covered generic and brand-name drugs, including $0 preferred generics and updated coverage rules.

Medications We Cover and How to Find Them 

See the full list of generic and brand name drugs covered by MVP Medicare plans that include Part D prescription drug coverage.

2026 Medicare Formularies

The following are formularies that are part of our 2026 Medicare Advantage Plans:

What Is a Formulary?

A Formulary is a list of prescription drugs covered by your pharmacy benefit. We generally cover drugs listed in our Formulary as long as they are medically necessary, the prescription is filled at an MVP network pharmacy, and other plan rules are followed.

The CVS and MVP Pharmacy & Therapeutics (P&T) Committees developed and approved our Formulary. The P&T Committees includes practicing doctors, representing a variety of medical specialties, as well as practicing pharmacists and clinical health plan staff members, including medical directors and registered pharmacists. A doctor and pharmacist with training and experience in the care of the elderly and disabled are also included on the Committees.

2026 Prescription Coverage Changes

No "Coverage Gap"

There will be only three Part D Payment Stages in 2026: the Deductible Stage (depending on your plan), Initial Coverage Stage, and Catastrophic Coverage Stage. The “Coverage Gap” (or “donut hole” stage), during which drug costs could significantly increase, has been eliminated.

$2,100 Out-of-Pocket Maximum for Covered Prescriptions 

In 2026, all Part D plans have an out-of-pocket maximum of $2,100. This means that once you have paid $2,100 for Part D covered prescriptions, you will pay nothing through December 31.

Medicare Prescription Payment Plan

This program may be a helpful option to manage your monthly drug costs if you have high expenses early in the calendar year. It does not save you money or lower your drug costs.

Refer to your Evidence of Coverage (EOC) for specific plan information.

Insulin Coverage

Important Message About What You Pay for Vaccines

Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible.

Important Message About What You Pay for Insulin

You won’t pay more than $35 for a one-month supply of each insulin covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible.

$0 Preferred Generic Drugs

We cover many commonly used generic drugs at no cost. Tier 1 Preferred Generic Drugs in the 2026 Medicare Part D Formulary and Tier 6 Preferred Generic Drugs in the 2026 MVP DualAccess (HMO D-SNP) Medicare Part D Formulary include select drugs to treat diabetes, blood pressure, bone health, and high cholesterol.

  • These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • famotidine tab 20mg & 40mg
    • omeprazole cap
    • pantoprazole tab

  • These medications are covered at no cost if you have MVP Medicare Part D coverage:

    • aliskiren tab
    • amlodipine/benazepril cap
    • amlodipine/olmesartan tab
    • amlodipine/valsartan tab
    • amlodipine tab
    • atenolol tab
    • benazepril/hctz tab
    • benazepril tab
    • candesartan/hctz tab
    • candesartan tab
    • captopril/hctz tab
    • captopril tab
    • carvedilol tab IR
    • clonidine tab
    • enalapril/hctz tab
    • enalapril tab
    • fosinopril/hctz tab
    • fosinopril tab
    • furosemide tab
    • hydralazine tab
    • hydrochlorothiazide (hctz) cap & tab
    • indapamide tab
    • irbesartan/hctz tab
    • irbesartan tab
    • lisinopril/hctz tab
    • lisinopril tab
    • losartan pot tab
    • losartan/hctz tab
    • metoprolol tab ER
    • metoprolol tartrate tab
    • moexipril tab
    • olmesartan/amlodipine/hctz tab
    • olmesartan/hctz tab
    • olmesartan tab
    • perindopril tab
    • quinapril tab
    • ramipril cap
    • spironolactone tab
    • telmisartan/amlodipine tab
    • telmisartan/hctz tab
    • telmisartan tab
    • terazosin cap
    • trandolapril tab
    • triamterene/hctz cap 37.5-25mg
    • triamterene/hctz tab
    • valsartan/hctz tab
    • valsartan tab
    • verapamil tab IR

  • These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • glimepiride tab 1mg, 2mg, & 4mg
    • glipizide/metformin tab
    • glipizide tab ER
    • glipizide tab 5mg & 10mg
    • metformin tab 500mg, 850mg, & 1000mg
    • metformin tab 500mg ER & 750mg tab ER (generic Glucophage XR only)
    • metformin tab 750mg er
    • nateglinide tab
    • pioglitazone/metformin tab 15-500mg & 15-850mg
    • pioglitazone tab
    • repaglinide tab

  • These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • atorvastatin tab
    • ezetimibe/simvastatin tab
    • fluvastatin cap
    • fluvastatin tab ER
    • pitavastatin tab
    • pravastatin tab
    • rosuvastatin tab
    • simvastatin tab

  • These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • amlodipine/atorvastatin tab

  • These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • alendronate tab 10mg, 35mg, & 70mg

  • These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • euthyrox tab (not 300mg)
    • levo-t tab
    • levothyroxin tab
    • levoxyl tab (not 300mg)
    • methimazole tab 5mg & 10mg
    • unithroid tab

MVP Health Plan, Inc. is an HMO-POS/PPO/HMO D-SNP organization with a Medicare contract and a contract with the New York State Medicaid program. Enrollment in MVP Health Plan depends on contract renewal. Health benefit plans are issued by MVP Health Plan, Inc., an operating subsidiary of MVP Health Care, Inc. Not all plans available in all states and counties. Every year, Medicare evaluates plans based on a 5-star rating system. Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).

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Last updated 10/1/25

Speak to a Representative

To shop for a plan, contact an MVP Medicare Advisor at 1-800-324-3899 (TTY 711)

For questions about your plan, contact the MVP Medicare Customer Care Center at 1-800-665-7924 (TTY 711). If you have an MVP DualAccess plan, call 1-866-954-1872 (TTY 711).

From April 1-September 30, reach us Monday-Friday, 8 am-8 pm.

From October 1-March 31, reach us seven days a week, 8 am-8 pm.