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.

2027 Medicare Formularies

The following are formularies that are part of our 2027 Medicare Advantage Plans:

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.

2027 Prescription Coverage Changes

$2,400 Out-of-Pocket Maximum for Covered Prescriptions 

In 2027, all Part D plans have an out-of-pocket maximum of $2,400. This means that once you have paid $2,400 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 2027 Medicare Part D Formulary and Tier 6 Preferred Generic Drugs in the 2027 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/valsartan tab
    • amlodipine tab
    • atenolol/chlorthalidone tab
    • atenolol tab
    • benazepril/hctz tab
    • benazepril tab
    • bisoprolol/hctz tab
    • bisoprolol tab
    • candesartan/hctz tab
    • candesartan tab
    • captopril/hctz tab
    • captopril tab
    • carvedilol tab IR
    • chlorthalidone
    • clonidine tab
    • enalapril/hctz tab
    • enalapril tab
    • felodipine ER 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/hctz tab
    • losartan pot tab
    • metoprolol tab ER
    • metoprolol tartrate tab
    • moexipril tab
    • olmesartan/amlodipine/hctz tab
    • olmesartan/hctz tab
    • olmesartan tab
    • perindopril tab
    • quinapril/hctz 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 & ER
  • These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • dapagliflozin/metformin tab ER
    • dapagliflozin tab
    • 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)
    • 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
    • lovastatin tab
    • 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: 

    • levothyroxin tab
    • levoxyl tab (not 300mg)
    • methimazole tab 5mg & 10mg
    • unithroid tab

MVP Health Plan, Inc. is an HMO-POS/PPO  organization with a Medicare contract. 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. 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: 10/1/26

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.