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

What is a Formulary?

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

The Formulary was developed and approved by the MVP Pharmacy & Therapeutics (P&T) Committee. The Committee is comprised of practicing physicians, representing a variety of medical specialties, practicing pharmacists and clinical health plan staff including medical directors and registered pharmacists. A physician and pharmacist with training and experience in the care of the elderly and disabled are also included on the Committee.

Formulary Search tools

Search Drugs on the MVP Formulary for each plan:

WellSelect® with Part D

Secure with Part D

Secure Plus with Part D

Preferred Gold with Part D

WellSelect® Plus with Part D

Patriot Plan with Part D

UVM Health Advantage Select with Part D

UVM Health Advantage Secure with Part D

UVM Health Advantage Preferred with Part D

Individual Plan Formularies

2022 MVP Medicare Advantage Plans

2022 UVM Health Advantage Plans

2022 MVP Dual Access Plan

For information about medications that have additional coverage requirements or are not covered under MVP’s formulary, visit our other medications page.

$0 Preferred Generic Drugs

MVP covers many commonly used generic drugs at no cost. Tier 1 of the Formulary, Preferred Generic Drugs, includes select drugs to treat diabetes, blood pressure, bone health, and high cholesterol. Talk to your doctor if these drugs may be right for you.

  • To Control Blood Pressure

    • amlodipine tabs
    • atenolol/chlorthalidone tabs
    • atenolol tabs
    • benazepril/hydrochlorothiazide tabs
    • benazepril tabs
    • bisoprolol tabs
    • fumarate/hydrochlorothiazide tabs
    • bisoprolol tabs
    • fumarate tabs
    • carvedilol tabs
    • enalapril tabs
    • maleate/hydrochlorothiazide tabs
    • enalapril tabs
    • maleate tabs
    • fosinopril/HCTfurosemide tabs
    • fosinopril sodium tabs
    • hydrochlorothiazide caps and tabs
    • indapamide tabs
    • irbesartan tabs
    • irbesartan/hydrochlorothiazide tabs
    • lisinopril/hydrochlorothiazide tabs
    • lisinopril tabs
    • losartan potassium tabs
    • losartan potassium/hydrochlorothiazide tabs
    • metoprolol ER
    • metoprolol/hydrochlorothiazide tabs
    • metoprolol tartrate tabs
    • moexipril tabs
    • moexipril/hydrochlorothiazide tabs
    • propranolol tabs
    • quinapril tabs
    • quinapril/hydrochlorothiazide tabs
    • ramipril caps
    • spironolactone tabs
    • spironolactone/hydrochlorothiazide tabs
    • telmisartan
    • trandolapriltriamterene/hydrochlorothiazide caps and tabs
    • valsartan tabs
    • valsartan/hydrochlorothiazide tabs

  • To Treat Osteoporosis/Bone Health

    • alendronate sodium 35 mg and 70 mg tabs

  • To Control High Cholesterol

    • atorvastatin tabs
    • ezetimibe tabs
    • ezetimibe/simvastatin tabs
    • lovastatin tabs
    • pravastatin tabs
    • rosuvastatin tabs
    • simvastatin tabs

  • To Treat Diabetes

    • glimepiride
    • tabsglipizide
    • tabsglipizide ER tabs
    • glipizide XL
    • metformin tabs
    • metformin ER tabs
      (generic Glucophage XR only)

  • To Treat Thyroid Conditions

    • euthyrox tablets
    • levo-t tablets
    • levothyroxine tablets
    • np thyroid tablets

  • To Treat Acid Reflux

    • omeprazole capsule 10mg, 20mg & 40 mg
    • pantoprazole tablet 20mg & 40 mg