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.


2024 Medicare Formularies

The following are formularies that are part of our 2024 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 MVP Pharmacy & Therapeutics (P&T) Committee developed and approved our Formulary. The P&T Committee 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 Committee. 


Learn About Our Formulary 

Find out what a formulary is and how to use this important resource.

Formulary Search Tools 

You can find drugs in our formulary for each plan: 

Search for your medication.

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 of the formulary (Preferred Generic Drugs) includes select drugs to treat diabetes, blood pressure, bone health, and high cholesterol. Browse the tabs below for a list of these drugs, and talk to your doctor to find out if any may be right for you. 

  • Drugs to Control Blood Pressure

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

    • 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 
    • 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 

  • Drugs to Control Diabetes

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

    • Glimepiride 
    • Tabsglipizide 
    • Tabsglipizide ER tabs 
    • Glipizide XL 
    • Metformin tabs 
    • Metformin ER tabs (generic Glucophage XR only) 
  • Drugs to Control High Cholesterol 

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

    • Atorvastatin tabs 
    • Ezetimibe tabs 
    • Ezetimibe/simvastatin tabs 
    • Lovastatin tabs 
    • Pravastatin tabs 
    • Rosuvastatin tabs 
    • Simvastatin tabs 
  • Drugs to Treat Acid Reflux 

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

    • Omeprazole capsule 10mg, 20mg and 40 mg 
    • Pantoprazole tablet 20mg and 40 mg 
  • Drugs to Treat Osteoporosis/Bone Health 
    Alendronate sodium 35 mg and 70 mg tabs are covered at no cost if you have MVP Medicare Part D coverage. 
  • Drugs to Treat Thyroid Conditions 

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

    • Euthyrox tablets 
    • Levo-T tablets 
    • Levothyroxine tablets 
    • NP Thyroid tablets 

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. MVP Health Plan, Inc. has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 12/31/2024 based on review of MVP Health Plan’s Model of Care. 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 accommodationsofpersons with special needs at meetings, call 1-800-324-3899 (TTY 711).

Other physicians/providers are available in the MVP Health Care network. Gia virtual care services are available at no member cost-share for medical plans, including qualified high-deductible health plans (QHDHPs). Exceptions may apply for self-funded plans. In-person visits and referrals are subject to cost-share per plan. Members enrolled in a Medicare Rx plan without additional MVP medical coverage do not have access to MVP virtual care services through Gia. SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers On-Demand is a trademark of Tivity Health, Inc. ©2023 Tivity Health, Inc. All rights reserved. GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. (“Tivity”) or its affiliates. Users must have internet service to access online services. Internet service charges are responsibility of user.

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Last Updated: 6/27/2024

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.