Medicare Prescription Plan – SilverScript administered by CVS Caremark
Formulary (Covered & Non-Covered Drugs)
A formulary is a list of drugs covered under your prescription plan, and includes both generic and brand name. Drugs that are not covered are considered non-formulary. Products that are not FDA approved will not appear on the formulary, and products recently approved may not be covered on the formulary upon immediate release to the market. In addition, the dosage and administration for drugs on the formulary list will follow current FDA guidance and recommendations.
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Plan Level Exclusions
Drugs on the State of Delaware Prescription Drug Plan Level Exclusion list are not covered under the State of Delaware Prescription Plan, regardless if they appear on the CVS Caremark formulary of covered drugs. These excluded drugs are not eligible for consideration under the Coverage Review program. These include, but are not limited to:
- Prescriptions drugs that have OTC equivalents
- Weight Loss Medications
- Continuous Blood Glucose Monitoring Systems
CVS Caremark Formulary Information
The following documents provide a list of covered and not-covered drugs under your prescription plan effective January 1, 2025:
The following documents provide a list of covered and not-covered drugs under your prescription plan effective January 1, 2024:
