Troy Medicare
Plan Information

Formulary

The complete list of prescription drugs covered by your Troy Medicare plan.

About This Document

The Formulary (List of Covered Drugs) tells you which prescription drugs are covered by your Troy Medicare plan and at what cost tier. It also includes information about drug restrictions, such as prior authorization or quantity limits.

Who Should Use It

Current and prospective members who want to check whether their medications are covered, understand cost tiers, or identify any restrictions on specific drugs.

How to Use It

Search for your medication by name in the formulary document. Each drug is listed with its tier level, which determines your copay amount. Check for any special requirements like prior authorization or step therapy. For the most current formulary, visit the Prescription Drugs page or contact us directly.

Access the Formulary

For the most up-to-date formulary information, please visit our Prescription Drugs page or contact Member Services.

Visit Prescription Drugs

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