CareMore Health Plan covers both brand name drugs and generic drugs. Generic drugs have the same active ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. The formulary may change during the year.

From time to time, there may be a change in tiered costs and/or removal made in the formulary. CareMore will post a 60-day advance notice of any changes to our formulary below.

You must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which CareMore authorizes use of out-of-network providers. If you obtain routine care from out-of-network providers neither Medicare nor CareMore will be responsible for the costs.

CareMore Health Plan has contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your area with 64,831 pharmacies in our network.

How do I request an exception to the CareMore Health Plan’s Formulary?

 

CareMore Health Plans Online and Printable Formulary Search

CareMore Health Plans Online and Printable Pharmacy Search

 

ABBOTT PHARMACEUTICALS PRODUCT RECALL LETTER (Opens a PDF)