2021 Formulary - HMSA Akamai Advantage - List of Covered Drugs

If the Food and Drug Administration deems a drug on our Formulary? formulary to be unsafe or the drug’s manufac- A formulary is a list of covered drugs selected turer removes the drug from the market, we by HMSA Medicare Advantage in consultation will immediately remove the drug from our with a team of health care providers, which rep- formulary and provide notice to members who resents the prescr. [...] Turn to the page listed in the Advantage Formulary?” Index and find the name of your drug in the first Changes that will not affect you if you are column of the list. [...] to your doctor to determine the right course of action for you, we may cover your drug in certain • You can ask us to cover a formulary drug at a cases during the first 90 days you are a member lower cost-sharing level if this drug is not on of our plan. [...] This notice will explain the steps you are past the first 90 days of membership you can take to request an exception and how in our plan, we will cover a 31-day emergency to work with your doctor to decide if you should supply of that drug (unless you have a prescrip- switch to an appropriate drug that we cover. [...] subject to other restrictions, such as dosage lim- Members should talk to their doctors to decide its, we will cover a temporary 31-day emergency if they should switch to a different drug that supply of that drug (unless the prescription is for we cover or request a formulary exception in fewer days) while the new member pursues a order to get coverage for the drug.