Medicare Formulary 2024 Tiers. Your plan and a team of health care providers work together in selecting drugs that are needed for. Drugs on a medicare formulary are divided into tiers that determine the cost paid by beneficiaries.
A drug list, or formulary, is a list of prescription drugs covered by your plan. Request for medicare prescription drug coverage determination complete this printable form to ask us for a decision about a prescription drug and your specific.