Medications We Cover and How to Find Them 

See the full list of generic and brand name drugs covered by MVP Medicare plans that include Part D prescription drug coverage.



Plan Formularies 

2023

The following are formularies that are part of our 2023 Medicare Advantage Plans:

  • 2023 Medicare Part D Comprehensive Formulary (PDF) [link to new location for PDF currently at https://www.mvphealthcare.com/wp-content/uploads/download-manager-files/mvp-health-care-medicare-comprehensive-formulary-db.pdf] (list of covered drugs) (updated 11/2022) 
  • 2023 UVM Health Advantage Medicare Part D Comprehensive Formulary (PDF) [link to new location for PDF currently at https://www.mvphealthcare.com/wp-content/uploads/download-manager-files/mvp-health-care-medicare-comprehensive-formulary-uvm-2023.pdf] (list of covered drugs) (updated 11/2022) 
  • 2023 Formulario Comprensivo (PDF) [link to new location for PDF currently at https://www.mvphealthcare.com/wp-content/uploads/download-manager-files/mvp-health-care-medicare-comprehensive-formulary-db-spanish-2023.pdf] (actualizado 11/2022) 




What Is a Formulary? 

A Formulary is a list of prescription drugs covered by your pharmacy benefit. We generally cover drugs listed in our Formulary as long as they are medically necessary, the prescription is filled at an MVP network pharmacy, and other plan rules are followed.  

The MVP Pharmacy & Therapeutics (P&T) Committee developed and approved our Formulary. The Committee includes practicing doctors, representing a variety of medical specialties, as well as practicing pharmacists and clinical health plan staff members, including medical directors and registered pharmacists. A doctor and pharmacist with training and experience in the care of the elderly and disabled are also included on the Committee. 


Learn About Our Formulary 

Find out what a formulary is and how to use this important resource.

Formulary Search Tools 

You can find drugs in our formulary for each plan: 

Search for your medication.

Insulin Coverage 

In 2023, if you have diabetes, you won’t pay more than $35 for a one-month supply of plan-covered insulin listed in the MVP Medicare Part D Formulary regardless of the drug’s cost-sharing tier. 

$0 Preferred Generic Drugs 

We cover many commonly used generic drugs at no cost. Tier 1 of the formulary (Preferred Generic Drugs) includes select drugs to treat diabetes, blood pressure, bone health, and high cholesterol. Browse the tabs below for a list of these drugs, and talk to your doctor to find out if any may be right for you. 

  • Drugs to Control Blood Pressure

    These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • Amlodipine tabs 
    • Atenolol/chlorthalidone tabs 
    • Atenolol tabs 
    • Benazepril/hydrochlorothiazide tabs 
    • Benazepril tabs 
    • Bisoprolol tabs 
    • Fumarate/hydrochlorothiazide tabs 
    • Bisoprolol tabs 
    • Fumarate tabs 
    • Carvedilol tabs 
    • Enalapril tabs 
    • Maleate/hydrochlorothiazide tabs 
    • Enalapril tabs 
    • Maleate tabs 
    • Fosinopril/HCTfurosemide tabs 
    • Fosinopril sodium tabs 
    • Hydrochlorothiazide caps and tabs 
    • Indapamide tabs
    • Irbesartan tabs 
    • Irbesartan/hydrochlorothiazide tabs 
    • Lisinopril/hydrochlorothiazide tabs 'Lisinopril tabs 
    • Losartan potassium tabs 
    • Losartan potassium/hydrochlorothiazide tabs 
    • Metoprolol ER 
    • Metoprolol/hydrochlorothiazide tabs 
    • Metoprolol tartrate tabs 
    • Moexipril tabs
    • Moexipril/hydrochlorothiazide tabs 
    • Propranolol tabs 
    • Quinapril tabs 
    • Quinapril/hydrochlorothiazide tabs 
    • Ramipril caps 
    • Spironolactone tabs 
    • Spironolactone/hydrochlorothiazide tabs 
    • Telmisartan 
    • Trandolapriltriamterene/hydrochlorothiazide caps and tabs 
    • Valsartan tabs 
    • Valsartan/hydrochlorothiazide tabs 
  • Drugs to Control Diabetes

    These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • Glimepiride 
    • Tabsglipizide 
    • Tabsglipizide ER tabs 
    • Glipizide XL 
    • Metformin tabs 
    • Metformin ER tabs (generic Glucophage XR only) 
  • Drugs to Control High Cholesterol 

    These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • Atorvastatin tabs 
    • Ezetimibe tabs 
    • Ezetimibe/simvastatin tabs 
    • Lovastatin tabs 
    • Pravastatin tabs 
    • Rosuvastatin tabs 
    • Simvastatin tabs 
  • Drugs to Treat Acid Reflux 

    These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • Omeprazole capsule 10mg, 20mg and 40 mg 
    • Pantoprazole tablet 20mg and 40 mg 
  • Drugs to Treat Osteoporosis/Bone Health 
    Alendronate sodium 35 mg and 70 mg tabs are covered at no cost if you have MVP Medicare Part D coverage. 
  • Drugs to Treat Thyroid Conditions 

    These medications are covered at no cost if you have MVP Medicare Part D coverage: 

    • Euthyrox tablets 
    • Levo-T tablets 
    • Levothyroxine tablets 
    • NP Thyroid tablets 

Contact Us 

Reach out to our Medicare Customer Care Center with questions or to enroll in a Medicare Advantage plan. Call seven days a week, 8 am–8 pm, Eastern time. From April 1–September 30, call Monday-–Friday, 8 am–8 pm.