Part D Prescription Drug Information
What is the Golden Advantage Plus Formulary?
A formulary is a list of drugs selected by Golden Advantage Plus in consultation with a team of
health care providers, which represents the prescription therapies believed to be a necessary part of a
quality treatment program. Golden Advantage Plus will generally cover the drugs listed in our formulary
as long as the drug is medically necessary, the prescription is filled at a Golden Advantage Plus network
pharmacy, and other plan rules are followed. We contract with over 60 pharmacies in Garrett, Allegany and Washington counties
The formulary is continuously under review and as changes occur, the version on the Web site is updated.
The Web site has the most current and up-to-date version available.
For more detailed information about the Golden Advantage Plus prescription drug coverage, please review
the Evidence of Coverage and other member materials, or contact Customer Service at (866) 651-7843 or TTY/TDD
(800) 735-2258 24 hours a day/7 days a week
Prescription Drug Exception and Appeals Process Click HERE
LIS (Low Income Subsidy) Information, Click HERE
Golden Advantage Plus has a contract with the Centers for Medicare and Medicaid (CMS).
This contract renews each year. At the end of the year, the contract is reviewed and either
Golden Advantage Plus or CMS can decide to end it. If this happens, you will receive a 90 day advance notice.
Please see the Evidence of Coverage for more information.