Preferred Medication Lists
AvMed Commercial Formularies are updated quarterly.
Please choose the medication list option that applies to you.
Medicare Members
- Medicare 2018 Formulary Documents:
AvMed Medicare 2018 Comprehensive Formulary (Effective October 1, 2018)
AvMed Medicare 2018 Comprehensive Formulary (Spanish) (Effective October 1, 2018)
AvMed Medicare 2018 Negative Formulary Changes
2018 Part D Prior Authorization Criteria (Effective October 1, 2018)
2018 Part D Step Therapy Criteria (Effective October 1, 2018)
AvMed Medicare 2018 Comprehensive Formulary (Effective September 1, 2018)
AvMed Medicare 2018 Comprehensive Formulary (Spanish) (Effective September 1, 2018)
2018 Part D Prior Authorization Criteria (Effective September 1, 2018)
2018 Part D Step Therapy Criteria (Effective September 1, 2018)
- 2017 Part D Transition Policy
- Part B Diabetic Policy
- AvMed's Authorization Requirements & Processes
- Explanation of Part D Appeals
- Medication Exception Request Form (Medicare)
- 2018 Medication Therapy Management (MTM)
- PA Requirements - Office, Outpatient Facility, Home Health (Last Update 08/23/2018)
Commercial Members
- Medication Exception Request Form (Commercial)
- Diabetes Blood Glucose Meter Request
- Prescription Medication Quantity Limits (2018)
- Progressive Medication Program
- PA Requirements - Office, Outpatient Facility, Home Health (Last Update 04/12/2018)
- Medication PA Criteria
- Medication Synchronization (Member)
- Medication Synchronization (Pharmacy)
- Member Opioid Fact Sheet
- Engage and Empower Members:
2018 5-Tier Commercial Formulary (Effective July 1, 2018)
Use the above 5-Tier Formulary if you have one of the following plans:
- Small Group Plans: Engage, Empower
- Large Group Plans: Engage, Empower, Achieve, Agility
- Individual & Family Plans: Engage, Empower
- Group and Individual Members/Employers:
2018 4-Tier Commercial Formulary (Effective July 1, 2018)
Use the above 4-Tier Formulary if you have one of the following plans:
- Small Group Plans: Achieve, Agility, HMO, Choice
- Large Group Plans: HMO, Choice, POS
- Individual & Family Plans: Easy, Elite
Note:
If your plan's prescription medication benefit includes the "Cost-sharing drugs" tier, please reference the 2018 4-Tier Commercial Formulary. The cost-sharing drug tier has been discontinued.
AvMed Medicare is an HMO plan with a Medicare contract. Enrollment in AvMed Medicare depends on contract renewal.
Address: 9400 S. Dadeland Blvd. Miami, FL 33156
Prospective Members: 888-492-8633 (TTY 711)
Current Members: 800-782-8633 (TTY 711)
October 1–March 31, 8 am-8 pm, 7 days a week.
April 1–September 30, 8 am-8 pm, Monday-Friday; 9 am- 1pm on Saturday.
H1016_AD832-092018. Last updated September 30, 2018.
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