Preferred Medication Lists

AvMed Commercial Formularies are updated quarterly.

Please choose the medication list option that applies to you.

 

Medicare Members

• Medicare 2019 Formulary Documents:

 

AvMed Medicare 2019 Comprehensive Formulary (Effective April 1, 2019)

AvMed Medicare 2019 Comprehensive Formulary (Spanish) (Effective April 1, 2019)

2019 Part D Prior Authorization Criteria (Effective April 1, 2019)

2019 Part D Step Therapy Criteria (Effective February 1, 2019)

• Part D Transition Policy
• Part B Diabetic Policy
• AvMed's Authorization Requirements & Processes
• Explanation of Part D Appeals
• Medication Exception Request Form (Medicare)
• Medication Therapy Management (MTM)
• PA Requirements - Office, Outpatient Facility, Home Health (Last Update 03/22/2018)

Commercial Members

• Medication Exception Request Form (Commercial)
• Diabetes Blood Glucose Meter Request
• Prescription Medication Quantity Limits
• Progressive Medication Program
• PA Requirements - Office, Outpatient Facility, Home Health (Last Update 03/22/2018)
• Medication PA Criteria
  • Office, Outpatient Facility, Home Health
  • Pharmacy
• Medication Synchronization (Member)
• Medication Synchronization (Pharmacy)
• Member Opioid Fact Sheet

• Use the following 5-Tier Formulary if you have one of the following plans:
• Small Group Plans: Elect, Elite, Engage, Empower, Focus, Flex
• Large Group Plans: Achieve, Agility, Engage, Empower
• Individual & Family Plans: Engage, Empower

2019 5-Tier Commercial Formulary (Updated April 1, 2019)

• Use the following 4-Tier Formulary if you have one of the following plans:
• Small Group Plans: Achieve, Agility, Choice, HMO
• Large Group Plans: Choice, HMO, POS
• Individual & Family Plans: Easy, Elite

2019 4-Tier Commercial Formulary (Updated April 1, 2019)

 

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.

H1016_AD832-092018. Last updated October 1, 2018.