Preferred Medication Lists

AvMed Commercial Formularies are updated quarterly.

Please choose the medication list option that applies to you.

 

Medicare Members

  • Medicare 2020 Formulary Documents:

AvMed Medicare 2020 Comprehensive Formulary (Effective January 1, 2020)

AvMed Medicare 2020 Comprehensive Formulary (Spanish) (Effective January 1, 2020)

2020 Part D Prior Authorization Criteria (Effective January 1, 2020)

2020 Part D Step Therapy Criteria (Effective January 1, 2020)

  • Medicare 2019 Formulary Documents:

Upcoming Changes to AvMed's Medicare Formulary (Effective October 1, 2019)

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

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

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

2019 Part D Step Therapy Criteria (Effective September 1, 2020)

MTM Program Description

MTM SinfoniaRx Provider FAQs

MTM SinfoniaRx Provider FAQs (Spanish)

MTM SinfoniaRx Provider - Tracking Medications

MTM SinfoniaRx Provider - Why Adherence Matters

Commercial Members

  • 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 October 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

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

 

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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.