A formulary represents the prescription therapies believed to be a necessary part of a quality treatment program. Viva Medicare will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a Viva Medicare network pharmacy, and other plan rules are followed. The formulary may change during the year. For more information on how to fill your prescriptions, please review your Evidence of Coverage.
Please review the information in the Formulary Introduction to learn more about your Viva Medicare drug benefit including how to ask for an exception if your drug is not on the formulary, has a quantity limit, or is covered as a non-preferred drug.
To use the formulary search tool:
- Click the plan and enter the drug name
- Click the dosage you are searching
- Click the name of the drug, then "more information"
The information displays if the drug is considered "brand" or "generic." It also displays if the drug is covered or not covered by the plan. If the drug is covered by the plan, the information displays if there are any restrictions on the drug (e.g., quantity limits) and what tier the drug is covered on.
*Notice for Members of Viva Medicare Select: Your plan does not include prescription drug coverage. Therefore, the formulary and formulary search tools are not applicable to your plan.
Viva Medicare Plus $0 (HMO)
Viva Medicare Plus $28 (HMO)
Viva Medicare Prime (HMO)
Viva Medicare Me (Brookwood Baptist) (HMO)
Viva Medicare Me (St. Vincent's) (HMO)
Viva Medicare Me (Southeast) (HMO)
Viva Medicare Premier (HMO)
Viva Medicare Extra Value (HMO SNP)
HH Viva Medicare Preferred (HMO)
HH Viva Medicare Classic (HMO)
HH Viva Medicare Extra Care (HMO SNP)
Pharmacy Mail Order
offers a home delivery service option where most prescriptions can be automatically filled and delivered right to your door.
To sign up, call the CVS Customer Care Team toll-free number at 1-866-788-5146
, Monday - Friday, 7am - 7pm.
Need to know where to get your prescriptions?
You can view a list of Viva Medicare network pharmacies in the Pharmacy Directory for your plan. The directory also includes information about how to fill your prescriptions.