KelseyCare Advantage’s 2024 formulary covers both brand name and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.
Please note the formulary may change during the year.
Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible.
Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible.
Call Member Services at 1-888-970-0914 (TTY: 711) for more information.
FORMULARY ID: 00024215
FORMULARY EFFECTIVE DATE: 1/1/2024