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Formulary
For Keystone 65 Complete
All other plans have different Rx benefits than Keystone 65 Complete.
If you are interested in another plan, go to the Formulary for all plans.
The drug formulary is a list of FDA-approved drugs we cover. Our Pharmacy and Therapeutics Committee has carefully chosen these drugs for their medical effectiveness and value.
A formulary is a list of drugs covered by your plan to meet patient needs. We may periodically add or remove covered drugs, change coverage limitations on certain drugs, or change how much you pay for a drug.
If your search results indicate that a drug is not covered, see Exceptions and Appeals to learn how to obtain an exception to the plan’s formulary.
Download the 2009 Keystone 65 Complete Formulary.
Formulary Changes
We regularly review the formulary to ensure its continued effectiveness. The formulary may change during the year. We may remove drugs from the formulary, or add prior authorizations, quantity limits, restrictions on a drug, or move a drug to a higher cost-sharing tier.
If a prescription you’re taking is affected by a formulary change, we will notify you, in writing, at least 60 days before the date it takes effect.
If we don’t notify you in advance of the change, you will get a 60-day supply of the drug when you request a refill of the drug.
In case of a market recall, we will not give you 60 days’ notice before removing the drug. Instead, we will remove the drug from our formulary immediately and notify members about the change as soon as possible.
Download the October 2008 Formulary Changes.
Download the September 2008 Formulary Changes.
Download the August 2008 Formulary Changes.
Download the July 2008 Formulary Changes.
Download the April 2008 Formulary Changes.
Download the March 2008 Formulary Changes.
Download the February 2008 Formulary Changes.
Download the December 2007 and January 2008 Formulary Changes.