The SilverScript Formulary is a list of medications that are covered by SilverScript, a prescription drug insurance provider. The formulary is updated annually, and the 2024 list was released in December 2023.
The SilverScript Formulary includes both brand-name and generic medications. Brand-name medications are typically more expensive than generic medications, but they may be more effective or have fewer side effects. Generic medications are typically just as effective as brand-name medications, but they are much cheaper.
The 2024 SilverScript Formulary includes several new medications, including:
SilverScript Formulary 2024 List
The SilverScript Formulary is a list of medications that are covered by SilverScript, a prescription drug insurance provider. The formulary is updated annually, and the 2024 list was released in December 2023.
- New medications added
- Both brand and generic
- Covers wide range
- Prior authorization required
- Step therapy may apply
- Check formulary before filling
- Contact SilverScript for questions
- Changes effective January 1, 2024
- Review formulary regularly
The formulary is subject to change at any time. It is important to check the formulary before filling a prescription to ensure that the medication is covered.
New medications added
The SilverScript Formulary 2024 List includes several new medications, including:
- Tirzepatide (Mounjaro): A once-weekly injectable medication for type 2 diabetes that helps lower blood sugar levels and promote weight loss.
- Emtricitabine/Tenofovir Alafenamide (Descovy): A once-daily oral medication for pre-exposure prophylaxis (PrEP) to prevent HIV infection in adults and adolescents who are at high risk.
- Levothyroxine Sodium (Tirosint): A once-daily oral medication for the treatment of hypothyroidism, a condition in which the thyroid gland does not produce enough thyroid hormone.
- Budesonide (Pulmicort Respules): A nebulizer solution for the treatment of asthma in children and adults.
These new medications are added to the SilverScript Formulary to provide members with access to the latest and most effective treatments for a variety of conditions.
It is important to note that the SilverScript Formulary is subject to change at any time. It is always best to check the formulary before filling a prescription to ensure that the medication is covered.
Both brand and generic
The SilverScript Formulary 2024 List includes both brand-name and generic medications. Brand-name medications are typically more expensive than generic medications, but they may be more effective or have fewer side effects. Generic medications are typically just as effective as brand-name medications, but they are much cheaper.
- Brand-name medications are the original medications that are developed and marketed by pharmaceutical companies. They are typically more expensive than generic medications because the pharmaceutical companies have exclusive rights to sell them for a period of time.
- Generic medications are similar to brand-name medications in terms of their active ingredients, dosage, and strength. However, they are typically much cheaper than brand-name medications because they do not have the same marketing and research costs.
When choosing between a brand-name and generic medication, it is important to weigh the cost difference against the potential benefits of the brand-name medication. In most cases, generic medications are just as effective as brand-name medications and are a more affordable option.
Covers wide range
The SilverScript Formulary 2024 List covers a wide range of medications, including:
- Medications for chronic conditions, such as diabetes, heart disease, and cancer
- Medications for acute conditions, such as infections and injuries
- Medications for mental health conditions, such as depression and anxiety
- Medications for pain management
- Medications for women’s health
- Medications for men’s health
- Medications for children’s health
The formulary also includes a variety of specialty medications, which are used to treat rare or complex conditions. These medications are typically more expensive than other medications, but they can be essential for managing these conditions.
The SilverScript Formulary 2024 List is designed to provide members with access to a wide range of medications that they may need to manage their health conditions.
Prior authorization required
Some medications on the SilverScript Formulary 2024 List require prior authorization before they can be covered. This means that the member must get approval from SilverScript before the medication can be dispensed.
- Medications that are new to the market
- Medications that are expensive
- Medications that are used to treat complex or rare conditions
- Medications that have potential for abuse
To get prior authorization, the member’s doctor must submit a request to SilverScript. The request must include information about the member’s condition, the medication that is being requested, and why the medication is necessary. SilverScript will then review the request and make a decision within a certain timeframe.
Step therapy may apply
Step therapy is a type of prior authorization that requires the member to try a lower-cost medication before they can get coverage for a more expensive medication. This is typically done for medications that are used to treat the same condition.
- The member must try the lower-cost medication for a certain period of time, typically 30 to 90 days.
- If the lower-cost medication does not work or causes side effects, the member can request an exception to step therapy. The member’s doctor must submit a request to SilverScript, explaining why the lower-cost medication is not appropriate.
- SilverScript will then review the request and make a decision. If the exception is approved, the member will be able to get coverage for the more expensive medication.
- Step therapy can help to reduce the cost of prescription drugs. It can also help to ensure that members are taking the most appropriate medication for their condition.
If you have any questions about step therapy, you can contact SilverScript for more information.
Check formulary before filling
It is important to check the SilverScript Formulary 2024 List before filling a prescription to ensure that the medication is covered. This can be done by visiting the SilverScript website or by calling SilverScript customer service.
If a medication is not on the formulary, it may not be covered by SilverScript. The member may have to pay the full cost of the medication out-of-pocket.
Checking the formulary before filling a prescription can help to avoid unexpected costs. It can also help to ensure that the member is getting the most appropriate medication for their condition.
If you have any questions about the SilverScript Formulary 2024 List, you can contact SilverScript for more information.
Contact SilverScript for questions
If you have any questions about the SilverScript Formulary 2024 List, you can contact SilverScript for more information. You can do this by:
- Visiting the SilverScript website
- Calling SilverScript customer service at 1-800-677-1226
- Writing to SilverScript at the following address:
SilverScript
P.O. Box 1710
Harleysville, PA 19438
SilverScript customer service representatives are available to answer your questions Monday through Friday from 8:00 AM to 8:00 PM Eastern Time.
When you contact SilverScript, be sure to have your SilverScript member ID number ready. This will help the customer service representative to quickly and accurately answer your questions.
Changes effective January 1, 2024
The changes to the SilverScript Formulary 2024 List will be effective on January 1, 2024. This means that any medications that are added to or removed from the formulary will not be covered before that date.
It is important to note that the SilverScript Formulary is subject to change at any time. However, any changes that are made after January 1, 2024 will not be effective until the next formulary update.
If you have any questions about the changes to the SilverScript Formulary 2024 List, you can contact SilverScript for more information.
You can also check the SilverScript website or call SilverScript customer service to find out if a specific medication is covered under the new formulary.
Review formulary regularly
It is important to review the SilverScript Formulary 2024 List regularly to ensure that you are aware of any changes that may affect your medications.
You can review the formulary by visiting the SilverScript website or by calling SilverScript customer service. You should also review the formulary any time you are prescribed a new medication.
By reviewing the formulary regularly, you can avoid unexpected costs and ensure that you are getting the most appropriate medication for your condition.
If you have any questions about the SilverScript Formulary 2024 List, you can contact SilverScript for more information.
FAQ
The following are some frequently asked questions about the SilverScript Formulary 2024 List:
Question 1: What is the SilverScript Formulary?
Answer: The SilverScript Formulary is a list of medications that are covered by SilverScript, a prescription drug insurance provider.
Question 2: How often is the SilverScript Formulary updated?
Answer: The SilverScript Formulary is updated annually, and the 2024 list was released in December 2023.
Question 3: Where can I find the SilverScript Formulary?
Answer: You can find the SilverScript Formulary on the SilverScript website or by calling SilverScript customer service.
Question 4: What if a medication I need is not on the SilverScript Formulary?
Answer: If a medication you need is not on the SilverScript Formulary, you may be able to get coverage through prior authorization or step therapy.
Question 5: How do I get prior authorization for a medication?
Answer: To get prior authorization for a medication, you must submit a request to SilverScript. The request must include information about your condition, the medication that is being requested, and why the medication is necessary.
Question 6: How do I get step therapy for a medication?
Answer: To get step therapy for a medication, you must first try a lower-cost medication for a certain period of time. If the lower-cost medication does not work or causes side effects, you can request an exception to step therapy.
If you have any other questions about the SilverScript Formulary 2024 List, you can contact SilverScript for more information.
In addition to the FAQ, here are some tips for using the SilverScript Formulary 2024 List:
Tips
Here are some tips for using the SilverScript Formulary 2024 List:
Tip 1: Check the formulary before filling a prescription.
This will help you to avoid unexpected costs and ensure that you are getting the most appropriate medication for your condition.
Tip 2: Review the formulary regularly.
The formulary is subject to change at any time, so it is important to review it regularly to ensure that you are aware of any changes that may affect your medications.
Tip 3: Talk to your doctor about your medications.
Your doctor can help you to choose the best medications for your condition and can also help you to get prior authorization or step therapy if necessary.
Tip 4: Contact SilverScript if you have any questions.
SilverScript customer service representatives are available to answer your questions about the formulary and can also help you to find a pharmacy that carries your medications.
By following these tips, you can make sure that you are getting the most out of your SilverScript prescription drug coverage.
The SilverScript Formulary 2024 List is a valuable tool that can help you to save money on your prescription drugs. By using the formulary and following these tips, you can ensure that you are getting the most appropriate medications for your condition at the lowest possible cost.
Conclusion
The SilverScript Formulary 2024 List is a valuable tool that can help you to save money on your prescription drugs. The formulary includes a wide range of medications, both brand-name and generic, and covers a variety of conditions.
It is important to note that the formulary is subject to change at any time. It is also important to check the formulary before filling a prescription to ensure that the medication is covered. If you have any questions about the formulary, you can contact SilverScript for more information.
By using the SilverScript Formulary 2024 List and following the tips in this article, you can ensure that you are getting the most appropriate medications for your condition at the lowest possible cost.
