Navigating Insurance

Tools and resources for accessing insurance formularies and understanding drug coverage benefits.

Formulary Lookup
Easing the Prior Authorization Burden
Medicare and Medicaid Information

Formulary Lookup

Searchable tools to assist you in finding which medications your patients’ insurance formularies cover, and to what extent.

Medicare.gov Medicare Plan Finder

Interactive tool to assist patients in searching available Medicare Advantage and Part D insurance plan options

DRG Fingertip Formulary

Formulary search tool filterable by state, insurer, and/or drug (note: free login required to use site)

Formulary Search Tool for Medicare Part D Drug Plans (Q1Group LLC)

Tool that provides Medicare Part D prescription drug plan (PDP) information; includes a formulary browser

Formulary Browser for Medicare Advantage Drug Plans (Q1Group LLC)

Tool that provides information on Medicare Advantage plans with drug coverage (MAPD); includes a formulary browser

Easing the Prior Authorization Burden

Resources that can help in the submission of prior authorizations for medication coverage.

Software platform designed to automate Prior Authorization (PA) submission and review. Site has training videos, user guides, and FAQs

Medicare and Medicaid Information

Websites that provide information on Medicare and Medicaid programs.

State Health Insurance Assistance Programs (SHIP)

National network of programs that offer counseling and assistance for Medicare-eligible individuals

Medicaid.gov Website

The official U.S. government website for Medicaid

Medicare.gov Website

The official U.S. government website for Medicare

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