Formulary

Teamster Plus Medicare Part D Formulary

The International Brotherhood of Teamsters Voluntary Employee Benefits Trust is a PDP with a Medicare Contract. Enrollment in Teamster Plus Medicare Part D Prescription Drug Program (PDP) depends on contract renewal.

A Formulary is a list of drugs covered by a plan.

As a new or continuing member in our Plan, you may be taking drugs that are not on our Formulary. Or, you may be taking a drug that is on our Formulary, but your ability to get it is limited. You should talk to your doctor to decide if you should switch to an appropriate drug that we cover or request a formulary exception, so we can cover the drug you take. For each of your drugs that is not on our Formulary, or if your ability to get your drugs is limited, we will cover a temporary 30-day supply (unless you have a prescription written for fewer days) when you go to a network pharmacy. After your first 30-day supply, we will not pay for these drugs. For additional information on our transition policy, please refer to the plan's Formulary.

Are you familiar with the Teamster Plus Part D Low Cost Generics Program?

Find out which drugs are covered under the Teamster Plus Formulary.

Below you can download a complete list of the drugs covered as well as a prior authorization form, if needed.

Comprehensive Formulary

Comprehensive Formulary

Prior Authorization Guidelines

Prior Authorization Guidelines

Step Therapy Guidelines

Step Therapy Guidelines

Note: You must have Adobe Reader version 5.0 or higher installed on your computer in order to view and print the above file properly.

Learn more about types of drugs covered on our Formulary.

Covered Drugs »

Do you have multiple health conditions? You may qualify for the MTM Program.

Medication Therapy Management Program »
Useful Part D Forms

Useful Forms

Download forms, such as the mail order prescription form, drug coverage determination form, and more.

Medicare Part D Covered Drugs

Types of Drugs Covered

Learn more about types of drugs covered on our Formulary.