List of Covered Part D Drugs

           For our 2010 formularies, please click here.

Windsor’s Formularies: Elite and Select

A formulary or drug list is a list of drugs covered by Windsor’s plans. This list of covered medications can help you and your physician maximize your plan benefits while minimizing overall prescription drug costs to you or your plan. Our formularies are intended to remind physicians and members that there often are many equally effective choices among available medications and promote the use of the least expensive and clinically appropriate alternative.

Windsor Medicare Extra’s drug formulary covers both brand-name and generic drugs. A generic drug is approved by the U.S. Food and Drug Administration (FDA) and is therapeutically equivalent to its brand-name equivalent. To win FDA approval, the generic drug must contain the same amounts of the same active ingredients as its brand-name equivalent. A generic drug typically is less expensive and is sold under a generic name for that drug (usually its chemical name). Because generic drugs are less expensive than their brand-name equivalent, your copayment usually is less, as well.

Windsor Medicare Extra’s formularies which include Elite and Select have 5 tiers. Each tier represents a certain type of drug. Each Tier is assigned a copay from $0 to 33%.

          ELITE SELECT
Tier 1 Preferred Generic Preferred Generic or Brand
Tier 2 Generic Generic or Brand
Tier 3 Preferred Brand Preferred Brand
Tier 4 Non-Preferred Generic or Non-Preferred Brand Non-Preferred Generic or Non-Preferred Brand
Tier 5 Generic or Brand Generic or Brand


Generally, if you are taking a drug on our 2009 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 2009 coverage year except when a new, less expensive generic drug becomes available or when new adverse information about the safety or effectiveness of a drug is released. Other types of formulary changes, such as removing a drug from our formulary, will not affect members who are currently taking the drug. It will remain available at the same cost-sharing for those members taking it for the remainder of the coverage year. We feel it is important that you have continued access for the remainder of the coverage year to the formulary drugs that were available when you chose our plan, except for cases in which you can save additional money or we can ensure your safety.

If we remove drugs from our formulary, add prior authorization, quantity limits and/or step therapy restrictions on a drug or move a drug to a higher cost-sharing tier, we must notify affected members of the change at least 60 days before the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 60-day supply of the drug. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug’s manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug.

To view the list of 2009 approved drugs (formulary) and related requirements and limits, please select the link from the following list:

For Emerald, Gold, Gold POS, Platinum, Diamond, Diamond POS, and Comprehensive Plans

For Fusion, Fusion Plus, COPD, CHF and Diabetes Plans

To view an archived list of 2009 approved drugs (formulary) and related requirements and limits, please click here.

Formulary Changes 2009

To view any changes we have made to our formularies, please select the link from the following list:

For Emerald, Gold, Gold POS, Platinum, Diamond, Diamond POS, and Comprehensive Plans

For Fusion, Fusion Plus, COPD, CHF and Diabetes Plans

Important Drug Announcements 2009


Click here to download and print the Provider Coverage Determination Form (PDF)

Click here to download and print the Member Coverage Determination Form (PDF)