Drug Coverage

Part D Formulary & Criteria

A formulary is a list of drugs covered by Quartz Medicare Advantage (HMO). The formulary also shows some other information about each drug. Quartz must approve some drugs before they are covered. Our criteria describe when we will approve drugs to be used.

• View the formulary and criteria
• View copayment amounts

Exception Requests

In some cases, exceptions can be considered by Quartz Medicare Advantage.

• Learn more about exception requests
• Complete an exception request

Pharmacy Benefit  Tool

Want to learn more about your prescriptions and coverage? Need to find pharmacy contact information and hours? Are you looking for medication cost information and savings opportunities?

The Pharmacy Benefit Tool can answer these questions and more. You can access it in one of two ways: 

• Log in to Quartz MyChart and select Pharmacy Benefit (by clicking on this link, you will leave the Quartz Medicare Advantage website)
• Download the MyRxInfo app on your phone (through the App Store (iOS) or Google Play (Android). MyRxInfo offers the same benefits as above, plus the ability to set up reminders to take your medications (includes Apple Watch integration).

Help with Prescriptions

To find a pharmacy in your area, get help with a question or learn how to get the best vaccine benefit possible, review the links below.

• Find a Pharmacy
• Mail-Order Pharmacy
• Provider/Pharmacy Director
• Frequently Asked Questions
• Help With Drug Costs
• Low Income Subsidy
• Vaccine Coverage

Transition Fills

If your drug is not on the formulary (drug list) or is restricted, you may be able to get a temporary supply of the drug in certain situations.

Learn more about transition drug fills

Medication Management Therapy Program

Quartz Medicare Advantage offers a Medication Therapy Management program to members who meet certain criteria. We will let you know if you qualify.

Learn more about the Medication Therapy Management program