Drug Coverage



Gundersen Health System

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.

Pharmacy Benefit Online Tool

Want to learn more about your own prescriptions and coverage? Login to Quartz MyChart and select the Online Pharmacy Benefit Tool.

  • Quartz MyChart (by clicking on this link, you will leave the Quartz Medicare Advantage website)

Exception Requests

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

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.

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.

Medication Therapy Management Program

Quartz Medicare Advantage offers a Medication Therapy Management program to members who meet certain criteria. We will send you a letter and may call you if you qualify.

This webpage was updated on December 8, 2020.