Optima Medicare plans offer the convenience of all-in-one plans that include medical and Part D prescription drug coverage. Part D coverage may help lower your prescription drug expenses and protect against higher costs in the future. Search the formulary to see if your prescription is included.
Formularies (Covered Drugs)
A formulary is a list of covered drugs. Optima Medicare has a single formulary, although coverage may vary by your chosen plan.
The Optima Medicare formulary is available for use by Optima Medicare members.
Optima Medicare HMO Plans
Optima Medicare Special Needs Plans
Note: Quantity limits, step therapy criteria and prior authorization forms can be found under Prescription Drugs on the member website.
Easily shop online or by phone with your quarterly allowance for over-the-counter supplies of non-prescription drugs and healthcare products. It's that simple.
Please visit Using your Extra Benefits for information on over-the-counter products.
Frequently Asked Questions for 2023 Plans
Below are some frequently asked questions and other information about our prescription drug formulary listings. Information on requesting exceptions and determinations can be found under Prescription Drugs in our member portal.
Optima Medicare Plans
Optima Medicare offers all-in-one Medicare Advantage plans with both medical and prescription drug coverage. Our plans provide more coverage than Original Medicare with benefits including a monthly grocery allowance, SilverSneakers®, dental, vision, and hearing allowances, and a quarterly over-the-counter product allowance.