Part D Prescription Drug Information
What is the Delaware Physicians Care Advantage Formulary?
A formulary is a list of drugs selected by Delaware Physicians Care Advantage in consultation with a team
of health care providers, which represents the prescription therapies believed to be a necessary part of
a quality treatment program. Delaware Physicians Care Advantage will generally cover the drugs listed in our
formulary as long as the drug is medically necessary, the prescription is filled at a Delaware Physicians
Care Advantage network pharmacy, and other plan rules are followed. We contract with over
150 pharmacies in New Castle County.
The formulary is continuously under review and as changes occur, the version on the Web site is updated. The Web site has the most current and up-to-date version available.
For more detailed information about the Delaware Physicians Care Advantage prescription drug coverage, please review the
Evidence of Coverage and other member materials, or contact Customer Service at (866) 642-1591 or TTY/TDD (800) 232-5460
24 hours a day/7 days a week.
Drug Exception and Appeals Process Click HERE
LIS (Low Income Subsidy) Information, Click HERE
Golden Advantage Plus has a contract with the Centers for Medicare and Medicaid (CMS).
This contract renews each year. At the end of the year, the contract is reviewed and either
Golden Advantage Plus or CMS can decide to end it. If this happens, you will receive a 90 day advance notice.
Please see the Evidence of Coverage for more information.