Our plan includes prescription drug coverage. Texas Independence Health Plan Formulary is a list of drugs covered by the plan. Formularies are developed to meet the needs of our members based on the most commonly prescribed drugs, including certain prescription drugs that Medicare requires that we cover. Texas Independence Health Plan formulary is approved by Medicare and updated throughout the plan year and may change if:
- The plan no longer covers a drug.
- A new drug is added.
- A Prior Authorization, Step Therapy restriction or Quantity Limit has been added or changed for a drug.
- A drug is removed from the market.
2025 Texas Independence Health Plan Formulary (Drug List)
2025 Texas Independence Health Plan Formulary (Drug List) – Spanish
2025 Prior Authorization Criteria
(last updated 3/1/2025)
2025 Step Therapy Criteria
(last updated 3/1/2025)