Medication Lists & Forms
For Retirees that are currently on the MDC National Choice for MDC formulary, see the lists below for lists and forms for your Medicare Medical Benefit Drugs that require a Prior Authorization.
- 2025 Active Employee MDC Advantage Formulary/Preferred Medication List (Last Modified April 1, 2025)
- 2025 MDC National Choice (Last Modified April 1, 2025)
- 2025 MDC Retirees HMO Formulary (Last Modified April 1, 2025)
- 2025 MDC Retirees POS Formulary (Last Modified April 1, 2025)
- Medical Benefit Drugs Requiring Prior Authorization (MDC National Choice) (Last Modified April 1, 2025)
- Medicare Part B Drug Policy (MDC National Choice) (Last Modified April 1, 2025)
- Medicare Part B Preferred Drug List (MDC National Choice) (Last Modified April 1, 2025)
- Medical Drug Authorization Request Form (MDC National Choice) (Last Modified April 1, 2025)
- Medical Benefit Drugs Requiring Prior Authorization (MDC Employees and MDC Retirees, excludes MDC National Choice Retirees) (Last Modified April 1, 2025)
- Medical Drug Authorization Request Form (All MDC Employees and MDC Retirees, excludes MDC National Choice Retirees)
- Pharmacy Drug Mail Order Form (English)
- Pharmacy Drug Mail Order Form (Spanish)
- Pharmacy Drug Reimbursement Form
(These lists are searchable by clicking Edit and Find, once you have opened the document.)