The time to sign-up for your 2026 Schwab Insurance Medicare plan is October 15–December 7.
On this page you will find details on the multiple ways you can search our pharmacy network and formulary (drug list). There is also valuable information on Schwab Health’s Part D (Prescription) programs and policies, like the Medication Therapy Management Program and Medicare Prescription Payment Plan.
We partner with a network of pharmacies to ensure our plan members can easily access their medications.
In most cases, your prescriptions are covered only if they are filled at a network pharmacy or through our mail-order pharmacy service. We will fill prescriptions at non-network pharmacies under certain circumstances. These circumstances are described in the Evidence of Coverage (EOC) plan document. You can find the EOC by following this link and entering your zip code to find your plan.
The formulary is a list of Part D drugs that Schwab Health covers for medically necessary purposes, also known as a Drug List. Our comprehensive formulary includes both brand-name and generic drugs that are covered by Schwab Health.
This is the most comprehensive way to get pharmacy and formulary information. Sign in to the Schwab Member Portal and then click on the Prescription Web Portal by Caremark.
Alternatively, you can search for a pharmacy network near you at the link below or manually search through our pharmacy network directory in your state. You can also learn more about mail-order, which can save you money on prescriptions.
Interested in using mail-order pharmacy service? Click here to learn more.
You can find out if your medication is included in the formulary and see which Tier it is in by clicking on the ‘Search Here’ link below for your state and respective year. Or you can manually search our entire formulary by state. You can see the copay details for each medication Tier for your plan in your Summary of Benefits. You can find the Summary of Benefits by following this link and entering your zipcode to find your plan.
Searching in New Jersey:
2025 Search Here & 2026 Search Here
Searching in Georgia, Pennsylvania, South Carolina, Texas:
Georgia 2025 2026
New Jersey 2025 2026
Pennsylvania 2025 2026
South Carolina 2025 2026
Texas 2025 2026
Georgia 2025 2026
New Jersey 2025 2026
Pennsylvania 2025 2026
South Carolina 2025 2026
Texas 2025 2026
Schwab Health will cover certain drugs as long as members meet specific prior authorization criteria, step therapy criteria, or other formulary requirements.
If your medication is affected, you have three options:
You can ask your doctor if there’s an acceptable alternate medication covered under our formulary.
Call our partner in medication services, CVS Caremark, to discuss options:
Submit an electronic request for Prescription Drug Coverage Determination or download, fill out and fax a form available at Part D Coverage Determinations, Exceptions, Grievances, and Appeals.
Schwab Health may add or remove drugs from our formulary throughout the year. Here are some possible changes and ways that we’ll keep you informed.
We must alert members taking a certain drug if we make any of these changes:
Patients with certain chronic conditions who take eight or more prescription medications may be eligible for our Medication Therapy Management (MTM) program, which works with members, doctors and pharmacists to help provide the greatest benefit from their medications.
You can ask your doctor if there’s an acceptable alternate medication covered under our formulary.
Prescription Drug Transition Policy
Quality Assurance and Drug Management Program
Centers for Medicare and Medicaid Services (CMS): Best Available Evidence (BAE) Documentation
Changes to Diabetic Testing Supplies
For more information about any of the forms, contact our Member Services Team at 1-888-778-1478 (TTY 711) 8 am to 8 pm local time, 7 days a week.*