Looking for a great value for your health care needs, your lifestyle and your budget?

  Prescription Drug Information

Text Size |+| |-| |Reset|

Acclaim by Ultimate (011) Acclaim Plus by Ultimate (012) Ascend Plus by Ultimate (016 and 018), Elite by Ultimate (013), Premier by Ultimate (001), Premier Plus by Ultimate (014)


Advantage Care by Ultimate (019 and 021)


The Drug List Can Change During the Year

Most of the changes in drug coverage happen at the beginning of each year (January 1). However, during the year, the plan might make many kinds of changes to the Drug List. For example, the plan might:

  • Add or remove drugs from the Drug List.
  • Move a drug to a higher or lower cost-sharing tier.
  • Add or remove a restriction on coverage for a drug.
  • Replace a brand name drug with a generic drug.

Changes to our Formulary (both additions and deletions) are also listed on this website in the following document.



This page was last modified: 3/12/2021 1:37:17 PM

Ultimate Health Plans is an HMO plan with a Medicare contract. Enrollment in Ultimate Health Plans depends on contract renewal. Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. Ultimate Health Plans does not collect any member information through this website.


©2021 Ultimate Health Plans. All rights reserved.