Prescription Drug Benefits

Comprehensive Formularies

Learn what prescription drugs are covered by your Leon Health Plan by reviewing our list of covered drugs – aslo known as “formulary”. It includes all the medications your plan covers, including brand names and generics. The formularies are updated monthly, ensuring you will always find the current formulary on our website.

LEON MediDual Formulary (2024)

LEON MediExtra & MediMore Formulary (2024)

LEON MediExtra, MediDual, MediMore, MediPlus & MediMax Formulary (2025)

Prior Authorization Criteria

Leon Health requires you or your physician, to get prior authorization for certain drugs. This means that you will need to get approval from Leon Health, Inc. before you fill your prescriptions. To find out which drugs need prior authorization, view the Part D Prior Authorization List:

LEON MediDual Prior Authorization Criteria (2024)

LEON MediExtra & MediMore Prior Authorization Criteria (2024)

LEON MediExtra, MediDual, MediMore, MediPlus & MediMax Prior Authorization Criteria (2025)

Step Therapy Criteria

In some cases, Leon Health requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. To find out which drugs are subject to Step Therapy, refer to the Part D Step Therapy List:

LEON MediDual Step Therapy Criteria (2024)

LEON MediExtra & MediMore Step Therapy Criteria (2024)

LEON MediExtra, MediDual, MediMore, MediPlus & MediMax Step Therapy Criteria (2025)

Part B Step Therapy

To find out which Part B drugs are subject to Step Therapy, refer to the Medicare Part B Drug Step Therapy List. (2025  |  2024)

Medicare Prescription Payment Plan

Medicare Prescription Payment Plan Participation Request Form (2025)

View an An Overview of the Medicare Prescription Payment Plan