FirstMedicare Direct  
FirstMedicare Direct HMO plans are rated 4 out of 5 Stars for calendar year 2020 by Centers for Medicare and Medicaid Services (CMS).
Click HERE for 2020 Stars information.
Click HERE for 2019 Stars information.


Covered Drugs

To view the current list of all drugs covered by FirstMedicare Direct, click the appropriate link below:


2020 HMO Comprehensive Formulary Adobe PDF

2020 Over the Counter Reimbursement Form Adobe PDF

Formulary Changes
During the year, FirstMedicare Direct may remove drugs from our formulary (list of covered drugs) or add rules about whether and when certain drugs are covered. We notify members of changes to the formulary at least 30 days before the change becomes effective by including Formulary Change notices in the monthly Part D Explanation of Benefits, or at the time you request a refill, at which time you will receive a 30-day supply of the medication. Effective January 1, 2020 when a new generic drug replaces a brand name drug on the Formulary (Drug List), or we change cost-sharing tier or add new restrictions to the brand name drug, we may immediately make this type of change without advance notice. To view available Formulary Change Notices, click here.

Drug Finder
To find your medications and cost information using our search tool, click on your benefit plan name below. It may take a few seconds for the tool to load.

HMO Plus
HMO Prime


FirstCarolinaCare Insurance Company’s FirstMedicare Direct plans are HMO and PPO plans with a Medicare contract. Enrollment in a FirstMedicare Direct plan depends on contract renewal.This is a required statement by CMS. FirstCarolinaCare has filed and been approved to offer an HMO and a PPO Medicare Advantage Prescription Drug plan for 2020.


Page Last Updated:
Friday, October 02, 2020 11:13:06 AM