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Medical ExpenseVerified · outline & fact-checked · Sep 2026Difficulty 2/5

Under Medicare Part D, a plan's formulary must include:

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Answer & full 3-part explanation (select an option above, or peek)

Why D is correct

Medicare Part D formularies must include at least two drugs in each therapeutic category and class so that beneficiaries have a meaningful choice of treatment within each category. The formulary must also be non-discriminatory and provide adequate coverage across the classes. Plans may use tiered cost-sharing and step therapy, but the two-drug minimum helps ensure that common conditions can be treated without unreasonable formulary gaps.

Why the other options are wrong

  • A) A single drug per class is insufficient; the minimum requirement is two drugs in each category and class.
  • B) Part D plans are not required to carry every FDA-approved drug; they maintain selective formularies that still meet the two-drug minimum.
  • C) Formularies may include brand-name drugs as well as generics; the requirement is not limited to generic products.

Memory hook

Part D formulary floor: at least 2 drugs per therapeutic class. Choice, not a one-size drug shelf.

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