# AHIP Medicare Exam Prep 23, Formularies Tiers and Utilization Management

Page: https://stenobird.com/podcast/insurance-exam-prep-7644557/ahip-medicare-exam-prep-23-formularies-tiers-and-utilization-management
Text version: https://stenobird.com/podcast/insurance-exam-prep-7644557/ahip-medicare-exam-prep-23-formularies-tiers-and-utilization-management.md
Podcast: [Insurance Exam Prep](https://stenobird.com/podcast/insurance-exam-prep-7644557)
Published: 2026-09-08T23:26:01+00:00
Episode link: https://open-exam-prep.com/
Audio file: https://episodes.captivate.fm/episode/15ad17e0-52b2-44b3-837f-b41d61298ab0.mp3
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Duration seconds: 252

## Resource

This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - How Medicare Part D plans structure formularies into drug tiers from Tier 1 generics to Tier 5 specialty drugs - Why cross-referencing both specific medications and preferred network pharmacies is essential for accurate cost estimates - The mechanics of utilization management tools including prior authorization, step therapy, and quantity limits - Rules surrounding mid-year formulary changes, sixty-day advance notices, and immediate FDA safety exceptions - The PSL mental shortcut to quickly identify Part D coverage restrictions on exam questions For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep

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## Transcript

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