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List of Drugs (Formulary)

Our List of Drugs (Formulary) shows the drugs we cover. In general, we cover drugs if they are medically necessary. Drugs on the list of drugs are covered when you use our network pharmacies or mail order program for maintenance drugs. Maintenance drugs are drugs you take for a chronic or long-term condition. Some drugs we cover have limits or other rules.

The Pharmacy and Therapeutics Committee, our team of independent healthcare experts, reviews and approves the list of drugs. We don’t include all drugs. Some drugs may not be covered or are excluded. Other drugs are not on the list because of clinical and cost reasons.

How do I search for a drug in the List of Drugs?

There are two ways to see what drugs are covered with your plan. 

  • Call Member Services to speak to a representative. 
  • Download the List of Drugs PDF. 
    1. Scroll down to the Aphabetical Index: An A-to-Z list is located at the end of the PDF and lists the names of all generic and brand name drugs covered. The index lists which page the drug can be found.
    2. Use the Search Tool: Open the drug list (PDF). Press the Control 'CTRL' and F keys (at the same time) on your keyboard. When the search box appears, type the name of your drug. Press the “Enter” key. If covered, the drug will appear on your screen along with the tier level and prior authorization requirements.
    3. Search by Medical Condition: Drugs are arranged by the medical condition that each drug helps treat. For example, “Cardiovascular Agents – Drugs to Treat Heart and Circulation Conditions.”

Drug Change Notice

Drugs may be added or removed from our list of drugs during the year. We will tell you 60 days before the following changes are made to the list of drugs:

  • Remove a drug from the list
  • Change drug requirements
  • Move a drug to a higher cost sharing tier

If the Food and Drug Administration (FDA) or the drug’s maker says a drug is not safe, it will be removed from our list of drugs right away. To view the changes, open the PDF list below.

If you have questions about our list of drugs, or want the most recent version, contact Member Services. We are here to help.

Information last updated: 07/11/2018