See below for our current coverage information
Here’s a breakdown of the medication lists, tiers and details covered by our plans.
2020 Preferred Medication List (Formulary)Essential Medication List (Formulary)
Essential Plus Medication List (Formulary)
Specialty Pharmacy Program information
Pharmacy Resources
Let’s help you find pharmacy documents and forms
Find the forms and documents you need by selecting one of the networks below.
Find some of the most frequently used authorizations & claims documents below.
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