Drug List (Formulary)

Our plans use a formulary. A formulary is a list of covered drugs selected to meet the needs of our members.

A formulary is reviewed and updated on a regular basis by medical and pharmacy professionals. A formulary may change during a calendar year, if we:

  • remove drugs from our formulary
  • add prior authorization
  • add quantity limits and/or step therapy restrictions on a drug
  • move a drug to a higher cost-sharing tier

We must notify you if a drug you are taking is changing at least 60 days before the change becomes effective.

Our plan formularies use tiers, or levels, to show you which drugs are available at which prices. Our formularies cover both brand-name and generic drugs. Generic drugs have the same active-ingredient formula as a brand-name drug. Generic drugs usually cost less than brand-name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand-name drugs.

The links below will allow you to view the drug formulary list as well as access other prescription-related tools and information.

Our Online Tools

Formulary Search

This tool provides access to the full list of drugs covered by our plans. It also allows you to get pricing information and to build an annual budget of your drug costs for either of our plans. To use our Formulary Search Tool, please follow these steps:

  1. Select your state from the pull down menu and click the red Review Available Plans button.
  2. Choose one of the plans you wish to view.
  3. Enter the name(s) of your drugs. There is a 4 character minimum so be sure to have a list of your prescription drugs nearby. You will also need to enter the dosage and the number you take per day. Then click on the "add to list" button. You can repeat this until your list is complete then select a type of pharmacy and click the "get prices" button.
  4. After you build your list you can compare the coverage for your drug list under either of the 2 plans that we offer.
  5. If you would like to select a different pharmacy, change the pharmacy name in the dispensing pharmacy or plan selection in the upper right hand of your screen.
  6. If the drug you selected is not covered by the plan, either select a different strength of the drug or click the Alternatives Available link if it is listed on the formulary search tool.
  7. If you are finished with your search, click on the x in the upper bar of the pop-up box to close your window.

After you enter the names of your drug you'll be asked to select the dosage and the number of doses you take per day. Then click on the "add to list" button. When you have entered all of the drugs you may print a list by clicking the "Print List" in the top right hand corner of the screen.

If you would like to select a different plan you may do so using the plan selection in the top right hand corner.