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The management of outpatient prescription drugs is an integral part of the medical management program to improve the health and well-being of our members.

Search for a drug using our online tool. You can also view or print the PDL.

Printed Preferred Drug Lists

Coverage Determination Requests

Request a coverage decision and/or exception or file an appeal of a drug coverage decision.

Maximum Allowable Cost prices
Access CVS/Caremark Login and MAC pricing information.

Preferred Drug Lists

Please carefully review these changes.

Pharmacy Forms

This is a prior authorization form for Zubsolv treatment.


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Last Updated On: 12/4/2020