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Pharmacy

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.

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


A preferred drug list is a list of drugs covered by your plan.

Please carefully review these changes.

A preferred drug list is a list of drugs covered by your plan.

A preferred drug list is a list of drugs covered by your plan.

Please carefully review these changes.

Pharmacy Forms

This is a prior authorization form for Zubsolv treatment.

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Last Updated On: 2/4/2019
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