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Drug List

Have questions about which medications are covered by your plan? Access your formularies here or Search a Drug via the search tool:

You can also see an Archive of Past Formularies.

Formulary

This document shows you what drugs are covered by a specific plan.

This document is a listing of the changes that have occurred in our formulary in the past month.

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Y0070_WCM_06390E CMS Approved 10/23/2017 Last Updated On: 10/1/2017