Skip to main content

Pharmacy

Here you will find a variety of pharmacy-related links and tools for your use.

Coverage Determination 

Request coverage or exception for a prescription drug.

Medication Appeals

Appeal a coverage determination decision.

Preferred Drug Lists (PDLs)

This list contains information about drugs covered by the plan. Please check back for updates, as PDLs are periodically amended.

View Preferred Drug Lists


This list includes drugs available for your treatment. We ask your doctor to use this list when prescribing your medications.

contact-us

Need help? We're here for you.

Contact Us
Last Updated On: 9/12/2015