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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.


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Last Updated On: 9/12/2015