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Drug List (Formulary)

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

Drug Search Tool

Search a Drug via the Search Tool

Printed Formulary

Comprehensive Formulary This PDF document will open in a new window.

Notice of Change

Notice of Change This PDF document will open in a new window. 

Prior Authorization

Prior Authorization This PDF document will open in a new window. 

Step Therapy

Step Therapy This PDF document will open in a new window. 

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Y0070_WCM_42183E Last Updated On: 10/1/2019