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Drug Formulary 2018

The Formulary is a list of drugs selected by the plan’s Pharmacy and Therapeutics Committee that includes prescription drug therapies that are considered a necessary part of a quality therapy program.
The plan will generally cover all drugs included in the Formulary as long as:
  • They are medically necessary
  • The prescription is dispatched in a pharmacy that is part of the plan network
  • It complies with other rules established by the plan
Below please find our comprehensive formularies. A comprehensive formulary is a complete list that includes all the drugs that are covered under the Formulary.