Prescriptions and Pharmacies
Our Drug Formulary is a list of prescription medications that contains both generic and brand-name medications that have been approved by the U.S. Food and Drug Administration (FDA).
If you are shopping for a new individual plans and small employer plans, you will have a 6-tier drug formulary plan:
NOTE: The information provided is a general reference of our pharmacy benefits. Not all plans or members will use the same pharmacy programs.
As a member, call our Service Center toll-free at 1-888-322-2115 if you have specific questions around your prescription, pharmacy claims or the pharmacy preauthorization approval process.
Preauthorization for Pharmacy Benefits
Benefits vary based on plan design and individual benefits. Benefit determinations are based on the member’s plan selection. Exclusions, limitations or exceptions may apply.
IMPORTANT: Members, if you want to find out more about what your specific plan covers for pharmacy benefits and what medications or services require a preauthorization, please log in.