4-Tier Drug Formulary Search
With this search tool, you can identify whether or not a specific drug will be covered by a plan with 4-tier coverage. Only use the search function below to identify if a prescription is an approved drug in a 4-tier benefit plan.
2020 Drug Formulary & Search
2019 Drug Formulary & Search
*Note: Drugs listed on the drug formulary do not guarantee coverage on the member's pharmacy benefit plan. Pharmacy management edits (for example: quantity limits, step therapy or preauthorization requirements) may not apply to all pharmacy benefit plans.
Coverage of a drug is subject to the limitations applied to the pharmacy benefit. Members should contact our Customer Care Center to determine specific coverage and utilization management edits.