The Clinical Formulary (PDF) provides coverage for all covered drugs, regardless of whether they are listed on the formulary. However, certain drugs on the formulary may also require prior authorization or step therapy.
In addition, some drugs, such as those intended for cosmetic use, may be excluded from coverage.
The Custom Formulary listing is updated twice a year. Since a drug's status may change and new drugs may be added to the formulary, we also publish a list of formulary updates to keep you informed of those changes.
Download recent Clinical Formulary updates (PDF).
Questions? We can help!
To verify a member's benefit plan or get answers to your pharmacy-related questions, please contact us.