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List of Drugs (Formulary)

Our list of drugs (formulary) shows the Part D drugs that we cover.

In general, we cover your drugs if they are medically necessary. Drugs on our list of drugs are covered when you use our network pharmacies or mail order program for maintenance drugs. Maintenance drugs are drugs you take for a chronic or long-term condition. Some drugs we cover have limits or other rules.

The Pharmacy and Therapeutics Committee, our team of independent healthcare experts, reviews and approves our list of drugs. We don't include all drugs. Some drugs may not be covered or are excluded. Other drugs are not on the list because of clinical and cost reasons.

How Do I Search for a Drug in the List of Drugs (Formulary)?

You can search for a drug by using either the drug search tool or by opening a PDF document. Each option gives you a complete list of covered drugs and any restrictions or limits. The search tool also shows you covered drug alternatives.

The PDF document lists drugs by medical condition and alphabetically within the index. To search for your drug in the PDF, hold down the "Control" (Ctrl) and "F" keys. When the search box appears, type the name of your drug. Press the "Enter" key. You also have the option to print the PDF drug list. The drug list is updated monthly.

List of Drugs (Formularies)

Your drug list may have changed for 2022. To confirm the drug list for your plan, review your 2021 Annual Notice of Change (ANOC) materials. You may also contact Member Services to confirm your drug list or ask questions about drug benefits.

Updated 12/01/2021

List of Drugs - Search Tool

List of Drugs Change Notice

Drugs may be added or removed from our list of drugs during the year. Generally, we will tell you before the following changes are made to the list of drugs.

  • Remove a drug from the list.
  • Change drug requirements.
  • Move a drug to a higher cost sharing tier.

If the Food and Drug Administration (FDA) or the drug's maker says a drug is not safe, it will be removed from our list of drugs right away.

List of Drugs Change Notice - Coming February 2022

If you have questions about our list of drugs, or want the most recent version, contact Member Services. We are here to help.

Last Updated: 11/30/2021