On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342.
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Pharmacy Benefits
show Pharmacy Benefits menu
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- Find a Doctor or Pharmacy
- List of Drugs (Formulary)
- Medication Therapy Management (MTMP)
- Mail Order Service
- Specialty Pharmacy
- Coverage Determinations and Redeterminations
- Prior Authorication, Step Therapy & Quantity Limitations
- Out-of-Network Pharmacies
- Medication (Drug) Management and Safety
- Drug Transition Policy
- Pharmacy Forms
- Medicare Prescription Payment Plan
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On Feb. 21, 2024, Change Healthcare experienced a cyber security incident. Any individuals impacted by this incident will receive a letter in the mail. Learn more about this from Change Healthcare, or reach out to the contact center at 1-866-262-5342.
Main Menu
- Shop for Plans show Shop for Plans menu
- I'm a Member show I'm a Member menu
-
Pharmacy Benefits
show Pharmacy Benefits menu
-
- Find a Doctor or Pharmacy
- List of Drugs (Formulary)
- Medication Therapy Management (MTMP)
- Mail Order Service
- Specialty Pharmacy
- Coverage Determinations and Redeterminations
- Prior Authorication, Step Therapy & Quantity Limitations
- Out-of-Network Pharmacies
- Medication (Drug) Management and Safety
- Drug Transition Policy
- Pharmacy Forms
- Medicare Prescription Payment Plan
-
List of Drugs (Formulary) Search Tool
Our drug search tool gives you quick access to covered drugs by:
- Drug name - in the brand and generic search box, type in your drug name.
- Alphabetical search - choose the first letter of your drug name.
- Therapeutic class search (drugs grouped by type of condition) – select your drug class.
Your results will display:
- Brand name drugs (capitalized) and generic drugs (lower case italics)
- Therapeutic Class/Sub-Class (a group of similar drugs used to treat the same condition)
- Dosage and strength
- Tier status
- Notes and restrictions (such as a quantity limit or prior authorization)
- Formulary alternatives (similar drugs covered in the drug list)
If you have questions about our drug coverage contact Member Services.
List of Drugs (Formulary) Search Tool
Our drug search tool gives you quick access to covered drugs by:
- Drug name - in the brand and generic search box, type in your drug name.
- Alphabetical search - choose the first letter of your drug name.
- Therapeutic class search (drugs grouped by type of condition) – select your drug class.
Your results will display:
- Brand name drugs (capitalized) and generic drugs (lower case italics)
- Therapeutic Class/Sub-Class (a group of similar drugs used to treat the same condition)
- Dosage and strength
- Tier status
- Notes and restrictions (such as a quantity limit or prior authorization)
- Formulary alternatives (similar drugs covered in the drug list)
If you have questions about our drug coverage contact Member Services.
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