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Hands holding a handful of colorful pills, representing medication use and care.

Formulary

The plan covers the prescription drugs in the formulary, if and always when:

  • ​The drugs are a medical necessity

  • The prescription is filled at a pharmacy that is part of the plan’s network

  • There is compliance with other rules established by the plan

 

Here you will find comprehensive formularies that include a complete list of all the prescription medicines covered in the formulary.

Documents 

These documents are updated monthly.

Important Message About What You Pay for Vaccines

Our plan covers most Part D vaccines at no cost to you. Call Member Services for more information.

Important Message About What You Pay for Insulin

You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.

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