Drug Search Main Content

4-Tier Formulary Look-up
For members who currently have a 3-tier pharmacy benefit, the cost sharing for tier 3 and tier 4 prescriptions will be the current tier 3 copayment.

You may search for pharmaceutical products in two different ways. First, you may search by using the drug name where products are listed by both generic (chemical) and brand (trade) names. Second, you may search using the therapeutic class of the product you are looking for.


Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search


Therapeutic Class Search Skip to Footer

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Formulary Id: 00015230
Formulary Effective Date: 01/01/2017
CMS Approval Date:
CMS Version:

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