Virginia Premier Elite Plus
Common Core Formulary
If you search for a brand named drug that is not covered, and there is a generic alternative available, that generic alternative will display. Click on the generic alternative for coverage details. If there is no generic alternative, see the details regarding exceptions.
To request an exception (PA,ST,QL,NF) please call Elixir, the Virginia Premier Elite Plus pharmacy benefit manager, at 844-838-0711.
For the Machine Readable Data for Prescription Drug Formulary: VPEPLUS Medicaid Formulary Machine Readable File