Drug Search Main Content

These drugs are listed as benefits in your insurance plan. For a printable version of the list click the Approved Drug List link below.

Approved Drug List


Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search

   

Therapeutic Class Search Skip to Footer

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Formulary Id: 19360
Formulary Effective Date: 12/01/2019
Updated:
12/2019
CMS Approval Date:
11/19/2019
CMS Version:
29

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