Drug Search Main Content

Your plan may exclude certain drugs shown on the list.
Prior Authorization – Some drugs may need prior authorization to be covered. Others may be covered only for certain uses or have different limitations. Call the number on the back of your ID card if you have questions.


Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search

   

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Formulary Id: 11701
Formulary Effective Date: 05/25/2018
Updated:
05/2018
CMS Approval Date:
05/25/2018
CMS Version:
28

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