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.
Medallion 4.0 Common Core Formulary
To request an exception (PA,ST,QL,NF) please call EnvisionRx, the Virginia Premier Health Plan pharmacy benefit manager, at 855-872-0005.