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Florida Health Care Plans 2025 Medical Pharmacy Formulary

Federal Exchange, Non-Grandfathered, and Grandfathered Plans

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  • ANTIDOTE THERAPEUTICS
  • ANTIHISTAMINE DRUGS
  • ANTI-INFECTIVE AGENTS
  • ANTINEOPLASTIC AGENTS
  • ANTITOXINS,IMMUNE GLOB,TOXOIDS,VACCINES
  • AUTONOMIC DRUGS
  • BLOOD DERIVATIVES
  • BLOOD FORMATION, COAGULATION, THROMBOSIS
  • CARDIOVASCULAR DRUGS
  • CELLULAR AND GENE THERAPY
  • CENTRAL NERVOUS SYSTEM AGENTS
  • DEVICES
  • DIAGNOSTIC AGENTS
  • ELECTROLYTIC, CALORIC, AND WATER BALANCE
  • ENZYMES
  • EYE, EAR, NOSE AND THROAT (EENT) PREPS.
  • GASTROINTESTINAL DRUGS
  • HEAVY METAL ANTAGONISTS
  • HORMONES AND SYNTHETIC SUBSTITUTES
  • IMMUNOMODULATORY AGENTS (90:00)
  • LOCAL ANESTHETICS
  • MISCELLANEOUS THERAPEUTIC AGENTS
  • NONHORMONAL CONTRACEPTIVES
  • OXYTOCICS
  • RADIOACTIVE AGENTS
  • RESPIRATORY TRACT AGENTS
  • SKIN AND MUCOUS MEMBRANE AGENTS
  • SMOOTH MUSCLE RELAXANTS
  • VITAMINS
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Formulary ID: 15515
Formulary Effective Date: 01/01/2024
Updated:
03/2025
Formulary Version:
7

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