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2020 VIRGINIA PREMIER ADVANTAGE ELITE

Virginia Premier is a HMO-SNP organization with a Medicare contract.  Enrollment in any Virginia Premier plan depends on contract renewal.

This online drug search represents the Comprehensive Formulary.  A comprehensive formulary is a list of all covered drugs selected by Virginia Premier in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program.  Virginia Premier will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a Virginia Premier network pharmacy, and other plan rules are followed.

For questions about your benefits or enrollment please call our customer service number at 1-877-739-1370 or TTY users call 711, 7 days a week, 8am to 8pm (Oct. 1 – Feb. 14); Monday – Friday 8am to 8pm (Feb. 15 – Sept. 30) or visit our website at www.medicare.virginiapremier.com


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Therapeutic Class Search Skip to Footer

  • Analgesics
  • Anesthetics
  • Anti-Addiction/Substance Abuse Treatment Agents
  • Antibacterials
  • Anticonvulsants
  • Antidementia Agents
  • Antidepressants
  • Antiemetics
  • Antifungals
  • Antigout Agents
  • Anti-Inflammatory Agents
  • Antimigraine Agents
  • Antimyasthenic Agents
  • Antimycobacterials
  • Antineoplastics
  • Antiparasitics
  • Antiparkinson Agents
  • Antipsychotics
  • Antivirals
  • Anxiolytics
  • Bipolar Agents
  • Blood Glucose Regulators
  • Blood Products/Modifiers/Volume Expanders
  • Cardiovascular Agents
  • Central Nervous System Agents
  • Dental And Oral Agents
  • Dermatological Agents
  • Electrolytes/Minerals/Metals/Vitamins
  • Gastrointestinal Agents
  • Genetic Or Enzyme Disorder: Replacement, Modifiers, Treatment
  • Genitourinary Agents
  • Hormonal Agents, Stimulant/ Replacement/ Modifying (Adrenal)
  • Hormonal Agents, Stimulant/ Replacement/ Modifying (Sex Hormones/ Modifiers)
  • Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
  • Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
  • Hormonal Agents, Suppressant (Pituitary)
  • Hormonal Agents, Suppressant (Thyroid)
  • Immunological Agents
  • Inflammatory Bowel Disease Agents
  • Metabolic Bone Disease Agents
  • Miscellaneous
  • Ophthalmic Agents
  • Otic Agents
  • Respiratory Tract Agents
  • Skeletal Muscle Relaxants
  • Sleep Disorder Agents
©1997-2025 Managed Markets Insight and Technology, LLC. All Rights Reserved Terms of Use
For information on initiating a Coverage Determination, including prior authorization, Tiering, utilization or exceptions, visit our website at www.medicare.virginiapremier.com or contact Envision at 1-855-408-0010 (TTY: 711), 24 hours 7 days a week.
Formulary Id: 20051
Formulary Effective Date: 12/01/2020
Updated:
11/2020
CMS Approval Date:
11/24/2020
CMS Version:
19

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