Drug Search

Main Content

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

Approved Drug List (Formulary PDF)

Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you, even if you haven't paid your deductible (if your plan has a deductible). Call Customer Service for more information.

Important Message About What You Pay for Insulin - You won't pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it's on, even if you haven't paid your deductible (if your plan has a deductible).


Drug Search Main Content

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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
  • Antimigraine Agents
  • Antimyasthenic Agents
  • Antimycobacterials
  • Antineoplastics
  • Antiparasitics
  • Antiparkinson Agents
  • Antipsychotics
  • Antispasticity Agents
  • Antivirals
  • Anxiolytics
  • Bipolar Agents
  • Blood Glucose Regulators
  • Blood Products And Modifiers
  • Cardiovascular Agents
  • Central Nervous System Agents
  • Dental And Oral Agents
  • Dermatological Agents
  • Electrolytes/Minerals/Metals/Vitamins
  • Gastrointestinal Agents
  • Genetic Or Enzyme Or Protein Disorder: Replacement, Modifiers, Treatment
  • Genitourinary Agents
  • Hormonal Agents, Stimulant/Replacement/Modifying (Adrenal)
  • Hormonal Agents, Stimulant/Replacement/Modifying (Pituitary)
  • Hormonal Agents, Stimulant/Replacement/Modifying (Sex Hormones/Modifiers)
  • Hormonal Agents, Stimulant/Replacement/Modifying (Thyroid)
  • Hormonal Agents, Suppressant (Pituitary)
  • Hormonal Agents, Suppressant (Thyroid)
  • Immunological Agents
  • Inflammatory Bowel Disease Agents
  • Metabolic Bone Disease Agents
  • Ophthalmic Agents
  • Otic Agents
  • Respiratory Tract/Pulmonary Agents
  • Skeletal Muscle Relaxants
  • Sleep Disorder Agents
©1997-2025 Managed Markets Insight and Technology, LLC. All Rights Reserved Terms of Use
Formulary Id: 25361
Formulary Effective Date: 06/01/2025
Updated:
05/2025
CMS Approval Date:
05/27/2025
CMS Version:
17

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