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2020 Medicare Advantage HMO POS Rx Lookup


NOTE:  FreeStyle® and Precision® are the preferred glucose monitoring systems.  Quantity limits apply.  Additional quantities may be approved with statement of medical necessity.


You have two ways to find your drug within the formulary:


Medical Condition: The drugs in this formulary are grouped into therapeutic class depending on the type of medical conditions that they are used to treat. For example, drugs used to treat a heart condition are listed under the therapeutic class, “Cardiovascular Agents.” If you know what your drug is used for, look for the therapeutic class name in the list. Then look under the category name for your drug.


Alphabetical Listing: If you are not sure what therapeutic class to look under, you should look for your drug by name in the alphabetical search. Both brand name and generic drugs are listed. To use the alphabetical search, select the first letter of your drug's name and look for it in the list provided or type the name of your drug in the search box and select Search.

Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search


Therapeutic Class Search Skip to Footer

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Formulary Effective Date: 10/01/2020

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