Drug Search Main Content

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

Approved Drug List (Formulary PDF)


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Formulary Id: 22011
Formulary Effective Date: 06/01/2022
Updated:
05/2022
CMS Approval Date:
05/17/2022
CMS Version:
16

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