Drug Search Main Content

2019 New Hampshire Select Drug List

Search by medication name for up-to-date drug information, including the benefit tier your drugs are on, as well as applicable clinical edits such as prior authorization or step therapy requirements.

You can also view the full drug list here.  (Some pages of this document are intentionally left blank.)

Your coverage has limitations and exclusions, which means that some drugs on this list may not be covered, depending on your plan’s design. To find out more, please refer to your Certificate/Evidence of Coverage or your Summary Plan Description.

To our providers: Click here to initiate an electronic prior authorization (ePA) request.

Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search


Therapeutic Class Search Skip to Footer

©1997-2019 Managed Markets Insight and Technology, LLC. All Rights Reserved | Terms of Use
Formulary Id: 00000000
Formulary Effective Date: 10/10/2019

Top of Page