Drug Search Main Content

You are searching the 2019 Prescription Drug Formulary (Tier 5) 


There are three ways to search the formulary.

List by alphabet: Select the first letter or the drug you are looking for.

Enter the name: Type out the brand or generic name in the box provided.

Therapeutic class: Select the class of drug you are looking for from the list, then select the drug.


Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search


Therapeutic Class Search Skip to Footer

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Formulary Id: 14842
Formulary Effective Date: 01/01/2019
CMS Approval Date:
CMS Version:
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