Drug Search Main Content

Essential 4-Tier 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. To view a PDF version of this, or any/all of our drug lists/formularies, click here.


Drugs that are listed as tier 4 may process as tier 3 for members with a 3 tier formulary.


Please note that your coverage may be subject to limitations and exclusions. For example, drugs used for cosmetic purposes may be excluded from your benefits. Please refer to your evidence of coverage/benefit booklet for more information.


Preventive care drugs: We cover preventive care drugs with zero cost share in compliance with the Affordable Care Act (ACA). We cover contraceptives for members enrolled in a California plan according to state regulations.

Member cost share amounts for certain abuse-deterrent opioid analgesics may be lower in the state Maine due to state laws. For additional information, please call the customer service number on your ID card.

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Formulary Effective Date: 02/15/2017

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