You are searching the 2022 Prescription Drug Formulary ( 1Tier)
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.
For more information on
coverage determinations, please visit https://medicare.chpw.org/member-center/member-resources/prescription-drug-coverage/requesting-exceptions-and-coverage-determination/