Drug Search Main Content

You are searching the 2022 Prescription Drug Formulary (5 Tier) 


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.


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Formulary Id: 19664
Formulary Effective Date: 07/01/2022
CMS Approval Date:
CMS Version:

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