Drug Search Main Content

These drugs are listed as benefits in your insurance plan. For a printable version of the list click the Approved Drug List link below.

 

 


Alphabetical Search Skip to Brand & Generic Search

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Drug Name Search

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Therapeutic Class Search Skip to Footer

Antihistamine DrugsAnti-Infective AgentsAntineoplastic AgentsAntitoxins,Immune Glob,Toxoids,VaccinesAutonomic DrugsBlood Formation, Coagulation, ThrombosisCardiovascular DrugsCentral Nervous System AgentsDental AgentsDevicesDiagnostic AgentsElectrolytic, Caloric, And Water BalanceEnzymesEye, Ear, Nose And Throat (Eent) Preps.Gastrointestinal DrugsGold CompoundsHeavy Metal AntagonistsHormones And Synthetic SubstitutesLocal Anesthetics (Parenteral)Miscellaneous Therapeutic AgentsNonhormonal ContraceptivesOxytocicsPharmaceutical AidsRespiratory Tract AgentsSkin And Mucous Membrane AgentsSmooth Muscle RelaxantsVitamins
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Formulary Id: 17164
Formulary Effective Date: 11/01/2021
Updated:
12/2021
CMS Version:
1

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