Drug Search Main Content

To see the Medical Benefit Drug List, please use the link below. This is a list of drugs covered under medical benefits, and administered at your doctor’s office.

Drug List for Medical Benefit

Alphabetical Search Skip to Brand & Generic Search

Brand & Generic Name Search

   

Therapeutic Class Search Skip to Footer

*Adhd/Anti-Narcolepsy/Anti-Obesity/Anorexiants**Aminoglycosides**Analgesics - Anti-Inflammatory**Analgesics - Nonnarcotic**Analgesics - Opioid**Androgens-Anabolic**Anorectal Agents**Antacids**Anthelmintics**Antianginal Agents**Antianxiety Agents**Antiarrhythmics**Antiasthmatic And Bronchodilator Agents**Anticoagulants**Anticonvulsants**Antidepressants**Antidiabetics**Antidiarrheals**Antidotes And Specific Antagonists**Antidotes**Antiemetics**Antifungals**Antihistamines**Antihyperlipidemics**Antihypertensives**Anti-Infective Agents - Misc.**Antimalarials**Antimyasthenic Agents**Antimyasthenic/Cholinergic Agents**Antimycobacterial Agents**Antineoplastics And Adjunctive Therapies**Antiparkinson Agents**Antipsychotics/Antimanic Agents**Antiseptics & Disinfectants**Antivirals**Assorted Classes**Beta Blockers**Biologicals Misc**Calcium Channel Blockers**Cardiotonics**Cardiovascular Agents - Misc.**Cephalosporins**Contraceptives**Corticosteroids**Cough/Cold/Allergy**Dermatologicals**Diagnostic Products**Dietary Products/Dietary Management Products**Digestive Aids**Diuretics**Endocrine And Metabolic Agents - Misc.**Estrogens**Fluoroquinolones**Gastrointestinal Agents - Misc.**Genitourinary Agents - Miscellaneous**Gout Agents**Hematological Agents - Misc.**Hematopoietic Agents**Hemostatics**Hypnotics**Hypnotics/Sedatives/Sleep Disorder Agents**Laxatives**Macrolides**Medical Devices And Supplies**Medical Devices**Migraine Products**Minerals & Electrolytes**Miscellaneous Therapeutic Classes**Mouth/Throat/Dental Agents**Multivitamins**Musculoskeletal Therapy Agents**Nasal Agents - Systemic And Topical**Neuromuscular Agents**Nutrients**Ophthalmic Agents**Otic Agents**Oxytocics**Passive Immunizing Agents**Passive Immunizing And Treatment Agents**Penicillins**Pharmaceutical Adjuvants**Progestins**Psychotherapeutic And Neurological Agents - Misc.**Respiratory Agents - Misc.**Sulfonamides**Tetracyclines**Thyroid Agents**Ulcer Drugs**Urinary Anti-Infectives**Urinary Antispasmodics**Vaginal Products**Vasopressors**Vitamins*
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Formulary Id: 12529
Formulary Effective Date: 04/30/2018
Updated:
02/2019
CMS Approval Date:
02/08/2019
CMS Version:
5

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