...Request Form Last updated on 05/19/2022. Prescription Drug Benefit Documents Below are links to documents covering your prescription drug benefits. Comprehensive Formulary – A list of all drugs covered under...

...D drug that is not on the plan’s formulary. Asking us to waive restriction on the plan’s coverage for a drug such as limits on the amount of the drug...

...or services. Here are some of our most asked questions! What is a formulary? A formulary is also known as a drug list. View your formulary on our Plan Documents...

...you need with no copays for covered Medicare Part D drugs and some Medicaid covered non-Part D and over-the-counter (OTC) drugs. The List of Covered Drugs (Formulary) lists both the...

...of managed care pharmacists Present new and upcoming pipeline drugs to the Pharmacy department Demonstrate drug information and critical literature evaluation Participate in project-based work and demonstrate professional attitude Contact...

...days a week with additional evening and weekend hours. They are found in many local drug and grocery stores. Use when your provider is not available. Used for common illnesses...

...Drugs Our policy is to limit the use of a brand-name drug when a generic version is available. Generally, a generic drug works the same as a brand-name drug and...

...Drug Rebate Program (MDRP) Coverage Rules – AC Reject Medical Necessity – Off Label Medical Necessity for DAW Medical Necessity for Non-Formulary Medications Multi-ingredient Compound Policy # A B C...

...and support. Find My Prescriptions: A tool to view covered drugs or call us. Find a Pharmacy Personal medication list to keep a record of drugs. My CareSource: Claim and...

...the latest drugs covered by the plan and more. Comprehensive Formulary – This is a list of all drugs covered under your plan 2025 Comprehensive Formulary – English | Spanish...