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Our plans use comprehensive formularies — a list of drugs covered by the plan — to meet members needs. The formularies do not contain the names of all medications available in the market.

Search the formularies by medication name or type. Search results include:

  • The drug tier, which determines the copay (amount) or coinsurance (percentage) that the member will be required to pay for the drug;
  • Any restrictions for the drug, such as prior authorization, quantity limits or step therapy requirements;
  • The effective date of the formulary and the date it was last updated.

You may also download and print the formularies.

If a medication is not listed, please contact Customer Service for assistance at 800-832-4580 (TTY 800-735-2900), from 8 a.m. to 8 p.m., Monday through Friday.

2021 List of Covered Drugs

For Small Group Standard and Performance Plans:

Search Small Group Drugs

2021 Small Group Formulary

2020 Small Group Formulary

For Large Group Everyday Choices and Momentum Plans:

Search Large Group Drugs

2021 Large Group Formulary

2020 Large Group Formulary

2020 List of Covered Drugs

Network Pharmacy

A network pharmacy is one that we have made arrangements for them to provide prescription drugs to plan members. Review the pharmacy directory to see all our in-network pharmacies throughout the United States.