Drug Coverage - 2017 plan year information

Here you can find our lists of covered drugs (Formularies) including Part B drugs; descriptions of our Pharmacy Management Programs; and lists of drugs that have Prior Authorization, Quantity Limit and STEP Therapy requirements.

You should review these documents to help you determine tier status of your medications, if your drugs cannot be filled through the mail order service, or if your medications have certain limitations.

• About 2017 Tiered Rx Drug Benefits - General overview of our 2017 pharmacy benefit.
  
• Covered Formulary Drug List and Updates - List of drugs that we cover for 2017 and any limitations or restrictions that may apply.
  
• Part B Covered Drug Information
• 2017 Pharmacy Management Programs - Explains 2017 programs and provides complete lists of the drugs affected. Explains process for requesting a Formulary Exception and Coverage Determination.
  
• What if my drug isn't on the Formulary? - General transition notice for members taking drugs with limitations or restrictions.
  
• Coverage Determination request forms - Used by your physician if a drug you take is in one of our Pharmacy Management Programs.