Prescription Drugs
Commercial (Group & Individual) Formularies
2021
- Commercial Metal 5T formulary:
Online Search | PDF | Prior Authorization | Step Therapy - Commercial 5T formulary:
Online Search | PDF | Prior Authorization | Step Therapy - 3 Tier Commercial Formulary:
Online Search | PDF | Prior Authorization | Step Therapy
2020
- Commercial Metal 5T formulary:
Online Search | PDF | Prior Authorization | Step Therapy - Commercial 5T formulary:
Online Search | PDF | Prior Authorization | Step Therapy - 3 Tier Commercial Formulary:
Online Search | PDF | Prior Authorization | Step Therapy
Medicare Formularies
2021
- (MA-PD):
Online Search |PDF | Prior Authorization | Step Therapy Criteria - (MA-PD Employer Groups):
Online Search | PDF |Prior Authorization | Step Therapy Criteria
2020
- (MA-PD):
PDF | Online Search | Prior Authorization | Step Therapy Criteria - (MA-PD Employer Groups):
PDF | Online Search | Prior Authorization | Step Therapy Criteria