Providers: Prescription Drugs
As providers, we supply you with the most current of forms to use in the office, or to check to make sure your copy is the newest available.
Commercial (Group & Individual) Formularies
2020
- 5 Tier Commerical Metal Formulary:
PDF | Online Search | Prior Authorization and Step Therapy Criteria - 5 Tier Commerical Formulary:
PDF | Online Search | Prior Authorization and Step Therapy Criteria - Commercial 3 Tier Formulary:
PDF | Online Search
2019
- Commercial Metal 5 Tier Formulary:
PDF | Online Search | Prior Authorization & Step Therapy - Commercial 5 Tier Formulary:
PDF | Online Search | Prior Authorization & Step Therapy - Commercial 3 Tier Formulary:
PDF | Online Search | Prior Authorization & Step Therapy
Medicare Formularies
2020
2019
- 2019 Rewards/Value/Classic:
PDF | Online Search | Prior Authorization & Step Therapy - 2019 Employer Groups:
PDF | Online Search | Prior Authorization & Step Therapy