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

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

2019

• 2019 Rewards/Value/Classic:
  PDF | Online Search | Prior Authorization & Step Therapy
• 2019 Employer Groups:
  PDF | Online Search | Prior Authorization & Step Therapy

Last updated: 1/18/2019