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