A Healthy CollaborationSM

Search Formulary

You can also print formularies.

To search for a drug in our formulary, select the plan you are enrolled in, and then enter the first three letters of the name of the drug or the complete name.

Search results will provide you detailed information about the drug, including:

  • Which tier the drug is in,
  • Whether there is a quantity limit (QL) for that particular drug,
  • If there is a lower cost-alternative drug available,
  • And if Prior Authorization (PA) from the plan is required before receiving the drug,
  • And if the drug requires a step therapy (ST) routine, those required drugs are listed.

M0018_TOPPO_209 Pending CMS Approval Last updated: 4/1/2022

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