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Search Capabilities

The search tool below allows searches by medication name or type. Search results include:

  • The copay (amount) or coinsurance (percentage) that the member will be required to pay for the drug;
  • Any restrictions for the drug, such as prior authorization, quantity limits or step therapy requirements;
  • The effective date of the formulary and the date it was last updated.

Download and print the 2021 Samaritan Choice Plans Formulary.

Need to request prior authorization? Download our prior authorization form.