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Search Capabilities

Search the Special Needs Plan Formulary by medication name or type. Search results include:

  • Notes & 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;
  • Non-Formulary (NF) drugs.

Mobile device users should open the tool in a new window for the best search experience.

You may also download and print the following:
2019 Formulary
2019 Prior Authorization Requirements
2019 Quantity Limits
2019 Step Therapy

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