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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:
2020 Formulary
2020 Prior Authorization Requirements
2020 Quantity Limits
2020 Step Therapy

2019 Prior Authorization Requirements
2019 Quantity Limits
2019 Step Therapy

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

Page updated 3/1/2020