Downloads
Some drugs may require your provider to complete an authorization form. Search our online formulary tools for and the information below to understand drug and plan specific coverage information, including prior authorization, step therapy requirements, quantity limits and age limits.
Drugs covered under the medical benefit
Medical drug-specific forms are linked in the Medical Benefit Drug List
Additional Coverage
Check your plan documents to see whether one of the below riders is included in your plan.
IRS-allowed Chronic Condition Services, Supplies and Prescription Drug rider
If you have an HSA plan, you may receive additional coverage through your employer for certain medications.
SaveOnSP
Select Specialty Medications for eligible members may be able to obtain copay assistance through SaveOn.
Weight Loss Prescription Drug rider