Drug Search
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To use the formulary lookup tool to search for drugs, click below:
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- Year 2020 Choice plan (Formulary ID 20039)
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- Year 2020 Plus plan (Formulary ID 20576)
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- Year 2019 Vitality Choice and Vitality Plus plan (Formulary 19127)
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2020 Formulary Book - Choice Plan
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2020 Choice plan Prior Authorization Criteria
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2020 Choice plan Step Therapy Criteria
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2020 Formulary Book - Plus plan
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2020 Choice plan Prior Authorization Criteria
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2020 Choice plan Step Therapy Criteria
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2019 Formulary (List of Covered Drugs)
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2019 Prior Authorization Criteria
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2019 Step Therapy Criteria
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Rx Drug Coverage Determination Request Form
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