Drug Search
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To use the formulary lookup tool to search for drugs, click below:
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- 2021 Choice Plan (Formulary ID 21032)
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- 2021 Plus Plan (Formulary ID 21033)
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- 2022 Choice & Plus Plan (Formulary ID 22075/22076)
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2022 Drug Formulary - Choice & Plus
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2022 Prior Authorization Criteria - Choice & Plus
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2022 Step Therapy Criteria - Choice & Plus
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Rx Drug Coverage Determination Request Form
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2021 Formulary Book (List of Covered Drugs) - Choice plan
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2021 Prior Authorization Criteria - Choice Plan
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2021 Step Therapy Criteria - Choice Plan
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2021 Formulary Book (List of Covered Drugs) - Plus plan
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