Preferred Brand Name Drug List
Brand-name drugs may move to nonformulary status if a generic version
becomes available during the year.
Helpful Tip: Use the PDF find feature (Ctrl + F) to search for a specific drug.
Additional Drug Coverage Drugs
The drugs listed below are only covered for those who have purchased additional drug coverage. To confirm your coverage, refer to your health plan contract or contact our customer service team at (800) 247-2583.