A drug formulary is a list of generic and brand-name prescription drugs that are covered by the plan, are FDA-approved, and have been chosen for their reported medical effectiveness and value.
Your formulary includes all therapeutic categories and provides physicians with prescribing options. In addition, the formulary is reviewed quarterly to add new drugs and to remove brand-name drugs when a generic equivalent becomes available.
When you prescribe a formulary medication, plan participants receive the drug for a lower copayment. If you prescribe a drug not on the formulary, the plan participants out-of-pocket cost will be greater. Prescribing generic drugs allows plan participants to always pay the lowest copayment.
The use of the formulary does not prohibit you from prescribing an uncovered medication. You are able to prescribe any covered medication, regardless of whether the drug is on the formulary or not.Commercial formulary
Medicare formulary
Please select from one of the lines of business below to view the formulary and drug lists per the selected plan
- Commerical formulary and drug lists
- Medicare Part D formulary and drug lists