See if your prescription drug is covered
Plan ahead by estimating your drug costs
2020 Drug Cost Lookup Tool
See if your prescription drug is covered
Prescription drug list (formulary)
Our prescription drug list (formulary) shows:
- The drugs we cover
- The tier a drug is on
- Any limits or requirements before we cover the drug
- Mail order availability
-
Changes to the drug list (formulary)
-
We review our drug list on a monthly basis and make changes as necessary. Most changes are positive. An example would be adding new generics that have come on the market.
Sometimes we have to make a negative change to our formulary. Like if the FDA views a drug as unsafe or the drug maker removes the drug from the market.
-
Prior authorization, quantity limits & step therapy
-
Some drugs have rules you need to follow before we cover them. These include:
- Prior authorization
You or your doctor need approval from us before we cover the drug.
- Step therapy
We require you to try another drug first before we cover your drug.
- Quantity limits
For certain drugs, we limit the amount you can get.
You and your doctor can ask us to make an exception to one of our coverage rules. This includes requesting an exception to a prior authorization, step therapy or quantity limit rule.
-
Transition rules
-
There may be times where you’re taking a drug that either isn’t on our drug list or has special rules before we cover it. Learn about our transition process to see if you’re eligible for a short-term supply of medication. This temporary supply allows you to work with your doctor to either transition to a new drug or request an exception to continue your current drug.
