Important: Special note requirements may not apply to some employer group benefits. Medications are categorized for benefit reference only. Placement of medications within the same category does not by itself mean that they are clinically equal. This information is subject to change during the year. Before you consider any changes to your medication, talk with your doctor. Only you and your doctor can determine what is the right medication for you.
Attention Medicare Members: We reserve the right to remove drugs or change the cost sharing of a drug on our formulary. If the formulary changes, we will give members at least 60 days written notice before the change is made. For questions about our drug policies call