Drug Formularies 2022
Learn about the prescription drugs your plan offers.

The Formulary is a list of drugs selected by the plan’s Pharmacy and Therapeutics Committee that includes prescription drug therapies that are considered a necessary part of a quality therapy program.
The plan covers prescription drugs in the formulary, if and always when:
- The drugs are a medical necessity
- The prescription is filled at a pharmacy that is part of the plan’s network
- There is compliance with other rules established by the plan
Here you will find comprehensive formularies that include a complete list of all the prescription medicines covered in the formulary.
We provide you with an electronic formulary search:
To search, click on the links below.
Documents
If you want to receive your prescriptions by mail through CVS Pharmacy, fill out and mail the form below:
Download