Drug formulary

We've developed these drug formularies to help our members and your providers choose the appropriate drugs based on your needs, coverage plan and cost of each drug.

Formularies

Prime 4-Tier

2021

Formulary

2020

Prime 4-tier formulary

Prime 4-tier formulary change notification

ACA High-Deductible Health Plan 4-Tier

2021

Formulary

2020

ACA HDHP 4-tier formulary

ACA HDHP 4-tier formulary change notification

 

See our formulary management process