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August 27, 2008

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Resources > Claim Forms > Formulary Lists

Learn About Drug Formulary

The terms "Drug Formulary List", "Preferred Drug List" and "Select Drug List" are health program labels with similar meanings. A Drug Formulary is a list of medications to help guide physicians and pharmacists to select the medication that provides the appropriate treatment for the best price.

The Drug Formulary is a cost containment feature associated with many health plans that:

  • is used as a guide for physicians in prescribing quality, cost-effective medications
  • is unique to each health plan
  • is created/compiled by panels of physicians and pharmacists
  • can change periodically
  • applies to medications that are dispensed in both retail and mail-order pharmacies

The most drug current formulary list is typically available on a carrier’s website for member and provider reference. The formulary contains a wide range of generic and brand-name preferred medications that have been approved by the U.S. Food and Drug Administration.

Your doctor can use the formulary for your health care needs, while helping you maximize your prescription drug benefit.

A Drug Formulary provides members, physicians and pharmacists with the necessary information to maximize the drug benefit coverage and minimize the member’s financial contribution.

Click on the links below to access a provider's formulary list.

Aetna
Aetna- Individual Adv.-PA
Amerihealth-Delaware
Amerihealth-New Jersey
BCBS of Delaware
Capital BlueCross
Coventry Health Care
Healthnet
Highmark BlueShield
Horizon BCBSNJ-Medical & Dental
Independence Blue Cross
Keystone Health Plan Central
Keystone Health Plan East
Mid-Atlantic Health Plan
Oxford Health Plans
UnitedHealthcare


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