Pharmacy Benefit Updates

Our Formulary updates on a monthly basis. The following are example of changes that may occur. 

  • Medications increasing/decreasing in copay - Medications may move from a higher Tier to a lower Tier when a generic becomes available.

  • Medications excluded from benefit coverage - Some medications may no longer be covered when a generic becomes available.

  • Supply Limits - Decreasing or increasing supply limits for certain medications to align with the FDA-approved dosing interval.

  • Pharmacy Utilization Management - Adding or deleting Prior Authorization and Step Therapy to ensure beneficiaries are taking medications that are most appropriate.

For our latest formulary and formulary changes please visit our pharmacy page on our website: