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Formularies


2012 All Plan Formulary
Important 2012 Formulary Updates

Gold Formulary (2010)
Plus Rx Formulary (2010)
Extra Care/Extra Value Formulary (2010)
Premier Formulary (2010)
Plus Rx Formulary (2011)
Extra Value Formulary (2011)
Premier Formulary (2011)
Preferred Drug List (Effective January 2010)
Medicare Complete Formulary - (November, 2011)
Medicare Complete Formulary - (October, 2011)
Medicare Complete Formulary - (September, 2011)
Medicare Complete Formulary - (August, 2011)
Medicare Complete Formulary - (June, 2011)
Medicare Complete Formulary - (May, 2011)
Preferred Drug List - Commercial (January 2011)
Preferred Drug List - Commercial (April 2011)

Speciality Drugs Requiring Prior Authorizations - Commercial
All unclassified drug codes (such as J3490, J3590, J8999 and J9999) require prior authorization. When requesting authorization for an unclassified drug please submit the NDC#, Drug Name, and Dosage.


Summary of Formulary Changes

Part D Cumulative Formulary Changes November 2011
Part D Cumulative Formulary Changes October 2011
Part D Cumulative Formulary Changes September 2011
Formulary Changes (August 2011)
Part D Cumulative Formulary Changes August 2011
Part D Cumulative Formulary Changes June 2011
Formulary Changes (April 2011)
Formulary Changes (November 2010)
Formulary Changes (October 2010)
Formulary Changes (September 2010)
Formulary Changes (July 2010)
Part D Cumulative Formulary Changes (July 2010)
Formulary Changes (June 2010)
Part D Cumulative Formulary Changes (June 2010)
Formulary Changes (May 2010)
Part D Cumulative Formulary Changes (April 2010)
Formulary Changes (April 2010)
Formulary Changes (March 2010)
Formulary Changes (February 2010)
Part D Cumulative Formulary Changes (November 2009)
Formulary Changes (October 2009)
Formulary Changes (September 2009)
Formulary Changes (August 2009)
Formulary Changes (July 2009)
Formulary Changes (June 2009)
Formulary Changes (April 2009)

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