Prescription Drugs

Drug Formulary

The drug formulary is a list of prescription drugs approved under your insurance plan. Be sure to share the formulary with your physician. Using drugs on the formulary can help you save money. The formulary is modified each year on January 1.

• 2007 Formulary (PDF)
• 2008 Formulary (PDF)
• 2008 Formulary Changes (PDF)

Texas Groups: For fully insured employer groups issued in Texas, plan members will continue to use the formulary that was in effect on the date the group was effective until the next renewal date versus automatically switching on January 1.

Prior Authorization and Quantity Limits

Some prescription drugs require prior authorization before your insurance plan will honor the claim. Some have quantity limit designations set by the manufacturer or the Food and Drug Administration. These programs are in place to encourage appropriate use of medications that have certain risk factors.

• How to Obtain Prior Authorization
• Drugs Requiring Prior Authorization (PDF)

Online Prescription Drug Pharmacy

Use our online pharmacy, Express Scripts, to save time and money. Use the Price Check feature to see what you'll pay for specific drugs, order long-term prescriptions online and get free home delivery – and use other tools to learn about medications and health conditions.

• Express Scripts
• Prescription Drug Mail Order Form (PDF)

Specialty Pharmacy

For plan members with chronic diseases or transplant conditions, our network of national and regional suppliers provides special equipment and medications.

• List of Specialty Drugs & Medications (PDF)
• Specialty Pharmacy Providers