Rx Formulary / Drug Guide

Prescription Drug Guide

Please present the Prescription Drug Guide to your doctor when you or another covered family member have an appointment. If you have questions regarding your prescription benefit plan, call the toll-free number on your ID card.

Carry this drug guide/formulary with you.

• Your prescription benefit plan has adopted a drug guide/formulary, as an important part of your prescription benefit program. It includes a list of preferred brand-name drugs organized into the most common prescription classifications. The drugs in the formulary have been reviewed and assigned to a category by members of an experienced Pharmacy and Therapeutics Committee composed of doctors and pharmacists. The categories shown include preferred and nonpreferred drugs. Due to space limitations, generic drugs are not listed. When generic drug equivalents are available for brand-name drugs, they are noted with the word  "generics.” 

 

• Drugs in the formulary are assigned to categories based on their clinical effectiveness, safety and economic considerations. The categories offer you a choice of medications, but your copay* may vary depending on the category into which the medication is placed.
  
  
• A Specialty Drug List is provided separate from the Drug Guide. Medications included in this list require prior authorization and your copay* may vary depending on your prescription benefit plan. View the 2009 Specialty Rx Drug Guide.
  
  
• Your specific prescription benefit plan may not cover certain products, regardless of their appearance in the Drug Guide. Please check your prescription benefit plan to review copays, exclusions and limitations.
  
  
• Carry the Drug Guide with you to doctor's office visits. Make sure you show it to your doctor when he or she is prescribing your medication. Your doctor will be able to see which medications are preferred for each drug category. Keep in mind, the use of generic drugs is usually more cost-effective.
  
  
• Please understand that this drug guide is not intended as a substitute for your doctor’s professional judgment. It is offered as a tool to help you and your doctor to maximize treatment effectiveness while taking into account both drug therapy needs and costs. If you have questions about how your prescription benefit plan works, just call the toll-free number listed on your ID card to speak with a representative.
  

* Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a plan, which may be a deductible, a percentage of the prescription price, a fixed amount or other charge, with the balance, if any, paid by a plan.