Printing an Approved Drug List
WARNING: These printable versions are not updated as frequently as our
online approved drugs database, so they may be wrong. For the most current
information, use the online search.
Check your Priority Health ID card to see what plan you have.
Print a Drug List
Medicare - Individually Purchased Plans
If you purchase your own plan, use this approved drug list (formulary) for 2009:
Medicare - Employer-Funded Retirement Plans
Check your Evidence of Coverage booklet to see if you are covered by the 2008 or 2007 plan.
If you're covered by a 2009 plan, use this approved drug list (formulary):
If you're still covered by a 2008 plan, use this approved drug list (formulary):
Notes
In the rare case that a generic drug requires a brand copayment/coinsurance, there will be little cost difference between the brand and its generic equal.
Important: Even if a drug is on the approved drug list, it may not be included in your employer's prescription drug program. Check your Priority Health coverage documents and riders to find out if any approved drugs are not included.
Additional Medicaid Benefit
Medicaid members are eligible for some non-prescription items sold at pharmacies. For details on this benefit, ask your pharmacist or primary care physician, or call our Customer Service department at 888 975-8102.
You'll need Adobe ReaderĀ® software to view and print PDF files. Download it free now!
Check your Priority Health ID card to see what plan you have.
Print a Drug List
- Print the HMO/POS/PPO/EPO/ASO Plans Drug List (188KB PDF, 60 pages)
- Print the Medicaid and MIChild Drug List (126KB PDF, 45 pages)
Medicare - Individually Purchased Plans
If you purchase your own plan, use this approved drug list (formulary) for 2009:
- Section 1: Introduction and frequently asked questions (75KB PDF)
- Section 2: List of approved drugs, with index on page 49 (755KB PDF)
Medicare - Employer-Funded Retirement Plans
Check your Evidence of Coverage booklet to see if you are covered by the 2008 or 2007 plan.
If you're covered by a 2009 plan, use this approved drug list (formulary):
- Section 1: Introduction and frequently asked questions (214KB PDF)
- Section 2: List of approved drugs, with index on page 46 (956KB PDF)
If you're still covered by a 2008 plan, use this approved drug list (formulary):
- Section 1: Introduction and frequently asked questions (197KB PDF)
- Section 2: List of approved drugs, with index of drug names on page 48 (41KB PDF)
Notes
In the rare case that a generic drug requires a brand copayment/coinsurance, there will be little cost difference between the brand and its generic equal.
Important: Even if a drug is on the approved drug list, it may not be included in your employer's prescription drug program. Check your Priority Health coverage documents and riders to find out if any approved drugs are not included.
Additional Medicaid Benefit
Medicaid members are eligible for some non-prescription items sold at pharmacies. For details on this benefit, ask your pharmacist or primary care physician, or call our Customer Service department at 888 975-8102.
You'll need Adobe ReaderĀ® software to view and print PDF files. Download it free now!
