Some drugs have rules or requirements
Some covered drugs have additional requirements or limits on coverage before a Priority Health Medicare Advantage plan will pay for them. Use these tools to help you determine if and what types of rules or requirements your drug may have.
To find each drug's specific requirements
You can use our online formulary, the "Approved Drug List," to look up a drug to see if there are requirements that you try other drugs first, or get prior authorization, or any other coverage detail. Go to the online Approved Drug List now.
For more information
See the drug coverage rules and requirements key to find out what each requirement means.