Search our Medical Drug Lists (MDLs) to understand coverage information by plan, including drug-specific utilization management rules like prior authorization requirements, step therapy requirements and/or age limits.
After you've reviewed coverage and criteria, learn how to submit a request for coverage.
How do we decide which drugs to cover on our MDLs?
We take a multi-faceted approach to safeguarding the safety and efficacy of the drugs/treatments we cover.
- Our Pharmacy & Therapeutics Committee carefully reviews drugs to determine whether they should be included on our formularies
- Each decision is guided by clinically-proven, evidence based standards to ensure medications/treatments are safe and effective
- We also incorporate a Drug utilization review program to support quality care and assure drugs and treatments are used appropriately and deliver the best possible outcomes for members
For more information, visit our formulary updates page.