Formulary

All of our plans include prescription drug coverage. Provider Partners Health Plans Formularies are lists of drugs covered by each plan. Formularies are developed to meet the needs of our members based on the most commonly prescribed drugs, including certain prescription drugs that Medicare requires that we cover.  Provider Partner Health Plans formularies are approved by Medicare and updated throughout the plan year and may change if:

• The plan no longer covers a drug.
• A new drug is added.
• A drug is moved to a different cost-sharing Tier.
• A Prior Authorization, Step Therapy restriction or Quantity Limit has been added or changed for a drug.
• A drug is removed from the market.

Illinois Advantage Formulary (Drug List)

Illinois Advantage Formulary (Drug List) (Spanish)

Maryland Advantage Formulary (Drug List)

Maryland Community Formulary (Drug List)

Missouri Advantage Formulary (Drug List)

Missouri Community Formulary (Drug List)

North Carolina Advantage Formulary (Drug List)

North Carolina Community Formulary (Drug List)

Pennsylvania Advantage Formulary (Drug List)

Pennsylvania Community Formulary (Drug List)

Texas Advantage Formulary (Drug List)

Texas Advantage Formulary (Drug List) (Spanish)