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Avoid High Medication Costs
Ask your doctor to choose a drug from this covered list.
Drug Formulary Alphabetical (pdf)
Special 90-Day Drug Formulary (pdf)
$5 |
30-day supply of generic drugs |
$12 |
90-day supply of certain generic drugs* |
$15 |
30-day supply of brand-name drugs that are not available generically |
*90-day formulations and dosages may vary and are at the discretion of the pharmacy.
Search the Formulary
Search Tips
Search on terms that appear in any column. Examples: “diabetes generic”, “cardio 90 day” or “cholestyramine”.
To sort by multiple columns, sort the first column then hold the shift key as you sort the second column.
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