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Database Last Updated May 01, 2018 4:28:22 PM
Disclaimer: Only the most commonly prescribed medications are listed on the formulary for reference purposes. The formulary is not all inclusive and does not guarantee coverage of any medication.

Getting Started

Overview

amoxicillin A drug listed in green with a check indicates that the generic is available.

Tier Descriptions

0
Free
1
Generic
2
Preferred Brand
3
Non-Preferred Brand
4
Preferred Specialty
5
Non-Preferred Specialty

ST
An orange box with ST indicates the drug is part of a Step Therapy Program.

PA
A red box with PA indiciates that the drug requires prior authorization.

DM
A blue box with DM indicates the drug is part of the Disease Management Medication Discount List.

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