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Pharmacy

Our pharmacy services team is committed to serving our members and the physicians who care for them.

Plan Formularies

The following is a list of our formularies. A formulary is a list of prescription drugs that we cover. Prescription drugs on the formulary have been approved by the United States Food and Drug Administration (FDA) are safe and effective. The formulary is regularly reviewed and updated to reflect current medical standards of drug therapy.

Navitus Health Solutions

Navitus Health Solutions manages our prescription drug benefits. By Choosing Navitus, we continue our commitment to provide high quality prescription drug coverage to our members at reasonable costs. Navitus passes 100 percent of financial benefits and savings to its clients and their members. Click here to visit the Navitus Health Solutions website. Click here for the Navitus prior authorization request forms.
Please note, Navitus reviews all requests for medications that require prior authorization, This includes Synagis. The link to Navitus Health Solutions will take you to a portal that includes the Synagis form. For more information about Synagis, please see our Provider FAQs at the bottom of the page.
The link to the Synagis form may be found under Provider Forms.

Pharmacy Forms

For commonly used pharmacy forms, click here