All of our plans include prescription drug coverage. Provider Partners Health Plans formularies list the 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 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)
Indiana Advantage Formulary (Drug List)
Indiana Community Formulary (Drug List)
Indiana Essential Formulary (Drug List)
Maryland Advantage Formulary (Drug List)
Maryland Community Formulary (Drug List)
Maryland Essential Formulary (Drug List)
Missouri Advantage Formulary (Drug List)
Missouri Community Formulary (Drug List)
Missouri Essential Formulary (Drug List)
North Carolina Advantage Formulary (Drug List)
North Carolina Community Formulary (Drug List)
North Carolina Essential Formulary (Drug List)
Pennsylvania Advantage Formulary (Drug List)
Pennsylvania Community Formulary (Drug List)
Pennsylvania Essential Formulary (Drug List)
Page Last Updated: 10/4/2024