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Medications can play an important role in maintaining your health.  Check out what's covered, ways to lower costs, how to fill prescriptions and more.

If you are currently taking medications that are no longer on the formulary, you will receive automatic continuity of care and you will be able to continue to take your current medications until May 1, 2022. This gives you time to speak to your doctor, decide whether to switch medications and/or complete the exception process, if needed.

See if your medications are covered

Using the Prescription Drug List (PDL) is the easiest way to find out which prescription drugs are covered in a plan. PDL changes happen frequently, so be sure to check it often to ensure you have the most updated information.

Important: Please refer to your plan documents to find out the PDL available with your pharmacy benefit.

Tier 1

Lowest Cost

Mostly generic and some name-brand medications.

Tier 2

Mid-range Cost

A mix of brand-name and generic medications.

Tier 3

Higher Cost

A mix of brand-name and generic medications.

Tier 4

Highest Cost

Mostly brand-name drugs, as well as some generic medications.

The Prescription Drug List (PDL) takes medications and places them into tiers, arranging them from lowest to highest cost.

Search the Prescription Drug List (PDL) associated with your pharmacy benefits from the links below. 

Advantage 3-Tier

Advantage 4-Tier


Certain medications may be excluded from coverage or subject to prior authorization. You may need to switch to another option. You will need to take the following actions before your medication will be covered:

  • Notification or Prior Authorization: Your doctor will need to provide more information for us to decide coverage.
  • Step Therapy (ST): A lower-cost medication will need to be tried before a higher-cost medication is covered.

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