The Health Tradition Formulary
Prescription drugs covered by your plan
Prescription drugs covered by your health plan are listed in the Health Tradition Formulary. These are drugs selected for their proven effectiveness, safety and reasonable cost. The formulary is actively managed by Mayo Clinic, and is updated throughout the year to incorporate the latest research, respond to price changes and shortages faster and add newer, more effective drugs sooner. Health Tradition reserves the right to change the formulary at any time. Over-the-counter drugs are not covered by your health plan.
See the Health Tradition Formulary
Additional drugs may be covered
Health Tradition has an open formulary, which allows non-formulary drugs to be covered. If a drug is not on the formulary or isn’t covered under your plan, you may be responsible for the larger non-formulary copayment or the entire cost of the medication, depending on your plan. Please review your Summary of Benefits and Coverage or call Customer Service.
Certain medications require prior authorization
Medications requiring prior authorization are highlighted in the Health Tradition Formulary. You may also call Customer Service at 877-832-1823 to ask if a medication requires prior authorization. Practitioners are responsible for submitting prior authorizations.
For prescriptions requiring prior authorization, the standard authorization time is 72 business hours. Expedited reviews will be processed in 24 hours. When documentation of prior use is provided, a drug which requires prior authorization would be approved as continuation of therapy.