Pharmacy

For a list of the most Common Drugs Requiring Preauthorization, please reference our Preferred Drug List.

For a complete list, please reference our Complete Formulary

These exclusions are in addition to those listed on the Complete Formulary above

Important Points to Remember:

• The printed version may not contain the most current formulary information
• Medications requiring prior authorization are shaded on the formulary
• Some over-the-counter drugs are covered by the drug plan
• Providers and pharmacies can contact the following number for prescription assistance: 844.825.9319.

For Updates and Assistance:

• If you need further assistance, please contact:
• Benefit coverage questions may be directed to Health Tradition Customer Service toll-free at  844.825.9319.
• Prior authorization questions may be directed to MedImpact at 888-728-5057.