Silverscript medicare formulary 2023 - to read this chart. Contact the plan for specific details. Visit Medicare.gov, or call 1-800-MEDICARE (1-800-633-4227) to compare plans or look for a plan that isn’t listed. TTY users can call 1-877-486-2048. Go to page 14 to find out how to get personalized help when choosing a plan. Plan Name Monthly Premium* Annual Deductible Amount You ...

 
 What is the SilverScript Formulary? A formulary is a list of covered drugs selected by SilverScript in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. SilverScript will generally cover the drugs listed in our formulary as long . Jennifer blome husband

Aetna Medicare. SilverScript Choice (PDP). Basic x. $40.70. $505.00 S5601. 006. Aetna Medicare. SilverScript Plus (PDP). Enhanced. $67.90. $0.00 S5601. 007.16.5 million Medicare enrollees are facing premium increases of more than 50%. By clicking "TRY IT", I agree to receive newsletters and promotions from Money and its partners. I ag...SilverScript Choice: $46.59. SilverScript Plus: $103.51. These rates vary depending on where you live. You can enter your specific ZIP code to search for prices using Medicare’s plan finder tool ...Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in New Jersey to help cover your prescription drug costs.Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Florida to help cover your prescription drug costs.Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in New Jersey to help cover your prescription drug costs.Jan 11, 2024 · SilverScript Formulary 2024. A formulary is a master list of prescription drugs that have coverage under a specific policy. You can find the formulary for each plan on SilverScript’s website or when speaking to a licensed Medicare agent to help you make sense of plan details. A Drug List, or Formulary, is a list of prescription drugs covered by your plan. Your plan and a team of health care providers work together in selecting drugs that are needed for …SilverScript Plus (PDP) S5601 - 013 - 0. (3 / 5) SilverScript Plus (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $99.60. Enroll Now. This page features plan details for 2024 SilverScript Plus (PDP) S5601 – 013 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.6 days ago · Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies. By using this search tool, you acknowledge and agree that this search tool and all of the data belongs exclusively to Aetna Inc. and is protected by copyright and other law. This search tool is provided solely for the personal, noncommercial use of current and ... We would like to show you a description here but the site won’t allow us.Formulary Guidance. This page provides important information on prescription drug coverage policies under Medicare, the framework for CMS' review of Medicare prescription drug plan formularies, and instructions concerning formulary file uploads. Click the selection that best matches your informational needs. 2023 Medicare Part D Plan Formulary Information. SilverScript Choice (PDP) (S5601-054-0) Benefit Details. Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Call drug plan for more details. The SilverScript Choice (PDP) (S5601-054-0) Formulary Drugs Starting with the Letter A. 6 days ago · Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies. By using this search tool, you acknowledge and agree that this search tool and all of the data belongs exclusively to Aetna Inc. and is protected by copyright and other law. This search tool is provided solely for the personal, noncommercial use of current and ... Which drugs are covered by ConnectiCare Medicare Advantage plans? Review our Medicare drug list (or formulary) and find other important resources.Dec 1, 2023 · 2023 CIGNA COMPREHENSIVE DRUG LIST (Formulary) HPMS Approved Formulary File Submission ID 00023072, Version Number 24 This formulary was updated on 12/01/2023. For more recent information or other questions, please contact Cigna Customer Service, at 1-800-222-6700 (TTY users should call 711), 8 a.m. – 8 p.m. local time, 7 days a week. Aetna Medicare Rx offered by SilverScript . 2023 Formulary (List of Covered Drugs) 5T Comprehensive+ Formulary. PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. This formulary was updated on 03/20/2023. For more recent information or other questions, pleaseApr 15, 2024 · Review our Medicare Supplement Insurance plans. 87% of Aetna® Medicare Advantage members are in 4-star plans or higher for 2024. Every year, Medicare evaluates plans based on a 5-star rating system. Read the latest press release on our Star Ratings for 2024 and our ongoing commitment to improving health outcomes for members. Dec 1, 2023 · Kaiser Permanente 2023 Defined Standard Comprehensive Formulary • i . What is the Kaiser Permanente Formulary? A formulary is a list of covered drugs selected by Kaiser Permanente in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. We’ll break down the key components, helping you grasp the essentials of SilverScript’s Medicare offerings. 2. Unveiling the Formulary: The inventory of drugs that are covered by a prescription drug plan is referred to as a formulary. SilverScript’s formulary is extensive, covering a wide range of medications.EasyHealth, a startup focused on navigating the Medicare experience, announced a $135 million Series A round on Thursday. EasyHealth has a simple purpose: to help enroll, and follo...SilverScript Choice (PDP) S5601 - 028 - 0. (3 / 5) SilverScript Choice (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $44.10. Enroll Now. This page features plan details for 2024 SilverScript Choice (PDP) S5601 – 028 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024. SilverScript Employer PDP sponsored by State of Delaware (SilverScript) 2023 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary was updated on 08/30/2022. For more recent information or other questions, please Medicare Part D Prescription Drug Plans must include at least two drugs in every drug category. In addition, each Medicare Part D Prescription Drug Plan must: Make sure you have convenient access to retail pharmacies. Have a process to request exceptions to the drug list. Provide useful information to you, such as how drug lists and medication ...Original Medicare (Part A and Part B) offer a lot of coverage including healthcare services and some supplies, but they don’t cover everything. Medicare Supplement Insurance, also ...SilverScript Choice (PDP) S5601 - 028 - 0. (3 / 5) SilverScript Choice (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $44.10. Enroll Now. This page features plan details for 2024 SilverScript Choice (PDP) S5601 – 028 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.SilverScript Formulary 2024. A formulary is a master list of prescription drugs that have coverage under a specific policy. You can find the formulary for each plan on SilverScript’s website or when speaking to a licensed Medicare agent to help you make sense of plan details.Click here to see plans for the current plan year. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the SilverScript Choice (PDP) benefit details. — Medicare Plan ...Aug 23, 2022 · Express Scripts Medicare (PDP) 2023 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT SOME OF THE DRUGS COVERED BY THIS PLAN Formulary ID Number: 23037, v6 . This formulary was updated on 08/23/2022. For more recent information or to price a medication, you can visit us on the Web at express-scripts.com. April 2023 Preferred Drug List The Preferred Drug List, administered by CVS Caremark® on behalf of Siemens, is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name ...The Plus plan had no deductible last year, but in 2024, it’s $200. And for the Choice plan, the deductible has grown to 2024’s maximum that plans are allowed to charge: $545. Here are the 2024 ...We would like to show you a description here but the site won’t allow us.Which drugs are covered by ConnectiCare Medicare Advantage plans? Review our Medicare drug list (or formulary) and find other important resources.January 1, 2023 – December 31, 2023. Y0001_S5601_SB_CLT_2023_M 9449_2536_801. SECTION I – Introduction to Summary of Benefits. SilverScript Employer PDP …In 2023, Aetna Medicare will continue to offer three individual, standalone plans. SilverScript SmartRx (PDP) will be renamed SilverScript SmartSaver (PDP) in 2023 and will feature an average monthly premium of $5.92, along with $10 copays for select insulins at preferred pharmacies.Aetna Medicare Rx offered by SilverScript . 2023 Formulary (List of Covered Drugs) 5T Comprehensive+ Formulary. PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. This formulary was updated on 03/20/2023. For more recent information or other questions, pleaseFormulary ID Number: 24237, v7 . This formulary was updated on 08/24/2023. For more recent information or to price a medication, you can visit us on the Web at . express-scripts.com. Or you can contact . Express Scripts Medicare ® (PDP) Customer Service at the numbers located on the back of your member ID card. …13 Nov 2023 ... the drug from our formulary and provide notice to members who take the drug.​ ... coverage of the drug during the 2023 ... Medicare at​. 1-800 ...You may opt out any time. There is no obligation to enroll. We’re here to help. 1-833-771-2490 (TTY: 711) 8 AM to 8 PM, Monday to Friday. A licensed agent will answer your call. No obligation to enroll. Call us today.21 Nov 2023 ... We must follow Medicare rules in making these changes. Changes that can affect you this year: In the cases below, you will be affected by ...SilverScript SmartSaver (PDP) (S5601-187-0) Benefit Details. Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Call drug plan for more details. The SilverScript SmartSaver (PDP) (S5601-187-0) Formulary Drugs Starting with the Letter A. in CMS PDP Region 12 which includes: AL TN.How Part D works with other insurance. Learn about how Medicare Part D (drug coverage) works with other coverage, like employer or union health coverage. Part D (Medicare drug coverage) helps cover cost of prescription drugs, may …TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the SilverScript Plus (PDP) benefit details. — Medicare Plan Features —. Monthly Premium: $67.90 (see Plan Premium Details below) Annual Deductible: $0.The annual open enrollment period for Medicare runs from Oct. 15 through Dec. 7, and millions of Americans age of 65 or older will sign up for the first time... Get top content in ...This document includes a list of the drugs (formulary) for our plan, which is current as of March 20, 2023. For an updated formulary, please contact us. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages.The SilverScript SmartSaver (PDP)’s Initial Coverage Limit is $4,660. When this limit is reached, you exit the Initial Coverage Phase and enter the Coverage Gap (or Donut Hole). The Coverage Gap, which is also known as the Donut (Doughnut) Hole is the phase of your Medicare Part D plan where you are responsible for 100% of your medication costs. January 1, 2023 – December 31, 2023 How Medicare Part D Stages Work The standard Medicare Part D plan has four stages or benefit levels. Below is information on how these stages work in 2023. Stage Standard Medicare Part D Plan SilverScript with your additional coverage provided by Consolidated Edison This is what you pay Deductible $505 $150.00 January 2023. 2023 EMPIRE PLAN ... • You will be responsible for the full cost of non-formulary products • Generics should be considered the first line of prescribing. that are excluded from coverage unless a request for a • This drug list represents a summary of prescription coverage.The latest formulary, formulary updates, step therapy criteria, pa criteria. Skip to main content. Main Navigation. ... 2/19/2023. Last Updated: 2/28/2023. ... You are leaving our website and going to a non Medicare-Medicaid Plan website. If you do not intend to leave our site, please click Close.Plan (SilverScript) 2023 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary was updated on 08/30/2022. For more recent information or other questions, please ... covered under Medicare Part D. Payments made for these …SilverScript Choice (PDP) S5601 - 020 - 0. (3 / 5) SilverScript Choice (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $52.60. Enroll Now. This page features plan details for 2024 SilverScript Choice (PDP) S5601 – 020 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.Review our Medicare Supplement Insurance plans. 87% of Aetna® Medicare Advantage members are in 4-star plans or higher for 2024. Every year, Medicare evaluates plans based on a 5-star rating system. Read the latest press release on our Star Ratings for 2024 and our ongoing commitment to improving health outcomes for members.SilverScript Choice (PDP) S5601 - 034 - 0. (3 / 5) SilverScript Choice (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $39.40. Enroll Now. This page features plan details for 2024 SilverScript Choice (PDP) S5601 – 034 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.This formulary was updated on 12/01/2023. For more recent information or other questions, please contact Cigna Customer Service, at 1-800-222-6700 (TTY users should call 711), 8 a.m. – 8 p.m. local time, 7 days a week. ... must follow Medicare rules in making these changes. Changes that can affect you this year. In the below cases,2023 Medicare Part D Plan Formulary Information. SilverScript Plus (PDP) (S5601-031-0) Benefit Details. Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Call drug plan for more details. The SilverScript Plus (PDP) (S5601-031-0) Formulary Drugs Starting with the Letter A. Ohio. Plan ID: S5601 - 028 - 0 Click to see other plans. Member Services: 1-866-235-5660 TTY users 711. — This plan information is for research purposes only. Click here to see plans for the current plan year. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. %PDF-1.4 %âãÏÓ 6 0 obj /Type/XObject /Subtype/Form /FormType 1 /BBox [139.63307 666.6572 364.34693 687.43106] /Matrix [1 0 0 1 0 0] /Resources /ProcSet 1 0 R ...You may search the South Country Health Alliance Part D 2023 Drug Formulary in several ways: ... If you have questions about your prescription drug coverage, ...Browse the 2023 SilverScript Choice (PDP) CO Plan Formulary (Drug List) Plan Archives. 2023 Medicare Part D Archive. Browse Any 2023 Medicare Plan Formulary (Drug List) … We would like to show you a description here but the site won’t allow us. 2023 Medicare Part D Plan Formulary Information. SilverScript Plus (PDP) (S5601-031-0) Benefit Details. Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Call drug plan for more details. The SilverScript Plus (PDP) (S5601-031-0) Formulary Drugs Starting with the Letter A.How Part D works with other insurance. Learn about how Medicare Part D (drug coverage) works with other coverage, like employer or union health coverage. Part D (Medicare drug coverage) helps cover cost of prescription drugs, may …The SilverScript PDP sponsored by NALC Health Benefit Plan combines Medicare Part D prescription drug coverage with additional coverage provided by the NALC ...Call us. Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Pennsylvania to help cover your prescription drug costs.2023 Medicare Part D Plan Formulary Information. SilverScript Plus (PDP) (S5601-031-0) Benefit Details. Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Call drug plan for more details. The SilverScript Plus (PDP) (S5601-031-0) Formulary Drugs Starting with the Letter A.Nov 14, 2023 · HealthChoice SilverScript Medicare Supplement (SilverScript Plans Only) A transition supply of drugs is made available to provide time for you to change to a formulary drug or request a prior authorization. Up to a 90-day supply is available when: You enroll in a Medicare supplement plan. Your drug is no longer covered. Caremark.com is our secure member website where you can: Find pricing for your drugs. View possible Rx savings options. Sign up for Rx mail delivery. Manage prescriptions and view order status. Go paperless. Go to Caremark.com. Get all the information you need about Medicare Part D enrollment. SilverScript experts can help …Original Medicare (Part A and Part B) offer a lot of coverage including healthcare services and some supplies, but they don’t cover everything. Medicare Supplement Insurance, also ... How Part D works with other insurance. Learn about how Medicare Part D (drug coverage) works with other coverage, like employer or union health coverage. Part D (Medicare drug coverage) helps cover cost of prescription drugs, may lower your costs and protect against higher costs. Jan. 1, 2023 – Dec. 31, 2023. 2023 TRS-Care participants with Medicare have prescription drug coverage through SilverScript, an affiliate of CVS Caremark®. The plan is called TRS-Care Medicare Rx, an employer prescription drug plan (PDP) sponsored by TRS. The term “participant” in these materials includes Medicare-eligible people covered ...The federal Railroad Retirement Board oversees railroad disability and retirement annuities for railroad industry employees. Although railroad employees do not receive Social Secur...SilverScript will send you a list of prescription drugs selected by SilverScript and covered under the Medicare Part D portion of the plan. This list of drugs is called a Formulary .The annual open enrollment period for Medicare runs from Oct. 15 through Dec. 7, and millions of Americans age of 65 or older will sign up for the first time... Get top content in ...Choice PDP. The monthly premium is $33.60. Potentially, the premium could be as low as $0 if you qualify for Extra Help. The Choice PDP option offers a $505 deductible and $2 copays for Tier 1 medications. Covered insulins will be no more than $35 for a month’s supply. Ohio. Plan ID: S5601 - 028 - 0 Click to see other plans. Member Services: 1-866-235-5660 TTY users 711. — This plan information is for research purposes only. Click here to see plans for the current plan year. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. April 2023 Preferred Drug List The Preferred Drug List, administered by CVS Caremark® on behalf of Siemens, is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name ...... Medicare Part D drug ... 2023 SilverScript Summary of Prescription Drug Benefits for ... To find out if your drug is on the formulary (list of Part D prescription ...SilverScript Choice (PDP) S5601 - 020 - 0. (3 / 5) SilverScript Choice (PDP) is a Medicare Part D Prescription Drug Plan by Aetna Medicare. Premium: $52.60. Enroll Now. This page features plan details for 2024 SilverScript Choice (PDP) S5601 – 020 – 0. IMPORTANT: This page has been updated with plan and premium data for 2024.The major differences between Medicare Part A and Medicare Part B are the covered services each part of the program provides. Medicare Part A is hospital insurance; Part B is medic...REQUEST FOR MEDICARE PRESCRIPTION DRUG COVERAGE DETERMINATION (Cont'd). Supporting Information for an Exception Request or Prior Authorization. FORMULARY and ...Jan 11, 2024 · SilverScript Formulary 2024. A formulary is a master list of prescription drugs that have coverage under a specific policy. You can find the formulary for each plan on SilverScript’s website or when speaking to a licensed Medicare agent to help you make sense of plan details. Call a licensed agent at 1-855-335-1407 , Let us help you find pharmacies that participate in your Aetna Medicare plan. Use a network pharmacy near you to save more.* For 2023, this plan participates in the Part D Senior Savings Model. You will pay a maximum of $35 for each 1-month supply of Part D select insulin drug through all coverage stages. In addition, your plan has added coverage of some prescription drugs that are not normally covered under Medicare Part D.Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716.You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., …... Medicare Part D or MAPD plan Evidence of Coverage. ... The Part D Formulary posted on this web-page includes a list of Select Generic drugs. ... Medicare Part D or ...SilverScript Choice: $46.59. SilverScript Plus: $103.51. These rates vary depending on where you live. You can enter your specific ZIP code to search for prices using Medicare’s plan finder tool ...

Original Medicare (Part A and Part B) offer a lot of coverage including healthcare services and some supplies, but they don’t cover everything. Medicare Supplement Insurance, also .... Fifth third bank alpharetta

silverscript medicare formulary 2023

Expedited medical exceptions. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. To submit a request, call our Precertification Department at 1-855-582-2025 (TTY: 711), or fax a request to 1-855-330-1716.You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., …January 2023. 2023 EMPIRE PLAN ... • You will be responsible for the full cost of non-formulary products • Generics should be considered the first line of prescribing. that are excluded from coverage unless a request for a • This drug list represents a summary of prescription coverage.Refer to the HealthChoice SilverScript Medicare Formulary. 3. Limited availability. Certain drugs are subject to limited availability (LA) and can be purchased only at certain pharmacies. For more information, contact the pharmacy benefit manager toll-free at 866-275-5253. TTY users call 711. ... 2023. Back to TopMedicare Part B premiums are dropping by 3% — or $5.20 — for 2023, equaling savings for millions. It's the first decrease in over a decade. By clicking "TRY IT", I agree to receive... When comparing SilverScript Medicare Part D drug plans online, you will want to take time to review the plan formulary. If you are already enrolled in a SilverScript plan, you should check your plan’s formulary each year, as it can change; your SilverScript formulary in 2023 may differ from the formulary in 2024. SilverScript Employer PDP sponsored by STRS Ohio (SilverScript) 2024 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary was updated on 08/16/2023. For more recent information or other questions, please contact Customer Care at 1-800-756-6859, 24 hours a day, 7 ...Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies. By using this search tool, you acknowledge and agree that this search tool and all of the data belongs exclusively to Aetna Inc. and is protected by copyright and other law. This search tool is provided solely for the personal, noncommercial use of current and ...Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Medicare Part D FAQs. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Maryland to help cover your prescription drug costs.Talk to a licensed agent at 1-855-335-1407 (TTY: 711) Monday to Friday, 8 AM to 8 PM. Find the answers to common questions about prescription drug coverage. View FAQs. Find a Medicare Part D plan in Texas to …The Aetna SilverScript Medicare formulary is a list of prescription drugs covered by the plan. Find copies of each SilverScript Medicare Part D (PDP) formulary, and explore your Aetna Medicare drug coverage options.Oct 1, 2023 · Some drugs have coverage rules you need to follow. These include: You or your doctor needs approval from us before we cover the drug. For certain drugs, there’s a limit on the amount of it you can fill within a certain timeframe. For example, 60 tablets per 30-day prescription. We require you to try another drug first before we cover your drug. You can: Enter the first 3 letters of a medicine name to check coverage. Find pricing for store pickup or through mail order. Get suggestions for generic drugs that can help you save. There’s more, including medicine support, refill alerts and safety information. To find it all, look for “Prescriptions” once you’re logged in. SilverScript Employer PDP sponsored by Cleveland Clinic Retiree Plan (SilverScript) 2023 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN This formulary was updated on 08/30/2022. For more recent information or other questions, please .

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