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Prescription Benefits

Please click here for latest updates to your health benefits

Please click here for Covid 19 over the counter test kit information

Please click below for details on prescriptions thru OptumRx

Premium Formulary Exclusion as of January 2023

Premium Formulary Exclusion as of July 2022

Premium Formulary Exclusion as of January 2021

Premium Formulary Exclusion as of July 2020

Premium Formulary Exclusion as of January 2020

Premium Standard formulary booklet

Vigilant drug High cost Generic Exclusion list

Vigilant drug program ME Too Exclusion list

Vigilant drug program Non Essential Medication list

Pharmacists

Covid 19 over the counter test kit Reimbursement

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Prior authorization suboxone

Please review the Summary Plan Description for further information regarding your plan of benefits.

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