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Members

Formulary

Commercial Plans

Medicaid

Absolute Total Care
- Absolute Total Care - Preferred Drug List (PDF)
- Absolute Total Care - Preferred Drug List (JSON)
Arizona Complete Health
- Arizona Complete Health - Integrated Preferred Drug List - English (PDF)
- Arizona Complete Health - Integrated Preferred Drug List - Spanish (PDF)
- Arizona Complete Health - Integrated Preferred Drug List (JSON)
- Arizona Complete Health - Behavioral Health Preferred Drug List - English (PDF)
- Arizona Complete Health - Behavioral Health Preferred Drug List - Spanish (PDF)
- Arizona Complete Health - Behavioral Health Preferred Drug List (JSON)
Buckeye Health Plan
- Buckeye Health Plan - Preferred Drug List (PDF)
- Buckeye Health Plan - Preferred Drug List (JSON)
- Buckeye Health Plan - MyCare Ohio (MMP) - Preferred Drug List (PDF)
- Buckeye Health Plan - MyCare Ohio (MMP) - Preferred Drug List (JSON)
California Health & Wellness
- California Health & Wellness - Member Preferred Drug List - English (PDF)
- California Health & Wellness - Member Preferred Drug List - Spanish (PDF)
- California Health & Wellness - Preferred Drug List (JSON)
Coordinated Care (Apple Health)
- Coordinated Care (Apple Health) - Preferred Drug List (PDF)
- Coordinated Care (Apple Health) - Preferred Drug List (JSON)
Health Net
- Health Net Medi-Cal – Preferred Drug List (PDF)
- Health Net Medi-Cal – Preferred Drug List (JSON)
- Health Net CalViva Health – Preferred Drug List (PDF)
- Health Net CalViva Health - Preferred Drug List (JSON)
IlliniCare Health
- IlliniCare Health - Preferred Drug List (PDF)
- IlliniCare Health - Preferred Drug List (JSON)
Louisiana Healthcare Connections
- Louisiana Healthcare Connections - Preferred Drug List
Magnolia Health Plan
- Magnolia Health Plan - Preferred Drug List
Managed Health Services - Indiana
- MHS - Preferred Drug List (PDF)
- MHS - Preferred Drug List (JSON)
- MHS - Preferred Drug List - HIP Plus (PDF)
- MHS - Preferred Drug List - HIP Plus (JSON)
Nebraska Total Care
- Nebraska Total Care - Preferred Drug List - English (PDF)
- Nebraska Total Care - Preferred Drug List - Spanish (PDF)
- Nebraska Total Care - Preferred Drug List (JSON)
- Nebraska Total Care - State Preferred Drug List (PDF)
- Nebraska Total Care - Preferred Drug List - Claim Limitations (PDF)
New Hampshire Healthy Families
- New Hampshire Healthy Families - Preferred Drug List (PDF)
- New Hampshire Healthy Families - Preferred Drug List (JSON)
NextLevel Health
- NextLevel Health - Preferred Drug List (PDF)
- NextLevel Health - Preferred Drug List (JSON)
Ohio State Unified
- Ohio State Unified - Preferred Drug List
Peach State Health Plan
- Peach State Health Plan - Medicaid Preferred Drug List (PDF)
- Peach State Health Plan - Medicaid Preferred Drug List (JSON)
- Peach State Health Plan - Inter-Pregnancy Care - Preferred Drug List (PDF)
- Peach State Health Plan - Family Planning - Preferred Drug List (PDF)
- Peach State Health Plan - Family Planning - Preferred Drug List (JSON)
Pennsylvania Health & Wellness
- Pennsylvania Health & Wellness - Preferred Drug List (PDF)
- Pennsylvania Health & Wellness - Preferred Drug List (JSON)
SilverSummit Healthplan
- SilverSummit Healthplan - Preferred Drug List (PDF)
- SilverSummit Healthplan - Preferred Drug List (JSON)
Sunflower State Health Plan
- Sunflower State Health Plan - Preferred Drug List
Sunshine Health Plan
- Sunshine Health Plan - Preferred Drug List
- Sunshine Healthy Kids - Preferred Drug List (PDF)
- Sunshine Health Plan Preferred Diabetic Products
Superior HealthPlan
- Superior Health Plan - Preferred Drug List
Trillium Community Health Plan
- Trillium Community Health Plan - Preferred Drug List (PDF)
- Trillium Community Health Plan - Preferred Drug List (JSON)
Western Sky Community Care
- Western Sky Community Care - Preferred Drug List (PDF)
- Western Sky Community Care - Preferred Drug List (JSON)