This document contains information about the drugs we cover in this plan hpms approved formulary file submission id 17488, version number 20 this formulary was updated on 1024 2017. This document contains information about some of the drugs we cover in this plan hpms approved formulary file 00017383, version 11 this abridged formulary was updated on 12012016. This document contains information about the drugs we cover in this plan 00017086, 11 this formulary was updated on 1001 2017 for more recent information or other questions, please contact member. For more recent information or other questions, please contact wellcare at the telephone number listed on the inside front and back. For more recent information or other questions, please contact cignahealthspring customer service, at 180066838. Ga, sc wellcare choice hmo, wellcare essential hmopos wellcare value hmo please read. An important part of the formulary is giving you choices so you and your doctor can choose the best course of treatment for you. Wellcare health plans plans in the following states. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. Express scripts medicare pdp 2017 formulary list of. This document contains information about the drugs we cover in this plan hpms approved formulary file submission id 17488, version number 16 this formulary was updated on 0627 2017. For more recent information or other questions, please contact blue medicare rx customer services, at. Access to the latest edition of bnf is vital for healthcare professionals. This do cument co nt ains inform atio n about the drug s we cov er in this plan formulary id 00017111, version 14 this formulary was updated on 1001 2017.
It represents an abbreviated version of the drug list formulary that is at the core of your prescriptiondrug benefit plan. Health alliance medicare hmo and hmopos 2017 formulary. Download bnf 73 british national formulary march 2017 pdf free. Formulary this drug list was updated on november 1, 2017. This document contains information about the drugs we cover in this plan this formulary was updated on 1001 2017. A age imit ql uait imit st step therapy pa prior authorization g gender imitation ms mandator specialty therapeutic indication drug name bgi tier comment azelasfluticasonesod chlorid ticalast b 3. For more recent information or other questions, please contact health alliance medicare hmo, hmopos and pdp member services at 18009654022 or, for tty users, 711, monday through friday, 8 a. Customer service, at 18665979560 or, for tty users, 711, 8. This document includes a list of the drugs formulary for our plan, which is current as of october 19, 2017. This document contains information about the drugs we cover in this plan this formulary was updated on 0426 2017.
For more recent information or other questions, please contact texanplus hmo at 186623025 or, for tty users, 711, 8. This is not a complete list of drugs covered by our plan. This document contains information about the drugs we cover in this plan this formulary was updated on october 24, 2017. For more recent information or other questions, please contact. The formulary, pharmacy network, andor provider network may change at any time. For a complete listing or other questions, please contact cignahealthspring rx customer service. Bnf 73 march 2017 is the authoritative guide to prescribing, dispensing and administering medicines for all healthcare professionals.
The enclosed formulary is current as of january 1, 2017. For more recent information or other questions, please contact essence healthcare, inc. Benefits, formulary, pharmacy network, andor copaymentscoinsurance may change on. For more recent information or other questions, please contact teamstar medicare part d pdp customer service at 1. Product is mandated through acaria msppaql 4 analgesics antiinflammatory specialty pharmacy acticlate tab nc tetracyclines actigall cap 3 gastrointestinal agents misc. For more recent information or other questions, please contact peoples health member services at 18002228600 or. Prescription drug formulary coxhealth medicareplus.
For more recent information or other questions, please contact the number for your kaiser permanente region listed below, seven days a. Differentiation syndrome associated with treatment of. For more recent information or other questions, please contact fhcps member services, at 18776154022 or, for tty users, trs relay 711. This document contains information about the drugs we cover in this plan this formulary was updated on 090116. For more recent information or if you have other questions, please call unitedhealthcare group medicare advantage customer service at. When it refers to plan or our plan, it means health alliance medicare hmo and hmopos. Stanford health care advantage 2017 formulary list of covered drugs please read.
This do cument co nt ains inform ation about the drug s we cov er in this plan formulary id 00017112, version 8 this formulary was updated on 0401 2017. Independent health reserves the right to change the duration of an approved prior authorization through the medical exception process. This document contains information about the drugs we cover in this plan this formulary was updated on 0725 2017. The nova scotia formulary details which drugs and supplies are benefits under the nova scotia seniors pharmacare program, family pharmacare program, diabetes assistance program, community services pharmacare programs and drug assistance for cancer patients. Download bnf 73 british national formulary march 2017. Stanford health care advantage 2017 formulary list of. Renal angiomyolipoma with tuberous sclerosis complex. Documented presence of tuberous sclerosis and renal angiomyolipomas greater than or equal to 3 cm in longest diameter. Now we have more reason to be proud even the news coverage is a recognition of our approach. This document includes a list of the drugs formulary for our plan which is current as of november 1, 2017.
Nondiscrimination notification molina healthcare 1 5941240mp0417 molina healthcare molina complies with all federal civil rights laws that relate to healthcare services. When this drug list formulary refers to we, us, or our, it means health alliance plan of michigan. For more recent information or other questions, please contact silverscript customer care at 18663292088, 24 hours a day, 7 days a week. When this drug list formulary refers to we, us or our, it means health alliance medicare. You must generally use network pharmacies to use your prescription drug benefit. When this drug list formulary refers to we, us or our, it means wellcare ohana. When it refers to plan or our plan, it means hap senior plus. A formulary identifies the drugs available for certain conditions and organizes them into cost levels, also known as tiers. This document contains information about the drugs we cover in this plan. Other types of formulary changes, such as removing a drug. For example, among the hyperinflationary drugs that will be removed in 2017 is alcortin a external gel by novum pharmaceuticals which saw a price inflation of 2856. To get updated information about the drugs covered by tufts medicare. Comprehensive formulary 2017 list of covered drugs this document contains information about the drugs we cover in this plan indiana university health plans medicare choice hmopos indiana university health plans medicare select plus hmo 950 n.
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