Prescription Benefits

Prescription Benefits

Our prescription benefits cover a wide variety of safe & effective drugs. The information below provides more information about our benefits and our prescription drug formulary.

Mail Order Drug List
PDF | 73 KB
Mail Order Drug Exclusion List
Prior Authorization
PDF | 29 KB
Stepped Therapy Drugs List
Quantity Limit List
PDF | 82 KB
Prescription Quantity Limit List
Specialty Drugs
PDF | 450 KB
Specialty Drugs List

Prescription Formulary

The Drug Formulary is the foundation of drug therapy quality improvement and cost containment efforts in managed care organizations. Its purpose is to optimize patient care through rational selection and use of drugs and to ensure quality plus cost-effective prescribing. The drugs included in this formulary support that goal.

Prescription Formulary
2008 Three Tier Prescription Drug List

How to Use the Online Searchable Formulary

Within the company’s formulary, you may search for pharmaceutical products using several different methods.

  • First, searches can be conducted by simply clicking on the appropriate first letter of the drug name under the Alphabetical Search section.
  • Secondly, you may search by drug name using the Brand & Generic Name Search option where products are listed by both brand (trade) and generic (chemical) names. Click in the entry box, type the first few letters (e.g. “Zoc”) or all of the drug name (e.g. “Zocor”), and click the Go button.
  • Or lastly, click on the appropriate drug class (e.g. “Anti-infective Agents”) under the Therapeutic Class Search section.

Online Formulary Search
Enter the online formulary search.

© Copyright 2008 Coventry Health Care