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Home|Providers|Formularies

Formularies

The Presbyterian pharmacy benefit is an essential element in providing patients and members the medication they need while appropriately managing costs. Formularies include both brand name and generic medications that are commonly prescribed. Refer to our provider formularies to see if the drug you are prescribing is covered by the member’s plan.

Commercial Small and Large Group Plan Formularies

Information about prescription drug plans and a list of medications available to members in our small and large employer group plans who have prescription drug coverage provided by Presbyterian Health Plan.

Health Insurance Exchange Metal Level Plan Formularies

Information about prescription drug plans and a list of medications available to members on our individual and family plans or on a small employer group (1-50 employees) plans. (Applies to both on and off exchange plans.)

Medicare Advantage Formularies and Formulary Updates

List of drugs approved by the Centers for Medicare and Medicaid Services (CMS) — that are covered by Presbyterian’s Medicare Advantage prescription drug plans.

Centennial Care Formularies

Information about prescription drug plans and a list of medications available to members on our Centennial Care plan.

Supplement Formulary Information