Prior authorization, enhanced prior authorization (step therapy), quantity level limits, and specialty medication lists

Learn how to use your Rx benefits, and see which drugs have certain requirements for coverage by choosing the name of your formulary (list of covered drugs) from the list on the right.

Formulary requirements - Individual

If you’re uncertain which formulary applies to you, please check your plan documents, or call the Member Services number on the back of your member ID card.

Prescription drugs with requirements for coverage

CHIP January 2022 update

Value January 2022 update