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By Therapeutic Class

2025 PREFERREDRX

What is the PreferredRx drug list?

This is the list of medicines (a drug list sometimes also called a formulary) covered by your health plan. The drug list is reviewed by a team of clinical experts every three months for new medicines, safety alerts and other developments.
Note: The PreferredRx formulary may not be covered under your health plan. Please log on for personalized drug list information.

You can also print the Complete list of the 2025 PreferredRx drug list (PDF).

Product Lists

The following files require Adobe Acrobat. Download Adobe Acrobat

  • Diabetic supplies list (PDF)
  • Excluded drug list (PDF)
  • Specialty drug list (PDF)
  • HSA Preventive drug list - Basic (PDF)
  • HSA Preventive drug list - Enhanced (PDF)
  • How to Search For Drugs

    • Search by typing the first part of the generic (chemical) and brand (trade) names.
    • Search by selecting the therapeutic class of the medication you are looking for.

    How to Request an Exception

    You can ask us to make an exception to our coverage rules. There are several types of exceptions that you can ask us to make:
  • You can ask us to cover your drug even if it is not on our formulary.
  • You can ask us to waive coverage restrictions or limits on your drug.
  • You can ask us to provide a higher level of coverage for your drug.
  • You should contact us to ask us for an initial coverage decision for a formulary, tiering or utilization restriction exception. When you are requesting a formulary, tiering or utilization restriction exception you should submit a statement from your physician supporting your request. Generally, we must make our decision within 72 hours of getting your prescribing physician’s supporting statement. You can request an expedited (fast) exception if you or your doctor believe that your health could be seriously harmed by waiting up to 72 hours for a decision. If your request to expedite is granted, we must give you a decision no later than 72 hours after we get your prescribing physician’s supporting statement.

    Legend

    TIERING
    • F$
      - Formulary Low Cost Generics
    • F$$
      - Formulary High Cost Generics
    • F$$$
      - Formulary Brands
    • C
      - Covered
    • NC
      - Not Covered
    • X
      - Excluded
    • MED
      - Medical
    • NF
      - Non-Formulary