Drug Formularies

• Individual and Small Group Formulary
• Individual and Small Group - *Quick Reference List
• Large Group Formulary
• Large Group - *Quick Reference List
• Drug Prior Authorization List
• Drug Exception to Coverage Request
• Maintenance Drug List

*Quick Reference List (QRL) is a list of the 200 most commonly filled prescriptions and not a complete listing. For a complete listing, please refer to the formulary.