Prescription Drug List. July 1, 2020 Premium Formulary Exclusions & Preferred Specialty Prior Authorization Requirements (M) Co-branded product 1 Existing utilizers of these medications will be allowed to continue on therapy.Grandfathering will not be providedfor any other excluded drugs.

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endstream endobj startxref 2 Special coverage for preventive medications The drugs on your plan’s preventive medications list do not have a deductible. The drugs on your plan’s preventive medications list do not have a deductible. This PDL applies to members of our

Your 2020 Formulary For the most current list of covered medications or if you have questions: ... To create the list, OptumRx ... For more information regarding the tiers and designations in this drug list, please see the Reading your formulary section of this booklet. on your plan.

This means you’ll pay your copayment/coinsurance or nothing at all, depending on your plan. No Results Found, Please try again. You’ll pay your copayment/coinsurance or nothing at all, depending on your plan. It can save you money and get the medications you need to help you live a healthier life. This means you’ll pay your coinsurance or nothing at all. Your 2020 Prescription Drug List Advantage 4-Tier Effective Jan. 1, 2020 This Prescription Drug List (PDL) is accurate as of Jan. 1, 2020 and is subject to change after this date. 2801 0 obj <>/Filter/FlateDecode/ID[<9401C76073E2C14DA875372D058CB265><7C50AA719ADCAB41A88533C90B88026E>]/Index[2781 35]/Info 2780 0 R/Length 94/Prev 118440/Root 2782 0 R/Size 2816/Type/XRef/W[1 2 1]>>stream 2020 Preventive Medication List for Consumer Driven Health Plans Expanded List CDH preventive drug lists may also be used with non-CDH plans Effective September 1, 2020 This is a list of Preventive Medications that may be covered under your plan. Visit your plan’s website on your member ID card to: • Find a participating retail pharmacy by ZIP code. This group of doctors, nurses, and pharmacists reviews which medications will be covered, how well the drugs work, and overall value. 2815 0 obj <>stream formulary which tells you what medications your plan covers. 2020 Preventive medications and your plan Managing your health with preventive medications Your pharmacy benefit plan includes special coverage for preventive . If your plan covers these Preventive Medications, your insurance benefit is applied before you meet your deductible. generic preventive medications do not. Please note that most medications on the formulary have a deductible, but . h�bbd``b`[�?�`��5��r BDȀq�"l@J��X�@�V$�@J�f � @���h�e`b�����H.����� �8E Please enter a full or partial drug name to search. 2020 Preventive medications and your plan Special coverage for preventive medications Drugs on your plan’s list of preventive medications are not subject to a deductible. medications.

This means you’ll pay your copayment/coinsurance or nothing at all, depending . The next anticipated update will be July 1, 2020. So you can save money and get the medications you need to help you live a healthier life. so you can discuss them with your doctor. %PDF-1.7 %���� �����YS0��� � � In this drug list, brand-name medications are shown in UPPERCASE (for example, LANOXIN) and generic medications in lowercase (for example, digoxin). They also make sure there are safe and covered options. Your plan only offers this special coverage for generic drugs on the preventive medications list. It can save you money and get the medications you need to help you live a healthier life. Preventive medications are a group of products in your plan’s . Please try again later. An exception occurred while searching for this drug. You’ll pay your copayment/coinsurance or nothing at all, depending on your plan. You can also login to . Search the list of FDA-approved drugs and coverage for each by entering a drug name below. OptumRx.com . Print Select a plan.

0 2781 0 obj <> endobj 2020 Preventive medications and your plan Special coverage for preventive medications Drugs on your plan’s list of preventive medications are not subject to a deductible.

Special coverage for preventive medications The drugs on your plan’s preventive medications list do not have a deductible. Drug name. Your 2020 Formulary Effective July 1, 2020 For the most current list of covered medications or if you have questions: Call the number on your member ID card. Drug Name.

It can save you money and get the medications you need to help you live a healthier life. • … A list of Preventive Care Medications can be found on pages 1-4 of this document . Special coverage for preventive medications. The drugs on your plan’s preventive medications list do not have a deductible. Page controls. %%EOF 2020 Preventive Drug List Managing your health with preventive medications Your pharmacy benefit plan includes special coverage for generic preventive medications. This means you’ll only need to pay your copay/coinsurance, depending on your plan. Preventive medications are a group of products in your plan’s formulary which

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