Drug Name Search
Important Note: The drug search may not show if the drug you are looking for requires a prior authorization. Please click on the link to the Formulary PDF (Commercial Formulary) in the 2024 Small Group ACA section on this page to search for your drug. Once the PDF document opens on your device, click on the magnifying glass icon in the upper right of the document to type in the name of the drug you are looking for. You can use the up and down arrows in the search to move to all of the results for that drug within the document.
By Therapeutic Class
- A
- ANTI - INFECTIVES
- ANTINEOPLASTIC / IMMUNOSUPPRESSANT DRUGS
- AUTONOMIC / CNS DRUGS, NEUROLOGY / PSYCH
- C
- CARDIOVASCULAR, HYPERTENSION / LIPIDS
- D
- DERMATOLOGICALS/TOPICAL THERAPY
- DIAGNOSTICS / MISCELLANEOUS AGENTS
- E
- EAR, NOSE / THROAT MEDICATIONS
- ENDOCRINE/DIABETES
- G
- GASTROENTEROLOGY
- I
- IMMUNOLOGY, VACCINES / BIOTECHNOLOGY
- M
- MUSCULOSKELETAL / RHEUMATOLOGY
- O
- OBSTETRICS / GYNECOLOGY
- OPHTHALMOLOGY
- ANTIBIOTICS
- ANTIVIRALS
- BETA-BLOCKERS
- CHOLINESTERASE INHIBITOR MIOTICS
- CYCLOPLEGIC MYDRIATICS
- DIRECT ACTING MIOTICS
- MISCELLANEOUS OPHTHALMOLOGICS
- NON-STEROIDAL ANTI-INFLAMMATORY AGENTS
- ORAL DRUGS FOR GLAUCOMA
- OTHER GLAUCOMA DRUGS
- STEROID-ANTIBIOTIC COMBINATIONS
- STEROID-SULFONAMIDE COMBINATIONS
- STEROIDS
- SULFONAMIDES
- SYMPATHOMIMETICS
- VASOCONSTRICTOR DECONGESTANTS
- R
- RESPIRATORY AND ALLERGY
- U
- UROLOGICALS
- UNCATEGORIZED
- V
- VITAMINS, HEMATINICS / ELECTROLYTES
2024 Small Group ACA
Welcome
We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.
What is a Formulary?
A formulary is a list of covered drugs which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.
Printable Files
The following files require Adobe Acrobat. Download Adobe Acrobat
How to Search For Drugs
- Use the alphabetical list to search by the first letter of your medication.
- Search by typing 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 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.