A drug list, also called a formulary, is a comprehensive set of prescription medications that a health plan has approved for use by its members. Consult your Evidence of Coverage or Certificate of Insurance ("Plan Documents") for specific coverage and limitations. The fact that a medication is listed on a drug list does not guarantee that your physician will prescribe it for you for a particular medical condition.
- Quantity and Age Limits List
This list identifies drugs subject to age limits or limitations on the quantity of medication available per prescription.
EOC's - Evidence of Coverage Health Net HIPAA
HIPAA HMO $15
HIPAA HMO $40
HIPAA PPO SimpleChoice HSA
HIPAA PPO SimpleValue $50 COMBO
