Preferred Medication Lists

Please choose the medication list option that applies to you.
See your membership card for co-pay options (dollar amounts may vary).

The Preferred Medication Lists include specific coverage information on co-payment levels, medications that require prior authorization or have quantity limits and generic therapeutic alternatives.

• Commercial Formulary
   
  2010 Commercial Formulary
  (revised: 7/30/2010 9:16:42 AM)
  
• 2010 Pocket Formulary 
• AvMed's Authorization Requirements & Processes 
• Commercial Rx Mail Order Form 
• Commercial Rx Health and Allergy Questionnaire
• 2-Tier Preferred Medication List
   
  2010 2-Tier Preferred Medication List
  (revised: 8/24/2010 3:10:09 PM)