Quality Health Plans’ Pharmacy Formulary is a continuously reviewed list of prescription medications that best represents the current clinical judgment of our providers and other experts in the diagnosis and treatment of different diseases.  There are three versions of the formulary on this web site.  First, is the Abridged Formulary.  You may print out this document  and present it to your physician to ensure that a formulary product is prescribed when possible.  Keep this list of medications as a quick reference for your prescription medication coverage benefits.  Second, is the Comprehensive Formulary which covers all drugs in the formulary.  Third, is a searchable full version of the formulary which you may use to determine if a medication is covered and, if so, what  the co-pay is for that medication.

     

This is the handy version of our formulary that is a manageable size: just right for printing out and taking to your doctor.  There are 3 versions of the abridged formulary: Version 1 for Advantage, Advantage South and Value One Florida.  Version 2 for Advantage Silver, Advantage Silver East, Advantage Silver North & Central and Advantage Health Florida.   Finally, Version 3 for Advantage Premium and Advantage Silver South.

Click the appropriate icon to view, print or save your abridged formulary.

 

Version 1

Version 2

Version 3

Quality Rx

Quality Rx Plus

This is the full version of our formulary.  It contains all drugs covered under the various plans. 

There are 3 versions of the compreshensive formulary: Version 1 for Advantage, Advantage South and Value One Florida.  Version 2 for Advantage Silver, Advantage Silver East, Advantage Silver North & Central and Advantage Health Florida.   Finally, Version 3 for Advantage Premium and Advantage Silver South. Click the appropriate view icon to view, print or save your comprehensive formulary.

 

Version 1

Version 2

Version 3

Quality Rx

Quality Rx Plus

Check out our easy-to-use search engines that allow you to search our extensive formularies. Not only may you find out if we cover a particular drug, but you may also determine what, if any, co-pay there is for that drug. The search engines even allow you to find a less expensive alternative for that drug. Whether you are on a Medicare Advantage Plan or a stand-alone drug plan, we know you will find this feature useful and enlightening. To search for a drug, click on view icon.

 

2009 Prior Authorization Criteria

 

 

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