List of Drugs (Formulary)
The formulary is a list of drugs that are covered by a health insurance plan. The list of drugs are covered as long as the drug is medically necessary. To get the drug covered fill it at a network pharmacy. You can also use the mail order program for maintenance drugs. Some coverage rules must also be followed. Some drugs have limits for coverage.
The drugs on the formulary are chosen by drug plan and health experts.
The drugs are reviewed by a group of doctors and pharmacists who do not work for the plan. This group is called the Pharmacy and Therapeutics Committee.
The formulary does not have all drugs on it.
Some drugs are not a covered benefit or are excluded. Some drugs are not are not qualified for clinical or cost reasons.
Formulary Change Notice
Superior can add or remove drugs from our list of drugs during the year.
We will tell members 60 days before changes are made to the list of drugs. Changes mean taking drugs off the list. Changing the number of pills per month or moving drugs to a higher cost level are changes.
If a drug is viewed as unsafe by the Food and Drug Administration or the manufacturer of the drug, it will be taken off of our list of drugs right away.
Last Updated: 10/01/2016