Formulary

Formulary Section Banner Image

Advantra Plan Formularies

A formulary is a list of medications that are covered by your plan.

Please see the below list to review your plan formulary.  Or you can call us at the numbers listed on your member identification card.

2012 Formulary

Formulary Change Notice
Online Formulary Search
Obtain pricing and coverage information for any medications available through this plan.
Printable Formulary
Advantra Silver HMO and Advantra Platinum PPO


Other Information

Grievances & Appeals
Grievance & appeal information for members.

Medicare Part D Prescription Drug Benefits
Click here to find more information about Coventry's Part D benefits

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Page Last Updated: 12/23/2011
CMS Approved Date: 2/10/2012
CMS Document ID: Y0022_4006_711f

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