2009 Advantra Formulary - Iowa

Online Formulary Search

• Advantra Silver (HMO)
• Advantra Gold (HMO)
• Advantra Platinum PPO
• Advantra Platinum Plus PPO
• Advantra Silver SW (HMO)
• Advantra Gold SW (HMO)
• Advantra Platinum PPO SW (PPO)

Printable Formulary

Formulary for Advantra Silver (HMO), Gold (HMO), Platinum PPO, Platinum Plus PPO, Silver SW (HMO), Gold SW (HMO), and Platinum PPO SW (PPO) for Iowa residents

Formulary Change Notice

Formulary Change Notice for Advantra Silver (HMO), Gold (HMO), Platinum PPO, Platinum Plus PPO, Silver SW (HMO), Gold SW (HMO) and Platinum PPO SW (PPO) for Iowa residents

2009 Advantra Formulary - South Dakota

Online Formulary Search

• Advantra Platinum PPO
• Advantra Platinum Plus PPO

Printable Formulary

Formulary for Advantra Platinum PPO and Platinum Plus PPO for South Dakota residents

Formulary Change Notice

Formulary Change Notice for Advantra Platinum PPO and Platinum PlusPPO for South Dakota residents

2009 AdvantraExtra Formulary

Online Formulary Search

• AdvantraExtra Diabetic
• AdvantraExtra Cholesterol

Printable Formulary

Formulary for AdvantraExtra Diabetic and AdvantraExtra Cholesterol, Special Needs Plans in Iowa

Formulary Change Notice

Formulary Change Notice for AdvantraExtra Diabetic and AdvantraExtra Cholestrol, Special Needs Plans in Iowa

2009 AdvantraOne Formulary

Online Formulary Search

• AdvantraOne

Printable Formulary

Formulary for AdvantraOne, Special Needs Plan for those eligible for both Medicare and Medicaid

Formulary Change Notice

Formulary Change Notice for AdvantraOne, Special Needs Plan for those eligible for both Medicare and Medicaid

 

 

2010 Formulary - Iowa & South Dakota

Online Formulary Search - Iowa

• Advantra Silver (HMO)
• Advantra Silver SW (HMO)
• Advantra Platinum PPO
• Advantra Platinum PPO SW (PPO)

Online Formulary Search - South Dakota

• Advantra Platinum PPO SD (PPO)

Printable Formulary - Iowa & South Dakota  

Combined formulary for Advantra Silver (HMO), Advantra SW (HMO), Advantra Platinum PPO, Advantra Platinum PPO SW (PPO), and Advantra Platinum PPO SD (PPO)

Formulary Change Notice - Iowa & South Dakota - Coming Soon

Formulary Change notice for Advantra Silver (HMO), Advantra SW (HMO), Advantra Platinum PPO, Advantra Platinum PPO SW (PPO) and Advantra Platinum PPO SD (PPO)

2010 Part B Formulary

Part B Formulary - Coming Soon

List of prescription drugs covered under Part B of the Original Medicare Plan.

Other Information

Grievances & Appeals

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