Formulary

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Advantra (HMO/PPO) 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 number listed on your member identification card.

2009 Formulary Change Notices

AdvantraExtra
AdvantraExtra Special Needs Formulary Change Notice
Advantra Advantage HMO and Advantra Freedom PPO
Combined formulary change notice for Advantra Advantage (HMO), Advantra Freedom (PPO), and State of Kansas Retirees PPO
State of Kansas Retirees PFFS
State of Kansas Retirees PFFS Formulary Change Notice


2009 Online Formulary Search

Advantra Advantage Kansas City HMO
Advantra Advantage Kansas City HMO online formulary search tool
Advantra Advantage Witchita HMO
Advantra Advantage Witchita HMO online formulary search tool
Advantra Advantage Wyandotte HMO
Advantra Advantage Wyandotte HMO online formulary search tool
Advantra Freedom Joplin PPO
Advantra Freedom Joplin PPO online formulary search tool
AdvantraExtra Cholesterol Joplin PPO
AdvantraExtra Cholesterol Joplin PPO online formulary search tool
AdvantraExtra Diabetes Joplin PPO
AdvantraExtra Diabetes Joplin PPO online formulary search tool
Advantra Freedom Kansas City PPO Plan A
Advantra Freedom Kansas City PPO Plan A online formulary search tool
Advantra Freedom Kansas City PPO Plan B
Advantra Freedom Kansas City PPO Plan B online formulary search tool
AdvantraExtra Kansas City Cholesterol PPO
AdvantraExtra Kansas City Cholesterol PPO online formulary search tool
AdvantraExtra Kansas City Diabetes PPO
AdvantraExtra Kansas City Diabetes PPO online formulary search tool
Advantra Freedom Springfield PPO
Advantra Freedom Springfield PPO online formulary search tool
Advantra Freedom Topeka PPO
Advantra Freedom Topeka PPO online formulary search tool
Advantra Freedom Witchita PPO
Advantra Freedom Witchita PPO online formulary search tool
AdvantraExtra Witchita Cholesterol PPO
AdvantraExtra Witchita Cholesterol PPO online formulary search tool
AdvantraExtra Witchita Diabetes PPO
AdvantraExtra Witchita Diabetes PPO online formulary search tool


2009 Printable Formularies

AdvantraExtra
AdvantraExtra Special Needs Formulary
Advantra Advantage HMO
Advantra Advantage (HMO) Formulary
Advantra Freedom PPO
Advantra Freedom (PPO) Formulary
State of Kansas Retirees PPO
State of Kansas Retirees PPO Formulary
State of Kansas Retirees PFFS
State of Kansas Retirees PFFS Formulary


2010 Formulary Change Notices

Advantra Advantage HMO and Advantra Freedom PPO - Coming Soon
Combined formulary change notice for Advantra Advantra HMO and Advantra Freedom PPO plans


2010 Online Formulary Search

Advantra Advantage HMO
Advantra Freedom PPO


2010 Printable Formularies

Advantra Advantage HMO
Advantra Advantra HMO Formulary
Advantra Freedom PPO
Advantra Freedom PPO Formulary


2010 Part B Formulary

Part B Formulary - Coming Soon
List of prescription drugs covered under Part B of the Original Medicare Plan.


Additional 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: 09/17/2009
CMS Approved Date: Pending CMS Approval
CMS Document ID: M0003C0002_09MAPDPDP_502_CVTYWEBs508a

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