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.

2010 Formulary Change Notices

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


For Members Only: 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


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: 08/31/2010
CMS Approved Date: Pending CMS Approval
CMS Document ID: Y0022_4006_711a

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