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 number listed on your member identification card.

2012 Formulary Change Notice

Advantra Advantage HMO: Advantra Advantage HMO Formulary Change Notice

Advantra Freedom PPO: Advantra Freedom PPO Formulary Change Notice

Advantra Total Care HMO: Advantra Total Care HMO Formulary Change Notice

Mercy MedicareADVANTAGE HMO: Mercy MedicareADVANTAGE HMO Formulary Change Notice

Mercy MedicareADVANTAGE PPO: Mercy MedicareADVANTAGE PPO Formulary Change Notice

Mercy MedicareADVANTAGE HMO-POS: Mercy MedicareADVANTAGE HMO-POS Formulary Change Notice

Advantra Premier Plus PPO: Advantra Premier Plus PPO Formulary Change Notice

2012 Online Formulary Search

Online Formulary Search: Obtain pricing and coverage information for any medications available through your plan.

2012 Printable Formulary

Advantra Advantage HMO: Advantra Advantage HMO Printable Formulary

Advantra Advantage HMO Spanish: Advantra Advantage HMO Printable Formulary in Spanish

Advantra Freedom PPO: Advantra Freedom PPO Printable Formulary

Advantra Freedom PPO Spanish: Advantra Freedom PPO Printable Formulary in Spanish

Advantra Total Care HMO: Advantra Total Care HMO Printable Formulary

Mercy MedicareADVANTAGE HMO: Mercy MedicareADVANTAGE HMO Printable Formulary

Mercy MedicareADVANTAGE PPO: Mercy MedicareADVANTAGE PPO Printable Formulary

Mercy MedicareADVANTAGE HMO-POS: Mercy MedicareADVANTAGE HMO-POS Printable Formulary

Advantra Premier Plus PPO: Advantra Premier Plus PPO Printable 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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More Information

Please use the links below to find more information about Coventry's Prescription Drug plans

Coventry Medicare

Coventry Health Care

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

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