Formulary
Advantra (HMO/PPO) 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.
2009 Advantra (HMO/PPO) Formulary - Nebraska
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Online Formulary Search
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Formulary Change Notice
- Formulary Change Notice for Advantra Silver (HMO), Advantra Gold (HMO) and Advantra Platinum (PPO)
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Printable Formulary
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Formulary for Advantra Silver (HMO), Advantra Gold (HMO) and Advantra Platinum (PPO)
2010 Advantra (HMO/PPO) Formulary - Nebraska
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Online Formulary Search
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Formulary Change Notice - Coming Soon
- Formulary Change Notice for Advantra Silver (HMO) and Advantra Platinum (PPO)
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Printable Formulary
- Formulary for Advantra Silver (HMO) and Advantra Platinum (PPO)
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Part B Formulary - Coming Soon
- List of prescription drugs covered under Part B of the Original Medicare Plan.
Additional Information
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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.
find a plan
Coventry Health Care's product offerings span the country. Enter your 5-digit ZIP code below to locate individual plans (ZIP code lookup):
More Information
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Please use the links below to find more information about Coventry's Prescription Drug plans
- Prior Authorizations & Exceptions
- Transition Policies and Exceptions Process
- Out-of-Network Coverage
- Quality Assurance Policies and Procedures
- Potential For Contract Termination
