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.
Formulary Change Notice
- Advantra Gold (PPO) Formulary Change Notice
Online Formulary Search
- Advantra Gold (PPO) Online Formulary Search
- Advantra Gold (PPO) Printable Formulary
Grievances & Appeals
- Grievance & appeal information for Advantra members
Click here to find more information about Coventry's Part D benefits.