Formulary

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Advantra 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

Formulary Change Notice
Advantra Gold (PPO) Formulary Change Notice
Online Formulary Search
Advantra Gold (PPO) Online Formulary Search
Printable Formulary
Advantra Gold (PPO) Printable Formulary


Additional Information

Grievances & Appeals
Grievance & appeal information for Advantra members

Medicare Part D Prescription Drug Benefits
Click here to find more information about Coventry's Part D benefits.

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Pharmacy Locator

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

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