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 Notice

Advantra (HMO/PPO)
Advantra (HMO/PPO) Formulary Change Notice


For Members Only: 2010 Online Formulary Search

Advantra HMO
Advantra PPO
Advantra Ohio PPO


2010 Printable Formulary

Advantra Silver (HMO/PPO) and Elite (PPO)
Advantra Silver (HMO), Advantra Silver (PPO), Advantra Elite (PPO) Printable Formulary
Advantra Gold (HMO/PPO)
Advantra Gold (HMO) and Advantra Gold (PPO) Printable Formulary


Additional Information

Grievances & Appeals
Grievance & appeal information for Advantra (HMO-PPO) 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: 08/31/2010
CMS Approved Date: Pending CMS Approval
CMS Document ID: Y0022_4006_711a

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