Formulary

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Formulary and Pharmacy Directories

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.

2013 Formulary Change Notice

Advantra HMO and PPO Plans (PA) and Advantra PPO (OH)
Formulary Change Notice for Advantra Gold HMO, Advantra Silver HMO, Advantra Silver Plus HMO, Advantra Elite PPO, Advantra Gold PPO, Advantra Silver PPO, and Advantra Silver Plus PPO plans in Pennsylvania and Ohio.


2013 Online Formulary Search

Advantra HMO and PPO Plans
Advantra HMO and PPO Plan Online Formulary Search


2013 Printable Formulary

Advantra HMO and PPO Plans
Printable Formulary for Advantra HMO and PPO plans in Central Pennsylvania, Western Pennsylvania and Eastern Ohio
Southeastern PA Gold PPO
Printable Formulary for Southeastern PA Gold PPO


2013 Printable Pharmacy Directory

Southeastern PA
Printable listing of pharmacies in and around Southeastern Pennsylvania

Central PA


Printable listing of pharmacies in and around Central Pennsylvania
Western PA
Printable listing of pharmacies in and around Western Pennslyvania
Northeastern OH
Printable listing of pharmacies in and around Northeastern Ohio


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.

find a plan

Coventry Health Care offers products across the county. Compare and find the best plan for you.

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Page Last Updated: 04/23/2013
CMS Approved Date: Approved 02/08/2013
CMS Document ID: Y0022_PDPCCP_2013_4006_1202b

© Copyright 2008-2013 Coventry Health Care

Coventry Health Care is a Coordinated Care plan with a Medicare contract. A Medicare-approved Part D sponsor.