Formulary

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Altius Advantra (HMO-POS) 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.

Formulary Change Notice - 2009

Altius Advantra (HMO-POS)
Formulary change notice for all Altius Advantra (HMO-POS) plans.


Printable Formulary - 2009

Altius Advantra (HMO-POS)
Printable formulary for all Altius Advantra (HMO-POS) plans.


Online Formulary Search - 2009

Altius Advantra (HMO-POS) Northern Utah
Altius Advantra (HMO-POS) Southern Utah
Altius Advantra (HMO-POS) Wyoming


Part B Formulary - 2009

Part B Formulary
Altius Advantra (HMO-POS) Part B Formulary information.


Formulary Change Notice - 2010

Altius Advantra (HMO-POS) - Coming Soon
Formulary change notice for all Altius Advantra (HMO-POS) plans.


Printable Formulary - 2010

Altius Advantra (HMO-POS) - Utah
Printable Formulary for Altius Advantra Option 1 (HMO-POS) and Option 2 (HMO-POS)
Altius Advantra (HMO-POS) - Wyoming
Printable Formulary for Altius Advantra Wyoming (HMO-POS)


Online Formulary Search - 2010

Altius Advantra (HMO-POS) - Utah
Altius Advantra (HMO-POS) - Wyoming


Part B Formulary - 2010

Part B Formulary - Coming Soon
Altius Advantra (HMO-POS) Part B Formulary Information.


Additional Information

Grievances & Appeals
Grievance & appeal information for Advantra (HMO-POS) members.

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

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Page Last Updated: 09/19/2009
CMS Approved Date: Pending CMS Approval
CMS Document ID: M0003C0002_09MAPDPDP_502_CVTYWEBs508a

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