Formulary

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Formulary

A formulary is a list of medications that are covered by your plan.

Please see the below list to review your plan formulary. You may also view a printable copy of the pharmacy directory for your plan.  Or you can call us at the number listed on your member identification card.
 

2014 Formulary

Find 2014 Information

2015 Coventry Health Care of Florida Formulary


Formulary Change Notice
Coventry Vista Ideal (HMO) - H1013 (011) - English / Spanish
Coventry Vista Ideal (HMO) - H1013 (021) - English / Spanish

Coventry Summit Plus (HMO) - H1013 (032) - English / Spanish
Coventry Summit Plus (HMO) - H1013 (029) - English / Spanish

Coventry Summit Ideal (HMO) - H1013 (031) -English / Spanish
Coventry Summit Ideal (HMO) - H1013 (035) - English / Spanish
Coventry Summit Ideal (HMO) - H1013 (033) - English / Spanish

Coventry Summit Maximum (HMO SNP) - H1013 (030) - English / Spanish
Coventry Summit Maximum (HMO SNP) - H1013 (034) - English / Spanish

Coventry Vista Maximum (HMO SNP) - H1013 (024) - English / Spanish
Online Searchable Formulary
Obtain pricing and coverage information for any medications available through your plan.
Printable Formulary
Coventry Vista Ideal (HMO) - H1013 (011) - English / Spanish
Coventry Vista Ideal (HMO) - H1013 (021) - English / Spanish


Coventry Summit Plus (HMO) - H1013 (032) - English / Spanish
Coventry Summit Plus (HMO) - H1013 (029)- English / Spanish

Coventry Summit Ideal (HMO) - H1013 (031) - English / Spanish
Coventry Summit Ideal (HMO) - H1013 (035) - English / Spanish
Coventry Summit Ideal (HMO) - H1013 (033) - English / Spanish

Coventry Summit Maximum (HMO SNP) - H1013 (030) - English / Spanish
Coventry Summit Maximum (HMO SNP) - H1013 (034) - English / Spanish

Coventry Vista Maximum (HMO SNP) - H1013 (024) - English / Spanish


Additional Information

Grievances & Appeals - English
Grievances and appeals information for members.
Grievances & Appeals - Spanish
Greivances & appeal information for members in Spanish.

Medicare Part D Prescription Drug Benefits

Click here to find more information about Coventry's Part D benefits.

You may have the option to use mail-order. For mail-order, you can get prescription drugs shipped to your home through the network mail-order delivery program. Typically, mail-order drugs arrive within 9 to 12 days. Please call us if you do not receive your mail-order drugs within this timeframe. Coventry members please call the phone number listed on the back of your member ID card

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Page Last Updated: 09/28/2014
CMS Approved Date: Approved 02/08/2013
CMS Document ID: Y0022_PDPCCP_2013_4006_1202b

© Copyright 2008-2014 Coventry Health Care

Coventry Health Care is a Coordinated Care plan with a Medicare contract. First Health Part D is a Medicare-approved Part D sponsor. Enrollment in our plans depends on contract renewal.