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.
 

2015 Formulary

Find 2015 Information

2016 Coventry Health Care of Florida Formulary

Formulary Change Notice
Coventry Vista Ideal (HMO) - H5414 (027) - English / Spanish
Coventry Vista Ideal (HMO) - H5414 (028)  - English / Spanish
Coventry Summit Ideal (HMO) - H5414 (031)  - English / Spanish
Coventry Summit Ideal (HMO) - H5414 (032) - English / Spanish
Coventry Summit Ideal (HMO) - H5414 (033) - English / Spanish
Coventry Summit Maximum (HMO SNP) - H5414 (030) -
English / Spanish
Coventry Summit Maximum (HMO SNP) - H5414 (034) -
English / Spanish
Coventry Vista Maximum (HMO SNP) - H5414 (029)  - English / Spanish
Online Searchable Formulary

Search for drugs in a plan using an online search tool.

Printable Formulary
Coventry Vista Ideal (HMO) - H5414 (027) - English / Spanish
Coventry Vista Ideal (HMO) - H5414 (028) - English / Spanish

Coventry Summit Ideal (HMO) - H5414 (031) - English / Spanish
Coventry Summit Ideal (HMO) - H5414 (032) - English / Spanish
Coventry Summit Ideal (HMO) - H5414 (033) - English / Spanish

Coventry Summit Maximum (HMO SNP) - H5414 (030) - English / Spanish
Coventry Summit Maximum (HMO SNP) - H5414 (034) - English / Spanish

Coventry Vista Maximum (HMO SNP) - H5414 (029) - English / Spanish


Additional Information

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

Medicare Part D Prescription Drug Benefits

Find more information about Coventry's Part D benefits.

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 7 to 14 days. Please call us if you do not receive your mail-order drugs within this timeframe.

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

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Y0022_PDPCCP_2013_4006_1202b Approved
CMS Approved Date: 02/08/2013
Page Last Updated: 12/15/2015

© Copyright 2008-2016 Coventry Health Care

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.