Formulary (Drug List)

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Formulary and Pharmacy Directories

A formulary is a list of prescription medications that are covered by your plan and are available in a booklet format and an online searchable tool. 

A pharmacy directory is a listing of pharmacies in your plan's network, including retail chain pharmacies, preferred and non-preferred mail-order pharmacies, home infusion and long-term care pharmacies. 

2014 Formulary

Find 2014 Information

2015 Premier Plus Formulary

Formulary Change Notice - English / Spanish
This document outlines upcoming changes to the First Health Part D Premier Plus (PDP) formulary that may impact you.
Online Searchable Formulary
Obtain pricing and coverage information for any medications available.
Printable Comprehensive Formulary - English / Spanish
Comprehensive formulary for First Health Part D Premier Plus (PDP).


2015 First Health Part D Value Plus Formulary

Formulary Change Notice - English / Spanish
This document outlines upcoming changes to the First Health Part D Value Plus (PDP) formulary that may impact you.
Online Searchable Formulary
Obtain pricing and coverage information for any medications available.
Printable Comprehensive Formulary - English / Spanish
Comprehensive formulary for First Health Part D Value Plus (PDP).


ADDITIONAL INFORMATION

Exceptions, Appeals and Grievances Information
Locate exceptions, grievance & appeal information for members.
Prescription Drug Forms
Locate prescription drug forms for your plan.

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.