Formulary

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Advantra (HMO) Plan 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:

Advantra (HMO) - 2009

Online Formulary Search
Printable Formulary
Formulary Change Notice


Gold Advantage (HMO) - 2009

Online Formulary Search
Printable Formulary
Formulary Change Notice


AdvantraExtra (HMO) - 2009

Online Formulary Search
Printable Formulary
Formulary Change Notice


Advantra (HMO) - 2010

Online Formulary Search
Printable Formulary
Formulary Change Notice
  • Advantra Option 1 and 2 (HMO) - Coming Soon
  • Advantra Option 3 (HMO) - Coming Soon
  • Advantra Option 4 (HMO) - Coming Soon


Gold Advantage (HMO) - 2010

Online Formulary Search
Printable Formulary
Formulary Change Notice
  • Gold Advantage Option 1 (HMO) - Coming Soon


Part B Formulary - 2010

Part B Formulary
Coming Soon
List of prescription drugs covered under Part B of the Original Medicare Plan.


Additional Information

Grievances & Appeals
Grievance & appeal information for Advantra (HMO) 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's product offerings span the country.  Enter your 5-digit ZIP code below to locate individual plans (ZIP code lookup):

Pharmacy Locator

More Information
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Page Last Updated: 09/17/2009
CMS Approved Date: Pending CMS Approval
CMS Document ID: M0003C0002_09MAPDPDP_502_CVTYWEBs508a

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