Formulary

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Advantra (PPO) 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.

PersonalCare - 2010 Part D Coverage

Formulary Change Notice
Advantra Silver (PPO) Formulary Change Notice
Online Formulary Search: For Members Only
Advantra Silver (PPO) Online Formulary Search
Printable Formulary
Advantra Silver (PPO) Printable Formulary


Additional Information

Grievances & Appeals
Grievance & appeal information for Advantra (PPO) members.

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

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Pharmacy Locator

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Page Last Updated: 08/31/2010
CMS Approved Date: Pending CMS Approval
CMS Document ID: Y0022_4006_711a

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