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 - 2009 Part D Coverage

Formulary Change Notice
Click here to download PDF
Online Formulary Search
Printable Formulary
Advantra Silver and Gold (PPO)


PersonalCare - 2009 Part B Coverage

Medicare Part B Drug Coverage
List of drugs covered under Part B of the Original Medicare Plan.  Members of our plan receive coverage for these drugs through our plan.


PersonalCare - 2010 Part D Coverage

Formulary Change Notice - Coming Soon
Advantra Silver (PPO) Formulary Change Notice
Online Formulary Search
Advantra Silver (PPO) Online Formulary Search
Printable Formulary
Advantra Silver (PPO) Printable Formulary


PersonalCare - 2010 Part B Coverage

Medicare Part B Drug Coverage - Coming Soon
List of drugs covered under Part B of the Original Medicare Plan.  Members of our plan receive coverage for these drugs through our plan.


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

More Information
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Page Last Updated: 09/15/2009
CMS Approved Date: Pending CMS Approval
CMS Document ID: M0003C0002_09MAPDPDP_502_CVTYWEBs508a

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