Formulary
Summit (HMO) & Advantra (HMO/HMO-POS) 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.
2010 Summit (HMO) Formulary
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Part D Printable Formulary
- Summit (HMO) Part D Printable Formulary
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Formulary Change Notice
- Summit (HMO) Part D Formulary Change Notice
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Online Formulary Search: For Members Only
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- Summit Ideal (HMO) - Broward County
- Summit Plus (HMO) - Broward County
- Summit Ideal (HMO) - Martin County
- Summit Ideal One (HMO) - Miami-Dade County
- Summit Ideal (HMO) - Miami-Dade County
- Summit Plus (HMO) - Miami-Dade County
- Summit Ideal (HMO) - Palm Beach County
- Summit Ideal (HMO) - St. Lucie County
- Summit Maximum (HMO) - Broward, Martin, Miami-Dade, Palm Beach and St. Lucie Counties
2010 Advantra (HMO/HMO-POS) Formulary
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Part D Printable Formulary
- Advantra (HMO/HMO-POS) Part D Printable Formulary
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Formulary Change Notice
- Advantra (HMO/HMO-POS) Formulary Change Notice
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Online Formulary Search: For Members Only
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- Advantra Gold (HMO) - Hernando County
- Advantra Gold (HMO) - Hillsborough, Pasco and Polk Counties
- Advantra Gold (HMO) - Pinellas County
- Advantra Plus (HMO) - Hernando, Hillsborough, Pasco, Pinellas and Polk Counties
- Advantra Diamond (HMO-POS) - Hillsborough, Pasco, Pinellas and Polk Counties
- Advantra Maximum (HMO) - Hernando, Hillsborough, Pasco, Pinellas and Polk Counties
Additional Information
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Grievances & Appeals
- Grievances and appeals information for members.
- Medicare Part D Prescription Drug Benefits
- Click here to find more information about Coventry's Part D benefits.
find a plan
More Information
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Please use the links below to find more information about Coventry's Prescription Drug plans
- Prior Authorizations & Exceptions
- Transition Policies and Exceptions Process
- Out-of-Network Coverage
- Quality Assurance Policies and Procedures
- Potential For Contract Termination
