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.
2009 Summit (HMO) Printable Formulary
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Part D Formulary
- Summit (HMO) Part D Formulary
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Formulary Change Notice - Coming Soon
- Summit (HMO) Part D Formulary Change Notice
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Part B Formulary - Coming Soon
- Summit (HMO) Part B Formulary
2009 Advantra (HMO/HMO-POS) Printable Formulary
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Part D Formulary
- Advantra (HMO/HMO-POS) Part D Formulary
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Formulary Change Notice - Coming Soon
- Advantra (HMO/HMO-POS) Part D Formulary Change Notice
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Part B Formulary - Coming Soon
- Advantra (HMO/HMO-POS) Part B Formulary
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 - Coming Soon
- Summit (HMO) Part D Formulary Change Notice
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Part B Formulary - Coming Soon
- Summit (HMO) Part B Formulary
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 - Coming Soon
- Advantra (HMO/HMO-POS) Formulary Change Notice
-
Part B Formulary - Coming Soon
- Advantra (HMO/HMO-POS) Part B Formulary
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
Enter your 5-digit ZIP code below to locate individual plans (ZIP code lookup):
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
