Provider Portal
Clinical Formulary
By entering the first 3 letters of a drug name in the access tool below, you can determine the tier level and the patients’ payment amount for the given medication. If there are any restrictions, such as prior authorizations needed or quantity limits, they will be noted by clicking the “Restrictions” button under the costs.
You can also see how other medications in that class are tiered by pushing the grey button entitled “View Low Cost Similar Drugs”.