Medication Formularies
Medicare Formulary
Grandfathered Commercial Plans
Select Plan to view:
- 2023 Prescription Drug Formulary (PDF) | Drug Search | Prior Authorization Criteria
- Medical Pharmacy Formulary (PDF) | Drug Search| Prior Authorization Criteria
- FHCP $0 Drug List
Non-Grandfathered Commercial Plans
- 2023 Prescription Drug Formulary (PDF) | Drug Search | Prior Authorization Criteria
- Medical Pharmacy Formulary (PDF) | Drug Search| Prior Authorization Criteria
- FHCP $0 Drug List
Federal Exchange Plans
- 2023 Prescription Drug Formulary (PDF) | Drug Search | Prior Authorization Criteria
- Medical Pharmacy Formulary (PDF) | Drug Search | Prior Authorization Criteria
- FHCP $0 Drug List
Prior Authorization Form
- FHCP Prior Authorization Medication Form (must be completed by physician)
Contraception Appliance Order Forms
- Last updated May 12, 2023