Web1 Dec 2024 · We encourage all prescribing clinicians to review our Integrated Preferred Drug List (PDL) for preferred formulary alternatives prior to prescribing. Highlights of the formulary changes effective 1/1/2024 are on the following page. Please Contact Pharmacy Prior Authorization at 888-788-4408 x 6031278 if you have any questions. WebThis complete list of prescription drugs covered by your plan has been filed with CMS as of August 1, 2024. To get updated information about the covered drugs or if you have questions, please call Customer Service. Our contact information is on the cover. This Drug List has changed since last year. Please review this document to make sure your
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