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Delaware Department of
Human Resources


Non-Medicare Prescription Plan - Express Scripts

Formulary (Covered Drugs)

2019 Information

Formulary effective January 1, 2019  (This drug listing is subject to change throughout the year. For a complete listing please visit the Express Scripts website or contact Express Scripts Member Services at 1-800-939-2142.)

Exclusions

If an excluded medication is medically necessary, you may initiate a Coverage Review .







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