Delaware Department of
Human Resources

Non-Medicare Prescription Plan - Express Scripts

Formulary (Covered Drugs)

2020 Information

Formulary effective January 1, 2020  (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.)


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