Non-Medicare Prescription Plan - Express Scripts
Formulary (Covered Drugs)
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.)
Effective January 1, 2020
State of Delaware Plan Level Exclusions (Please read this document before viewing the following list of Excluded Medications)
If an excluded medication is medically necessary, you may initiate a Coverage Review .