Non-Medicare Prescription Plan - Express Scripts
Prescription Drugs Covered and Not Covered
2021 Formulary Information
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Information about medications COVERED and NOT COVERED under your prescription drug plan Prescription Drugs Covered (Formulary) and Not Covered (Exclusions)
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If an excluded medication is medically necessary, you may initiate a Coverage Review.
2020 Formulary Information
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Information about medications COVERED and NOT COVERED under your prescription drug plan Prescription Drugs Covered (Formulary) and Not Covered (Exclusions)
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If an excluded medication is medically necessary, you may initiate a Coverage Review.
