Look Up Medications

I'm looking for a medication 

Network Health has a comprehensive list of covered drugs, which is also referred to as a Formulary or Preferred Drug List. This search contains the drugs Network Health covers under our plans. It includes the most commonly covered medications with information about drug tiers and any restrictions or special requirements. To find if a medication is covered, choose a Network Health plan type from the drop down below. Use Chrome for the best user experience. The formulary may change at any time. If you're a member and you're not already signed in, go to My Login to sign in to your member portal account for the most accurate results. 

About the Formulary

We may add or remove drugs from our formulary during the year. This includes changes to prior authorization requirements, step therapy, quantity limits and/or moving a drug to a higher cost-sharing tier.

What You Pay

When you find your drug, it will be listed with a tier number. The tier number for a drug determines what you pay for the drug, and the higher the tier, the more you pay. To find your pharmacy benefit costs for each tier, go to My Login and sign in to your member portal account (once signed in, go to My Benefits and then Pharmacy Benefits).

How Can I Request a Printed Formulary?

If you prefer a printed copy of your plan’s drug list, please call the customer service number listed on the back of your ID card. Alternatively, you may print the PDF located within the formulary search. 

Please note these lists change often, so make sure you have the most up-to-date version when searching for your drug. To use these lists, find your drug in the Index at the end. Then, scroll through the Index to find the page number for your medication and go to that page to find information about your medication.

Medicare Formulary Information

For additional information related to our Network Health Medicare Advantage Plans and the Medicare formulary, see the Medicare Formulary Information section under Medicare Plans, Pharmacy Information. For the archived 2018 formulary, please see the 2018 Plan Materials under Medicare. 

Exceptions

The following Network Health client companies do not use Network Health for processing their pharmacy benefits.

  • State of Wisconsin Group Health Insurance Program

Employees of this company should check with their human resources department for more information about pharmacy benefits.


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