Prescription Drug Lists

Classic Drug List for the Exchange

This covered drug list is used for individual on and off-exchange products and small group on and off-exchange products.

Office-Administered Specialty Medications List

Orally Administered Cancer Medications

PA Medical Necessity Drug List

Patient Protection and Affordable Care Act Preventive Drug List

Self-Administered Specialty Medicine List

This covered drug list is used by some self-insured employer groups that have chosen to offer this formulary. Please consult your policy documents, or sign in to confirm if this drug list applies to your pharmacy benefit.