Drug Formulary - Alphabetic List

The alpha list is an alphabetical list of all the drugs in the formulary.

A | B | C | D | E | F | G | H | I, J, K | L | M | N | O | P | Q, R | S | T | U, V | W, X, Y, Z


Members, please note:

• This list is subject to change.
• Brand name medications are listed in CAPITAL letters
• Generic medications are listed in lower case letters.
• Brand names listed parenthetically are for reference only.
• Prior authorization may be required to obtain coverage for select drugs on this list.
• Generic drugs will be dispensed when available.
• Brand name drugs may be subject to nonformulary status if the generic becomes available.
• Select drugs on this list may be excluded under your specific plan design.
• Please refer to your coverage document to determine specific benefit levels.

If you have questions, please contact Medica Customer Service. The phone number is listed on the back of your ID card.