Choose a tab to select Clinical Criteria or Exceptions Criteria
Clinical Criteria
Select the starting letter of the medication to find the desired form. Drug coverage is dependent on member’s 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
Z
Exceptions
Select the starting letter of the medication to find the desired form. Drug coverage is dependent on member’s formulary.