2017 Searchable Formulary
You may search our prescription drug formulary in several ways:
- You can use the alphabetical list to search by the first letter of your medication.
- You can search by typing part of the generic (chemical) or brand (trade) names.
- You can search by selecting the therapeutic class of the medication you are looking for.
How do I request an exception to the formulary?
To submit a request for a coverage determination, utilization exception, formulary exception, or tiering exception:
- Request Form – Coverage Determination, Formulary Exception or Tiering Exception: Medicare Part D enrollees can use this form to request coverage determinations (including tiering, utilization or formulary exception requests) from their Medicare Part D plan sponsor. You or your physician can request a prescription coverage determination or an appeal by calling 866.823.1016 (TTY users should dial 800.743.3333 for Indiana Relay). For more information on how to submit a request for an exception to the formulary, please click here.
Download A Printable Formulary
Please use the link below to download our drug formulary.
Some of the drugs that IU Health Plans (HMO) (HMOPOS) cover may require your patient to obtain prior approval. Click on the link below to view any drugs that require prior authorization:
Click the link below to see a list of drugs that require step therapy:
IU Health Plans (HMO) (HMOPOS) may add or remove prescription drugs from our formulary during the year. Click the link below to view any changes: