2018 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.

2018 Covered Diabetic Blood Glucometers and Blood Glucose Test Strips

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:



IU Health Plans is a Medicare Advantage organization with a Medicare contract. Continued enrollment depends on the contract between CMS and the Plan/Part D Sponsor remaining in effect, i.e. being renewed and not terminated. Other pharmacies/physicians/providers are available in our network. Product types include HMO and HMO-POS.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year.

Our hours of operation change throughout the year. We are available to take your call: Oct. 1 through Feb. 14 from 8am to 8pm, seven days a week and Feb.15 through Sept. 30 from 8am to 8pm, Monday through Friday, and 8am to 3pm on Saturday.