Use the links below to access the Senior Health Plan Comprehensive Formulary.
Formulary Changes and Utilization Management Criteria
|Formulary Changes||Prior Authorization||Step Therapy||Quantity Limits|
|January||January 2020 Formulary Changes||January 2020 Prior Authorization Criteria - updated 11/27/2019||January 2020 Step Therapy Criteria - updated 11/4/2019||See comprehensive formulary for quantity limits.|
HPMS Formulary ID: 00020509 Version 5
HPMS Formulary Approval Date: 10/06/2019
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