Use the links below to access the Senior Health Plan Comprehensive Formulary.
Extended Day Supply for Tier 1 and 2 drugs (100 days or more)
Enjoy the convenience of extended supplies on select medications (100 days or more) and pay $0 copay.
- Learn more about Extended Day Supply Drugs
- Extended Day Supply Drug List
- Large Print Extended Day Supply Drug List
Formulary Changes and Utilization Management Criteria
HPMS Formulary ID: 00020509 Version 10
HPMS Formulary Approval Date: 05/19/2020
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