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CommunityCare is here for you. We are dedicated to taking care of our members and ensuring you have access to health care services.

Comprehensive Formulary

Use the links below to access the Senior Health Plan Comprehensive Formulary.


Abridged 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.


Formulary Changes and Utilization Management Criteria

2021 Senior Health Plan Utilization Management Criteria Documents
  Formulary Changes Prior Authorization Step Therapy Quantity Limits
JanuaryJanuary 2021 Formulary ChangesJanuary 2021 Prior Authorization Criteria - updated 12/23/2020January 2021 Step Therapy Criteria - updated 12/23/2020See comprehensive formulary for quantity limits.
FebruaryFebruary 2021 Formulary ChangesFebruary 2021 Prior Authorization CriteriaFebruary 2021 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
MarchMarch 2021 Formulary ChangesMarch 2021 Prior Authorization CriteriaMarch 2021 Step Therapy CriteriaSee comprehensive formulary for quantity limits.

HPMS Formulary ID: 00021203 Version 9
HPMS Formulary Approval Date: 2/23/2021
Updated: 03/2021



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