COVID-19 Update view more

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

Attention: CommunityCare will be performing systems maintenance Friday, October 7th starting at 5 p.m. through midnight on Saturday, October 8th. Some online documents, tools and resources may be unavailable during this time. Thank you for your patience.

Comprehensive Formulary

Use the links below to access the INTEGRIS Health Partners+ Comprehensive and Abridged Formularies.


Abridged Formulary


Formulary Changes and Utilization Management Criteria

2022 INTEGRIS Health Partners+ Utilization Management Criteria Documents
  Formulary Changes Prior Authorization Step Therapy Quantity Limits
JanuaryJanuary 2022 Formulary ChangesJanuary 2022 Prior Authorization Criteria - updated 12/2/2021January 2022 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
FebruaryFebruary 2022 Formulary ChangesFebruary 2022 Prior Authorization CriteriaFebruary 2022 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
MarchMarch 2022 Formulary ChangesMarch 2022 Prior Authorization CriteriaMarch 2022 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
AprilApril 2022 Formulary ChangesApril 2022 Prior Authorization CriteriaApril 2022 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
MayMay 2022 Formulary ChangesMay 2022 Prior Authorization CriteriaMay 2022 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
JuneJune 2022 Formulary ChangesJune 2022 Prior Authorization CriteriaJune 2022 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
JulyJuly 2022 Formulary ChangesJuly 2022 Prior Authorization CriteriaJuly 2022 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
AugustAugust 2022 Formulary ChangesAugust 2022 Prior Authorization CriteriaAugust 2022 Step TherapySee comprehensive formulary for quantity limits.
SeptemberSeptember 2022 Formulary ChangesSeptember 2022 Prior Authorization CriteriaSeptember 2022 Step Therapy CriteriaSee comprehensive formulary for quantity limits.
OctoberOctober 2022 Formulary ChangesOctober 2022 Prior Authorization CriteriaOctober 2022 Step TherapySee comprehensive formulary for quantity limits.

HPMS Formulary ID: 00022069 Version 16
HPMS Formulary Approval Date: 9/20/2022
Updated: 10/2022



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