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Formularies

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VIVA MEDICARE Plus Rx 2011 Formularies

View 2012 Formularies
Formularies (lists of covered drugs) offer members access to both generic and brand name drugs. The formulary includes prescription drugs in every therapeutic class and category.
Please review the information in the formulary introduction to learn more about the VIVA MEDICARE Plus Rx drug benefit – including how to ask for an exception if your drug is not on the formulary, has a coverage restriction, or is covered as a non-preferred drug.
NOTE: Look up your medication in the index in the back. Then go to that page number to see the drug's tier. The amount you pay for drugs in each tier is listed in the front of the formulary.

VIVA MEDICARE Plus Rx

VIVA MEDICARE Plus Rx Premier

VIVA MEDICARE Plus Rx Extra Value

Formulary Resources
Click here for the VIVA MEDICARE Plus prior authorization criteria. The formulary may change during the year. Members can find information regarding any mid-year non-maintenance formulary changes to the printed formulary by clicking here, calling Member Services, or reviewing your monthly Part D Explanation of Benefits (EOB) to see which of the drugs you are currently taking are coming off the VIVA MEDICARE Plus formulary. Click here to make a Prior Authorization or Exception Request

Related Files

Pharmacy Benefits

» Complete Medicare Formulary (November 2011 )
» Complete Medicare Formulary (October 2011)
» Complete Medicare Formulary (August 2011 )
» Complete Medicare Formulary (June 2011)
»  Formulary Changes (August 2011)
» Formulary Changes (April 2011)
» Formulary Changes (November 2010)