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VIVA 2009 Formularies

Formularies (lists of covered drugs) offer member access to both generic and brand name drugs. The formulary includes prescription drugs in every therapeutic class and category.

VIVA Medicare Plus Rx Premier and Gold Formulary Information

Click here to view the 2009 formulary (Premier only).
Click here to view the formulary introduction.
Click here to view the 2009 formulary.

VIVA Medicare Plus Rx and Healthy Lifestyles Formulary Information

Click here to view the 2009 formulary.
Click here to view the formulary introduction.

 

VIVA Medicare Plus Rx Extra Care and Extra Value Formulary Information

(this plan is only available to people with both Medicare and Medicaid)

Click here to view the 2009 formulary (Extra Care only).
Click here to view the 2010 formulary.
NOTE: Look up your medication in the index in the back. Then go to that page number to see the copayment amount.

Please review the information in the formulary introduction to learn more about the VIVA Medicare Plus drug benefit – including how to ask for an exception if your drug is not on the formulary, has a quantity limit, or is covered as a non-preferred drug.

Click here to view the formulary introduction.

Formulary Changes (November 2009)
Formulary Changes (October 2009)
Formulary Changes (September 2009)
Formulary Changes (August 2009)
Formulary Changes (July 2009)

Formulary Changes (June 2009)
Formulary Changes (May 2009)
Formulary Changes (February 2009)