Drug formulary search

Search the Formulary by generic name, brand name, drug identification number (DIN) for example: for acetaminophen, enter any one of these search terms: Acetaminophen, APO-acetaminophen, 02229873.

Drug status: Drugs listed with prior authorization (PA) status require approval to determine a patient’s eligibility before filling the prescription. Prescribers should contact us with information demonstrating a medical need for the requested medication. See prior authorization and non-formulary

DIN DRUG_NAME GENERIC_NAME FORMULARY BENEFIT_STATUS
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