We may make certain changes to our list of covered drugs during the year. Most changes will have a positive impact on members such as adding new drugs to our drug list, removing restrictions, or moving a medication to a lower cost-sharing tier.
We are limited in our ability to make changes during the year that will have a negative impact. A negative change would be removing a medication, moving it to a higher cost-sharing tier, or adding a new requirement. If there are negative changes, in most cases we will post a notice on this site before the change becomes effective. If you are taking a medication that changed you will generally be notified on your Explanation of Benefits (EOB) statement. We also may make a change when a new generic becomes available
From year to year our drug list may change. It is important that you check the drug list included in your Annual Notice of Changes (ANOC) or the online Drug List to confirm the coverage of your medications for the next year.