Group Health's drug formulary is a list of medications covered by your health plan.
Individual & Family Plans, and Small Employer Group Plans
Information about prescription drug plans and a list of medications available to members in our individual and family plans, or in small employer group (1-50 employees) plans. Note: If your small employer group plan hasn't renewed yet in 2014, use the Large Employer Group information below until renewal. If you have questions, contact Customer Service.
Medicare Advantage Plans
List of drugs selected by Group Health Cooperative and Group Health Options, Inc. and approved by the Centers for Medicare and Medicaid Services (CMS) that are covered by Group Health's Medicare Advantage prescription drug plans.
Large Employer Group Plans
Information about prescription drug plans and a list of medications available to members in our large employer group (51+ employees) plans.
Large Employer Group Plans Formulary Search
You can search drugs by name or therapeutic class to see if they are in our formulary and whether they require a prescription or prior authorization.
Search by Medication Name
Please enter the name of the drug you are searching for without using special characters such as *, %, or &.
Search by Therapeutic Class
Prior Authorization and Nonformulary Drug Exception Requests
You or your doctor can request coverage for prior authorization drugs or nonformulary drugs. Your request will be reviewed based on our coverage criteria or medical necessity. If we approve the request, you will pay a cost share determined by your member contract. If we do not approve the request, you may still choose to get the medication and pay full price. For more information, see About Our Drug Formulary.