Drug Search
Need to determine if a specific drug is covered, determine the tier or find out if a generic is available?
Search our Drug List
Important note for members: For the most specific copay amounts, members should use our online pharmacy tools. Registration is required to use these tools.
Registered Optima Health Members
Members who have registered on optimahealth.com and who have pharmacy coverage through Optima Health can view pharmacy benefits and specific copay amounts using our online pharmacy tools.
View and manage your pharmacy benefits
Research drug options and pricing
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Optima Health Members
The abbreviated version of the preferred, standard and premium drug list is available for download. Please note that you will need Adobe Reader in order to view these documents. Get Adobe Reader.
Download Preferred, Standard and Premium Drug List
Prior Authorization, Step-Edit and Quantity Limits Drug List
View and Print Drug Authorization Forms
Generics Plus Formulary
Note: The lists are provided as a reference and are subject to change. Be sure to verify pharmacy coverage with your employer or refer to your health plan documents for more details. This list does not apply to Optima Medicare Preferred members or to Optima Health members whose employer groups do not offer pharmacy benefits or do not offer pharmacy benefits through Optima Health.
Optima Medicare (PPO) Members
View and Download Optima Medicare (PPO) Drug List
View and Download Upcoming Changes to Optima Medicare Drug List
View and Download Pharmacy Directory
View and Print Optima Medicare Drug Authorization Forms
View Optima Medicare Appeals and Grievance for PART D
View Optima Medicare Appeals and Grievance for PART C
Pharmacy Tier Definitions
View Tier Definitions in our Glossary of Terms
Quick Links
Visit Medicine Safety: A Toolkit for Families (This link will take you to an external Web site not owned or operated by Optima Health)