Prescription Drug Lists for Employer Plans
Plan Formularies and Drug Lists
Equity Preventive Drug List - Alphabetical Listing
PDF, 124 KB
PDF, 124 KB
Equity Preventive Drug List - Preventive Class
PDF, 124 KB
PDF, 124 KB
Injectable & Infusion Medication List
PDF, 143 KB
PDF, 143 KB
Medical Benefit Oncology Drugs - Commercial Coverage - Not Managed by Carelon - Referred Back to Sentara Health Plans
PDF, 134 KB
PDF, 134 KB
Medical Benefit Oncology Drugs - Medicare Coverage - Not Managed by Carelon - Referred Back to Sentara Health Plans
PDF, 127 KB
PDF, 127 KB
Medical Benefit Oncology Drugs - Medicaid Coverage (Sentara Community Plan) - Not Managed by Carelon - Referred Back to Sentara Health Plans
PDF, 127 KB
PDF, 127 KB
Medical Benefit Oncology Drugs Requiring Prior Authorization - Managed by Carelon Medical Benefits Management
PDF, 129 KB
PDF, 129 KB
Open Drug Formulary (2024)
PDF, 2 MB
PDF, 2 MB
Pharmacy Alternative Drug List
PDF, 299 KB
PDF, 299 KB
Quarterly Pharmacy Changes
PDF, 341 KB
PDF, 341 KB
Sentara Individual & Family Health Plans Formulary (2024)
PDF, 1 MB
PDF, 1 MB
Specialty Pharmacy Drug List
PDF, 266 KB
PDF, 266 KB
Standard Formulary - Large Group (51 or more employees)
PDF, 1 MB
PDF, 1 MB
Standard Formulary (Small Group-50 or less employees) (2023)
PDF, 1 MB
PDF, 1 MB
Standard Formulary (Small Group-50 or less employees) (2024)
PDF, 1 MB
PDF, 1 MB
Virginia Commonwealth University Health System Authority Formulary
PDF, 2 MB
PDF, 2 MB