Formularies and Drug Lists
Prescription drug lists and formularies for all Optima Health plans. Alternatively you can use our online search tool for the most up-to-date information*.
Commercial Plans
You can view drug lists for Optima Health members by visiting the member website using the links below.
- Employer Plans
Coverage provided by employers - OptimaFit Individual & Family Plans
Coverage purchased directly or through HealthCare.gov
Medicaid
- Optima Family Care
Medicaid core plan for FAMIS and Medallion - Optima Health Community Care
Managed Long-Term Services and Supports
Medicare
- Optima Medicare HMO
Medicare Advantage - Optima Community Complete (HMO D-SNP)
Dual Special Needs Program
* Medicare plan formularies are not available through our online search tool at this time.
Helpful Links
- Quarterly Pharmacy Changes
- Use of High-Risk Medications in the Elderly
- Potentially Harmful Drug-Disease Interactions in Older Adults
- Medical Benefit Oncology Drugs Requiring Prior Authorization (AIM)
- Drugs Not Managed by AIM - Referred back to Health Plan (Commercial Coverage)
- Drugs Not Managed by AIM - Referred back to Health Plan (Medicaid Coverage)
- Drugs Not Managed by AIM - Referred back to Health Plan (Medicare Coverage)
Video Tutorial
The following video is intended to help providers navigate the AIM documents.