Javascript Menu by Deluxe-Menu.com    

    Search:
    Go
Formularies

A formulary is a list of covered drugs selected by MetroPlus which represents the prescription therapies believed to be a necessary part of a quality treatment program. MetroPlus will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a MetroPlus network pharmacy, and other plan rules are followed. Check your benefit materials for more specific information or call Customer Services at 800-303-9626.

Medicaid, Family Health Plus, Child Health Plus and Medicaid HIV Special Needs Plan Formulary: Quick Reference Guide

Medicaid, Family Health Plus, Child Health Plus and Medicaid HIV Special Needs Plan Formulary

Child Health Plus Formulary Summary

Medicare Formulary, Prior Authorization, Quantity Limits, Step Therapy

Prior Authorization Request Form (Medicaid/FHP/SNP)

MetroPlus Gold Formulary Summary

MetroPlus Member Pharmacy Notice for Medicaid/FHP/SNP September 2011



Privacy Policies