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 us if you have any questions. 

 

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Lines of Business Document Effective Date
Marketplace Plans (Individual)
Marketplace Plans (SHOP)
Essential Plan 
Formulary 
STEP Criteria
January 2017
MetroPlus Gold Formulary January 2017
MetroPlus GoldCare I & II Formulary January 2017
Medicaid
Child Health Plus
Partnership In Care (SNP)
MetroPlus Enhanced (HARP)
Formulary
Quick Reference Guide
January 2017
Medicare 2017 Comprehensive Formulary 
STEP Criteria
Prior Authorization
Diabetes Monitoring Device and Supply Policy
January 2017
 

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MetroPlus FIDA Participant Comprehensive Formulary 2017
 
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MetroPlus FIDA Prior Authorization 
MetroPlus FIDA STEP Criteria 
MetroPlus FIDA Diabetes Monitoring Device and Supply Policy

Updated 01/2017

 

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