See if your prescription drug is covered
Our prescription drug list (formulary) shows:
- The drugs we cover
- The tier a drug is on
- Any limits or requirements before we cover the drug
- Mail order availability
Generally, the lower the tier, the less you pay. Your Summary of Benefits tells you the drug costs for tiers.
2020
View drug-related documents for your plan
2019
View drug-related documents for your plan
Innovation Health Medicare Voyager Plan (PPO) - H1100-001
List of covered drugs (Formulary)
List of covered drugs (Formulary) - Spanish
Innovation Health Medicare Connection Plan (HMO) - H2829-001
List of covered drugs (Formulary)
List of covered drugs (Formulary) - Spanish
Other drug references
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Changes to the drug list (formulary)
Prior authorization, quantity limits & step therapy
Transition rules
Participating physicians, hospitals and other health care providers are independent contractors. They're neither agents nor employees of Innovation Health. The availability of any particular provider can't be guaranteed. Provider network make-up is subject to change.
We're here to help!
Members:
Email us or call Member Services at the number on your ID card.
Don’t have your ID card handy?
Find a phone number
Not yet a Member?
Email us or call an Innovation Health representative at 1-800-572-7124 (TTY: 711), 7 days a week, 8 a.m. to 8 p.m.
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