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Prescription Drug Copay Table
Drug List (Formulary)
EasyCare
Drug List (Formulary)
Total
EasyCare Plus
Drug List (Formulary)
EasyCare
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF:
Total
EasyCare Plus
Future Formulary Changes
Please check these formulary updates for upcoming changes in the drug coverage list.
Download PDF:
Step Therapy Requirements