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