Formulary, a list of covered drugs
Samaritan Advantage Health Plan HMO formulary contains a list of drugs, selected in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Samaritan Advantage will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a Samaritan Advantage Health Plan network pharmacy and other plan rules are followed.
See Member Resources for the Samaritan Advantage Formulary (List of Covered Drugs)
If you are currently taking a drug that is not on our formulary or subject to additional requirements or limits, you may be able to get a temporary supply of the drug. You can contact Customer Service to obtain more information on how to request an exception or switch to an alternative drug listed on our formulary with your physician's help.
Last modified: October 1, 2009
H3811_MA4001 CMS approved 11.2009