Notice of changes to the formulary made during the coverage year will be posted at least 60 days before the date the formulary change becomes effective. Changes may include:

  • Drugs removed from the formulary
  • Addition of Prior Authorizations, Quantity Limits and/or Step Therapy Restrictions placed on a drug
  • Drugs moved to a higher cost-sharing Tier

Note: If the Food and Drug Administration deems a drug on our formulary to be unsafe, or if the drug's manufacturer removes the drug from the market, we may immediately remove the drug from the formulary. Posting of notice may be retrospective.

View formulary changes that may affect your patients by accessing the Formulary Information and Changes directory:

You can also access a guide to selected formulary changes effective January 1,2012:

Download and print formularies, view plan specific formulary changes or search for drugs covered by all plans administered by MemberHealth®, LLC. in the Formulary and Prior Authorization Form Directory.