Formulary

We update our formulary quarterly and post changes here on our website. To request pre authorization of any of the drugs on our formulary that require it, fax us a completed Pharmacy Pre-Authorization Form or you may submit an electronic pre-authorization request via CoverMyMeds: www.covermymeds.com (Bin: 004336; PCN: ADV: Group RX4037). Please click here for our Formulary changes Effective Dec. 1, 2017

INTotal Health’s Formulary is a listing of medications which are covered under INTotal Health’s pharmacy benefit. The Formulary includes certain over-the-counter products which may be recommended as first-line treatment. Click here to refer to the INTotal Health Formulary. Updates to the Formulary or changes in pharmaceutical procedures will be available via our website and in written notification. Copies of the Formulary or other pharmaceutical management procedures are available upon request. Click here for INTotal Health’s Step Therapy Guidelines.

INTotal Health’s Formulary is a tool used to promote appropriate and cost-effective prescription drugs for our members. The Formulary is comprised of a list of preferred drugs within the most commonly prescribed therapeutic categories. The Formulary is reviewed and updated quarterly by the INTotal Health Pharmacy & Therapeutics (P&T) Committee to reflect the committee’s prevailing clinical opinion.