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Individual Members

General plan information

2019 Pharmacy Information

  • Commercial Metal 5-Tier Formulary Annual Notice of Change 2019
  • Commercial Metal 5-Tier Pharmacy Prior Authorization and Step Therapy Criteria 2019
  • Commercial Metal 5-Tier Formulary Monthly Notice of Change 2019

Participating providers


For information about your covered benefits (copays, deductibles, maximums, etc.), please log in.

For information about Agency for Healthcare Administration (AHCA) click here

Last updated 3/19/2019