PHARMACY BENEFIT SERVICE
Plan A Only
Health Plan Preferred Medication List:
Complete List (can be searched and printed)
Quick List (can be printed)
Formulary Exceptions:
Prior Authorization Process
Prior Authorization Form
Additional Plan A Resources:
Free Blood Glucose Meter Program
Ascensia Glucometer Fax Order Form
Other Medication Resources
Medication Safety Tips
Additional medications available for Plan A only through the State of Michigan:
Psychotropic, Substance Abuse and HIV/AIDS Medications
Provider Resources
Formulary Modification Request Form
Drug Recalls
