PHARMACY BENEFIT SERVICE

Plan A Only

Health Plan Preferred Medication List by:

• Brand Name Reference

• Drug Classification

• Quick List

Additional medications available for Plan A only through the State of Michigan:

• Psychotropic, Substance Abuse and HIV/AIDS Medications

Plan B Only

Health Plan Preferred Medication List by:

• Brand Name Reference

• Drug Classification

• Quick List

Formulary exceptions are not a benefit

Plan A and B

• Free Blood Glucose Meter Program

• Ascensia Glucometer Fax Order Form

• Other Medication Resources