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Pharmacy Services

Drug PA Forms
List by Brand Name | List by Generic Name

Standard PA Request

Drug Formulary
Download the abbreviated 4-page formulary

Disclaimer: Not all medications are listed in this formulary reference. If you have any questions or would like a hard copy of the formulary, please contact Pharmacy Services. All formulary additions reviewed by the Pharmacy & Therapeutics Committee will be posted by the 30th of the month after every meeting. Physicians Plus reserves the right to change the formulary at any time without notice.

Comprehensive Formulary – alphabetical listing 

Comprehensive Formulary – listed by drug class 

Oral Contraceptives - Detailed Formulary Listing

ePocrates
Visit the ePocrates website to select your platform and learn about product options for downloading the Physicians Plus drug formulary.

Generic Sampling Program
Members can receive their first one month supply of select generic prescriptions at no charge with the Generic Sampling Program. Remember to prescribe from this list of generic drugs to help members take advantage of this program.

GO-TO Rx Manager
GO-TO Rx ManagerMembers get the most from their prescription drug coverage when they make informed choices. GO-TO Rx Manager allows personal review of prescription drug history, the Physicians Plus drug formulary and drug cost comparisons. It’s especially useful for helping members choose lower-cost drugs or those with lower copays.

Members must have or sign up for a GO-TO account to use GO-TO Rx Manager.

Maintenance Drug List
Members may obtain select medications, including contraceptives at a three months supply (90 days) for three copays with a prescription from their health care provider.

Tablet Splitting Program
Members can save up to 50% on out-of-pocket costs for some of their medications using the Physicians Plus Tablet Splitting Program.

Download and print the one-page instruction sheet showing your patient how to use a tablet splitter.