2018 EssentiaCare Formulary

For 2019 Formulary Information, click here.

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EssentiaCare Formulary (PDF) Updated 11/01/2018

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Prior Authorization Criteria (PDF) Updated 11/01/18

Step Therapy Criteria (PDF) Updated 11/09/17

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Formulary Additions (coming soon)

Formulary Removals (coming soon)

Search the list of covered medications below or download the complete Formulary.


H8783_092718_8_M CMS Accepted (10012018)
September 2018