Get the free Your 2021 Premium Standard Formulary - Adventist Health
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Your 2021 Premium Standard Formulary Effective January 1, 2021For the most current list of covered medications or if you have questions: Call the number on your member ID card. Visit your plans website
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What is your premium standard formulary?
Our premium standard formulary is a list of prescription drugs covered by a health insurance plan.
Who is required to file your premium standard formulary?
Health insurance companies are required to file our premium standard formulary.
How to fill out your premium standard formulary?
Our premium standard formulary can be filled out online through our secure portal.
What is the purpose of your premium standard formulary?
The purpose of our premium standard formulary is to inform members and providers about the drugs covered by our plan.
What information must be reported on your premium standard formulary?
Our premium standard formulary must include drug names, tiers, cost sharing information, and coverage restrictions.
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