Our formulary is our list of covered prescription drugs to see what generic and brand-name drugs are covered under our plans that have prescription drug coverage. Please note, this formulary may change. Please see our formulary updates to view changes. If you do not see the drug you are looking for in the formulary, please call our pharmacy customer service. We may cover that drug. You can also contact pharmacy customer service to request a printed copy of the formulary.
Please call our Summit Health Customer Service at 844-827-2355 (TTY users, please call 711). Customer Service is available to help you from 7 a.m. to 8 p.m., Pacific Time, seven days a week from Oct. 1 to March 31. After March 31, your call will be handled by our automated phone system on weekends and holidays. Weekend calls are forwarded to voicemail and returned the next business day.
If we make changes to a drug you are taking, we will send you a notice. We will also post any changes for our formulary, with dates, on this page.
We may be able to cover a drug for you if you ask us to make an exception. You can request an exception if:
To request an exception, you or your provider may do one of the following:
Last updated Oct. 1, 2021