PLEASE NOTE : Your coverage has limitations and exclusions. This means that some drugs on this list may not be covered, depending on your plan’s design. For example, your plan might not cover certain drugs for cosmetic uses or to treat conditions such as weight loss, infertility, or erectile dysfunction. To find out if your drug is covered, log into your member portal or use the Sydney app to Price a Medication and refer to your plan documents.
Search by medication name for up-to-date drug information, including the benefit tier your drugs are on, as well as applicable clinical edits such as prior authorization or step therapy requirements.
You can also view the full drug list here . (Some pages of this document are intentionally left blank.)
To our providers: Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. Creating an account is free, easy and helps patients get their medications sooner. You can complete the process through your current electronic health record/electronic medical record (EHR/EMR) system or by using one of these ePA sites:
This drug search tool will be updated at least quarterly.