Formulary
A Formulary is a list of drugs covered by a plan.
As a new or continuing member in our plan, you may be taking drugs that are not on our formulary. Or, you may be taking a drug that is on our formulary, but your ability to get it is limited. You should talk to your doctor to decide if you should switch to an appropriate drug that we cover or request a formulary exception so that we will cover the drug you take. For each of your drugs that is not on our formulary, or if your ability to get your drugs is limited, we will cover a temporary 30-day supply (unless you have a prescription written for fewer days) when you go to a network pharmacy. After your first 30-day supply, we will not pay for these drugs. For additional information on our transition policy, please refer to the plan's formulary.
Are you familiar with the new TEAMStar Part D Low Cost Generics Program?
If you go to a “Union Preferred Pharmacy,” you will only pay a $2 copay for a one month supply from a list of certain Preferred Generics (i.e. Low Cost Generics).
Price a Drug
It's easy to find the drug cost information you're looking for. Click here to use a tool to enter your prescription drugs and find out what your costs will be for 2012. You can also use this tool to find a pharmacy near you.
Below, you can download a complete list of the drugs covered as well as a prior authorization form, if needed.
Comprehensive Formulary
Download Comprehensive Formulary (PDF file)
Prior Authorization Guidelines
Download Prior Authorization Guidelines (PDF file)
Note: You must have Adobe Reader version 5.0 or higher installed on your computer in order to view and print the above file properly. Click here to download a FREE COPY of Adobe Reader.
updated 10/01/11