FormularyThe formulary is a list of prescription drugs that are FDA-approved generic and brand-name medications that have been reviewed and recommended for their quality and effectiveness by a committee of practicing physicians, clinical pharmacists and other professionals, and approved by your insurance carrier.
CU Health Plan has a "tiered" prescription drug list for most products, which means your copay is lower for Tier 1 (Generic) and higher for Tiers 2 (Brand Name), 3 (Non-formulary) and 4 (Self-Injectable/Specialty). Not all plans have access to all Tiers. Please see the specific plan for which Tiers apply to your plan. The CU Health Plan drug list includes brand-name and most generic medications unless they are explicitly excluded from your benefits (i.e., cosmetic). Certain medications will require prior authorization.
RX Edits and Prior Authorizations