2023 Select Drug Lists

The following states Select Drug Lists apply to Individual plans if you purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange) or if you purchased coverage off the exchange and not through your employer.

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The following states Select Drug Lists apply to Small Group plans if your coverage is through a Small Group employer on, and in some cases, off the exchange.

Colorado Select Drug List (Searchable) | (PDF) | Colorado Select Drug List with 1a/1b (Searchable) | (PDF)
Connecticut Select Drug List (Searchable) | (PDF) | Connecticut Select Drug List with 1a/1b (Searchable) | (PDF)
Georgia Select Drug List (Searchable) | (PDF) | Georgia Select Drug List with 1a/1b (Searchable) | (PDF)
Indiana Select Drug List (Searchable) | (PDF) | Indiana Select Drug List with 1a/1b (Searchable) | (PDF)
Kentucky Select Drug List (Searchable) | (PDF)
Maine Select Drug List (Searchable) | (PDF) | Maine Select Drug List with 1a/1b (Searchable) | (PDF)
Missouri Select Drug List (Searchable) | (PDF) | Missouri Select Drug List with 1a/1b (Searchable) | (PDF)
Nevada Select Drug List (Searchable) | (PDF) | Nevada Select Drug List with 1a/1b (Searchable) | (PDF)
New Hampshire Select Drug List (Searchable) | (PDF) | New Hampshire Select Drug List with 1a/1b (Searchable) | (PDF)
Ohio Select Drug List (Searchable) | (PDF) | Ohio Select Drug List with 1a/1b (Searchable) | (PDF)
Virginia Select Drug List (Searchable) | (PDF) | Virginia Select Drug List with 1a/1b (Searchable) | (PDF)
Wisconsin Select Drug List (Searchable) | (PDF)

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The following Select Drug Lists apply to Connecticut Large Group Alternative Funding plans:

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Contact the Pharmacy Member Services number on your ID card if you need assistance.