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Drug Name Search

Disclaimer: Depending on your plan benefit, the cost share for brand name drugs with a generic equivalent may be greater than the tier status. Please see your benefit summary or contact the Pharmacy Department at (877)216-3644 for questions.

By Alphabet

Select a letter to view drugs starting with that letter

Legend

  • T0
    Preventative
  • T1
    Preferred Generic
  • T2
    Non-Preferred Generics
  • T3
    Preferred Brand
  • T4
    Non-Preferred Brand
  • T5
    Preferred Specialty
  • T6
    Non-Preferred Specialty
  • NF
    Non-Formulary

† Denotes brand name drug, otherwise generic drug
BRAND NAMES
generic names

2019 Ayin Administrative Health Solutions_6 Tier Formulary

Welcome

Ayin Administrative Health Solutions brought to you by Providence Plan Partners is pleased to provide plan members with a comprehensive prescription drug formulary designed to promote safe, effective and affordable drug therapy. We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

Search the formulary

There are a number of ways to see if your prescription is included in the formulary. You can search:

  • Use the alphabetical list to search by the first letter of your medication.
  • Search by typing part of the generic (chemical) and brand (trade) names.
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    Prescription drug coverage

    Generally, your prescription drug plan covers prescription drugs that:

  • Are medically necessary;
  • Are filled at an in-network pharmacy; and that
  • Meet the criteria described in your member materials, such as prior authorization and step-therapy, when needed. Your member materials, including your prescription drug benefit summary, are available through myDASRx when you create a free account.

    Formulary exceptions

    You can ask us to make an exception to our coverage rules. There are several types of exceptions that you can ask us to make:

  • There may be times when you require a medication that is not on the formulary. If you currently take a prescription drug that is not on the formulary, contact customer service to confirm the drug is not covered. If the prescription drug is not covered, your provider may request an exception be made.