Formularies and Drug Lists
Learn more about finding prescription drug lists and formularies for all Optima Plans.
Commercial Plans
You can view drug lists for Optima Health members by visiting the member website using the links below.
- Employer Plans
Coverage provided by employers - OptimaFit Individual & Family Plans
Coverage purchased directly or through HealthCare.gov
Medicaid
- Optima Family Care
Medicaid core plan for FAMIS and Medallion - Optima Health Community Care
Managed Long-Term Services and Supports
Medicare
- Optima Medicare HMO
Medicare Advantage - Optima Community Complete (HMO D-SNP)
Dual Special Needs Program
* Medicare plan formularies are not available through our online search tool at this time.
Helpful Links
- Quarterly Pharmacy Changes
- Use of High-Risk Medications in the Elderly
- Potentially Harmful Drug-Disease Interactions in Older Adults
- Medical Benefit Oncology Drugs Requiring Prior Authorization - Managed by Carelon Medical Benefits Management
- Medical Benefit Oncology Drugs - Commercial Coverage - Not Managed by Carelon - Referred Back to Optima Health
- Medical Benefit Oncology Drugs - Medicaid Coverage (Optima Community Care) - Not Managed by Carelon - Referred Back to Optima Health
- Medical Benefit Oncology Drugs - Medicare Coverage - Not Managed by Carelon - Referred Back to Optima Health