Women discussing prescription drug formularies
Prescription Drugs
Formularies

Learn about the generic and brand-name drugs covered by Jefferson Health Plans.

The online lists of these drugs, also known as formularies, can be searched by name or category, or can be downloaded as a PDF.

Women discussing prescription drug formularies

Contents:

2025 Formularies
Premium

Special, Dual Pearl

Search Online Download Formulary
Core

Prime, Complete, Silver, Platinum, Flex Plus, Flex Pro

Search Online Download Formulary
Value

Giveback, Flex, Choice, Choice Plus

Search Online Download Formulary
Printed Copies

To request a printed copy of our formularies, please fill out this form.

Formulary

Additional Resources

Drug Recalls

The U.S. Food and Drug Administration keeps an updated list of drug recalls. Any members affected will receive a drug recall letter from Jefferson Health Plans in the mail.

View Drug Recalls
Prior Authorization and Formulary Exceptions

Sometimes, your doctor would like you to have a drug that is not listed in our formulary. In these instances, the non-formulary medication may be requested through a prior authorization, formulary exception or reimbursement.

Learn More
Diabetic Supplies

Preferred diabetic testing items are available to all Jefferson Health Plans members for 0% coinsurance. Click the button below to view the supplies covered by your plan.

Learn More

Contact Us

We are here to help answer your questions about formularies. If you're a member and haven’t found what you’re looking for on this page, please call our friendly Member Relations team at 1-866-901-8000 (TTY 1-877-454-8477).

Page last updated: 10/1/2024 - Y0170_MCE‐220S05‐4991_M