Base Formulary Drug List

Use the chart below to help you read this drug list. This chart is just an example. It may not show how these medications are actually covered on the 2026 Base Formulary List. Medications are listed by the condition they treat, then listed alphabetically.

The formulary is the list of drugs included in your prescription plan. Ask your prescriber to consider PREFERRED medications from this list when medically appropriate. Inclusion on the list does not guarantee coverage. The following list is not a complete list of products that are on the formulary.

Newly FDA approved medications are subject to evaluation by the Plan for coverage status and formulary placement prior to inclusion in the Prescription Drug Benefit including the Specialty Drug Benefit.