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SeniorCare (Cost) Plan Pharmacy and Drug List (Formulary)

Pharmacy and Drug List (Formulary)

Select a pharmacy from one of our 5000 network locations. Click on the following links to view:

Texas-based and national chain pharmacies PDF document
A complete listing of our pharmacy locations PDF document
Prior Authorization Criteria for 2011 PDF document
Formulary (drug list) PDF document
     > Formulary changes PDF document
Part B versus D Criteria PDF document
Step Therapy Criteria PDF document
Medicare Part D Transition Process

Members can save money by obtaining a 90-day supply of their maintenance medications for two copayments at participating pharmacies. You can receive your maintenance medication at a participating pharmacy. Contact a Scott & White Health Plan office to see if your pharmacy participates.

The above information is current as of March 1, 2011.

"Medicare-Approved HMO"

H4564_WEB_RXINFO_2011REV  CMS Approved 04/08/2011