Scott & White Health Plan

Pharmacy and Drug List (Formulary)

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

A complete listing of our pharmacy locations
Prior Authorization Criteria for 2012
Formulary (drug list)
     > Formulary changes 
Part B versus D Criteria
Step Therapy Criteria
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 October 1, 2011.

Medicare-Approved HMO plan

H4564_WEB_RXINFO_2012  CMS Approved 09/13/2011