The Pharmacy Benefit Dimensions' Drug Formulary is a list of the most commonly prescribed drugs that make up your prescription-drug benefit plan (this list is not all-inclusive and does not guarantee coverage).
Many employers use a customized drug formulary, so not all the drugs listed are covered by your benefit program. We encourage you to check your benefit materials for information about specific drugs covered by your plan or register and log in to your online account to view your employer-specific formulary online.
For specific questions about your coverage, please call 1-888-878-9172.
View the 2021 Pharmacy Benefit Dimensions’ 3 Tier Drug Formulary
View the 2021 Pharmacy Benefit Dimensions’ 4 Tier Drug Formulary
View the 2021 Pharmacy Benefit Dimensions’ 5 Tier Drug Formulary
The Labor-Management Healthcare Fund/PBD Formulary represents a list of drugs at their appropriate tiers for members of the Labor-Management Healthcare Fund only.
View the 2021 Labor-Management Healthcare Fund/Pharmacy Benefit Dimensions Drug Formulary
The NY44/PBD Formulary represents a list of drugs at their appropriate tiers for members of the NY44 Health Benefits Plan Trust only.
Questions? Call Us.
(716) 635-7880 or
(TTY users call: 711)
Need a Prior Authorization Form?
Prior Authorization Form (Members Inside Western New York)
Prior Authorization Form (Members Outside Western New York)