Drug Formulary

a couple doing paperwork

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).

What’s Covered

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 2018 Pharmacy Benefit Dimensions’ Drug Formulary

Labor-Management Healthcare Fund/PBD 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 2018 Labor-Management Healthcare Fund/PBD Drug Formulary

NY44/PBD Formulary

The NY44/PBD Formulary represents a list of drugs at their appropriate tiers for members of the NY44 Health Benefits Plan Trust only.

View the 2018 NY44/PBD Formulary

Questions? Call Us.

(716) 635-7880 or
1-888-878-9172.
TTY/TDD users may call
(716) 631-3108.

Need a Prior Authorization Form?

Download our Prior Authorization form here