Formularies  Pharmacies

The following information will help you understand which drugs are covered as well as where you can find participating pharmacies and mail order services available to you.

Note: If you are using an Apple mobile device (iPhone or iPad) download the FREE Adobe Acrobat Reader app to ensure you can view our formularies.

View the following formularies to check which drugs are included:

Prior Authorization: Some drugs require you (or your physician) to get prior authorization.

Step Therapy: In some cases, you are required to first try certain drugs to treat your medical condition before we will cover another drug for that condition.

Formulary Quantity Limits: Certain drugs have a quantity limit, which means we’ll provide coverage only up to the limit specified.

Plan Transition Process: If you are new to the plan, we can help you transition when your current drugs are not on the formulary or your ability to get your drugs is limited.

You are covered both locally and nationally with our extensive pharmacy network. For the full list of participating locations, view our pharmacy directory:

You may be eligible to have 90-day supplies of your maintenance medication delivered to your door through a mail order pharmacy. These pharmacies will ship your prescription at no cost, which could save you time and money.

We offer mail order pharmacy services to our members through two partners:

ProAct Pharmacy Services
Wegmans Home Delivery Pharmacy

Learn more about your mail order pharmacy options to start using this free benefit.

Pharmacy Benefit Dimensions is a subsidiary of Independent Health. Independent Health is a PDP with a Medicare contract. Enrollment in Pharmacy Benefit Dimensions PDP depends on contract renewal between Independent Health and CMS.

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Last Updated 9/1/2025

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Formularies  Pharmacies

2025 Drugs Covered - Formularies

Plan Transition Process

Participating Pharmacies

Mail Order Prescriptions