Formulary Drug Search
Last updated on 10/31/2018
To see if your prescription is covered by our plan, please type in the name of the drug below. You may also search by tier to see a list of drugs per tier.
Formulary Drug List for the following plans:
Eon Select (HMO), Eon Choice
(PPO), Eon Prime (PPO)
Last Updated:
10/31/2018
Formulary Drug List for the following plans:
Eon Deluxe (HMO
SNP), Eon Plus (HMO SNP)
Last Updated:
10/31/2018
Formulary Drug List for the following plans:
Eon Silver (HMO SNP), Eon Gold (PPO
SNP), Eon Platinum (PPO SNP)
Last Updated:
10/31/2018
* This drug may be covered under Medicare Part B or Part D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination.
Mail order is available for formulary drugs that have a 90-day supply fill option.
Coverage Requirements
For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. This ensures our members use these drugs in a safe way. The types of additional requirements are listed below:
Prior Authorization – For certain drugs, your doctor will need to contact us before you can fill your prescription. Prior Authorization means that you or your provider will need to get approval from us before filling the prescriptions. If members don’t get approval, Eon Health may not cover the drug.
Quantity Limits – For certain drugs, our plan limits the amount of the drug that we will cover. For example, we provide 60 tablets per prescription per 30 days for metformin 1000 mg tablets. This may be in addition to a standard one-month or three-month supply.
Step Therapy – For certain drugs, we require you to first try another drug to treat your medical condition before we will cover the drug your physician initially prescribed. For example, if Drug A and B both treat your medical condition, Eon Health may not cover Drug B unless you try Drug A first. If Drug A does not work for you, Eon Health will then cover Drug B.
Formulary Changes
Generally, if you are taking a drug on our formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the current coverage year except when a new, less expensive generic drug becomes available or when new adverse information about the safety or effectiveness of a drug is released. Other types of formulary changes, such as removing a drug from our formulary, will not affect members who are currently taking the drug. It will remain available at the same cost-sharing for those members taking it for the remainder of the coverage year to the formulary drugs that were available when you chose our plan, except for cases in which you can save additional money or we can ensure your safety.
If we remove drugs from our formulary tool, or add prior authorization, quantity limits and/or step therapy restrictions on a drug or move a drug to a higher cost-sharing tier, we must notify affected members of the change at least 60 days before the change becomes effective, or at the time the member requires a refill of the drug, at which time the member will receive a 60-day supply of the drug. If the FDA deems a drug on our formulary to be unsafe or the drug’s manufacturer removed the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug.
The following links provide information about updates that have been made to our plans’ formularies:
Notice to Formulary Changes
No formulary changes at this time.
Can I receive coverage for drugs not on the formulary?
Yes, if you believe you are entitled to payment or benefits on a certain drug, you can request a Coverage Determination. A coverage determination is a decision made by Eon Health regarding payment for a Part D drug or exceptions to our formulary. Please use the coverage determination request form below:
