Formulary Drug Search
Last updated on 11/01/2021
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.
* 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.
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.
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: