HMSA Formulary†,*
To view the current drug formulary, please click the link below:
Essential Formulary Coverage Codes
| 120 128 167 168 176 177 178 179 181 |
288 289 317 332 335 354 |
401 402 405 406 407 408 409 413 437 438 483 |
503 515 518 519 558 559 583 584 |
607 608 609 610 611 612 637 638 639 |
793 795 797 798 799 |
801 802 815 816 847 848 860 861 862 865 866 873 874 |
950 951 955 956 957 964 965 966 967 968 |
972 973 974 977 978 979 980 981 993 994 996 |
† Brand drugs not listed in the formulary should be considered OTHER BRAND.
* The online HMSA Drug Formulary is updated quarterly. Providers may request a CD version of the formulary by contacting HMSA Provider Services.
Access previous versions of the Essential drug formulary.