No matching source in this directory. Try fewer words or use the plan’s official portal. Absence here does not mean a source or benefit does not exist.
Public lists do not establish member-specific coverage or payment. Match the exact formulary family, plan and effective date.
Aetna · find a medication
Select the pharmacy benefit plan before opening its drug list.
Source checked September 15, 2026. Aetna asks for the pharmacy benefit plan name, which may be found in the Summary of Benefits and Coverage. Medicare has a separate path.
Cigna · employer prescription drug lists
Employer-plan drug-list lookup and a separate small-group section.
Source checked September 15, 2026; 2026 lists. Match the exact list named by the plan. Cigna directs small-group users to its separate section rather than this lookup.
Humana Medicare · prescription drug guide
Find the formulary for the specific Humana Medicare plan.
Source checked September 15, 2026. Humana posts updates during the year; use the correct plan and current guide. This is not a Humana commercial or Medicaid list.
CVS Caremark Value Formulary
2026 Value Formulary template/reference for medical providers
July 1, 2026. Caremark says it is informational and not comprehensive; it is not proof of an employer or member plan, copay, or payment.
CVS Caremark: Advanced Control Formulary
July 2026 Advanced Control Formulary for the Directors Guild of America Producer Health Plan
July 2026. This is a client-specific example, not a universal Caremark list. Match the employer or plan and use its current member materials.
Express Scripts: 2026 Express Scripts Basic Formulary
Abbreviated Basic PDL at the core of some prescription plans
January 1–December 31, 2026 Document stamp July 1, 2026. The source says it is not all-inclusive, is subject to change, and does not guarantee coverage for every Express Scripts plan.
Express Scripts: 2026 National Preferred Formulary
Abbreviated National Preferred Formulary drug list
January 1–December 31, 2026. Express Scripts states the list is not all-inclusive and not every listed drug is covered by every plan.
Express Scripts: 2026 National Preferred Flex
National Preferred Flex exclusions and preferred alternatives
2026 plan year. An exclusion document is not the member's complete benefit. Plan materials and member-specific coverage still control.
Express Scripts: Formulary Search Tool
Dynamic member or plan search when the correct benefit context is available
Accessed August 29, 2026. Requires JavaScript and may require a plan, session, or login; search results cannot be generalized to all Express Scripts members.
Optum Rx: 2026 Non-Medicare Comprehensive Formulary
Michigan Office of Retirement Services, non-Medicare eligible plan
January 1, 2026. This is a representative client plan, not a generic Optum master list; the PDF says benefit-plan documents control and the list may not be complete.
Optum Rx: Know Your Coverage and Costs
General member guidance and plan drug-list search
Page carries 2026 copyright; no separate page-level review date shown. Generic guidance does not return member-specific results without the plan context or prove a claim will pay.
Optum Rx: 2026 Premium Formulary
Independence Blue Cross Premium formulary example and drug-search landing page
January 2026. This is a plan-specific Premium implementation, not proof that every Optum client uses the same list.
Prime Therapeutics: PrimeChoice Accord Formulary
Named commercial formulary family and updates
Directory includes July 2026 updates. Use only when the benefit names PrimeChoice Accord; Blue plan and client lists can differ.
Prime Therapeutics: NetResults A-Series Prescription Drug Guide
Named NetResults A-Series commercial drug-guide family
Official directory checked August 30, 2026. A-Series, Balanced, and F-Series are distinct; confirm the exact name in the benefit.
Prime Therapeutics: NetResults Balanced Drug Guide
Named NetResults Balanced commercial drug-guide family
Official directory checked August 30, 2026. Do not substitute another NetResults family or a client-specific Blue plan guide.
Prime Therapeutics: NetResults F-Series Prescription Drug Guide
Named NetResults F-Series commercial drug-guide family
Official directory checked August 30, 2026. Confirm F-Series in the plan materials; the family name alone does not establish member coverage.
MedImpact: MedPerform Premier Standard Formulary
January 2026 formulary published for a named Louisiana school-board plan
January 2026. This is not a MedImpact master formulary. Use it only when the member's plan names this formulary; otherwise locate the plan-specific list or portal result.
Medicare Part D: Explore your Medicare coverage options
2026 Medicare Advantage and Part D comparison by ZIP, drugs, and pharmacies
2026 plan year. Dynamic results vary by ZIP, plan, drug, pharmacy, quantity, and date; it is not a static national formulary.
Medicare Part D: Formulary Guidance
Part D sponsor framework, file uploads, reference files, and archives
Last modified August 28, 2026. Not a pharmacy-facing member lookup and not proof that a specific sponsor or beneficiary claim will pay.
New York Medicaid · NYRx preferred drug list
Preferred Drug List and dated revisions.
PDL revision and posting: September 14, 2026. Use NYRx program criteria and the member’s benefit context.
Ohio Medicaid · preferred drug search
Search the SPBM reference by NDC, brand, label or generic name.
Source checked September 15, 2026; dynamic results. Ohio says to use the processor response to verify coverage, rather than relying on this reference alone.
Pennsylvania Medicaid · statewide preferred drug list
Statewide PDL and the route to clinical prior-authorization guidelines.
Source checked September 15, 2026. The state describes this as a subset of covered drugs, with PDL guidelines applying to FFS and HealthChoices/Community HealthChoices. Non-PDL drugs can have separate requirements.
Florida Medicaid · preferred drug program
PDL, brand-preferred list, drug criteria and PA forms in one state index.
Source checked September 15, 2026. The index lists drug limitations effective August 31, 2026. Each linked document has its own date; confirm the member’s program and receiving plan.
Michigan Medicaid · health plan common formulary
Managed-care common formulary and drug PA criteria.
Source checked September 15, 2026. This entry is for the Medicaid health-plan resource; do not substitute it for the FFS product list or assume all lists have the same scope.
Massachusetts · MassHealth drug list
MassHealth’s pharmacy program index links the Drug List and prior-authorization resources.
Source index checked September 15, 2026. Open the current drug-list edition and confirm the member’s delivery system.
Medicaid · North Carolina: NC Medicaid Preferred Drug List
NC Medicaid PDL and dated revision archive
Effective July 2026; revised July 24, 2026 Page modified July 24, 2026. Does not establish every managed-care arrangement, member eligibility, or payment for an individual claim.
Medicaid · Alabama: Preferred Drug List
State mandatory preferred-drug program and PDL Reference Tool
Effective July 1, 2026 State says updated quarterly. Omitted generics must not be treated as noncovered; the state list does not establish member eligibility or claim payment.
Medicaid · Mississippi: Universal Preferred Drug List
All Medicaid, MississippiCAN, and CHIP beneficiaries
Effective August 1, 2026. Unlisted drugs and program notes still require the applicable claim and plan context; this is not an adjudication guarantee.
Medicaid · Oregon: OHP Preferred Drug List
Open-card Oregon Health Plan / FFS PDL and separate searchable PDL
Search by effective date; source says list is updated periodically. Open-card/FFS scope does not automatically apply to every coordinated-care plan or member; no single page-level review date is shown.
Medicaid · Washington: Apple Health Pharmacy Services and PDL Tool fact sheet
Apple Health PDL entry points and member/prescriber-pharmacist dashboard
Fact sheet dated December 2025; data updated weekly. Plan-specific rules still require the health plan or FFS workflow; the dashboard does not produce a member adjudication result.
Medi-Cal Rx · California: Contract Drugs and Covered Products Lists
Contract Drug List, July 2026 approved NDC list, and product-specific covered lists
Approved NDC list dated July 2026. The public lists and Drug Lookup do not guarantee payment; PA, eligibility, program rules, and the live response remain separate.
Kentucky Medicaid: Drug Information
FFS and managed Medicaid PDL, PA criteria, quantity limits, and product lists
PDL effective August 1, 2026. FFS and MCO scope differs for some lists. Match the member's program and use the correct provider manual and claim response.
Minnesota Medical Assistance: Drug Lookup and Uniform PDL links
FFS drug lookup plus Uniform PDL links for FFS and managed care
Uniform PDL effective August 4, 2026. The lookup says it does not guarantee coverage or payment and excludes professional or institutional claims. Match the major program.
Nevada Medicaid and Nevada Check Up: Preferred Drug List and Clinical Documents
Current PDL, prior versions, quantity-limit list, clinical criteria, and related covered-product lists
PDL effective August 1, 2026. Use the date of service and program context; the list does not itself establish eligibility or a paid claim.
Choose the source that answers your question
Start with the member’s named plan or current card. Check that the publisher, program and edition match before applying a document. An employer-specific example is useful for recognizing a formulary family, but does not describe every member administered by the same PBM.
Use the RX BIN lookup for routing identifiers and the reject-code reference for a returned code. Neither substitutes for the complete payer response. Public documents may move or require a portal sign-in; use the publisher’s current document index if a saved PDF is no longer available.
When the list and the claim disagree
- Is this the right list?
- Match the plan name and effective date first. Aetna’s plan selector is one example of why the insurer’s name alone is not enough.
- Preferred, with conditions?
- A preferred listing can still require PA. Pennsylvania’s PDL guidance separates preferred drugs with clinical PA from non-preferred drugs and drugs outside the PDL.
- Which requirement did the claim return?
- Keep the full message beside the list. Open the relevant 70, 75, 76 or MR entry, then use the payer’s current documents.
For GLP-1 documentation questions, use the drug and diagnosis guide. For package identity, open the FDA NDC Directory or DailyMed labeling search. Product identification and plan coverage are separate checks.
Sources35 linked sources
- New York Medicaid · NYRx preferred drug list · checked September 15, 2026
- Ohio Medicaid · preferred drug search · checked September 15, 2026
- Pennsylvania Medicaid · statewide preferred drug list · checked September 15, 2026
- Florida Medicaid · preferred drug program · checked September 15, 2026
- Michigan Medicaid · health plan common formulary · checked September 15, 2026
- Massachusetts · MassHealth drug list · checked September 15, 2026
- Aetna · find a medication · checked September 15, 2026
- Cigna · employer prescription drug lists · checked September 15, 2026
- Humana Medicare · prescription drug guide · checked September 15, 2026
- FDA NDC Directory
- DailyMed
- CVS Caremark : CVS Caremark Value Formulary CVS Health / Caremark
- CVS Caremark : Advanced Control Formulary Official Caremark client example
- Express Scripts : 2026 Express Scripts Basic Formulary Evernorth / Express Scripts
- Express Scripts : 2026 National Preferred Formulary Evernorth / Express Scripts
- Express Scripts : 2026 National Preferred Flex Evernorth / Express Scripts
- Express Scripts : Formulary Search Tool Express Scripts / Evernorth
- Optum Rx : 2026 Non-Medicare Comprehensive Formulary Optum Rx
- Optum Rx : Know Your Coverage and Costs Optum Rx
- Optum Rx : 2026 Premium Formulary Official Optum Rx client resource
- Prime Therapeutics : NetResults F-Series Prescription Drug Guide Prime Therapeutics
- MedImpact : MedPerform Premier Standard Formulary MedImpact Healthcare Systems
- Medicare Part D : Explore your Medicare coverage options Medicare.gov / CMS Plan Compare
- Medicare Part D : Formulary Guidance Centers for Medicare & Medicaid Services
- Medicaid · North Carolina : NC Medicaid Preferred Drug List North Carolina DHHS
- Medicaid · Alabama : Preferred Drug List Alabama Medicaid Agency
- Medicaid · Mississippi : Universal Preferred Drug List Mississippi Division of Medicaid
- Medicaid · Oregon : OHP Preferred Drug List Oregon Health Authority
- Medicaid · Washington : Apple Health Pharmacy Services and PDL Tool fact sheet Washington State Health Care Authority
- Medicaid · Washington : Apple Health Pharmacy Services and PDL Tool fact sheet Washington State Health Care Authority
- Medi-Cal Rx · California : Contract Drugs and Covered Products Lists California DHCS / Medi-Cal Rx
- Kentucky Medicaid : Drug Information Kentucky Medicaid / MedImpact
- Minnesota Medical Assistance : Drug Lookup and Uniform PDL links Minnesota DHS / Prime Therapeutics
- Minnesota Medical Assistance : Drug Lookup and Uniform PDL links Minnesota DHS / Prime Therapeutics
- Nevada Medicaid and Nevada Check Up : Preferred Drug List and Clinical Documents Nevada Medicaid / Prime Therapeutics