By Alphabet
Select a letter to view drugs starting with that letter
By Therapeutic Class
Please select a therapy class to continue
- A
- ANTI-INFECTIVE AGENTS
- ANTIHISTAMINE DRUGS
-
ANTINEOPLASTIC AGENTS
- ANTITOXINS,IMMUNE GLOB,TOXOIDS,VACCINES
- AUTONOMIC DRUGS
- B
-
BLOOD DERIVATIVES
- BLOOD FORMATION, COAGULATION, THROMBOSIS
- C
- CARDIOVASCULAR DRUGS
- CELLULAR AND GENE THERAPY
-
CENTRAL NERVOUS SYSTEM AGENTS
- ANALGESICS AND ANTIPYRETICS
- ANOREXIGENICS;RESPIRATORY,CNS STIMULANTS
- ANTICONVULSANTS
- ANTIMANIC AGENTS
- ANTIMIGRAINE AGENTS
- ANTIPARKINSONIAN AGENTS (CNS)
- ANXIOLYTICS, SEDATIVES AND HYPNOTICS
- CENTRAL NERVOUS SYSTEM AGENTS, MISC.
- FIBROMYALGIA AGENTS
- GENERAL ANESTHETICS
- OPIATE ANTAGONISTS
- PSYCHOTHERAPEUTIC AGENTS
- VESICULAR MONOAMINE TRANSPORT2 INHIBITOR
-
CONTRACEPTIVES (E.G. FOAMS, DEVICES)
- D
-
DENTAL AGENTS
-
DEVICES
-
DIAGNOSTIC AGENTS
- ADRENOCORTICAL INSUFFICIENCY
- ALLERGENIC EXTRACTS (DIAGNOSTIC)
- AMYLOIDOSIS
- APPENDICITIS
- BLOOD VOLUME
- BRUCELLOSIS
- CARDIAC FUNCTION
- CIRCULATION TIME
- DIABETES MELLITUS
- DIPHTHERIA
- DRUG HYPERSENSITIVITY
- FUNGI
- GALLBLADDER FUNCTION
- GASTRIC FUNCTION
- INTESTINAL ABSORPTION
- KIDNEY FUNCTION
- LIVER FUNCTION
- LYMPHATIC SYSTEM
- LYMPHOGRANULOMA VENEREUM
- MUMPS
- MYASTHENIA GRAVIS
- OCULAR DISORDERS
- PANCREATIC FUNCTION
- PHENYLKETONURIA
- PHEOCHROMOCYTOMA
- PITUITARY FUNCTION
- RESPIRATORY FUNCTION
- ROENTGENOGRAPHY AND OTHER IMAGING AGENTS
- SCARLET FEVER
- SWEATING
- THYROID FUNCTION
- TRICHINOSIS
- TUBERCULOSIS
- URINE AND FECES CONTENTS
-
DISINFECTANTS (FOR NON-DERMATOLOGIC USE)
- E
- ELECTROLYTIC, CALORIC, AND WATER BALANCE
-
ENZYMES
- EYE, EAR, NOSE AND THROAT (EENT) PREPS.
- G
- GASTROINTESTINAL DRUGS
-
GOLD COMPOUNDS
- H
-
HEAVY METAL ANTAGONISTS
-
HORMONES AND SYNTHETIC SUBSTITUTES
- ADRENALS
- ANDROGENS
- ANTIDIABETIC AGENTS
- ANTIHYPOGLYCEMIC AGENTS
- CONTRACEPTIVES
- ESTROGENS AND ANTIESTROGENS
- GONADOTROPINS AND ANTIGONADOTROPINS
- LEPTINS
- OTHER CORPUS LUTEUM HORMONES
- PARATHYROID AND ANTIPARATHYROID AGENTS
- PITUITARY
- PROGESTINS
- RENIN-ANGIOTENSIN-ALDOSTERONE SYST(RAAS)
- SOMATOSTATIN AGONISTS AND ANTAGONISTS
- SOMATOTROPIN AGONISTS AND ANTAGONISTS
- THYROID AND ANTITHYROID AGENTS
- L
-
LOCAL ANESTHETICS (PARENTERAL)
- M
-
MISCELLANEOUS THERAPEUTIC AGENTS
- 5-ALPHA-REDUCTASE INHIBITORS
- ALCOHOL DETERRENTS
- ANTIDOTES
- ANTIGOUT AGENTS
- ANTISENSE OLIGONUCLEOTIDES
- BONE RESORPTION INHIBITORS
- CARBONIC ANHYDRASE INHIBITORS (MISC.)
- CARIOSTATIC AGENTS
- COMPLEMENT INHIBITORS
- DISEASE-MODIFYING ANTIRHEUMATIC AGENTS
- IMMUNOMODULATORY AGENTS
- IMMUNOSUPPRESSIVE AGENTS
- OTHER MISCELLANEOUS THERAPEUTIC AGENTS
- PROTECTIVE AGENTS
- O
-
OXYTOCICS
- P
-
PHARMACEUTICAL AIDS
- R
-
RADIOACTIVE AGENTS
-
RESPIRATORY TRACT AGENTS
- ANTI-INFLAMMATORY AGENTS (RESPIRATORY)
- ANTIFIBROTIC AGENTS
- ANTIHISTAMINES (RESPIRATORY TRACT AGNTS)
- ANTITUSSIVES
- BRONCHODILATORS
- CYSTIC FIBROSIS (CFTR) MODULATORS
- EXPECTORANTS
- MUCOLYTIC AGENTS
- PHOSPHODIESTERASE TYPE 4 INHIBITORS
- PULMONARY SURFACTANTS
- RESPIRATORY TRACT AGENTS, MISCELLANEOUS
- VASODILATING AGENTS (RESPIRATORY TRACT)
- S
-
SKIN AND MUCOUS MEMBRANE AGENTS
- ANTI-INFECTIVES (SKIN, MUCOUS MEMBRANE)
- ANTI-INFLAMMATORY AGENTS (SKIN, MUCOUS)
- ANTIPRURITICS AND LOCAL ANESTHETICS
- ASTRINGENTS
- CELL STIMULANTS AND PROLIFERANTS
- DEPIGMENTING AND PIGMENTING AGENTS
- DETERGENTS
- EMOLLIENTS, DEMULCENTS, AND PROTECTANTS
- KERATOLYTIC AGENTS
- KERATOPLASTIC AGENTS
- SKIN AND MUCOUS MEMBRANE AGENTS, MISC.
- SUNSCREEN AGENTS
- SMOOTH MUSCLE RELAXANTS
- V
- VITAMINS
Legend
-
T1Generics
-
T2Preferred Brands
-
T3Non-Preferred Brands
-
ETExcluded Drugs
-
NCNot Covered
MAGELLAN Rx PRECISION FORMULARY
Welcome
We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.
What is a Formulary?
A formulary is a list of covered drugs which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.
This formulary list is not intended to imply coverage and may change over time. Please refer to your plan document for detailed information about your drug benefit coverage.
Printable Files
The following files require Adobe Acrobat. Download Adobe Acrobat
- Printable Formulary
- Prior Authorization
- Quantity Limit
- Formulary Explanation
- 2019 Preferred and Excluded Drugs by Drug Class