Formulary list of approved drugs

Documents for members of Providence Medicare Extra + RX (HMO), Providence Medicare Choice + RX (HMO-POS), Providence Medicare Prime + RX (HMO-POS), Providence Medicare Compass + RX (HMO-POS) and Providence Medicare Latitude + RX (HMO-POS):


Documents for members of Providence Medicare Dual Plus (HMO SNP):


Information for all Providence Medicare Advantage Plans members with prescription drug benefits:


The formulary may change at any time. You will receive notice when necessary.

Webpage current as of 3/1/2017