Small group plans coverage

Prescription drug coverage effective on or after Jan. 1, 2018

2018 Product  Medical Plan  Formulary
Total Total 1000 Gold
Total 2000 Gold
Total 3500 Silver
Total 5000 Silver 
2018 Providence Formulary B

Total Enhanced Total Enhanced 250 Platinum
Total Enhanced 500 Platinum
Total Enhanced 1000 Gold
Total Enhanced 1500 Gold
Total Enhanced 2500 Gold
Total Enhanced 5000 Silver
Balance Balance 750 Gold
Balance 1500 Gold
Balance 2500 Silver
Balance 3500 Silver
Balance 4500 Silver
Balance 5500 Silver
Balance 7350 Bronze
Canopy Canopy 5500 Silver
Canopy 7350 Silver
Connect Connect 750 Gold
Connect 1500 Gold
Connect 2500 Silver
Connect 3500 Silver
Connect 4500 Silver
Connect 5500 Silver
Connect 7350 Bronze
Connect XT Connect XT 3500 Silver
HSA HSA 1700 Silver
HSA 2500 Silver
HSA 3000 Silver
HSA 4500 Bronze
HSA 5500 Bronze
HSA 6550 Bronze
2018 Providence Formulary F
Standard Standard Gold
Standard Silver
Standard Bronze HSA
2018 Providence Formulary G