YOUR DRUG COVERAGE
If you’re looking for a list of covered drugs (formulary), you’ve come to the right place. You can view or download them below. When your coverage starts, you’ll be able to search easily for covered drugs in the LucyRx app or online portal.
Abbreviated Formulary
Download the list of commonly prescribed medications covered by your plan.
Preventive Formulary
Download the list that focuses on drugs that help prevent or manage common conditions.
Comprehensive Formulary
Download the full list of medications covered by your plan.
Formulary Exclusions
Download the list of medications your plan does not cover. If you take any of these, LucyRx can work with your doctor to recommend safe alternatives.
Forms
If you need to request or appeal coverage, or submit a claim for reimbursement, you can view or download the forms below.




