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    Please click below for details on prescriptions thru OptumRx

    Welcome to OptumRX

    Premium Formulary Exclusion as of January 2020

    Premium Formulary Exclusion as of July 2020

    Premium Standard formulary booklet 

     Vigilant drug High cost  Generic Exclusion list

     Vigilant drug program ME Too  Exclusion list

     Vigilant drug program Non Essential Medication list

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               Prior authorization suboxone

    Please review the Summary Plan Description for further information regarding your plan of benefits.