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Find a Prescription Drug

The KelseyCare Advantage Rx and Rx+Choice plans use a Drug Formulary (a list of prescription drugs approved for coverage by KelseyCare Advantage). A formulary is a list of covered drugs selected by KelseyCare Advantage in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. KelseyCare Advantage will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a KelseyCare Advantage network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

To determine whether your medications are on our Formulary, you may search the formulary by drug name, drug category or by the first letter of the drug name.

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Formulary Addendum/Changes

The formulary may change during the year. To review and/or print formulary changes made during the year, click here. If you would like to request a copy of the formulary addendum to be mailed to your home, please call Member Services at 713-442-CARE (2273) or 1-866-535-8343, 8:00a.m. to 8:00 p.m., 7 days a week. TTY/TDD users should call 1-866-302-9336.

Drug Search - See if your drug is covered

Click here to search the 2010 KelseyCare Advantage Formulary for the Rx and Rx+Choice plans.
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Documents for Download

  • Abridged Formulary PDF  PDF 2010 En Español PDF PDF 2010
  • Comprehensive Formulary PDF  PDF  2010 
  • Pharmacy Directory PDF  PDF  2010 En Español PDF PDF 2010 
  • Prior Authorization Criteria PDF  PDF 2010 
  • Step Therapy Criteria PDF  PDF 2010 
  • Quantity Limit Amounts PDF  PDF  2010.
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713-442-CARE (2273)  /  TTY/TDD: 1-866-302-9336
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Last Updated: 10/01/09