Highmark Formulary
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Highmark Formulary

The Highmark Formulary is designed to maintain high-quality patient care while containing costs. Learn more.

What Is the Highmark FormularyAuthentication Required

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Commercial Comprehensive Formulary

Open Formulary

Only applicable in Pennsylvania and West Virginia.

National Select Formulary

Commercial Core Formulary

Only applicable in Delaware, Pennsylvania, and West Virginia.

HCR Comprehensive Formulary

HCR Essential Formulary

Medicare Formularies

Medicare plans Part B and Part D cover both generic and brand-name prescription drugs. Highmark’s Medicare Advantage products also cover some additional specialty drugs.

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Formulary Updates

Formularies and pharmaceutical management procedures are updated on a bi-monthly basis. Get more information here.

Additional Help

Check out the Highmark Provider Manual for more information on prescription drug programs.

PROVIDER MANUAL – PRESCRIPTION DRUG PROGRAMSAuthentication Required

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Clinical Services

Still have questions? Call us: 8:30 a.m. to 7 p.m. Monday through Friday, 8:30 a.m. to 4:30 p.m. Saturday and Sunday.

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