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Pharmacy Claim Search:
Your prescriptions claims history, including prescription number, date filled,
prescriber, quantity, pharmacy, amount paid by you and amount paid by your
pharmacy plan.
Note: To access information about your personal pharmacy claims, you
must register to use
My Tracker, our member self-service center.
Network Pharmacy Search: Search for a network pharmacy by name, city,
state or zip code. Maps and driving directions are provided.
Find Drug Information:
Information about medications, their use, how to take them and possible side
effects.
Mail-Order Drugs: A description of the mail-order
option some employers have chosen for their employees and a link to the
mail-order form.
Prescription Claim Form (868 KB PDF): Printable form in portable document format (PDF).
Specialty Drugs: A description of the program that
covers injectable and select oral medications.
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Go Generic: Information
about the cost and quality of generic drugs, including:
Note: Your plan's covered drug list may vary from this standard formulary.
Call the Customer Service number on your ID card or consult your group
administrator to verify this formulary.
2008 Preferred Drug List (30 KB PDF): Generic and lower-cost brand-name medications.
Maintenance Drugs (36 KB PDF): Medications considered to be necessary for long periods of time.
Prior Authorization List (27 KB PDF): Medications that require prior approval. For authorization, call 501-378-3392.
Three-Tier Formulary (2784 KB PDF): Printable medications list showing the most common generic, preferred and third-tier drugs and those that require prior authorization.
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