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Find a Medicine - 2010

Welcome to the Passport Advantage Online Formulary! This easy-to-use tool is just for you - members of Passport Advantage. The tool will let you look up medicines and find out if they are covered by Passport Advantage. To get started, click on the link below.

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2010 Prior Authorization Criteria (PDF)

2010 Step Therapy Criteria (PDF)

Passport Advantage Rules and Information

Printable Formulary (PDF)

Passport Advantage Formulary Changes - Coming Soon (PDF)

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Looking for the Passport Health Plan Formulary?

See if a medicine is covered by Passport Health Plan (Medicaid).

H1807_001_PHA10104 Approved 3/10

Passport Advantage is a health plan with a Medicare contract. This Plan is available to all active Passport Health Plan members with Medicare Parts A and B. For full information on Passport Advantage benefits call Member Services. The content on this website is available in alternate formats, such as Braille, large type, or another language. Please call us at 1-800-578-0603, then press 1 (TTY: 1-800-648-6056), 7 days a week from 8 a.m. to 8 p.m. to request another format.
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