Skip navigation

Find a Medicine - 2011

Welcome to the Passport Advantage HMO SNP 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.

Find a Medicine Now!

Learn How to Find Your Medicine

Call us with Questions

2011 Prior Authorization Criteria (PDF)

2011 Step Therapy Criteria (PDF)

Passport Advantage Rules and Information

Printable Formulary H1807_001_PS10185_File&Use_10/13/2010 (PDF)

Passport Advantage Formulary Changes (PDF)

Subscribe to RSS

Looking for the Passport Health Plan Formulary?

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

Passport Advantage is a health plan with a Medicare contract. This Plan is available to all anyone who is an active Passport Health Plan members and who has Medicare Parts A and B. Eligible beneficiaries may enroll in the plan at any time. Please call Passport Advantage for more information. Benefits, formulary, pharmacy, network, premium, and/or co-payments may change on January 1, 2012. Copays may vary based on the level of Extra Help you receive. Contact Passport Advantage for more details. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances. Quantity limitations and restrictions may apply. 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.
This site contains links to other Internet sites. Passport Advantage is not responsible for the content of other Internet sites. Please see Terms of Use.