PreventiveRx Drug List - Basic Plus Plan (National Drug List)
A formulary list describing prescription drugs covered under the PreventiveRx benefit for the Basic Plus Plan (national). It lists preventive medications by clinical category and provides program-level notes about coverage limitations (e.g., brand-name with generic equivalent not covered, certain diabetic supplies and CGMs excluded).
No material clinical or coverage changes.
Coverage Summary
This formulary list describes prescription drugs covered under the PreventiveRx benefit for the Basic Plus Plan (national). Coverage stance is mixed: many preventive medications are listed and may be available at low or no cost depending on the member's benefit, but coverage is subject to plan terms and exclusions. Brand-name drugs that have a generic equivalent available are not covered under PreventiveRx. The list is illustrative and not all-inclusive; specific coverage decisions and exclusions are determined by the member's Certificate or Evidence of Coverage.