2017 Drug List (Comprehensive)


 
Search our drug list in PDF document format listed below by using CTRL+F to search for a drug within the document. You can also choose to save and print the document.
 
2017 CarePlan of Illinois Comprehensive Drug List (PDF) Updated for October 1, 2017
 
2017 CarePlan of Ilinois Lista de medicamentos (PDF) Actualizó para el 1 de Octubre 2017
 

 
DRUG RECALL ALERT: On 7/31/15 a drug recall was issued by the manufacturer Unichem for Hydrochlorothiazide 25mg NDC 29300-0128-10 Lot # GHYL15028, lot expires April 2018.
 

 
 
 
2017 Prior Authorization
Criteria
- Updated 11/1/2017 
 
 
 
2017 Quantity Limit
Criteria
 - Updated 11/1/2017
 
2017 Step Therapy
Criteria
- Updated 11/1/2017 
 

 
A comprehensive formulary is a complete list of preferred, commonly prescribed prescription drugs. These drugs are chosen by doctors and pharmacists because of the drugs' medical advantage, safety, ease of use and cost. It is also known as the Cigna-HealthSpring CarePlan of Illinois Drug List and the Cigna-HealthSpring CarePlan of Illinois Prescription Drug List.
 
The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.
 
For more recent information or other questions, please contact Cigna-HealthSpring CarePlan of Illinois Customer Service at 1-866-487- 4331; TTY 711, 7 days a week, 8 a.m. - 8 p.m. CST
 
 
You can get this information for free in other languages. Call 1-866-487-4331 (TTY: 7-1-1), 7 days a week, 8 a.m. to 8 p.m. Central Time. The call is free. Usted puede obtener gratuitamente esta información en otros idiomas. Llame al 1-866-487-4331 (TTY: 7-1-1), 7 días de la semana, de 8 a.m. a 8 p.m. hora del Centro. La llamada es gratuita.
 

 
This web site uses files in Adobe Acrobat Portable Document Format (PDF). This is useful for forms that you want to view and/or print. To view or print these files, you must download the free Adobe Reader. Get Adobe Reader