2023 Medication Lookup
Not Covered by a 3-Tier Plan
Note TitleNon-Opiate MedicationDefinitionThis medication is a non-opiate product. You can use this medication for pain management instead of using opioid-based medications.
Note TitleExceptions To Non Covered MedicationsDefinitionYour doctor may submit a request for an exception. If approved, the medication must still follow any applicable requirements before it can be covered by your plan. You’ll also pay the highest tier cost.
Covered Alternative Medications