Prescription Drug Lists for Employer Plans
Plan Formularies and Drug Lists
Injectable & Infusion Medication List
PDF, 148 KB
PDF, 148 KB
Open Drug Formulary (2026)
For Fully Insured and Business Edge Groups
PDF, 2 MB
For Fully Insured and Business Edge Groups
PDF, 2 MB
Open Drug Formulary (2026)
For Atlantic Orthopedic, City of Newport News, HRSD, James City County, Regent University, and Seaward Marine Corporation
PDF, 2 MB
For Atlantic Orthopedic, City of Newport News, HRSD, James City County, Regent University, and Seaward Marine Corporation
PDF, 2 MB
Pharmacy Alternative Drug List
PDF, 330 KB
PDF, 330 KB
Quarterly Pharmacy Changes
PDF, 573 KB
PDF, 573 KB
SaveOnSP - Copay Assistance Drug List
PDF, 119 KB
PDF, 119 KB
Specialty Pharmacy Drug List
PDF, 290 KB
PDF, 290 KB
Standard Formulary - Large Group (51 or more employees)
For City of Virginia Beach, Hampton City Schools, Lyon Shipyard Inc., Portsmouth Public Schools, Sentara Health, St Mary's Home, and Virginia Beach Schools
PDF, 2 MB
For City of Virginia Beach, Hampton City Schools, Lyon Shipyard Inc., Portsmouth Public Schools, Sentara Health, St Mary's Home, and Virginia Beach Schools
PDF, 2 MB