Our online lists of drugs that are covered by Jefferson Health Plans, also known as formularies, can be searched by drug name or category or can be downloaded as a PDF.
Search Online Download
The U.S. Food and Drug Administration keeps an updated list of drug recalls. Any members affected will receive a drug recall letter from Jefferson Health Plans in the mail.
View Drug Recalls
Prior Authorization and Formulary Exceptions
Sometimes, your doctor would like you to have a drug that is not listed in our formulary. In these instances, the non-formulary medication may be requested through a prior authorization, formulary exception or reimbursement.
About Step Therapy
Step Therapy is a type of coverage determination that applies to certain drugs. When Step Therapy applies, we require you to try certain drugs to treat your medical condition first before we will cover another drug for that condition.
Here's How it Works:
- For example, if Drug A and Drug B both treat your medical condition, Jefferson Health Plans may not cover Drug B unless you try Drug A first. If Drug A does not work for you, Jefferson Health Plans will then cover Drug B.
Drugs subject to Step Therapy are marked with an “ST” code in our print and online formularies, which you can view here.
We are here to help answer your questions about formularies. If you're a member and haven’t found what you’re looking for on this page, please call our friendly Member Relations team at 1-833-422-4690 (TTY 1-877-454-8477).