Call Us

1-833-477-4773

Prescription Drugs

Formularies

Learn about the generic and brand-name drugs covered by Jefferson Health Plans.

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.

2024 Formularies

Pennsylvania & New Jersey: HMO and PPO Plans

Search Online Download HMO/PPO Formulary

Download Change History

Pennsylvania: SNP Plans

Search Online Download SNP Formulary

Download Change History


Additional Resources

Printed Copies

Click here to request a printed copy of our formularies.

Drug Recalls

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.

Learn More

Diabetic Supplies

Preferred diabetic testing items are available to all Jefferson Health Plans members for 0% coinsurance. Click the button below to view the supplies covered by your plan.

Learn More


Contact Us

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 1-866-901-8000 (TTY 1-877-454-8477).