Pharmacy Formulary Changes
July 1, 2026
Medicare Advantage
The most recent formulary, prior authorization, quantity limit and age edit updates:
- Jefferson Health Plans Premium 6 Tier Formulary: Special, Dual Pearl, Select (SNP Plans)
- Jefferson Health Plans Core 5 Tier Formulary: Prime, Complete, Silver, Elite, Flex Plus, Flex Pro, Choice
- Jefferson Health Plans Value 5 Tier Formulary: Giveback, Flex, Choice Plus
EverWell (Jefferson Health Plans Medicaid)
The most recent updates to the Pennsylvania Statewide PDL:
- Statewide Preferred Drug List (PDL): Pennsylvania PDL
- Formulary Search: Jefferson Health Plans EverWell
Jefferson Health Plans CHIP
The most recent formulary, prior authorization, quantity limit and age edit updates.
Jefferson Health Plans Individual and Family Plans
The most recent formulary, prior authorization, quantity limit and age edit updates.
- Formulary: Jefferson Health Plans Individual and Family Plans
- Formulary Changes: Jefferson Health Plans Individual and Family Plans Formulary Updates