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Formulary
View FutureScripts’ response to the voluntary withdrawal of Digitek® (digoxin) by its manufacturer.
Keystone 65 Complete has different Rx benefits than our other plans.
If you are interested in Keystone 65 Complete, go to Keystone 65 Complete Formulary.
The drug formulary is a list of FDA-approved drugs we cover. Our Pharmacy and Therapeutics Committee has carefully chosen these drugs for their medical effectiveness and value.
A formulary is a list of drugs covered by your plan to meet patient needs. We may periodically add or remove covered drugs, change coverage limitations on certain drugs, or change how much you pay for a drug.
Search our drug formulary by search tool:
See Exceptions and Appeals to learn how to obtain an exception to the plan’s formulary.
Download a 2009 Formulary:
Keystone 65 Formulary
Select Advantage Formulary
Personal Choice 65 Formulary
Formulary Changes
We regularly review the formulary to ensure its continued effectiveness. The formulary may change during the year. We may remove drugs from the formulary, or add prior authorizations, quantity limits, restrictions on a drug, or move a drug to a higher cost-sharing tier.
If a prescription you’re taking is affected by a formulary change, we will notify you, in writing, at least 60 days before the date it takes effect.
If we don’t notify you in advance of the change, you will get a 60-day supply of the drug when you request a refill of the drug.
In case of a market recall, we will not give you 60 days’ notice before removing the drug. Instead, we will remove the drug from our formulary immediately and notify members about the change as soon as possible.