Use the search options to see if a prescription drug is covered.

Note: If you are a PHN Employee Plan member, click here to access your plan’s search tool.

Choose your plan from the Select a Plan drop-down menu. Enter the full name or part of the name of the prescription drug you are searching, or choose an option from the therapeutic category list. Then click the Search button.

If you need help finding a network provider or pharmacy or have a question about covered drugs, call member services toll-free at 1-800-222-8600, seven days a week, from 8 a.m. to 8 p.m. TTY users may call 711. If you contact us on a weekend or holiday, we will reach out to you within one business day. If you would like a Provider Directory or an Abridged Formulary mailed to you, you may call the number above, or request one here.

What is a formulary?

A formulary is a list of drugs covered by a health plan. The Peoples Health formulary covers drugs that are selected by Peoples Health in consultation with a team of health care providers and that represent the prescription therapies believed to be a necessary part of a quality treatment program.

  • Our “abridged formulary” is a partial listing of some of the drugs covered by Peoples Health.
  • Our “comprehensive formulary” is a complete listing of all of the drugs covered by Peoples Health. Our comprehensive formulary is available through this online search.

Our formulary may change during the year. Please refer to your plan's Evidence of Coverage for details on how we will cover drugs that are affected by a formulary change. If Peoples Health does not cover your drug, you can ask us to make an exception and cover your drug. Click here for information on how to request an exception.

For the drugs on our formulary, Peoples Health pays for the majority of the drug's costs, and you pay a copay or a coinsurance amount for the rest of the cost. Your copay and coinsurance amounts are listed in your plan Evidence of Coverage.

Peoples Health covers both brand drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand drug. Generic drugs usually cost less than brand drugs and are rated by the Food and Drug Administration to be as safe and effective as brand drugs.

If you are a provider and would like to make a prior authorization request, a tiering exception request or formulary exception request, download the Request for Medicare Prescription Drug Coverage Determination Form (40 KB).