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Preferred Drug Lists

A Preferred Drug List (PDL) is a list of prescription medications chosen for their clinical value and cost-effectiveness by an independent panel of physicians and pharmacists. With our PDL, you and your doctor have the freedom to choose the medication that works best for you. Talk to your doctor about generic and preferred brand-name drugs whenever possible to help manage your prescription costs. Use our drug lookup tool to search for a specific drug.

 

$0 Covered Drug List - Under Health Care Reform, the Affordable Care Act (ACA) requires most health plans to cover certain drugs at $0 cost to members.

Excluded Drug List - This is a list of drugs that are excluded from coverage, as well as how to request a formulary exception for an excluded drug.

Preferred Drug List - A Preferred Drug List (PDL) is a list of prescription medications chosen for their clinical value and cost-effectiveness by an independent panel of physicians and pharmacists. With our PDL, you and your doctor have the freedom to choose the medication that works best for you. Members are encouraged to talk to their doctors about generic and preferred brand-name drugs whenever possible to help manage their prescription costs. You can use our drug lookup tool to search for a specific drug.

Specialty Drug List - Specialty Drugs are prescription medications used to treat complex or chronic medical conditions like cancer, rheumatoid arthritis, multiple sclerosis and hepatitis, just to name a few. They are often self-injected and usually require patient-specific dosing and careful clinical monitoring. They may also require special handling and refrigeration. CVS/specialty, a division of CVS/Health, is an independent company that provides specialty pharmacy services on behalf of PAI.

Topical Products Exclusions Drug List - A listing of topical medications that are excluded, along with details on alternatives.

 

NOTE: The PDL is subject to change without notice at any time during the year without prior notice to members or physicians. For updated PDL information, use the drug lookup tool above or call 1-888-963-7290.