* PLEASE NOTE:
This pharmacy benefit information applies only to members
whose Mercy Health Plans member ID card lists RX copay amounts.
If it does not, you may have prescription coverage through
another pharmacy benefit provider.
This is the commercial formulary. If you are
looking for the
Medicare Part
D Formulary, please visit our
Medicare Part
D Page.
We reserve the right to change the medications on this
formulary. The presence of a medication on this formulary
does not guarantee that a Mercy Health Plans' member will
be prescribed that drug by his or her provider. Certain
plans do not cover prescription drugs that are not on Mercy
Health Plans' formulary or cover such drugs with a higher
copayment.Remember: If your physician prescribes
a brand name drug when a generic substitute is available
or if you choose to receive the brand drug (with the approval
of your physician), you will be responsible for the appropriate
co-payment plus the cost difference between the "brand"
name and the "generic" name drug.