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Detailed Drug Coverage Information/Formularies

You can find out more about the specific drug coverage included with each health plan and pharmacy plan we offer (called a "formulary"), by following the three-step instructions below:

  1. Locate the health plan or pharmacy plan you are researching in the left-hand column of the table below (If you are a Member, you can check your RMHP insurance card to find out which plan you are covered under)
  2. Click on the Drug Search link for that plan in the right-hand column to look up coverage information for a specific drug by name or drug class
  3. Click on the Formulary link for that plan in the right-hand column to read detailed coverage information for all prescription drugs

If you need assistance finding the correct plan or formulary information, please contact customer service. To learn more about the most cost-effective medication therapy options for all RMHP Members, please view our RMHP Preferred Drug List.

Employer Group Plans

Drug Search/Formulary

 

  • HMO Group GHRX (NC50 GHRX)
  • Good Health HMO
  • Good Health PPO
  • Basic HMO & PPO
  • Standard HMO & PPO
  • RM Choice HMO GHRX
  • RM Choice PPO GHRX
  • RM Direct HMO GHRX
  • RM Direct PPO GHRX
  • RM Vista HMO
  • RM Vista PPO

    Good Health Formulary

     View entire formulary (PDF, 2MB)

     Quick search for specific drugs

     
    • Good Health HMO HSA
    • Good Health PPO HSA
     

     

    • HMO Group (C8,C1000, C5000, NC50)
    • HMO Good Health Savings Plan
    • PPO Good Health Savings Plan
    • FITT Single Track
    • PPO Good Health Savings Plan
    • RM Choice HMO
    • RM Choice PPO
    • RM Direct HMO
    • RM Direct PPO
    • HCO Group (Indemnity)

     

    Individual Plans
    Drug Search/Formulary

     

    • SOLO PPO View 
    • SOLO PPO Outlook
    • SOLO PPO View HSA
    • SOLO PPO Outlook HSA

     

    • CHP+
    • Medicaid

    Good Health Formulary

    View entire formulary (PDF, 2MB)

    Quick search for specific drugs

     

     

    • SOLO PPO HDHP Smart Choice
    • SOLO PPO Select

    Legacy Formulary

    View entire formulary (PDF, 2MB)

    Quick search for specific drugs

     

    SOLO Injectable/Infusion Inclusion List 

     

     

    •  HMO Individual (C1000, C5000, NC50)
    • SOLO PPO
    • SOLO PPO HDHP

    Legacy Formulary

    View entire formulary (PDF, 1MB)

    Quick search for specific drugs

     
    Medicare HMO Plans
    Drug Search/Formulary
    • Medicare Part D Plans

    Click here to view the entire 2011 Premier Medicare HMO Plan Formulary

    This formulary is the entire list of Part D drugs covered by RMHP.  Click here to search the 2012 Premier Medicare HMO Plan Formulary for a specific prescription drug

    Click here to view the 2012 Premier Medicare Formulary (This formulary is Effective on 1/1/2012)

    • Medicare Retiree Plan

     
     
    Rocky Mountain Health Plans