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90 and 100 Day Supply Lists


Prescription Drug List (PDL)


Mail Order Pharmacy


Online Pharmacy


Pharmacy National Network


Preauthorization

90 Day & 100 Day Supply Lists

See your subscriber agreement or plan documents to verify if you are eligible for a 90 or 100 day supply of the drugs on the lists below.

90 Day Supply List for 2017
100 Day Supply List for 2017

90 Day Supply List for 2016
100 Day Supply List for 2016