Drug Lists
Providing Patient Care
Serve You Rx respects and understands the critical role that physicians, pharmacists, and other health care professionals play in taking care of our members. We stand ready to help you deliver excellent health care to all of those who have placed their trust in all of us.
Drug Lists:
- Preferred Drug List – Select
- Preferred Drug List – Standard
- Preferred Drug List Recent Changes – Select
- Preferred Drug List Recent Changes – Standard
- Serve You Rx Select Formulary Excluded Product List
- Specialty Drug List
- ACA Preventive Medication List
- ACA Immunization Program
- Step Therapy Program
- Serve You Rx Prior Authorization Information and Drug List
- ACA Preventive Medication Document for providers
- MAC List Price Data
Note: All forms are in .pdf (Acrobat) format. You can download the latest version of the Acrobat Reader software on Adobe's website for free.