Drug Lists
Safe and Effective Drug Therapy
Serve You Rx drugs lists will help you and your medication prescriber choose safe and effective drug therapies that are cost-effective and covered by your pharmacy benefit. Click the links to view current versions of our drug lists. If you're not sure which formulary to use, please contact your plan administrator for more information.
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
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.