Transcription of 2022 Formulary - Caremark
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2022 Formulary - Caremark
SilverScript Employer PDP sponsored by State of Maryland(SilverScript)2022 Formulary (List of Covered Drugs)PLEASE READ: THIS DOCUMENT CONTAINS INFORMATIONABOUT THE DRUGS WE COVER IN THIS PLANThis Formulary was updated on 08/17/2021. For more recent information or other questions, pleasecontact Customer Care at 1-844-460-8767, 24 hours a day, 7 days a week. TTY users should call ID Number: 22259 Note to existing members: This Formulary has changed since last year. Please review this document tomake sure that it still contains the drugs you this drug list ( Formulary ) refers to we, us, or our, it means SilverScript InsuranceCompany. When it refers to plan or our plan, it means document includes a list of the drugs ( Formulary ) for our plan, which is current as of January 1,2022. For an updated Formulary , please contact us. Our contact information, along with the date we lastupdated the Formulary , appears on the front and back cover must generally use network pharmacies to use your prescription drug benefit.
on the plan’s formulary or if the lower cost-sharing drug or additional utilization restrictions would not be as effective in treating your condition and/or would cause you to have adverse medical effects. You should contact us to ask for an initial coverage decision for a formulary, tiering, or utilization restriction exception.
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