Transcription of 2022 Formulary - Caremark
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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.
are replacing it with a new generic drug that will appear on the same or lower cost-sharing tier and with the same or fewer restrictions. Also, when adding the new generic drug, we may decide to keep the brand name drug on our Drug List, but immediately move it to a different cost-sharing tier or add new restrictions.
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