Is My Medication Covered?

Members under the Individual and Family health insurance plan enjoy the convenience of having pharmacy benefits, which include prescription drugs in our formularies.

A formulary is a list of generic and brand name drugs chosen by CHRISTUS Health Plan and a team of doctors as part of a quality treatment plan. These drugs are usually covered as long as it is medically necessary and the prescription is filled at a network pharmacy.

2019 Exchange Formularies

2018 Exchange Formularies

 

Check your formulary to see if a drug is covered. If you have questions, please contact us 5 days a week, 8 a.m. to 5 p.m. local time.

Frequently Asked Questions

  • What if my drug is not in the formulary?

  • How to request an exception to the CHRISTUS Health Plan formulary?

  • What do I do before I can talk to my doctor about changing my drugs or requesting an exception?

  • What is a drug utilization review?

  • What is Utilization Management?