A formulary is a list of covered drugs (both generic and brand name)

selected by Nascentia Health Plus in consultation with a team of healthcare providers to offer prescription therapies believed to be an important part of a quality prescription program.

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2021 Nascentia Dual Advantage (D-SNP)

2021 Nascentia Skilled Nursing Facility (I-SNP)

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  • Drug Formulary

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Nascentia Health Plus will generally only cover the drugs listed in the formulary, unless your health care provider contacts Nascentia Health Plus and obtains prior approval.

Search online Drug Formulary

or 

Download Drug Formulary files:

  • 2021 Drug Formulary (pdf)
  • Prior Authorizations (pdf) – Nascentia Health Plus requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from Nascentia Health Plus before you fill your prescriptions. If you don’t get approval, Nascentia Health Plus may not cover the drug.
  • Quantity Limits (pdf)  – For certain drugs, Nascentia Health Plus limits the amount of the drug that Nascentia Health Plus will cover. For example, Nascentia Health Plus provides 60 or 90 pills per prescription (depending on the strength of the drug), for oxycodone hcl. This may be in addition to a standard one-month or three-month supply.
  • Step Therapy (pdf) – In some cases, Nascentia Health Plus requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, Nascentia Health Plus may not cover Drug B unless you try Drug A first. If Drug A does not work for you, then Nascentia Health Plus will then cover Drug B.

Last Updated on April 13, 2021