COVID-19 Update view more

CommunityCare is here for you. We are dedicated to taking care of our members and ensuring you have access to health care services.

Comprehensive Formulary

Use the links below to access the CommunityCare Options Comprehensive and Abridged Formularies.


Abridged Formulary


Important Message About What You Pay for Vaccines - Our plan covers most Part D vaccines at no cost to you. Call Customer Services for more information.

Important Message About What You Pay for Insulin – You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.


Extended Day Supply for Platinum and Platinum Plus members on Tier 1 medications (100 days or more)

Enjoy the convenience of extended supplies on select Tier 1 medications (100 days or more) and pay $0 copay.


Formulary Changes and Utilization Management Criteria

2023 CommunityCare Options Utilization Management Criteria Documents
  Formulary Changes Prior Authorization Step Therapy Quantity Limits
JanuaryN/AJanuary 2023 Prior Authorization CriteriaJanuary 2023 Step Therapy CriteriaSee comprehensive formulary for quantity limits.

HPMS Formulary ID: 00023107 Version 7
HPMS Formulary Approval Date: 10/04/2022
Updated: 10/2022



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