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Formulary Frequently Asked Questions (FAQs)
Q: Can the formulary change?
Q: What about Generic Drugs?
Q: What if my drug isn't in the formulary?
You can ask Member Services for a list of similar drugs that are covered by Optimum HealthCare.
When you receive the list, show it to your doctor and ask him or her to prescribe a similar drug that is covered by Optimum HealthCare.
You can ask Optimum HealthCare to make an exception and cover your drug. Click here to find out more about requesting a exception
Please contact us to find out more information about our formulary drug coverage.