HMSA Formulary†,*
To view the current drug formulary, please click the link below:
Optimal Formulary Coverage Codes
| 130 131 172 |
285 286 |
767 768 |
997 |
† Brand drugs not listed in the formulary should be considered OTHER BRAND.
* The online HMSA Drug Formulary is updated quarterly. Providers may request a CD version of the formulary by contacting HMSA Provider Services.
Access previous versions of the Optimal drug formulary.
Revision History
| Date | Nature of Revision |
|---|---|
| 08/03/2026 | Migrated to new platform |