HMSA's Select and Choice Drug Formulary and Coverage Codes

HMSA Formulary†,*

Select Formulary Coverage Codes

129
132
133
138
139
140
141
142
144
169
173
283
284
337
338
371
372
395
396
399
400
403
404
412
435
602
606
613
614
633
641
642
644
697
699
706
712
717
719
721
769
783
811
812
835
837
838
839
840
841
842
843
844
845
851
852
853
854
855
856
857
858
859
868
881 
952
962
963
969
970
982
986
987 
00A
00V

Choice Formulary Coverage Codes

229 273 304 305 321 339 380 381 828

Limited Rx Formulary Coverage Codes

LTDRXV (008)
LTDRX2 (465)
LTDRX3 (465)
LTDRX6 (467)
LTDRXA (488)
LTDRXB (489) 
LTDRXC (574)
LTDRXU (617)
LTDRXD (760) 
LTDRXE (761)
LTDRXF (762)
LTDRXG (763)
LTDRXH (764)
LTDRXJ (765) 
LTDRXK (766)
LTDRXL (770)
LTDRXM (771)
LTDRXN (772)
LTDRXP (773) 
LTDRXQ (774)
LTDRXR (775)
LTDRXS (776)
LTDRXO (790)
LTDRXT (867)

Childrens Formulary Coverage Code – Obsolete as of 1/1/19

310

† 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 Select and Choice drug formulary.


Revision History

Date Nature of Revision
08/03/2026

Migrated to new platform