Covered Drugs, Formulary & Forms
Use our online pharmacy and formulary search to find a Gold Kidney Health Plan network pharmacy and formulary
For more in-depth information, see our pharmacy and formulary documents below
Formulary Change Notice
Formulary Drug List (English)
Formulary Drug List (Spanish)
Prior Authorization Drug List
Step Therapy Drug List
Model Part D Coverage Determination and Redetermination Form
MedImpact Direct Mail® Program
