Quarterly Formulary Updates

Formulary2View the June updates to Highmark’s prescription drug formularies and related pharmaceutical management procedures by clicking here .

Pharmaceutical Management Procedures

To learn more about how to use pharmaceutical management procedures, refer to the PHARMACY PROGRAM/FORMULARIES pages, accessible from the left-hand menu. Click on the Pharmacy Information from the sidebar and then Pharmaceutical Management from the list on the right.

This section includes information on:

  • Exception requests
  • The process for generic substitutions
  • Explanations of limits/quotas, therapeutic interchange, and step-therapy protocols

Federal Employee Program (FEP) Drug Formularies and Pharmaceutical Management Procedures

The FEP specific drug formularies are available online . Providers also may obtain formulary information by calling 866-763-3608 and following the prompts for Pharmacy.

To learn more about the FEP exception request processes for non-formulary drugs, click here .