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Rx Drug Lists

Managed Drug Limitation Program (MDL)

This program promotes safe, clinically appropriate drug usage. These medications, such as sleep agents, are limited to the days' supply. When a member exceeds the established limits for these medications and the physician believes an additional supply is needed, Great-West Healthcare Medical Directors will review the request for medical necessity.

PDF file Managed Drug Limitation Program (MDL) (PDF, 48KB)
PDF file Also in Spanish (PDF, 49KB)

Preferred Drug List (PDL)

Drugs categorized as "preferred" (lowest brand-name option) for plans covering prescriptions at a three-tiered level. Includes different copay levels. Members can access their PDL through the Pharmacy section on MyGreatWest.com.

PDF file 2008 Choice Pharmacy PDL (PDF, 62KB)
PDF file Also in Spanish (PDF, 66KB)

PDF file 2008 Performance Pharmacy PDL (PDF, 69KB)
PDF file Also in Spanish (PDF, 74KB)

PDF file 2006 Texas HMO PDL (PDF, 77KB)
PDF file Also in Spanish (PDF, 79KB)

PDF file 2007 Texas HMO PDL (PDF, 73KB)
PDF file Also in Spanish (PDF, 75KB)

Prior Authorization Program

This program offers broad prescription drug coverage while promoting safe, clinically appropriate drug use. The prescriptions on the list require prior approval before being filled.

PDF file Prior Authorization Program (PDF, 48KB)
PDF file Also in Spanish (PDF, 49KB)

Specialty Pharmacy Network Drug List

Great-West Healthcare has partnered with specialty pharmacy providers to deliver medications that require special handling such as injectable drugs other than insulin. This helps ensure members receive their prescriptions in an appropriate manner.

PDF file Specialty Pharmacy Network Drug List (PDF, 48KB)
PDF file Also in Spanish (PDF, 59KB)

Advantage Rx PDL List (alphabetical listing)

PDF file 2008 Advantage Rx PDL (PDF, 74KB)
PDF file Also in Spanish (PDF, 80KB)


Additionally, some plans may exclude certain categories of drugs. For details about drug coverage, please check the Group Benefit Plan Booklet or Evidence of Coverage (EOC), consult with the plan's administrator or call the member services number on the member's ID card.