Members of ADVANTAGE Health Solutions receive prescription drug benefits in addition to their medical benefits. ADVANTAGE Health Solutions covers both brand name drugs and generic drugs. Generic drugs have the same active ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.

All members of ADVANTAGE Health Solutions will receive a formulary. A formulary is a preferred list of drugs selected to meet patient needs at a lower cost. If the formulary changes, you will be notified in writing, before the change. To view an online version click on the link below:

 Comprehensive Formulary

 ADVANTAGE Prior Authorization Criteria

 ADVANTAGE Formulary Step Therapy Summary

We may make certain changes to our formulary during the year. Changes in the formulary may affect which drugs are covered and how much you will pay when filling your prescription. The kinds of formulary changes we may make include:

 » Adding or removing drugs from the formulary

 » Adding prior authorizations, quantity limits, and/or step-therapy restrictions on a drug

Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please call our Customer Service Department at the number listed below.

ADVANTAGE Health Solutions, Inc.
Customer Service Department
Toll Free: (800) 311-0539
TTY/TDD Users: (800) 311-0533
8a.m. to 8p.m., 7 days a week

For appeals and grievance information click on the link below:

 The Appeals and Grievance Process