2025 Plan year

For all plans in Texas:

Medication Search | English (pdf)

2024 Plan year

If your plan name does NOT include "Standard", use the Essential Plus Prescription Drug List (6-tier):
Medication Search | English (pdf) | Spanish (pdf)
If your plan name is one of the following, use the Essential Plus Prescription Drug List (6-tier):
Medication Search | English (pdf) | Spanish (pdf)
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin)
- UHC Gold-A Standard ($0 Virtual Urgent Care + $0 PCP Visits, $0 Tier 2 Rx, $0 Insulin)
- UHC Gold-B Standard $0 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin)
- UHC Gold-X Standard $0 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin)
For all other plans that include “Standard” in the plan name, use the QHP Standard Prescription Drug List (5-tier):
Medication Search | English (pdf) | Spanish (pdf)