Valor Health Plans

Insurance focused on you

Formulary

Online Prior Authorization
Comprehensive FormularyLast updated 10/2020
Step Therapy CriteriaLast updated 10/2020
Quantity LimitLast updated 10/2020
Pharmacy Prior AuthorizationLast updated 10/2020
Formulary ChangesLast Updated 10/2020
Redetermination Request Form
Coverage Determination Request Form
Online Formulary Search Tool

Other Resources

Pharmacy Search
Medication Transition Policy
Medication Therapy Management

This section last modified: Oct 12, 2020 @ 9:57 am

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