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Call Member Services at 1-800-926-6565 (TTY 711)

Hours: 8 a.m. to 8 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, our hours are 8 a.m. to 8 p.m. local time, Monday through Friday, except for major holidays.

Comprehensive Formulary

2026 Comprehensive Formulary

  • Plan English Spanish Last Updated
    Complete Rx (PDP) - S5904 English Spanish 6/22/26
    Classic (HMO) - H1035
    Preferred (HMO) - H1035
    Premier (HMO) - H1035
    Premier Rx (PDP) - S5904
    Select (PPO) - H5434
    Value (PPO) - H5434
    English Spanish 6/22/26
           
FBM FORM NF
Last Updated: 10.01.2025
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