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The Alliance formulary was developed under the direction of the Pharmacy & Therapeutics (P&T) Committee and is continually reviewed by the P&T Committee and Alliance staff. Please note that since benefits vary by line of business, some drugs or classes of drugs are not covered for some members. Please refer to the appropriate Evidence of Coverage for specific benefit restrictions.
Medications on the Maintenance Drug List can be filled for a 90-day supply.
View our formulary by:
• Therapeutic Class (PDF)
• Full print version (PDF)
• Online or downloaded to your PDA through www.epocrates.com
Epocrates is a free online drug and formulary reference that contains the latest drug and prescribing information.
View formulary changes by year:
Please Note: The Knox Keene lines of business (Healthy Kids, IHSS, and AIM) will be required to use a standardized authorization form that is being developed by the Department of Managed Health Care (DMHC) to request prior authorizations. The form will be available on this web page as soon as it is available.
If you have any questions, please contact the Alliance Pharmacy Department at (831) 430-5507.