HMSA Drug Formulary

The HMSA drug formulary is a list of generic and brand-name prescription drugs in your drug plan. Choose drugs that are on the formulary to save money on your drug copayments. To determine what your out-of-pocket cost will be, see Drug Categories.

The formulary is designed to be as comprehensive as possible, but doesn’t list all drugs currently available.

Find your formulary

Find your formulary by plan

Certain formularies can be identified by plan.

Find your formulary with your HMSA membership card.

If your plan isn’t listed above, follow these instructions:

  1. Find your plan’s drug code on your HMSA card next to the word DRUG.

    If there’s no drug code on your card, you may not have drug benefits through HMSA.
  2. Type your drug code here to find your formulary.

    Click the link in the box above to view your formulary.
    If nothing shows up, log in to My Account or call our pharmacy benefit manager at 1-855-298-2491

Frequently asked questions

How are drugs added to the formulary?

HMSA has an advisory committee that meets quarterly to review the drugs on the formulary and add new ones. Drugs that meet the committee’s standards for safety, efficacy, ease of use, and value are added to the formulary.

What if I’m taking more than one drug for my condition?

If you’re on two or more medications for chronic conditions, you may qualify for medication synchronization* A pharmacist coordinates the refill of your maintenance prescription drugs for you to pick them up each month. Read the Medication Synchronization [PDF] policy to learn more about the criteria, guidelines, limitations, and exclusions.

*Doesn’t apply to Medicare.