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PRESCRIPTION DRUG FORMULARIES

Formulary Information

A formulary is the list of prescription drugs covered under your plan. It is created, reviewed and updated by a team of doctors and pharmacists. GlobalHealth's formulary contains a wide range of generic and brand-name drugs that have been approved by the U.S. Food and Drug Administration (FDA). Drugs are chosen because first, they're safe and effective, and second, they save money. Your doctor can use the enclosed formulary list to choose medications for you while helping you save the most money.

Please note the formulary has changed, please review the formulary to see if we still cover the drugs at the same level of coverage that you currently take.

You may access/print the most current drug formularies below.

Medicare Advantage Plans

Document Name
Global Classic (HMO)
2022 Comprehensive Formulary (Updated 11/01/2022) English Espanol
2022 Formulary Changes (Updated 11/01/2022) English  
2022 Step Therapy English  
2022 Prior Authorization English  
2022 Medicare Part B Step Therapy List English  
Global Special Care (HMO C-SNP) and Global Special Care Savings (HMO C-SNP)
2022 Comprehensive Formulary (Updated 11/01/2022) English Espanol
2022 Formulary Changes (Updated 11/01/2022) English  
2022 Step Therapy English  
2022 Prior Authorization English  
2022 Medicare Part B Step Therapy List English  
Document Name
Texas LoneStar Gold (HMO) and Texas LoneStar Gold Rewards (HMO)
2023 Comprehensive Formulary (Updated 10/19/2022) English & Espanol
2023 Formulary Changes (coming soon)  
2023 Step Therapy English
2023 Prior Authorization English
Texas LoneStar Chronic Care (HMO C-SNP) and Texas LoneStar Chronic Care Savings (HMO C-SNP)
2023 Comprehensive Formulary (Updated 10/19/2022) English & Espanol
2023 Formulary Changes (coming soon)  
2023 Step Therapy English
2023 Prior Authorization English
Texas LoneStar Dual Support (HMO D-SNP) and Texas LoneStar Dual Premier (HMO D-SNP)
2023 Comprehensive Formulary (Updated 10/19/2022) English & Espanol
2023 Formulary Changes (coming soon)  
2023 Step Therapy English
2023 Prior Authorization English

If you have questions about the formulary, please email [email protected].