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Covered Medication List (Formulary) – Nevada (Spanish)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.

Covered Medication List (Formulary) – California (Spanish)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.

Covered Medication List (Formulary) – California (English)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.

Covered Medication List (Formulary) – Nevada (English)

*Note: Covered Medication List (Formulary) is updated on a monthly basis.

Prior Authorization Criteria

*Note: Prior Authorization Criteria Form is updated on a monthly basis.

Step Therapy Criteria Form

*Note: Step Therapy Criteria Form is updated on a monthly basis.

Find a Pharmacy – 2027 – Nevada – COMING SOON

Find a Pharmacy – 2027 – California – COMING SOON

2027 NV Evidence of Coverage (EOC) for Champion Choice Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.

2027 NV Evidence of Coverage (EOC) for Champion Care Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.

2027 NV Evidence of Coverage (EOC) for Champion Ally Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.

2027 NV Evidence of Coverage (EOC) for Champion Plus Plan (English)

2027 NV Evidence of Coverage (EOC) for Champion Connect Plan (English)

2027 NV Evidence of Coverage (EOC) for Champion Advantage Plan (English)

2027 CA Evidence of Coverage (EOC) for Champion Secure Plan (English)

2027 CA Evidence of Coverage (EOC) for Champion Home Plan (English)

2027 CA Evidence of Coverage (EOC) for Champion Compass Plan (English)

2027 CA Evidence of Coverage (EOC) for Champion Plus Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.

2027 CA Evidence of Coverage (EOC) for Champion Care Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.

2027 CA Evidence of Coverage (EOC) for Champion Ally Plan (English) – COMING SOON

Evidence of Coverage document for 2027 is coming soon.