- Access Plan Coverage List
- Covered Buprenorphine Products
- Covered Compounding Products
- High-Investment Carve-Out Drug List
- Maintenance Drug List Requiring 90-day Refills
- Maintenance Drug Category List Requiring 90-day Refills
- Metabolic Formulas List - see Nutritional Supplementation and Support
- Metabolic Nutrition and Nutritional Product Medical Policy - see Nutritional Supplementation and Support
- Rebatable NDC Drug List
- Over-the-Counter (OTC) Drugs
- Preferred Diabetic Supply Listing
- Specialty Drug List (SDL)