Managed Drug Limitation Program (MDL)
This program promotes safe, clinically appropriate drug usage. These medications, such as sleep agents, are limited to the days' supply. When a member exceeds the established limits for these medications and the physician believes an additional supply is needed, Great-West Healthcare Medical Directors will review the request for medical necessity.
Managed Drug Limitation Program (MDL) (PDF, 99KB)
Also in Spanish (PDF, 102KB)
Preferred Drug List (PDL)
Drugs categorized as "preferred" (lowest brand-name option) for plans covering prescriptions at a three-tiered level. Includes different copay levels. Members can access their PDL through the Pharmacy section on MyGreatWest.com.
Performance Pharmacy PDL (PDF, 148KB)
Also in Spanish (PDF, 149KB)
Prior Authorization Program
This program offers broad prescription drug coverage while promoting safe, clinically appropriate drug use. The prescriptions on the list require prior approval before being filled.
Prior Authorization Program (PDF, 104KB)
Also in Spanish (PDF, 107KB)
Specialty Pharmacy Network Drug List
Great-West Healthcare has partnered with specialty pharmacy providers to deliver medications that require special handling such as injectable drugs other than insulin. This helps ensure members receive their prescriptions in an appropriate manner.
Specialty Pharmacy Network Drug List (PDF, 98KB)
Also in Spanish (PDF, 100KB)
Advantage Four Tier PDL List (alphabetical listing)
Advantage Four Tier PDL (PDF, 152KB)
Also in Spanish (PDF, 157KB)
Additionally, some plans may exclude certain categories of drugs. For details about drug coverage, please check the Group Benefit Plan Booklet or Evidence of Coverage (EOC), consult with the plan's administrator or call the member services number on the member's ID card.