Individual & Group Coverage: (800) 400-PCHP
TTY: 711

Archived Formularies

 

Large Group 

Commercial Formulary Effective 12/1/2023

Centra Group Health Plan Formulary Effective 12/1/2023

Commercial Formulary Effective 11/1/2023

Centra Group Health Plan Formulary  Effective 11/1/2023

Piedmont BOB Standard Brand and Generic Preventive Drug List  Effective 11/1/2023

Piedmont BOB Standard Generics Only Preventative drug lis t Effective 11/1/2023

CENTRA HDHP Standard Brand and Generics Preventative drug list Effective 11/1/2023

Piedmont BOB Standard Brand and Generic Preventive Drug List Effective 10/1/2023

Piedmont BOB Standard Generics Only Preventative drug list Effective 10/1/2023

CENTRA HDHP Standard Brand and Generics Preventative drug list Effective 10/1/2023

Piedmont BOB Standard Brand and Generic Preventive Drug List Effective 9/1/2023

Piedmont BOB Standard Generics Only Preventative drug list Effective 9/1/2023

CENTRA HDHP Standard Brand and Generics Preventative drug list  Effective 9/1/2023

Piedmont BOB Standard Brand and Generic Preventive Drug List  Effective 8/1/2023

Piedmont BOB Standard Generics Only Preventative drug list Effective 8/1/2023

CENTRA HDHP Standard Brand and Generics Preventative drug list Effective 8/1/2023

Piedmont BOB Standard Brand and Generic Preventive Drug List  Effective 7/1/2023

Piedmont BOB Standard Generics Only Preventative drug list  Effective 7/1/2023

CENTRA HDHP Standard Brand and Generics Preventative drug list  Effective 7/1/2023

Commercial Formulary  Effective 10/1/2023

Centra Group Health Plan Formulary  Effective 10/1/2023

Commercial Formulary Effective 9/1/2023

Centra Group Health Plan Formulary Effective 9/1/2023

Commercial Formulary Effective 8/1/2023

Centra Group Health Plan Formulary Effective 8/1/2023

Commercial Formulary Effective 7/1/2023

Centra Group Health Plan Formulary Effective 7/1/2023

Commercial Formulary Effective 6/1/2023

Centra Group Health Plan Formulary Effective 6/1/2023

Piedmont BOB Standard Brand and Generic Preventive Drug List Effective 6/1/2023

Piedmont BOB Standard Generics Only Preventative drug list Effective 6/1/2023

CENTRA HDHP Standard Brand and Generics Preventative drug list Effective 6/1/2023

Piedmont BOB Standard Brand and Generic Preventive Drug List  Effective 5/1/2023

Piedmont BOB Standard Generics Only Preventative drug list  Effective 5/1/2023

CENTRA HDHP Standard Brand and Generics Preventative drug list  Effective 5/1/2023

Commercial Formulary   Effective 5/1/2023

Centra Group Health Plan Formulary - Effective 5/1/2023

Piedmont BOB Standard Brand and Generic Preventive Drug List April 2023

CENTRA HDHP Standard Brand and Generics Preventative drug list April 2023

Piedmont BOB Standard Generics Only Preventative drug list April 2023

Centra High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List, Effective 12/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List  , Effective 12/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List ,  Effective 12/1/2022

Centra High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List , Effective 11/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List , Effective 11/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List Effective 11/1/2022

2023 Centra Group Health Plan RX Drug Formulary. Effective 4/1/2023

2023 Piedmont Large Group RX Drug Formulary. Effective 4/1/2023

2023 Centra Group Health Plan RX Drug Formulary. Effective 3/1/2023

2023 Piedmont Large Group RX Drug Formulary. Effective 3/1/2023

2023 Centra Group Health Plan RX Drug Formulary. Effective 2/1/2023

2023 Piedmont Large Group RX Drug Formulary. Effective 2/1/2023

Centra High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List , Effective 10/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List , Effective 10/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List  Effective 10/1/2022

Centra High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List, Effective 9/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List, Effective 9/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List,  Effective 9/1/2022

Centra High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List, Effective 8/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List, Effective 8/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List,  Effective 8/1/2022

Centra High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List. Effective 7/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List, Effective 7/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List , Effective 7/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List Effective 4/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List , Effective 4/1/2022

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List , Effective 12/1/2021

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List , Effective 12/1/2021

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventive Therapy Drug List , Effective 11/1/2021

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Preventative Therapy Drug List , Effective 11/1/2021

2023 Centra Group Health Plan RX Drug Formulary. Effective 1/1/2023

2023 Piedmont Large Group RX Drug Formulary. Effective 1/1/2023

2022 Centra Group Health Plan RX Drug Formulary Effective 12/1/2022

2022 Piedmont Large Group RX Drug Formulary . Effective 12/1/2022

2022 Centra Group Health Plan RX Drug Formulary Effective 11/1/2022

2022 Piedmont Large Group RX Drug Formulary. Effective 11/1/2022

2022 Centra Group Health Plan RX Drug Formulary Effective 10/1/2022

2022 Piedmont Large Group RX Drug Formulary.  Effective 10/1/2022

2022 Centra Group Health Plan RX Drug Formulary. Effective 9/1/2022

2022 Piedmont Large Group RX Drug Formulary.  Effective 9/1/2022

2022 Centra Group Health Plan RX Drug Formulary . Effective 8/1/2022

2022 Piedmont Large Group RX Drug Formulary. Effective 8/1/2022

2022 Centra Group Health Plan RX Drug Formulary. Effective 7/1/2022

2022 Piedmont Large Group RX Drug Formulary. Effective 7/1/2022

2022 Centra Group Health Plan RX Drug Formulary. Effective 6/1/2022

2022 Piedmont Large Group RX Drug Formulary.  Effective 6/1/2022

2022 Centra Group Health Plan RX Drug Formulary. Effective 5/1/2022

2022 Piedmont Large Group RX Drug Formulary.  Effective 5/1/2022

2022 Centra Group Health Plan RX Drug Formulary. Effective 4/1/2022

2022 Piedmont Large Group RX Drug Formulary.  Effective 4/1/2022

2022 Centra Group Health Plan RX Drug Formulary. Effective 3/1/2022

2022 Piedmont Large Group RX Drug Formulary.  Effective 3/1/2022

2022 Centra Group Health Plan RX Drug Formulary. Effective 2/1/2022

2022 Piedmont Large Group RX Drug Formulary. Effective 2/1/2022

2022 Centra Group Health Plan RX Drug Formulary. Effective 1/1/2022

2021 Piedmont Large Group RX Drug Formulary. Effective 12/1/2021

2021 Centra Group Health Plan RX Drug Formulary. Effective 12/1/2021

2021 Piedmont Large Group RX Drug Formulary. Effective 11/1/2021

2021 Centra Group Health Plan RX Drug Formulary. Effective 11/1/2021

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventaive Therapy Drug List Effective 10/1/2021

Piedmont High Deductible Health Plan (HPHD) - Health Savings Account (HSA) Preventative Therapy Drug List Effective 10/1/2021

2021 Piedmont Large Group RX Drug Formulary. Effective 10/1/2021

2021 Centra Group Health Plan RX Drug Formulary. Effective 10/1/2021

2021 Piedmont Large Group Rx Drug Formulary Effective 9/1/2021

2021 Centra Group Health Plan Rx Drug Formulary Effective 9/1/2021

Piedmont High Deductible Health Plan (HDHP) - Health Savings Account (HSA) Generics Only Preventaive Therapy Drug List Effective 9/1/2021

Piedmont High Deductible Health Plan (HPHD) - Health Savings Account (HSA) Preventative Therapy Drug List Effective 9/1/2021

2021 Piedmont Large Group Rx Drug Formulary Effective 8/1/2021

2021 Centra Group Health Plan Rx Drug Formulary Effective 8/1/2021

2021 Piedmont Large Group Rx Drug Formulary Effective 5/1/2021

2021 Centra Group Health Plan Rx Drug Formulary Effective 5/1/2021

2021 Piedmont Large Group Rx Drug Formulary Effective 4/1/2021

2021 Centra Group Health Plan Rx Drug Formulary Effective 4/1/2021

2021 Piedmont Large Group Rx Drug Formulary Effective 3/1/2021

2021 Centra Group Health Plan Rx Drug Formulary Effective 3/1/2021

 

Whether you are new to the online pharmacy or already a registered user, CVS/Caremark will help the member get the most from your prescription benefits, explore ways to save on out-of-pocket prescription costs, and find the latest information on your health and prescription medicines.

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Would you like to save money and time?  Then consider ordering your covered prescriptions for maintenance medications through Piedmont Community Health Plan’s mail order pharmacy benefit.  Maintenance medications are medications that are used over a long period of time, like cholesterol, high blood pressure, and thyroid medications.  Antibiotics or other medications prescribed for acute illnesses are not maintenance medications since they are usually prescribed for short periods of time. 

A 90-day supply can usually save the member an additional pharmacy co-pay instead of getting three 30-day supplies.  CVS/Caremark will still fill a mail order 90-day supply request if you prefer.  Just CLICK HERE to go to their site.  Or, to take advantage of the Piedmont "walk-in" 90-day supply benefit just go to any pharmacy that currently fills 30-day supply prescriptions.

CLICK HERE to print out a Caremark mail-order form.

For Piedmont members with "Specialty Drug" needs, CLICK HERE for information on the CVS/Caremark Specialty Drug Program.