Affordable Care Act Plans: 2025 Formulary for Portfolio and Portfolio HSA Plans
The prescription drug benefit information provided through the use of this website is subject to all terms, conditions, limitations and exclusions of your benefit plan. Please consult your Summary of Benefits for a complete description of your prescription drug benefit. In the event of a discrepancy between information provided on this website and your benefit plan booklet, the terms of the benefit apply.
To see drug-specific pharmacy coverage guidelines (PCGs), search for a drug name in the searchable tool, or download the PCG list below.
View "How-to" Guide for easy instructions for using this tool!
Legal Disclaimer: Information provided is subject to all terms, conditions, limitations, and exclusions of your benefit plan. In the event of any discrepancy, the claims adjudication system and your benefit plan take precedence.