Pharmacy

Pharmacy Information

Find prescription drug and pharmacy directory resources for Native Advantage HMO.

Formulary

Download the 2027 Comprehensive Formulary for the covered drug list, updated October 23, 2026. Visit the Navitus plan site for formulary resources and drug coverage information.

2027 Comprehensive Formulary (PDF) Formulary Directory

Mail-Order Pharmacy

Contact Member Services for assistance with mail-order pharmacy questions. Visit the Member Resources hub for plan resources.

View Member Resources

Plan documents and directories

Pharmacy resources

Use the Navitus directories and member resource pages below.

Plan documents

Download Summary of Benefits (PDF) 2027 Pharmacy Directory (PDF) Download Part D Appeals Contact (PDF)

2027 Step Therapy Criteria (PDF)

CMS-approved. Document last updated November 1, 2026.

2027 Prior Authorization Criteria (PDF)

Pending CMS approval

Network pharmacies

Visit the Navitus plan site for pharmacy directory resources.

Pharmacy Directory

Coverage questions

For coverage decisions, exceptions, and appeals, use the member resource that matches your need.

View Appeals Resources

Member resources

Visit the member hub for plan resources.

View Member Resources

Information notice: Pharmacy coverage, networks, and rules may change. Consult published resources or contact Member Services for assistance.