Shopping for a 2025 health plan?
Individual & Family and Small Employer Plans
If you choose an Individual & Family plan, or will get insurance through a Small Employer (employers with 50 or fewer eligible employees*), your formulary is RxCore. Most plans use the RxCore Five-tier (5T) formulary (the list of drugs covered by your health insurance). Other plan use Four-tier (4T) or Six-tier (6T) drug lists. As tiers get higher, drugs typically cost more and your copays or coinsurance may increase. If you and your doctor find drugs on lower tiers that effectively treat your symptoms, you will usually pay less.
Use the links below to search for medications that will be covered when you enroll or renew your plan in 2025.