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Pharmacy coverage for 2027 health plans

Shopping for a 2027 health plan?

Individual & family and small employer plans

If you choose an individual and 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 six-tier (6T) formulary (the list of medications covered by your health insurance). Other plans use five-tier (5T) medication lists. As tiers get higher, medications typically cost more and your copays or coinsurance may increase. If you and your doctor find medications 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 2027.

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Individual & family plans

Small employer plans

*state-by-state definitions of a Small Employer may differ.

Standardized & option plans

In Utah and Colorado, state regulations require that some individual and family plans have a specific formulary option. In Utah, these plans are called standardized plans. In Colorado, they are called option plans. If you choose one of these plans for your 2027 coverage, links to your covered medication list are shown below. Both of these plans use a five-tier medication list.