Search the GenericsAdvantageRx

What’s the GenericsAdvantageRx drug list?

This is the list of medicines (a drug list sometimes also called a formulary) covered by your health plan. The drug list is reviewed by a team of clinical experts every three months for new medicines, safety alerts and other developments.

Note: The GenericsAdvantageRx drug list may not be covered under your health plan. Please log on for personalized drug list information.

Search the GenericsAdvantageRx drug list

You can also print the complete GenericsAdvantageRx formulary by selecting your plan from the list below.

2019

• GenericsAdvantageRx drug list for Large Employer Groups

MN

• Small Group plan with 2-tier coverage(PDF)
  • HSA Contract and Embedded
  • HRA 4000-100
  • HRA 6500-100
• Small Group plan with 4-tier coverage including preventive medicines
  • HSA Rx Plus
• Small Group plan with 4-tier coverage including low and high-cost generic medicines
  • Platinum 25-95
  • Gold 500-20
  • Gold 500-40
  • Gold 750-40
  • Gold 1000-40
  • Gold 2000-50
  • Silver 4000-60
  • Gold 30/60 P/S
  • Gold 45/90 P/S
  • Three for Free (All)
  • HRA 5000-100

WI

• Small Group plan with 3-tier coverage
  • HSA Contract and Embedded
  • HRA 4000-100
  • HRA 6500-100
• Small Group plan with 5-tier coverage including preventive medicines
  • HSA Rx Plus
• Small Group plan with 5-tier coverage including low and high-cost generic medicines
  • Platinum 25-95
  • Gold 500-20
  • Gold 500-40
  • Gold 750-40
  • Gold 1000-40
  • Gold 2000-50
  • Silver 4000-60
  • Gold 30/60 P/S
  • Gold 45/90 P/S
  • Three for Free (All)
  • HRA 5000-100

MN

• Individual plan with 3-tier coverage
  • Peak $3000 HSA Silver
  • Peak $6650 HSA Bronze
  • Peak $7900 Catastrophic
• Individual plan with 4-tier coverage including low and high-cost generic medicines
  • Peak $1000 w/Copay Gold
  • Peak $3000 Plus Silver
  • Peak $6000 Plus Bronze

WI

• Individual plan with 4-tier coverage
  • Atlas $3000 HSA Silver
  • Atlas $6650 HSA Bronze
  • Atlas $7900 Catastrophic
• Individual plan with 5-tier coverage including low and high-cost generic medicines
  • Atlas $1000 w/Copay Gold
  • Atlas $3000 Plus Silver
  • Atlas $6000 Plus Bronze

2018

MN and WI

• Small Group plan with 2-tier coverage(PDF)
  • HSA (MN Only)
• Small Group plan with 3-tier coverage(PDF)
  • HRA 4000-100
  • HRA 6000-100
  • HSA (WI Only)
• Small Group plan with 4-tier coverage(PDF)
  • Platinum 25-95
  • Gold 500-20
  • Gold 500-40
  • Gold 750-40
  • Gold 1000-40
  • Silver 3500-60
  • Three for Free (All)
  • HRA 4750-100
• Small Group plan with 5-tier coverage(PDF)
  • HSA Rx Plus (All)

MN

• Individual plan with 3-tier coverage
  • Peak $2300 Plus Silver
  • Peak $3500 Plus Silver
  • Peak $6000 Plus Bronze
  • Peak $7350 Catastrophic
  • Peak $3000 HSA Silver
  • Peak $6600 HSA Bronze
• Individual plan with 4-tier coverage including low and high-cost generic medicines
  • Peak $1000 w/Copay Gold

WI

• Individual plan with 4-tier coverage
  • Atlas $2300 Plus Silver
  • Atlas $3500 Plus Silver
  • Atlas $3000 HSA Silver
  • Atlas $6600 HSA Bronze
  • Atlas $7350 Catastrophic
• Individual plan with 5-tier coverage including low and high-cost generic medicines
  • Atlas $1000 w/Copay Gold
  • Atlas $6600 Plus Bronze

2017

MN and WI

• 2-tier coverage(PDF)
  • Small Group
    • HSA (MN Only)
  • EZ
    • HSA (MN Only)
    • Distinctions HSA plan
• 4-tier coverage(PDF)
  • Small Group
    • Platinum 25-95
    • Gold 500-30
    • Gold 500-45
    • Gold 750-45
    • Gold 1000-30
    • Gold 1000-45
    • Silver 3000-50
    • Three for Free (All)
    • HRA (All)
    • HSA (WI Only)
  • EZ
    • Copay plans (All)
    • Copay-Deductible plans (All)
    • Three for Free plans (All)
    • Distinctions Copay-Deductible plan
• 5-tier coverage(PDF)
  • Small Group and EZ
    • HSA Rx Plus (All)

MN

• Individual plan with 3-tier coverage
  • Peak $2200 Plus (Silver)
  • Peak $3500 Plus (Silver)
  • Peak $6850 Plus (Bronze)
  • Peak $7150 (Catastrophic)
  • Peak $3000 HSA (Silver)
  • Peak $6550 HSA (Bronze)
• Individual plan with 4-tier coverage including low and high-cost generic medicines
  • Peak $1000 w/Copay (Gold)

WI

• Individual plan with 3-tier coverage
  • Atlas $2200 Plus (Silver)
  • Atlas $6850 Plus (Bronze)
  • Atlas $7150 (Bronze)
  • Atlas $7150 (Catastrophic)
• Individual plan with 5-tier coverage including low and high-cost generic medicines
  • Atlas $500 w/Copay (Gold)