Search our medication lists

Find out if we cover your prescription medication

We cover a wide variety of medications for our members with prescription drug coverage. But there are some medications that are not included under that umbrella. Our plans include a covered medication list, also known as a formulary, to keep you informed about the medications we cover. Our pharmacy and healthcare providers meet regularly to update the list. We do this to ensure that members have access to safe, cost-effective and high-quality medications.

Is my medication on the covered medication list?

The easiest way to tell if your medication is covered is to download the covered drug list for your type of plan. If you have a non-Medicare plan you can also search for medications with our interactive medication finder tool.

We update these covered medication lists on a regular basis. If you save a copy, it may not have most current information. So check this site often for updates.

These covered medication lists include all of the prescription medications we cover under each specific plan.

• Brand names are capitalized.
• Generic medications are listed in lowercase. When a covered medication list includes a generic medication, only the generic medication is covered.

There are three medication lists to choose from based on the type of plan you have.

Medicare

Medicare members have their own covered medication list. Coverage can be reviewed by downloading our Medicare formulary PDF. Press Ctrl+F (Command+F for Mac) and type in the name of the medication to see whether it’s included in the covered medication list for your type of plan.

2026 Medicare Formulary

Employer-provided plans

Typically, these are health plans that businesses offer to their employees. These are also known as commercial health plans. Use our medication finder tool to search for medications that we cover:

Search 2026 Commercial Group Plan medications

2026 Group covered medication list

Qualified health plans

These plans are purchased by individuals or small businesses (50 or less employees) through the Health Insurance Marketplace or directly from us.

Qualified health plans, or QHPs, are Affordable Care Act-compliant plans that cover essential health benefits and follow established limits on out-of-pocket costs.

Use our medication finder tool to search for medications that we cover:

Search 2026 Small business/Individual Plan medications 

Download the full 2026 QHP covered medication list.

Access your benefits and save money on medications

Most HAP plans include prescription medication coverage. We want to make sure you get the pharmacy benefits you need.

For the most detailed, up-to-date information about your personal prescription medication coverage, log in and click “My Prescription Coverage.” You also can browse these resources for your type of plan.

General information about prescription medication coverage

No matter what type of plan you have, we’ll help you get the most out of your pharmacy benefits. Find answers to questions many of our members ask, including:

• Is my medication covered?
• How do I fill my prescription?
• Where can I find a HAP-network pharmacy?

Your personal pharmacy benefits made easier

Prescription medication coverage doesn’t have to be confusing. We provide easy access to information such as:

• A breakdown of our prescription medication tiers or the different levels at which we cover medications
• How to get specialty medication, which aren’t available in most pharmacies
• Information on medication safety

Convenient, cost-saving prescription medication coverage

Your money and time are valuable. That’s why we offer resources like these:

• How to save money on prescriptions
• Home-delivery pharmacy service to get medications delivered right to your mailbox
• Our 90-day prescription program to get a 90-day supply of select medications instead of the standard 30-day supply

Online prescription resources

HAP members also can get detailed information about medications online. Log in to your online member account to get access to your:

• Copay amount or total cost for members with high-deductible plans
• Details about medications, including possible side effects and generic alternatives
• Medication pricing by pharmacy based on your personal benefits
• Prescription history

Log in to see this information.

Restrictions for covered medications

Some drugs have coverage restrictions, such as prior authorization from your provider or the amount you can have at a particular time. Learn how we list these restrictions in our covered medication lists.

Prior authorization

Some medications have criteria you must meet before we cover them. You or your provider need to get approval, also known as prior authorization, from us before you fill your prescriptions for these medications. We list these medications with a “PA” notation.

Your provider can change the prescription to one that doesn’t require prior authorization or submit a prior authorization request to us.

View your pharmacy prior authorization history by logging in.

Quantity limits

Some medications have quantity limits – restrictions on the amount a pharmacist can dispense at one time or on the number of refills allowed. For example, you can obtain specialty medications for up to a 30-day supply.

We list medications that require quantity limits with a “QL” notation. Talk to your provider about quantity limits and how they may affect your health care.

Specialty medications

Specialty medications require prior authorization from the provider before we cover them. We also require prescriptions for these medications to be filled by our specialty pharmacy partner, Pharmacy Advantage. We list specialty medications with an “SP” notation.

Learn more about our coverage of specialty medications.

Step therapy

We may require you to try an alternative medication before we cover a particular medication. This process is called step therapy.

Here’s an example of how step therapy works:

1. Medication A and medication B both treat a health condition. If you have that condition, we may not cover medication B 
    unless you try medication A first and it didn’t work for you.
2. If medication A doesn’t work, then we’ll cover medication B.

We list medications that require step therapy with an “ST” notation. If you’re a new HAP member and have already gone through step therapy with a prescription medication, talk to your provider about submitting a prior authorization request for the preferred medication.

What if my medication isn’t on the covered medication list?

If you don't see your medication listed on our Covered Medication List, you can ask us to cover it if you feel the medication is necessary for your health and other medications we cover will not be as safe or effective. To request an exception, you may call us or you may submit your request by logging in to hap.org and following the link to Medical Exceptions in the Prescription Coverage tab.