How can I check if a specific medication is covered?

To determine if a specific medication is covered by Oxford Health Plans, individuals may want to start by reviewing the plan's formulary, which is a comprehensive list of covered medications. The formulary typically categorizes drugs into different tiers that reflect their cost and coverage level. Individuals can find the most current formulary on the Oxford Health website, where they will also likely find search options to look up specific medications by name or category. In addition, it is worthwhile for individuals to consult their member ID card, as it usually provides access to benefit details, including pharmacy coverage. Members can also contact a pharmacy or consult with their healthcare provider to verify coverage details for a prescribed medication. In some cases, medications may require prior authorization before they can be covered. For any inquiries regarding coverage specifics or issues navigating the website, individuals are encouraged to explore the contact information available on the Oxford Health Plans website, ensuring they receive the most accurate and up-to-date assistance regarding their plan.